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Physical activity, sedentary behaviour and sleep in COPD guidelines: A systematic review
Hayley Lewthwaite1, Tanja W Effing2,3, Timothy Olds1
11 Alliance for Research in Exercise, Nutrition and Activity, School of Health Sciences, University of South Australia, Adelaide, South Australia, Australia.
Chronic Respiratory Disease
|August 5, 2017
Summary
Clinical practice guidelines for chronic obstructive pulmonary disease (COPD) often lack specific recommendations for physical activity, sedentary behavior, and sleep, despite their health importance. Further research and guideline integration are needed.
Area of Science:
- Pulmonary Medicine
- Behavioral Science
- Health Policy
Background:
- Physical activity, sedentary behavior, and sleep are crucial for overall health and disease management.
- Chronic obstructive pulmonary disease (COPD) management is significantly influenced by these lifestyle factors.
Purpose of the Study:
- To systematically review clinical practice guidelines (CPGs) for COPD management.
- To assess the inclusion of specific recommendations and strategies for physical activity, sedentary behavior, and sleep within these guidelines.
Main Methods:
- A systematic literature search was conducted across multiple databases and guideline repositories for CPGs published since 2005.
- Recommendations and strategies related to movement behaviors were extracted verbatim.
- The proportion of CPGs addressing each behavior was calculated.
Main Results:
- Out of 35 included COPD CPGs, 60% (21) offered specific physical activity recommendations.
- No CPGs provided specific recommendations for sedentary behavior or sleep.
- Healthcare provider encouragement was the most frequent strategy for physical activity and sedentary behavior, while sleep studies were recommended for sleep issues.
Conclusions:
- Current COPD CPGs inadequately address sedentary behavior and sleep, despite their known health associations.
- There is a critical need for COPD-specific research and the integration of comprehensive recommendations for physical activity, sedentary behavior, and sleep into clinical guidelines.
- Improved guideline content could enhance patient well-being and mitigate COPD effects.
Keywords:
Chronic obstructive pulmonary diseaseclinical practice guidelinedisease managementlung diseases obstructivesedentary lifestyleMore Related Videos
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