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Physical activity promotion interventions in chronic airways disease: a systematic review and meta-analysis

Physical inactivity is common in people with chronic airways disease (pwCAD) and associated with worse clinical outcomes and impaired quality of life. We conducted a systematic review and meta-analysis to characterise and evaluate the effectiveness of interventions promoting step-based physical acti...

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Autores principales: Reilly, Caroline, Sails, Joe, Stavropoulos-Kalinoglou, Antonios, Birch, Rebecca J., McKenna, Jim, Clifton, Ian J., Peckham, Daniel, Birch, Karen M., Price, Oliver J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: European Respiratory Society 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9879326/
https://www.ncbi.nlm.nih.gov/pubmed/36697208
http://dx.doi.org/10.1183/16000617.0109-2022
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author Reilly, Caroline
Sails, Joe
Stavropoulos-Kalinoglou, Antonios
Birch, Rebecca J.
McKenna, Jim
Clifton, Ian J.
Peckham, Daniel
Birch, Karen M.
Price, Oliver J.
author_facet Reilly, Caroline
Sails, Joe
Stavropoulos-Kalinoglou, Antonios
Birch, Rebecca J.
McKenna, Jim
Clifton, Ian J.
Peckham, Daniel
Birch, Karen M.
Price, Oliver J.
author_sort Reilly, Caroline
collection PubMed
description Physical inactivity is common in people with chronic airways disease (pwCAD) and associated with worse clinical outcomes and impaired quality of life. We conducted a systematic review and meta-analysis to characterise and evaluate the effectiveness of interventions promoting step-based physical activity (PA) in pwCAD. We searched for studies that included a form of PA promotion and step-count outcome measure. A random-effects model was used to determine the overall effect size using post-intervention values. 38 studies (n=32 COPD; n=5 asthma; n=1 bronchiectasis; study population: n=3777) were included. Overall, implementing a form of PA promotion resulted in a significant increase in step-count: median (IQR) 705 (183–1210) when compared with usual standard care: −64 (−597–229), standardised mean difference (SMD) 0.24 (95% CI: 0.12–0.36), p<0.01. To explore the impact of specific interventions, studies were stratified into subgroups: PA promotion+wearable activity monitor-based interventions (n=17) (SMD 0.37, p<0.01); PA promotion+step-count as an outcome measure (n=9) (SMD 0.18, p=0.09); technology-based interventions (n=12) (SMD 0.16, p=0.01). Interventions promoting PA, particularly those that incorporate wearable activity monitors, result in a significant and clinically meaningful improvement in daily step-count in pwCAD.
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spelling pubmed-98793262023-01-31 Physical activity promotion interventions in chronic airways disease: a systematic review and meta-analysis Reilly, Caroline Sails, Joe Stavropoulos-Kalinoglou, Antonios Birch, Rebecca J. McKenna, Jim Clifton, Ian J. Peckham, Daniel Birch, Karen M. Price, Oliver J. Eur Respir Rev Reviews Physical inactivity is common in people with chronic airways disease (pwCAD) and associated with worse clinical outcomes and impaired quality of life. We conducted a systematic review and meta-analysis to characterise and evaluate the effectiveness of interventions promoting step-based physical activity (PA) in pwCAD. We searched for studies that included a form of PA promotion and step-count outcome measure. A random-effects model was used to determine the overall effect size using post-intervention values. 38 studies (n=32 COPD; n=5 asthma; n=1 bronchiectasis; study population: n=3777) were included. Overall, implementing a form of PA promotion resulted in a significant increase in step-count: median (IQR) 705 (183–1210) when compared with usual standard care: −64 (−597–229), standardised mean difference (SMD) 0.24 (95% CI: 0.12–0.36), p<0.01. To explore the impact of specific interventions, studies were stratified into subgroups: PA promotion+wearable activity monitor-based interventions (n=17) (SMD 0.37, p<0.01); PA promotion+step-count as an outcome measure (n=9) (SMD 0.18, p=0.09); technology-based interventions (n=12) (SMD 0.16, p=0.01). Interventions promoting PA, particularly those that incorporate wearable activity monitors, result in a significant and clinically meaningful improvement in daily step-count in pwCAD. European Respiratory Society 2023-01-25 /pmc/articles/PMC9879326/ /pubmed/36697208 http://dx.doi.org/10.1183/16000617.0109-2022 Text en Copyright ©The authors 2023 https://creativecommons.org/licenses/by-nc/4.0/This version is distributed under the terms of the Creative Commons Attribution Non-Commercial Licence 4.0. For commercial reproduction rights and permissions contact permissions@ersnet.org (mailto:permissions@ersnet.org)
spellingShingle Reviews
Reilly, Caroline
Sails, Joe
Stavropoulos-Kalinoglou, Antonios
Birch, Rebecca J.
McKenna, Jim
Clifton, Ian J.
Peckham, Daniel
Birch, Karen M.
Price, Oliver J.
Physical activity promotion interventions in chronic airways disease: a systematic review and meta-analysis
title Physical activity promotion interventions in chronic airways disease: a systematic review and meta-analysis
title_full Physical activity promotion interventions in chronic airways disease: a systematic review and meta-analysis
title_fullStr Physical activity promotion interventions in chronic airways disease: a systematic review and meta-analysis
title_full_unstemmed Physical activity promotion interventions in chronic airways disease: a systematic review and meta-analysis
title_short Physical activity promotion interventions in chronic airways disease: a systematic review and meta-analysis
title_sort physical activity promotion interventions in chronic airways disease: a systematic review and meta-analysis
topic Reviews
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9879326/
https://www.ncbi.nlm.nih.gov/pubmed/36697208
http://dx.doi.org/10.1183/16000617.0109-2022
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