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Long-term efficacy and effectiveness of a behavioural and community-based exercise intervention (Urban Training) to increase physical activity in patients with COPD : a randomised controlled trial
Arbillaga-Etxarri, Ane (Physical Activity and Sports Sciences, Faculty of Psychology and Education, University of Deusto, Donostia-San Sebastián, Spain)
Gimeno-Santos, Elena (Institut d'Investigacions Biomèdiques August Pi i Sunyer)
Barberan-Garcia, Anael (Institut d'Investigacions Biomèdiques August Pi i Sunyer)
Balcells, Eva (Institut Hospital del Mar d'Investigacions Mèdiques)
Benet, Marta (Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública)
Borrell, Eulàlia (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Celorrio, Nuria (Hospital de Viladecans)
Delgado, Anna (Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública)
Jané, Carme (Institut Català de la Salut)
Marín, Alicia (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Martín-Cantera, Carlos (Universitat Autònoma de Barcelona. Departament de Pediatria, Obstetrícia i Ginecologia i Medicina Preventiva i Salut Pública)
Monteagudo, Mònica (Institut Universitari d'Investigació en Atenció Primària Jordi Gol)
Montellà, Nuria (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Muñoz, Laura (Agència de Qualitat i Avaluació Sanitàries de Catalunya)
Ortega, Pilar (Hospital de Mataró. Consorci Sanitari del Maresme)
Rodríguez, Diego Agustín (Institut Hospital del Mar d'Investigacions Mèdiques)
Rodríguez-Roisin, Robert (Institut d'Investigacions Biomèdiques August Pi i Sunyer)
Simonet, Pere (Institut Universitari d'Investigació en Atenció Primària Jordi Gol)
Torán Montserrat, Pere (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Torrent-Pallicer, Jaume (Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública)
Vall-Casas, Pere (Universitat Internacional de Catalunya)
Vilaró, Jordi (Universitat Ramon Llull. Departament de Ciències de la Salut)
Garcia-Aymerich, Judith (Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública)

Date: 2018
Abstract: There is a need to increase and maintain physical activity in patients with chronic obstructive pulmonary disease (COPD). We assessed 12-month efficacy and effectiveness of the Urban Training intervention on physical activity in COPD patients. This randomised controlled trial (NCT01897298) allocated 407 COPD patients from primary and hospital settings 1:1 to usual care (n=205) or Urban Training (n=202). Urban Training consisted of a baseline motivational interview, advice to walk on urban trails designed for COPD patients in outdoor public spaces and other optional components for feedback, motivation, information and support (pedometer, calendar, physical activity brochure, website, phone text messages, walking groups and a phone number). The primary outcome was 12-month change in steps·day −1 measured by accelerometer. Efficacy analysis (with per-protocol analysis set, n=233 classified as adherent to the assigned intervention) showed adjusted (95% CI) 12-month difference +957 (184-1731) steps·day −1 between Urban Training and usual care. Effectiveness analysis (with intention-to-treat analysis set, n=280 patients completing the study at 12 months including unwilling and self-reported non-adherent patients) showed no differences between groups. Leg muscle pain during walks was more frequently reported in Urban Training than usual care, without differences in any of the other adverse events. Urban Training, combining behavioural strategies with unsupervised outdoor walking, was efficacious in increasing physical activity after 12 months in COPD patients, with few safety concerns. However, it was ineffective in the full population including unwilling and self-reported non-adherent patients. Urban Training in COPD increased physical activity after 12 months but not in self-reported non-adherent patients.
Rights: Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. Creative Commons
Language: Anglès
Document: Article ; recerca ; Versió publicada
Published in: European respiratory journal, Vol. 52 (october 2018) , ISSN 1399-3003

DOI: 10.1183/13993003.00063-2018
PMID: 30166322


14 p, 1.5 MB

The record appears in these collections:
Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut d'Investigació en Ciencies de la Salut Germans Trias i Pujol (IGTP)
Articles > Research articles
Articles > Published articles

 Record created 2020-07-13, last modified 2023-11-27



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