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Physical activity coaching in patients with ILD: a pilot study

S Breuls, A Blondeel, M Wuyts, J Yserbyt, W Janssens, W Wuyts, H Demeyer, T Troosters
European Respiratory Journal 2022 60: 2447; DOI: 10.1183/13993003.congress-2022.2447
S Breuls
1Department of Rehabilitation Sciences, KU Leuven, Leuven, Belgium
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A Blondeel
1Department of Rehabilitation Sciences, KU Leuven, Leuven, Belgium
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M Wuyts
1Department of Rehabilitation Sciences, KU Leuven, Leuven, Belgium
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J Yserbyt
2Clinical Department of Respiratory Diseases, University Hospitals Leuven, BREATHE, Department CHROMETA, KU Leuven, Leuven, Belgium
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W Janssens
2Clinical Department of Respiratory Diseases, University Hospitals Leuven, BREATHE, Department CHROMETA, KU Leuven, Leuven, Belgium
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W Wuyts
2Clinical Department of Respiratory Diseases, University Hospitals Leuven, BREATHE, Department CHROMETA, KU Leuven, Leuven, Belgium
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H Demeyer
3Department of Rehabilitation Sciences, KU Leuven, Ghent University, Leuven, Ghent, Belgium
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T Troosters
1Department of Rehabilitation Sciences, KU Leuven, Leuven, Belgium
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Abstract

Introduction: Physical activity (PA) is decreased in patients with interstitial lung diseases (ILD) and is an independent predictor of mortality in patients with idiopathic pulmonary fibrosis (IPF). Whether this decrease can be reversed by PA interventions is unknown.

Aim: To investigate the effect of a 3-month telecoaching program on PA in patients with ILD.

Methods: Patients with ILD were randomized into the usual care group (UCG) or intervention group (IG). The IG received 3 months of telecoaching via a pedometer, a smartphone application and coaching calls. PA was measured as a primary outcome with an accelerometer (Dynaport Movemonitor) for one week at baseline and after 3 months. Secondary outcomes were exercise capacity (EC), using 6-minute walk test (6MWT), and quadriceps strength (QS). ANCOVA was performed for between-group comparisons.

Results: Baseline characteristics of the IG (n=18) were similar to the UCG (n=22) (mean±SEM 64±2y; FVC 92±4% pred; DL,CO 51±3% pred; IPF 73%; 6MWT 491±17m; QS 88±4% pred; PA 5659±411 steps/day), except for gender (IG 39% male, UCG 77% male, p=0.013). Participation in telecoaching did not improve PA outcomes (fig 1). Also, 6MWT (between-group difference 15±19m, p=0.430) and QS (between-group difference 8±7% pred, p=0.300) did not show significant differences compared to baseline.

Conclusions: Three months of telecoaching did not result in benefits of PA, exercise capacity or muscle strength in patients with ILD.

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  • Physical activity
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Footnotes

Cite this article as Eur Respir J 2022; 60: Suppl. 66, 2447.

This article was presented at the 2022 ERS International Congress, in session “-”.

This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).

  • Copyright ©the authors 2022
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Physical activity coaching in patients with ILD: a pilot study
S Breuls, A Blondeel, M Wuyts, J Yserbyt, W Janssens, W Wuyts, H Demeyer, T Troosters
European Respiratory Journal Sep 2022, 60 (suppl 66) 2447; DOI: 10.1183/13993003.congress-2022.2447

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Physical activity coaching in patients with ILD: a pilot study
S Breuls, A Blondeel, M Wuyts, J Yserbyt, W Janssens, W Wuyts, H Demeyer, T Troosters
European Respiratory Journal Sep 2022, 60 (suppl 66) 2447; DOI: 10.1183/13993003.congress-2022.2447
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