PT  - JOURNAL ARTICLE
AU  - Atsuyoshi Kawagoshi
AU  - Noritaka Kiyokawa
AU  - Masahiro Iwakura
AU  - Kazuki Okura
AU  - Keiyu Sugawara
AU  - Hitomi Takahashi
AU  - Shunichi Sakata
AU  - Masahiro Satake
AU  - Takanobu Shioya
TI  - Effects of low-intensity exercise and home-based pulmonary rehabilitation with pedometer feedback on physical activity in elderly patients with COPD
AID  - 10.1183/13993003.congress-2015.PA3563
DP  - 2015 Sep 01
TA  - European Respiratory Journal
PG  - PA3563
VI  - 46
IP  - suppl 59
4099  - http://erj.ersjournals.com/content/46/suppl_59/PA3563.short
4100  - http://erj.ersjournals.com/content/46/suppl_59/PA3563.full
SO  - Eur Respir J2015 Sep 01; 46
AB  - Purpose: The objective of this study was to evaluate the effects of low-intensity and home-based pulmonary rehabilitation (PR) and the feedback provided by a pedometer on physical activity (PA) in stable elderly patients with chronic obstructive pulmonary disease (COPD).Methods: We assessed PA using A-MES™(Kumamoto, Japan), which measures the time spent in position and moving. 27 elderly patients with COPD (age 74 ± 8 yrs) participated. They were randomly selected to undergo PR (pulmonary rehabilitation only) or PR+P (PR plus the feedback was given the number of steps monthly from using a pedometer) group. Their PA and pulmonary function, physiological factors were evaluated before the PR began (baseline) and at 1 year later. We compared the patients' changes in PA between the baseline values and those obtained 1 year later.Results: The increase in the time spent walking in the PR+P group (51.3 ± 63.7 min/day) was significantly greater than that of PR group (12.3 ± 25.5 min/day) after the PR. PRPR+Pp-valueThe time spent in position and moving (min/day)Walking12.3±25.551.3±63.70.036Standing31.3±46.843.0±28.10.694Sitting6.1±90.159.3±103.30.198Lying down-28.6±55.1-52.9±68.40.303The frequency of potural changes(times/day)Total19±4440±660.303Getting-up6±310.1±250.857Standing-up14±3443±600.181mean±SDComparison of changes in physical activity from Baseline to 1 year later between PR and PR+P groupConclusions: These data suggest that low-intensity and home-based PR with the feedback from using pedometer was effective in improving PA in stable elderly patients with COPD.