Physical activity in patients with COPD: the impact of comorbidities

Leandro Cruz Mantoani, Silvina Dell'Era, William MacNee, Roberto A Rabinovich

Research output: Contribution to journalReview articlepeer-review

Abstract / Description of output

INTRODUCTION: Comorbidities are common in patients with chronic obstructive pulmonary disease (COPD) and it plays an important role on physical activity (PA) in this population. Since low PA levels have been described as a key factor to predict morbi-mortality in COPD, it seems crucial to review the current literature available on this topic. Areas covered: This review covers the most common comorbidities found in COPD, their prevalence and prognostic implications. We explore the differences in PA between COPD patients with and without comorbidities, as well as the impact of the number or type of comorbidities on activity levels of this population. The effect of different comorbidities on activities of daily living in patients with COPD is also reviewed. Finally, we discuss options for the treatment of inactivity in COPD patients considering their comorbidities and limitations. Expert commentary: Comorbidities are highly prevalent in patients with COPD and further deteriorate PA levels in this population. Despite the wide range of interventions available in COPD, the evidence in the field seems to point at PA coaching with feedback on individual goals and longer lasting PR programmes with more than 12 weeks of duration when attempting to raise the activity levels of this population.

Original languageEnglish
Pages (from-to)685-698
Number of pages14
JournalExpert review of respiratory medicine
Issue number9
Early online date20 Jul 2017
Publication statusPublished - Sept 2017

Keywords / Materials (for Non-textual outputs)

  • Activities of Daily Living
  • Cardiovascular Diseases
  • Comorbidity
  • Diabetes Mellitus
  • Exercise
  • Humans
  • Lung Neoplasms
  • Obesity
  • Osteoarthritis
  • Prevalence
  • Prognosis
  • Pulmonary Disease, Chronic Obstructive
  • Journal Article
  • Review


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