Effects of low-intensity exercise and home-based pulmonary rehabilitation with pedometer feedback on physical activity in elderly patients with COPD

Author(s):  
Atsuyoshi Kawagoshi ◽  
Noritaka Kiyokawa ◽  
Masahiro Iwakura ◽  
Kazuki Okura ◽  
Keiyu Sugawara ◽  
...  
Author(s):  
James Bouma

The purpose of this study was to examine the effects of participation in an aerobic exercise intervention on daily activity occurring outside of the structured exercise sessions. Participants were randomized into one of the following 4 conditions: 1) No-exercise, 2) Low volume, low intensity exercise (LVLI), 3) High volume, low intensity exercise (HVLI), 4) Low volume, high intensity (LVHI). Physical activity was measured over 7 days with an accelerometer at baseline and during week 8 of the intervention. Activity was defined as: sedentary behaviour (SED; < 100 counts/minute), light physical activity (LPA; 100 to 1951 counts/minute), moderate-to-vigorous physical activity (MVPA; ≥1952 counts/minute), and total physical activity (TPA; LPA + MVPA). Activity was quantified as average total minutes per day of each SED, LPA, MVPA, and TPA. A one-way ANOVA was used to determine if time spent in SED, LPA, MVPA, and TPA changed from baseline to week 8. Seventy-one participants (No-exercise; n=12, LVLI n=17, HVLI n=24, LVHI; n=18,) with a mean age of 54 y and waist circumference of 110 cm completed 8 weeks of the intervention. There were no significant differences in SED, LPA, MVPA, or TPA between groups at baseline. There was no significant change in SED, LPA, MVPA, or TPA at week 8 compared to baseline (p>0.05). Similarly, there were no significant differences in activity variables between exercise conditions. Our observations suggest that daily activity patterns do not change with the implementation of an exercise intervention in men and women.


2018 ◽  
Vol 13 (4) ◽  
pp. 373-381
Author(s):  
Noriatsu Tatematsu ◽  
Taro Okayama ◽  
Tetsuya Tsuji ◽  
Akira Iwamura ◽  
Akira Tanuma ◽  
...  

Author(s):  
Arnaud Chambellan ◽  
Camille Badatcheff ◽  
Agnes Bellocq ◽  
Frederic Costes ◽  
Hakima Ouksel

2021 ◽  
Vol 2 ◽  
Author(s):  
Elizabeth J. Horton ◽  
Justina Ruksenaite ◽  
Katy Mitchell ◽  
Louise Sewell ◽  
Christopher Newby ◽  
...  

Background: Pulmonary rehabilitation (PR) is a highly effective intervention for individuals with chronic obstructive pulmonary disease (COPD). Physical activity (PA) has been shown to increase after a centre-based programme, yet it is not clear if a home-based programme can offer the same benefit. This study aimed to evaluate the effect of home-based PR compared with the centre-based PR on the PA levels post 7 weeks of PR and 6 months follow-up.Method: In this study, 51 participants with COPD, of them, 36 (71%) men completed physical activity monitoring with a SenseWear Armband, at three time points (baseline, 7 weeks, and 6 months). The participants were randomly assigned to either centre-based supervised PR (n = 25; 69 ± 6 years; FEV1 55 ± 20% predicted) or home-based PR (n = 26; 68 ± 7 years; FEV1 42 ± 19% predicted) programmes lasting 7 weeks. The home-based programme includes one hospital visit, a self-management manual, and two telephone calls. The PA was measured as step count, time in moderate PA (3–6 metabolic equivalent of tasks [METs]) in bouts of more than 10 min and sedentary time (&lt;2 METs).Results: Home-based PR increased step count significantly more than the centre-based PR after 7 weeks (mean difference 1,463 steps: 95% CI 280–2,645, p = 0.02). There was no difference in time spent in moderate PA was observed (mean difference 62 min: 95% CI −56 to 248, p = 0.24). Sedentary behaviour was also significantly different between the centre and home-based groups. The home group spent 52 min less time sedentary compared with the centre-based (CI −106 to 2, p = 0.039). However, after 6 months, the step count and time spent in moderate PA returned to baseline in both the groups.Conclusion: This study provides an important insight into the role of home-based PR which has the potential to be offered as an alternative to the centre-based PR. Understanding who may best respond from the centre or home-based PR warrants further exploration and how to maintain these initial benefits for the long-term.Trial Registry: ISRCTN: No.: ISRCTN81189044; URL: isrctn.com.


Author(s):  
Aroub Lahham ◽  
Angela Burge ◽  
Christine McDonald ◽  
Ajay Mahal ◽  
Catherine Hill ◽  
...  

1994 ◽  
Vol 2 (1) ◽  
pp. 80-92 ◽  
Author(s):  
Kevan H. Namazi ◽  
Paulletta B. Gwinnup ◽  
Carol A. Zadorozny

The purpose of this study was twofold: (a) develop and assess the suitability of a program of physical activity for an institutionalized population with Alzheimer’s disease (AD) and (b) evaluate the exercise/movement program’s impact on behavior of patients with AD. Twenty-two AD patients participated in a 40-min exercise/movement program for 28 days. The results showed that the program reduced the agitated behaviors of patients with AD by more than half (χ2= 101,df= 1,P< .0001; Cramer’s V = .23). The study confirmed that the exercise/movement program was both feasible and desirable for patients with AD, and that it reduced some of the adverse behaviors of the patients.


2015 ◽  
Vol 33 (17) ◽  
pp. 1918-1927 ◽  
Author(s):  
Hanna van Waart ◽  
Martijn M. Stuiver ◽  
Wim H. van Harten ◽  
Edwin Geleijn ◽  
Jacobien M. Kieffer ◽  
...  

Purpose We evaluated the effectiveness of a low-intensity, home-based physical activity program (Onco-Move) and a moderate- to high-intensity, combined supervised resistance and aerobic exercise program (OnTrack) versus usual care (UC) in maintaining or enhancing physical fitness, minimizing fatigue, enhancing health-related quality of life, and optimizing chemotherapy completion rates in patients undergoing adjuvant chemotherapy for breast cancer. Patients and Methods We randomly assigned patients who were scheduled to undergo adjuvant chemotherapy (N = 230) to Onco-Move, OnTrack, or UC. Performance-based and self-reported outcomes were assessed before random assignment, at the end of chemotherapy, and at the 6-month follow-up. We used generalized estimating equations to compare the groups over time. Results Onco-Move and OnTrack resulted in less decline in cardiorespiratory fitness (P < .001), better physical functioning (P ≤ .001), less nausea and vomiting (P = .029 and .031, respectively) and less pain (P = .003 and .011, respectively) compared with UC. OnTrack also resulted in better outcomes for muscle strength (P = .002) and physical fatigue (P < .001). At the 6-month follow-up, most outcomes returned to baseline levels for all three groups. A smaller percentage of participants in OnTrack required chemotherapy dose adjustments than those in the UC or Onco-Move groups (P = .002). Both intervention groups returned earlier (P = .012), as well as for more hours per week (P = .014), to work than the control group. Conclusion A supervised, moderate- to high-intensity, combined resistance and aerobic exercise program is most effective for patients with breast cancer undergoing adjuvant chemotherapy. A home-based, low-intensity physical activity program represents a viable alternative for women who are unable or unwilling to follow the higher intensity program.


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