Interventions to improve daily activity in individuals with COPD and CHF: A systematic review

Abstract

Introduction: The purpose was to systematically review the literature regarding interventions to improve daily activity in individuals with chronic obstructive pulmonary disease (COPD) and chronic heart failure (CHF). Methods: Articles found by searching CINAHL Plus Full-Text, PubMed, and PsycINFO databases were included in the review if the study examined the effect of exercise- and/or psychosocial-based interventions on daily activity in individuals with COPD or CHF. Article selection, data extraction, and evaluation of methodological rigor and quality were performed by two independent reviewers. Nine articles for COPD and seven articles for CHF met the inclusion criteria and were used in this review. Results: Only four of nine studies in COPD and two of seven studies in CHF resulted in improvement in daily activity, and of those, all but one study included a psychosocial-based intervention. Improvements in daily activity did not occur concurrently with changes in other outcomes such as exercise performance, quality of life, functional status, or anxiety/depression in COPD or CHF. Conclusions: Exercise-based interventions serve a limited, if any, role in improving daily activity in individuals with COPD and CHF. Disrupting the cycle of inactivity and deconditioning requires more than just addressing the deconditioning aspect of this cycle. Psychosocial-based interventions are a promising, but under-investigated, intervention.

Share and Cite:

Shoemaker, M. , Keenoy, B. , Smith, B. and Slotman, P. (2013) Interventions to improve daily activity in individuals with COPD and CHF: A systematic review. World Journal of Cardiovascular Diseases, 3, 275-286. doi: 10.4236/wjcd.2013.33044.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Garcia-Aymerich, J., Serra, I., Gomez, F.P., et al. (2009) Physical activity and clinical and functional status in COPD. CHEST, 136, 62-70. doi:10.1378/chest.08-2532
[2] Garcia-Aymerich, J., Lange, P., Benet, M., Schnohr, P., and Anto, J.M. (2006) Regular physical activity reduces hospital admission and mortality in chronic obstructive pulmonary disease: A population based cohort study. Thorax, 61, 772-778. doi:10.1136/thx.2006.060145
[3] Garcia-Aymerich, J., Farrero, E., Felez, M.A., et al. (2003) Risk factors of readmission to hospital for a COPD exacerbation: A prospective study. Thorax, 58, 100-105. doi:10.1136/thorax.58.2.100
[4] Garcia-Rio, F., Rojo, B., Casitas, R., et al. (2012) Prognostic value of the objective measurement of daily activity in patients with COPD. CHEST, 142, 338-346. doi:10.1378/chest.11-2014
[5] Shoemaker, M.J., Curtis, A., Vansgnes, E., Dickinson, M. and Paul, R. (2012) Analysis of daily activity from implanted cardiac defibrillators: The minimum clinically important difference and relationship to mortality/life expectancy. World Journal of Cardiovascular Diseases, 2, 129-135. doi:10.4236/wjcd.2012.23021
[6] Howell, J., Weisenberg, J., Kakade, A, et al. (2010) Maximum daily 6 minutes of activity: An index of functional capacity derived from actigraphy and its application to older adults with heart failure. Journal of the American Geriatrics Society, 58, 931-936. doi:10.1111/j.1532-5415.2010.02805.x
[7] Walsh, J., Charlesworth, A., Andrews, R., Hawkins, M., and Cowley, A. (1997) Relation of daily activity levels in patients with chronic heart failure to long-term prognosis. American Journal of Cardiology, 79, 1364-1369. doi:10.1016/S0002-9149(97)00141-0
[8] Hunt, S.A, Baker, D.W., Chin, M.H., et al. (2001) ACC/ AHA guidelines for the evaluation and management of chronic heart failure in the adult: Executive Summary: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Journal of the American College of Cardiology, 38, 2101-2113. doi:10.1016/S0735-1097(01)01683-7
[9] Welsch, M.A. and Parish, T.R. (2004) The heart failure syndrome: Implications for exercise training. Cardiopulmonary Physical Therapy Journal, 15, 3-14.
[10] Belman, M.J. (1993) Exercise in patients with chronic obstructive pulmonary disease. Thorax, 48, 936-946. doi:10.1136/thx.48.9.936
[11] Gallagher, C.G. (1994) Exercise limitation and clinical exercise testing in chronic bstructive pulmonary disease. Clinics in Chest Medicine, 15, 305-326.
[12] O’Donnell, D.E., Bertley, J.C., Chau, L.K. and Webb, K.A. (1997) Qualitative aspects of exertional breathlessness in chronic airflow limitation: Pathophysiologic mechanisms. American Journal of Respiratory and Critical Care Medicine, 155, 109-115. doi:10.1164/ajrccm.155.1.9001298
[13] Petty, T.L. (2003) Definition, epidemiology, course and prognosis of COPD. Clinical Cornerstone, 5, 1-10. doi:10.1016/S1098-3597(03)90003-2
