Effects of ground-based walking training on daily physical activity in people with COPD: A randomised controlled trial

Sally L. Wootton, Kylie Hill, Jennifer A. Alison, Li Whye Cindy Ng, Sue Jenkins, Peter R. Eastwood, David R. Hillman, Christine Jenkins, Lissa Spencer, Nola Cecins, Leon Straker, Zoe J. McKeough

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Abstract

This study explored the effects of ground-based walking training on physical activity (PA) and sedentary time (ST) in people with chronic obstructive pulmonary disease (COPD). Participants were randomised to a walk group (WG) [supervised, ground-based walking training, two or three times per week for 8-10 weeks] or a control group (CG) [usual medical care]. Before and after the intervention period, PA and ST were measured using the SenseWear® Pro3 Armband. Of the 143 participants randomised, 101 (71%) had sufficient data for the primary analysis; 62 were from the WG (mean [SD] age 69 [8] years, FEV1 42 [15] % predicted) and 39 were from the CG (age 68 [9] years, FEV1 43 [15] % predicted). No between-group differences were demonstrated in any measure of PA or ST (all p > 0.05). Secondary analyses (n = 44) revealed that, compared to the CG, the proportion of waking hours spent in moderate intensity PA accumulated in uninterrupted bouts of between 30 and 60 min, increased in the WG by 0.8% (95% CI = 0.4 to 1.3). This study demonstrated that, in people with COPD, ground-based walking training alone had little, if any clinically important effect on daily PA and no effect on ST.

Original languageEnglish
Pages (from-to)139-145
Number of pages7
JournalRespiratory Medicine
Volume132
DOIs
Publication statusPublished - 1 Nov 2017

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Chronic Obstructive Pulmonary Disease
Walking
Randomized Controlled Trials
Control Groups

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Wootton, Sally L. ; Hill, Kylie ; Alison, Jennifer A. ; Ng, Li Whye Cindy ; Jenkins, Sue ; Eastwood, Peter R. ; Hillman, David R. ; Jenkins, Christine ; Spencer, Lissa ; Cecins, Nola ; Straker, Leon ; McKeough, Zoe J. / Effects of ground-based walking training on daily physical activity in people with COPD : A randomised controlled trial. In: Respiratory Medicine. 2017 ; Vol. 132. pp. 139-145.
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Effects of ground-based walking training on daily physical activity in people with COPD : A randomised controlled trial. / Wootton, Sally L.; Hill, Kylie; Alison, Jennifer A.; Ng, Li Whye Cindy; Jenkins, Sue; Eastwood, Peter R.; Hillman, David R.; Jenkins, Christine; Spencer, Lissa; Cecins, Nola; Straker, Leon; McKeough, Zoe J.

In: Respiratory Medicine, Vol. 132, 01.11.2017, p. 139-145.

Research output: Contribution to journalArticle

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T1 - Effects of ground-based walking training on daily physical activity in people with COPD

T2 - A randomised controlled trial

AU - Wootton, Sally L.

AU - Hill, Kylie

AU - Alison, Jennifer A.

AU - Ng, Li Whye Cindy

AU - Jenkins, Sue

AU - Eastwood, Peter R.

AU - Hillman, David R.

AU - Jenkins, Christine

AU - Spencer, Lissa

AU - Cecins, Nola

AU - Straker, Leon

AU - McKeough, Zoe J.

PY - 2017/11/1

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N2 - This study explored the effects of ground-based walking training on physical activity (PA) and sedentary time (ST) in people with chronic obstructive pulmonary disease (COPD). Participants were randomised to a walk group (WG) [supervised, ground-based walking training, two or three times per week for 8-10 weeks] or a control group (CG) [usual medical care]. Before and after the intervention period, PA and ST were measured using the SenseWear® Pro3 Armband. Of the 143 participants randomised, 101 (71%) had sufficient data for the primary analysis; 62 were from the WG (mean [SD] age 69 [8] years, FEV1 42 [15] % predicted) and 39 were from the CG (age 68 [9] years, FEV1 43 [15] % predicted). No between-group differences were demonstrated in any measure of PA or ST (all p > 0.05). Secondary analyses (n = 44) revealed that, compared to the CG, the proportion of waking hours spent in moderate intensity PA accumulated in uninterrupted bouts of between 30 and 60 min, increased in the WG by 0.8% (95% CI = 0.4 to 1.3). This study demonstrated that, in people with COPD, ground-based walking training alone had little, if any clinically important effect on daily PA and no effect on ST.

AB - This study explored the effects of ground-based walking training on physical activity (PA) and sedentary time (ST) in people with chronic obstructive pulmonary disease (COPD). Participants were randomised to a walk group (WG) [supervised, ground-based walking training, two or three times per week for 8-10 weeks] or a control group (CG) [usual medical care]. Before and after the intervention period, PA and ST were measured using the SenseWear® Pro3 Armband. Of the 143 participants randomised, 101 (71%) had sufficient data for the primary analysis; 62 were from the WG (mean [SD] age 69 [8] years, FEV1 42 [15] % predicted) and 39 were from the CG (age 68 [9] years, FEV1 43 [15] % predicted). No between-group differences were demonstrated in any measure of PA or ST (all p > 0.05). Secondary analyses (n = 44) revealed that, compared to the CG, the proportion of waking hours spent in moderate intensity PA accumulated in uninterrupted bouts of between 30 and 60 min, increased in the WG by 0.8% (95% CI = 0.4 to 1.3). This study demonstrated that, in people with COPD, ground-based walking training alone had little, if any clinically important effect on daily PA and no effect on ST.

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KW - Physical activity

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