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Updated: Jun 14, 2025
Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
Impact of Leisure-Time Physical Activity and Sedentary Behavior on Mortality in Patients With Chronic Obstructive
Lindong Yuan1, Lihai Zhang, Yan Wang
1From the Department of Respiratory and Critical Care Medicine, Liaocheng People's Hospital, Liaocheng, China (LY, YW, XX); Department of Respiratory and Critical Care Medicine, The First Hospital of Hebei Medical University, Shijiazhuang, China (LZ); Department of Respiratory and Critical Care Medicine, Qingdao University Hospital, Qingdao, China (PZ); and Department of Intensive Care Unit, Liaocheng People's Hospital, Liaocheng, China (DC).
Objective:
This study sought to examine the association between inactive time, leisure-time physical activity and mortality in individuals diagnosed with chronic obstructive pulmonary disease.
Design:
This study utilized a nationally representative sample of patients with chronic obstructive pulmonary disease from National Health and Nutrition Examination Survey ( n = 1817; weighted population, 23,698,840). Mortality was tracked from the date of interview and examination. Leisure-time physical activity and sedentary time were assessed using a Global Physical Activity Questionnaire.
Results:
The study found that only 28% of patients with chronic obstructive pulmonary disease achieved sufficient leisure-time physical activity (leisure-time physical activity ≥150 mins/wk), while 58% reported no physical activity and 47% sat for over 6 hrs per day. Over a 9-yr follow-up period, 501 deaths occurred, with 101 due to heart diseases. Adequate leisure-time physical activity levels were associated with a decreased risk of mortality from any cause. Moreover, patients who engaged in sufficient leisure-time physical activity and reduced sitting time had a lower risk of mortality from any cause compared to those who did not engage in sufficient leisure-time physical activity.
Conclusions:
Participating in an adequate amount of leisure-time physical activity was linked to a reduced risk of death from any cause in patients with chronic obstructive pulmonary disease. However, irrespective of the extent of the leisure-time physical activity, there was no significant correlation between sedentary behavior and the risk of mortality.
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