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Exercise and Quality of Life in COPD

  • J. A. Alison
  • Z. J. McKeough
Reference work entry

Abstract:

Chronic obstructive pulmonary disease (COPD) is a serious public health problem world-wide. The World Health Organization Global Burden of Disease Project estimated that COPD was the fifth leading cause of death worldwide in 2001 and that it will be the third leading cause of death by 2020. The primary symptoms of COPD are breathlessness and fatigue. These symptoms occur as a consequence of pathophysiological changes which result in ventilatory, cardiovascular and skeletal muscle constraints to activity and exercise. Breathlessness and fatigue reduce  exercise tolerance,  functional activity,  physical activity and health-related quality of life. Objective tools to measure exercise tolerance (e.g., exercise tests) and physical activity (e.g., motion sensors) and subjective tools to measure functional and physical activity (e.g., questionnaires and diaries) are available to assess the impact of COPD on these parameters. Generic and respiratory disease specific questionnaires have also been developed to measure the impact of COPD on health-related quality of life. Moderate to strong  correlations between exercise tolerance (measured by the 6-min walk distance), and functional activity, physical activity and disease specific health-related quality of life have been shown in people with COPD. Such correlations demonstrate the association between reduced exercise tolerance due to COPD and reduced ability to function in everyday life, which impacts on health-related quality of life. Exercise training, as part of a pulmonary rehabilitation program, is one of the major effective strategies for management of breathlessness and fatigue in COPD. Such exercise training programs increase exercise tolerance which is reflected in clinical and statistically significant improvements in functional activity and health-related quality of life in people with COPD.

Keywords

Physical Activity Chronic Obstructive Pulmonary Disease Exercise Training Exercise Tolerance Minimum Clinically Important Difference 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

List of Abbreviations:

ADL

activities of daily living

COPD

chronic obstructive pulmonary disease

CRDQ

chronic respiratory disease questionnaire

ESWT

endurance shuttle walk test

FPI

functional performance inventory

HRQOL

health-related quality of life

I-ADL

 instrumental activities of daily living

ISWT

incremental shuttle walk test

MCID

minimum clinically important difference

P-ADL

 participation activities of daily living

PASE

physical activity scale for the elderly

PFSDQ-M

pulmonary functional status and dyspnea questionnaire – modified

PFSS

pulmonary functional status scale

QOL

quality of life

SGRQ

St George’s respiratory questionnaire

SOLD

Seattle obstructive lung disease questionnaire

6MWT

six minute walk test

6MWD

 six minute walk distance

95% CI

ninety-five percent confidence interval

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Copyright information

© Springer Science+Business Media LLC 2010

Authors and Affiliations

  • J. A. Alison
  • Z. J. McKeough

There are no affiliations available

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