Evidence map›Paper›PMID 27994451›Full record

SynthesisInternational journal of chronic obstructive pulmonary disease2016

Exercise training alone or with the addition of activity counseling improves physical activity levels in COPD: a systematic review and meta-analysis of randomized controlled trials.

Aroub Lahham, Christine F McDonald, Anne E Holland

Registry-linked trialOpen access · goldAbstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in International journal of chronic obstructive pulmonary disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03749655 (A Feasibility Study Assessing the Inclusion of Physical Activity Promotion to Standard Care Pulmonary Rehabilitation and Cognitive Behavioural Therapy in Patients With COPD Who Are Anxious and Depressed), which is not on this map. Cited by 39 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 9 pooled it
11.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03749655 nacompletednot on this mapstarted 2018, after this paper: background citation

A Feasibility Study Assessing the Inclusion of Physical Activity Promotion to Standard Care Pulmonary Rehabilitation and Cognitive Behavioural Therapy in Patients With COPD Who Are Anxious and Depressed

TypeinterventionalSponsorNorthumbria UniversityRan2018 to 2021Enrolled70ConditionsChronic Obstructive Pulmonary DiseaseArmsPhysical Activity Promotion
3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 9 syntheses or guidelines pooled it, 111 citations in OpenAlex.

  1. Pooled it
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  3. Physical activity promotion interventions in chronic airways disease: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2023
    Pooled it
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  6. Use of pedometers as a tool to promote daily physical activity levels in patients with COPD: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2019
    Pooled it
  7. Pooled it
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  9. Counseling for health behavior change in people with COPD: systematic review.International journal of chronic obstructive pulmonary disease · 2017
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 1 country.

Aroub LahhamDiscipline of Physiotherapy, La Trobe University; Institute for Breathing and Sleep.
Christine F McDonaldInstitute for Breathing and Sleep; Department of Respiratory and Sleep Medicine, Austin Health; Department of Medicine, The University of Melbourne.
Anne E HollandDiscipline of Physiotherapy, La Trobe University; Institute for Breathing and Sleep; Department of Physiotherapy, Alfred Health, Melbourne, VIC, Australia.
Institute for Breathing and Sleep · AULa Trobe University · AUUniversity of Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPhysical inactivity is associated with poor outcomes in COPD, and as a result, interventions to improve physical activity (PA) are a current research focus. However, many trials have been small and inconclusive.

objectiveThe aim of this systematic review and meta-analysis was to study the effects of randomized controlled trials (RCTs) targeting PA in COPD.

methodsDatabases (Physiotherapy Evidence Database [PEDro], Embase, MEDLINE, CINAHL and the Cochrane Central Register for Controlled Trials) were searched using the following keywords: "COPD", "intervention" and "physical activity" from inception to May 20, 2016; published RCTs that aimed to increase PA in individuals with COPD were included. The PEDro scale was used to rate study quality. Standardized mean differences (effect sizes, ESs) with 95% confidence intervals (CIs) were determined. Effects of included interventions were also measured according to the minimal important difference (MID) in daily steps for COPD (599 daily steps).

resultsA total of 37 RCTs with 4,314 participants (mean forced expiratory volume in one second (FEV

conclusionInterventions that included ET and PA counseling during PR were effective strategies to improve PA in COPD.

Indexed as

ExerciseAgedAged, 80 and overChi-Square DistributionCounselingExercise TherapyExercise ToleranceFemaleForced Expiratory VolumeHealth StatusHumansLungMaleMiddle AgedPulmonary Disease, Chronic ObstructiveRandomized Controlled Trials as Topicchronic obstructiveinterventionsphysical activitypulmonary disease

Identifiers

PMID27994451
PMCPMC5153296
OpenAlexW2560319901

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.