Utilize este identificador para referenciar este registo: http://hdl.handle.net/10773/42055
Título: Beyond pulmonary rehabilitation: can the PICk UP programme fill the gap? A randomised trial in COPD
Autor: Rebelo, P.
Brooks, D.
Cravo, J.
Mendes, M. A.
Oliveira, A. C.
Rijo, A. S.
Moura, M. J.
Marques, A.
Palavras-chave: Physical activity
Pulmonary disease Chronic obstructive
Community integration
Community resources
Data: 11-Mai-2024
Editora: Elsevier
Resumo: Introduction and objectives Pulmonary rehabilitation (PR) is a fundamental intervention to manage COPD, however, maintaining its benefits is challenging. Engaging in physical activity might help to prolong PR benefits. This study assessed the efficacy and effectiveness of a personalised community-based physical activity programme to sustain physical activity and other health-related PR benefits, in people with COPD. Materials and methods This was a multicentre, assessor blinded, randomised controlled trial. Following 12-weeks of PR, people with COPD were assigned to a six-months personalised community-based physical activity programme (experimental group), or to standard care (control group). Physical activity was assessed via: time spent in moderate to vigorous physical activities per day (primary outcome measure), steps/day and the brief physical activity assessment tool. Secondary outcomes included sedentary behaviour, functional status, peripheral muscle strength, balance, symptoms, emotional state, health-related quality of life, exacerbations and healthcare utilization. Assessments were performed immediately post-PR and after three- and six-months. Efficacy and effectiveness were evaluated using intention-to-treat and per-protocol analysis with linear mixed models. Results Sixty-one participants (experimental group: n = 32; control group: n = 29), with balanced baseline characteristics between groups (69.6 ± 8.5 years old, 84 % male, FEV1 57.1 ± 16.7 %predicted) were included. Changes in all physical activity outcomes and in one-minute sit-to-stand were significantly different (P < 0.05) between groups at the six-month follow-up. In the remaining outcomes there were no differences between groups. Conclusions The community-based physical activity programme resulted in better physical activity levels and sit-to-stand performance, six-months after completing PR, in COPD. No additional benefits were observed for other secondary outcomes.
Peer review: yes
URI: http://hdl.handle.net/10773/42055
DOI: 10.1016/j.pulmoe.2024.04.001
Aparece nas coleções: IBIMED - Artigos
ESSUA - Artigos
Lab3R - Artigos

Ficheiros deste registo:
Ficheiro Descrição TamanhoFormato 
1-s2.0-S2531043724000473-main.pdf1.2 MBAdobe PDFVer/Abrir


FacebookTwitterLinkedIn
Formato BibTex MendeleyEndnote Degois 

Todos os registos no repositório estão protegidos por leis de copyright, com todos os direitos reservados.