The relationship between physical activity and health status in patients with chronic obstructive pulmonary disease following pulmonary rehabilitation

Meshe, Oluwasomi F. and Claydon, Leica S. and Bungay, Hilary and Andrew, Sharon (2017) The relationship between physical activity and health status in patients with chronic obstructive pulmonary disease following pulmonary rehabilitation. Disability and Rehabilitation, 39 (8). pp. 746-756. ISSN 1464-5165

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Official URL: https://doi.org/10.3109/09638288.2016.1161842

Abstract

Aim: To investigate the relationship between physical activity (PA) and measures of health-related quality of life (HRQoL) and hospital admissions in people with chronic obstructive pulmonary disease (COPD) following pulmonary rehabilitation (PR). Method: CINAHL, Medline, PubMed, AMED, PsycINFO and Cochrane Library (database inception to July 2014) were searched. Relevant outcomes included relationships between PA and HRQoL, lung function (forced expiratory volume in one second, FEV1) and/or hospital admission. Six quantitative and 11 qualitative studies were included and Harden’s method of data synthesis in a mixed-methods systematic review was applied. Results: Six months following PR, increase activity levels was associated with improvement of 62m in 6MWD, 2.31 and 15.55 points increase in SGRQ and CRDQ total scores, respectively, 1.3% FEV1 and reduced dyspnoea. No study reported on hospital admission. Reported relationships were facilitated by healthcare professionals, social supporters, motivation and encouragement, reduced fear and seeing benefits and hindered by changing physical health, environment, lack of motivation, fear and social isolation. Conclusion: The associations between increased levels of PA and quality of life, respiratory function and dyspnoea are largely based on 6MWD and PA questionnaires. Objective measurement of free living activity in exercise maintenance phase is required along with participants’ views.

Item Type: Journal Article
Keywords: Barriers, chronic obstructive pulmonary disease, exercise, facilitators and review, health
Faculty: ARCHIVED Faculty of Health, Social Care & Education (until September 2018)
Depositing User: Lisa Blanshard
Date Deposited: 10 Sep 2019 10:16
Last Modified: 14 Nov 2019 16:00
URI: http://arro.anglia.ac.uk/id/eprint/704720

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