{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T16:40:12Z","timestamp":1793896812530,"version":"4.8.0"},"reference-count":47,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,8,31]],"date-time":"2018-08-31T00:00:00Z","timestamp":1535673600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Escuela Universitaria de Fisioterapia de la ONCE"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Physiotherapy Res Intl"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Purpose<\/jats:title><jats:p>The exercise training included in pulmonary rehabilitation (PR) programmes improves exercise capacity and quality of life in patients with chronic obstructive pulmonary disease (COPD). Nevertheless, the duration of these effects is limited, and the implementation of PR is still insufficient. Moreover, the physical activity level of COPD patients is low, and it is not modified with the classic PR programmes. The purpose of this study was to assess the effects of a community\u2010based PR programme designed to increase physical activity in COPD patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Stable COPD patients were assigned to either an experimental group (EG, <jats:italic>n<\/jats:italic>\u00a0=\u00a017) who followed a community\u2010based 8\u2010week programme consisting of exercise training through walking and a plan to increase activity, using a pedometer for feedback; or a control group (<jats:italic>n<\/jats:italic>\u00a0=\u00a016), who followed general recommendations to walk more every day. The following were evaluated postintervention, after 3\u00a0months, and after 12\u00a0months: exercise capacity (endurance shuttle test [EST]), physical activity (steps\/day and modified Baecke questionnaire), quality of life (St. George's Respiratory Questionnaire [SGRQ]), dyspnoea (modified Medical Research Council scale), and exacerbations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Postintervention, the EG showed significant improvements in EST times (7.6\u00a0min [4.4, 10.7]), distance (549\u00a0m [282, 815]; <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.01, both), number of steps (3,361 [1,553, 5,118]), and Baecke scores (1.6 [0.2, 3.1], <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.01). SGRQ scores decreased (\u22125.4 [\u22128.6, \u22122.4], <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.01). These results remained evident after 3 and 12\u00a0months (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.01). There were no differences between the groups nor in the exacerbations or dyspnoea. A significant association was found between increase in physical activity level, improvement in exercise capacity, and quality of life during the period monitored.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A community\u2010based programme of exercise training through walking and increased physical activity, using pedometers as feedback, produces short\u2010 and long\u2010term improvements in exercise capacity, physical activity level, and quality of life in COPD patients.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pri.1740","type":"journal-article","created":{"date-parts":[[2018,8,31]],"date-time":"2018-08-31T07:35:29Z","timestamp":1535700929000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":43,"title":["Effectiveness of a community\u2010based exercise training programme to increase physical activity level in patients with chronic obstructive pulmonary disease: A randomized controlled trial"],"prefix":"10.1002","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3749-3924","authenticated-orcid":false,"given":"Ana Beatriz","family":"Varas","sequence":"first","affiliation":[{"name":"Escuela Universitaria de Fisioterapia de la ONCE Universidad Aut\u00f3noma de Madrid  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvia","family":"C\u00f3rdoba","sequence":"additional","affiliation":[{"name":"Escuela Universitaria de Fisioterapia de la ONCE Universidad Aut\u00f3noma de Madrid  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irene","family":"Rodr\u00edguez\u2010Andonaegui","sequence":"additional","affiliation":[{"name":"Escuela Universitaria de Fisioterapia de la ONCE Universidad Aut\u00f3noma de Madrid  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ma. 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