{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T20:03:38Z","timestamp":1783109018087,"version":"3.54.6"},"reference-count":33,"publisher":"SAGE Publications","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["WOR"],"published-print":{"date-parts":[[2022,11,11]]},"abstract":"<jats:p>BACKGROUND: Although pulmonary rehabilitation programmes (PRPs) benefit patients with chronic obstructive pulmonary disease (COPD), poor adherence to these programmes is common. OBJECTIVE: This study aimed to analyse the factors associated with poor long-term adherence after completing a PRP. METHOD: We conducted a retrospective study of 70 patients with COPD who performed an 8-week outpatient PRP that included 24 sessions of aerobic training, skeletal muscle resistance exercises, physiotherapy and COPD education. The study classified the patients into 2 groups: (1) long-term adherence and (2) long-term non-adherence to the PRP. We considered long-term non-adherence when the patient did not attend the 32 weeks follow-up visit after beginning the PRP. We measured the degree of dyspnoea, quality of life, physical activity, anxiety-depression status, submaximal exercise capacity and COPD exacerbations in both groups. RESULTS: The patients\u2019 median age was 69.6 [63.8\u201375.0] years, and 71.4% were men. The median forced expiratory volume in 1 second was 60.0 [47.7\u201368.0] % of that predicted. We observed total COPD exacerbations and severe COPD exacerbations in the last year in 32 (45.7%) and 22 (31.4%) patients, respectively. Dyspnoea, physical activity and quality of life significantly improved after completing the PRP. Long-term non-adherence to the PRP was observed in 32 (45.7%) patients. In the single regression model, severe COPD exacerbations (p\u200a=\u200a0.04) and dyspnoea (p\u200a=\u200a0.03) were associated with long-term non-adherence to the PRP. In the multiple regression model, only severe COPD exacerbations remained as an associated factor (OR 2.7; 95% CI 1.1\u20138,1; p\u200a=\u200a0.04). CONCLUSION: Approximately half of patients who complete PRPs present long-term non-adherence to the programme. Severe COPD exacerbations are associated with long-term non-adherence.<\/jats:p>","DOI":"10.3233\/wor-210907","type":"journal-article","created":{"date-parts":[[2022,8,19]],"date-time":"2022-08-19T13:37:49Z","timestamp":1660916269000},"page":"991-1000","source":"Crossref","is-referenced-by-count":2,"title":["Factors associated with poor long-term adherence after completing a pulmonary rehabilitation programme in patients with chronic obstructive pulmonary disease"],"prefix":"10.1177","volume":"73","author":[{"given":"Pablo","family":"Mariscal Aguilar","sequence":"first","affiliation":[{"name":"Department of Respiratory Medicine, La Paz University Hospital, Madrid, Spain"},{"name":"Hospital La Paz Institute for Health Research (IdiPAZ), CIBERES, Aut\u00f3noma University of Madrid, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Carpio Segura","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine, La Paz University Hospital, Madrid, Spain"},{"name":"Hospital La Paz Institute for Health Research (IdiPAZ), CIBERES, Aut\u00f3noma University of Madrid, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9s","family":"Tenes Mayen","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine, La Paz University Hospital, Madrid, Spain"},{"name":"Hospital La Paz Institute for Health Research (IdiPAZ), CIBERES, Aut\u00f3noma University of Madrid, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ester","family":"Zamarr\u00f3n de Lucas","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine, La Paz University Hospital, Madrid, Spain"},{"name":"Hospital La Paz Institute for Health Research (IdiPAZ), CIBERES, Aut\u00f3noma University of Madrid, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"Villama\u00f1\u00e1n Bueno","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, La Paz University Hospital, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mercedes","family":"Mar\u00edn Santos","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, La Paz University Hospital, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rodolfo","family":"\u00c1lvarez-Sala Walther","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine, La Paz University Hospital, Madrid, Spain"},{"name":"Hospital La Paz Institute for Health Research (IdiPAZ), CIBERES, Aut\u00f3noma University of Madrid, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","reference":[{"key":"10.3233\/WOR-210907_ref1","doi-asserted-by":"publisher","first-page":"e13","DOI":"10.1164\/rccm.201309-1634ST","article-title":"ATS\/ERS task force on Pulmonary Rehabilitation, An official American Thoracic Society\/European Respiratory Society statement: Key concepts and advances in pulmonary rehabilitation","volume":"188","author":"Spruit","year":"2013","journal-title":"Am J Respir Crit Care Med"},{"key":"10.3233\/WOR-210907_ref2","doi-asserted-by":"publisher","first-page":"332","DOI":"10.1016\/j.arbres.2019.07.018","article-title":"Pulmonaryrehabilitation","volume":"50","author":"G\u00fcell Rous","year":"2014","journal-title":"Arch Bronconeumol"},{"key":"10.3233\/WOR-210907_ref3","doi-asserted-by":"publisher","first-page":"65","DOI":"10.1016\/j.rmed.2021.106465","article-title":"The severity of acute exacerbations of COPD and theeffectiveness of pulmonary rehabilitation","volume":"184","author":"Vitacca","year":"1064","journal-title":"Respir Med"},{"key":"10.3233\/WOR-210907_ref4","doi-asserted-by":"publisher","first-page":"544","DOI":"10.1164\/rccm.200206-583OC","article-title":"Analysis of the factors related to mortality in chronic obstructive pulmonary disease","volume":"167","author":"Oga","year":"2003","journal-title":"Role of exercise capacity and health status. 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