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Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease

Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease

Published on: August 24, 2019

Physical inactivity in patients with COPD, a controlled multi-center pilot-study.

Thierry Troosters¹, Frank Sciurba, Salvatore Battaglia

¹Pulmonary Rehabilitation and Respiratory Division, UZ Gasthuisberg, Leuven, Belgium. Thierry.troosters@med.kuleuven.be

Respiratory Medicine

|February 20, 2010

Summary

Physical activity is reduced in patients with chronic obstructive pulmonary disease (COPD), even in early stages. Moderate-intensity activity decreases before lower-intensity activity, impacting daily life for COPD patients.

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Acupoint Application as a Traditional Chinese Medicine Treatment for Fatigue Associated with Chronic Obstructive Pulmonary Disease

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Published on: September 5, 2025

Area of Science:

Pulmonary Medicine
Rehabilitation Science
Exercise Physiology

Background:

Physical activity (PA) is often reduced in severe chronic obstructive pulmonary disease (COPD).
Limited research exists on PA levels in moderate COPD.
This study investigated daily life PA in COPD patients and controls.

Purpose of the Study:

To assess and compare physical activity levels in patients with chronic obstructive pulmonary disease (COPD) against a control group.
To determine if reductions in physical activity occur early in COPD progression.
To differentiate the impact on mild versus moderate intensity activities.

Main Methods:

A multi-center controlled study was conducted.
Physical activity was measured using a multisensor armband device (SenseWear).
Key metrics included average daily steps and time spent in mild and moderate physical activity.

Main Results:

COPD patients spent significantly less time in mild and moderate intensity activities compared to controls.
Step counts in COPD patients were 87% (GOLD I) down to 29% (GOLD IV) of control values.
Significant reductions in moderate-intensity activity were observed starting from GOLD stage II.

Conclusions:

Physical activity is reduced early in COPD progression, beginning at GOLD stage II.
Reductions in moderate-intensity physical activities appear to precede decreases in lower-intensity activities.
These findings highlight the importance of monitoring and addressing PA early in COPD management.