Back to Browse Journals » International Journal of Chronic Obstructive Pulmonary Disease » Volume 7

Physical inactivity in COPD and increased patient perception of dyspnea

Authors Katajisto M, Kupiainen H, Rantanen P, Lindqvist A, Kilpeläinen M, Tikkanen H, Laitinen T

Published Date October 2012 Volume 2012:7 Pages 743—755

DOI http://dx.doi.org/10.2147/COPD.S35497

Received 29 June 2012, Accepted 20 August 2012, Published 29 October 2012

Milla Katajisto,1 Henna Kupiainen,1 Piritta Rantanen,1 Ari Lindqvist,1 Maritta Kilpeläinen,2 Heikki Tikkanen,3 Tarja Laitinen2

1Clinical Research Unit for Pulmonary Diseases and Division of Pulmonology, Helsinki University Central Hospital, Helsinki, Finland; 2Department of Pulmonary Diseases and Clinical Allergology, Turku University Hospital and University of Turku, Turku, Finland; 3Department of Sports and Exercise Medicine, Institute of Clinical Medicine, Helsinki University and Foundation of Sports and Exercise Medicine, Helsinki, Finland

Objective: To study patients’ levels of exercise activity and the clinical characteristics that relate to physical activity and inactivity among patients with chronic obstructive pulmonary disease (COPD).
Methods: A postal questionnaire was administered to 719 patients with COPD in 2010; patients were recruited from the Helsinki and Turku University Central Hospitals in Finland and have been followed since 2005. The questionnaire asked participants about their exercise routines and other daily activities, potential restrictions to exercise, health-related quality of life, and subjective sensations of dyspnea upon exertion.
Results: A total of 50% of the participants reported exercising > 2 times a week throughout the year. The proportion of the exercise inactive patients increased in parallel with disease progression, but the participants exhibited great variation in the degree of activity as well as in sport choices. Year-round activity was better maintained among patients who exercised both indoors and outdoors. Training activity was significantly correlated with patients’ reported subjective dyspnea (r = 0.32, P < 0.001), health-related quality of life (r = 0.25, P < 0.001), mobility score (r = 0.37, P < 0.001), and bronchial obstruction (r = 0.18, P < 0.001). Active patients did not differ from inactive patients in terms of sex, age, smoking status, somatic comorbidities, or body mass index. Irrespective of the level of severity of patients’ COPD, the most significant barrier to exercising was the subjective sensation of dyspnea.
Conclusion: When a patient with COPD suffers from dyspnea and does not have regular exercise routines, the patient will most likely benefit from an exercise program tailored to his or her physical capabilities.

Keywords: COPD, physical fitness, exercise training, physical activity, pulmonary rehabilitation

Download Article [PDF] View Full Text [HTML] 

Creative Commons License This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution - Non Commercial (unported, v3.0) License. The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. Permissions beyond the scope of the License are administered by Dove Medical Press Limited. Information on how to request permission may be found at: http://www.dovepress.com/permissions.php

Readers of this article also read:

Symptom variability in COPD: a narrative review

Lopez-Campos JL, Calero C, Quintana-Gallego E

International Journal of Chronic Obstructive Pulmonary Disease 2013, 8:231-238

Published Date: 7 May 2013

Indacaterol improves daily physical activity in patients with chronic obstructive pulmonary disease

Hataji O, Naito M, Ito K, Watanabe F, Gabazza EC, Taguchi O

International Journal of Chronic Obstructive Pulmonary Disease 2013, 8:1-5

Published Date: 28 December 2012

Clinical COPD Questionnaire score (CCQ) and mortality

Sundh J, Janson C, Lisspers K, Montgomery S, Ställberg B

International Journal of Chronic Obstructive Pulmonary Disease 2012, 7:833-842

Published Date: 20 December 2012

Effects of inspiratory muscle training on dynamic hyperinflation in patients with COPD

Petrovic M, Reiter M, Zipko H, Pohl W, Wanke T

International Journal of Chronic Obstructive Pulmonary Disease 2012, 7:797-805

Published Date: 30 November 2012

Patient characteristics, treatment patterns, and health outcomes among COPD phenotypes

Allen-Ramey FC, Gupta S, DiBonaventura MD

International Journal of Chronic Obstructive Pulmonary Disease 2012, 7:779-787

Published Date: 22 November 2012

Randomized trial of pragmatic education for low-risk COPD patients: impact on hospitalizations and emergency department visits

Siddique HH, Olson RH, Parenti CM, Rector TS, Caldwell M, Dewan NA, Rice KL

International Journal of Chronic Obstructive Pulmonary Disease 2012, 7:719-728

Published Date: 25 October 2012

Muscle function in COPD: a complex interplay

Donaldson AV, Maddocks M, Martolini D, Polkey MI, Man WD-C

International Journal of Chronic Obstructive Pulmonary Disease 2012, 7:523-535

Published Date: 17 August 2012

Exercise prescription for hospitalized people with chronic obstructive pulmonary disease and comorbidities: a synthesis of systematic reviews

Reid WD, Yamabayashi C, Goodridge D, Chung F, Hunt MA, Marciniuk DD, Brooks D, Chen YW, Hoens AM, Camp PG

International Journal of Chronic Obstructive Pulmonary Disease 2012, 7:297-320

Published Date: 14 May 2012