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Enhancement of daily physical activity increases physical fitness of outclinic COPD patients: results of an exercise counseling program [with consumer summary]
Hospes G, Bossenbroek L, ten Hacken NHT, van Hengel P, de Greef MHG
Patient Education and Counseling 2009 May;75(2):274-278
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: To investigate whether a 12-week pedometer-based exercise counseling strategy is feasible and effectively enhances daily physical activity in outclinic Chronic Obstructive Pulmonary Disease (COPD) patients who do not participate in a rehabilitation program in a controlled way. METHODS: 35 outclinic COPD patients (21 males, mean age 62 years, GOLD I to III, mean FEV1% predicted 64.7) were randomized for a 12-week individual pedometer-based exercise counseling program promoting daily physical activities or usual care. Daily physical activity (DigiWalker SW-200), physical fitness, health-related quality of life, self-efficacy, fatigue, depression and motivation to be physically active were assessed before and after the intervention. RESULTS: After the intervention, COPD patients in the exercise counseling group showed a significant increase in their mean number of steps/day (from 7,087 to 7,872), whereas the usual care group showed a decrease (from 7,539 to 6,172). Significant differences favoring the exercise counseling group were demonstrated in arm strength, leg strength, health-related quality of life and intrinsic motivation to be physically active. CONCLUSION: Our study shows that a 12-week pedometer-based exercise counseling strategy is feasible and effectively enhances daily physical activity, physical fitness, health-related quality of life and intrinsic motivation in outclinic COPD patients who do not participate in a rehabilitation program. PRACTICE IMPLICATIONS: The feasibility of our exercise counseling strategy is good and patients were motivated to participate.
With permission from Excerpta Medica Inc.

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