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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...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
European Respiratory Society
2023
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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. |
format | Online Article Text |
id | pubmed-9879326 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | European Respiratory Society |
record_format | MEDLINE/PubMed |
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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