[14] Pitta, F., Troosters, T., Spruit, M.A., et al. (2005) Characteristics of physical activities on daily life in chronic obstructive pulmonary disease. American Journal of Respiratory and Critical Care Medicine, 171, 972-977. doi:10.1164/rccm.200407-855OC
[15] Wasserman, K., Hansen, J.E., Sue, D.Y., Stringer, W.W. and Whipp, B.J. (2005) Principles of exercise testing and interpretation. Lippincott Williams & Wilkins, Philadelphia.
[16] Casaburi, R. (2005) Combination therapy for exercise tolerance in COPD. Thorax, 61, 551-552. doi:10.1136/thx.2006.058511
[17] American Thoracic Society, European Respiratory Society (1999) Skeletal muscle dysfunction in chronic obstructive pulmonary disease. American Journal of Respiratory and Critical Care Medicine, 159, S1-S40. doi:10.1164/ajrccm.159.supplement_1.15945
[18] Yohannes, A.M., Baldwin, R.C. and Connolly, M.J. (2001) Mood disorders in elderly patients with chronic obstructive pulomonary disease. Reviews in Clinical Gerontology, 10, 191-202.
[19] Oka, R.K., Stotts, N.A., Dae, M.W., et al. (1993) Daily physical activity levels in congestive heart failure. American Journal of Cardiology, 71, 921-925. doi:10.1016/j.cardfail.2010.04.004
[20] van Gool, C.H., Kempen, G.I., Penninx, B.W., et al. (2003) Relationship between changes in depressive symptoms and unhealthy lifestyles in late middle aged and older persons: Results from the Longitudinal Aging Study Amsterdam. Age and Ageing, 32, 81-87. doi:10.1093/ageing/32.1.81
[21] Lamers, F., Jonkers, C.C., Bosma, H., et al. (2006) Effectiveness and cost-effectiveness of a minimal psychological intervention to reduce non-severe depression and chronically ill elderly patients: The design of a randomized control trial. BioMed Central Public Health, 6, 161170. doi:10.1186/1471-2458-6-161
[22] Rutledge, T., Reis, V.A., Linke, S.E., Greenberg, B.H. and Mills, P.J. (2006) Depression in heart failure a metaanalysis review of prevalence, intervention effects, and associations with clinical outcomes. Journal of American College of Cardiology, 48, 1527-1537. doi:10.1016/j.jacc.2006.06.055
[23] Phennix, B.W., Guralni, J.M., Ferrucci, L. et al. (1998) Depressive symptoms and physical decline in community-dwelling older persons. The Journal of the American Medical Association, 279, 1720-1726. doi:10.1001/jama.279.21.1720
[24] Patten, S.B., Williams, J.V.A., Lavorato, D.H. and Eliasziw, M. (2009) A longitudinal community study of major depression and physical activity. General Hospital Psychiatry, 31, 371-375. doi:10.1016/j.genhosppsych.2009.08.001
[25] Bandura, A. (1989) Human agency in social cognitive theory. American Psychologist, 44, 1175-1184. doi:10.1037/0003-066X.44.9.1175
[26] Oka, R.K., Gortner, S.R., Stotts, N.A. and Haskell, W.L. (1996) Predictors of physical activity with chronic heart failure secondary to either ischemic or idiopathic dilated cardi-omyopathy. American Journal of Cardiology, 77, 159-163. doi:10.1016/S0002-9149(96)90588-3
[27] Arnold, R., Adelita V.R., DeJongste M.J., et al. (2005) The relationship between self-efficacy and self-reported physical functioning in chronic obstructive pulmonary disease and chronic heart failure. Behavioral Medicine, 31, 107-115. doi:10.3200/BMED.31.3.107-115
[28] Oka, R.K., De-Marco T. and Hakell, W.L. (2005) Effects of treadmill testing and exercise training on self-efficacy in patients with heart failure. European Journal of Cardiovascular Nursing, 4, 215-219. doi:10.1016/j.ejcnurse.2005.04.004
[29] Lox, C.L. and Freehill, A.J. (1999) Impact of pulmonary rehabilitation on self-efficacy, quality of life, and exercise tolerance. Rehabilitation Psychology, 44, 208-221. doi:10.1037/0090-5550.44.2.208
[30] Ng, C.L.W., Mackney, J., Jenkins, S. and Hill, K. (2012) Does exercise training change physical activity in people with COPD? A systematic review and meta-analysis. Chronic Respiratory Disease, 9, 17-26. doi:10.1177/1479972311430335
[31] van den Berg-Emons, R., Balk, A., Bussmann, H. and Stam, H. (2004) Does aerobic training lead to a more active lifestyle and improved quality of life in patients with chronic heart failure? European Journal of Heart Failure, 6, 95-100. doi:10.1016/j.ejheart.2003.10.005
[32] Mueller, L., Myers, J., Kottman, W., et al. (2007) Exercise capacity, physical activity patterns and outcomes six years after cardiac rehabilitation in patients with heart failure. Clinical Rehabilitation, 21, 923-931. doi:10.1177/0269215507079097
[33] Gottlieb, S.S., Fisher, M.L., Freudenberger, R., et al. (1999) Effects of exercise training on peak performance and quality of life in congestive heart failure patients. Journal of Cardiac Failure, 5, 188-194. doi:10.1016/S1071-9164(99)90002-7
[34] Lorig, K.R., Sobel D.S., Stewart A.L., et al. (1999) Evidence suggesting that a chronic disease self-management program can improve health status while reducing hospitalization. Medical Care, 37, 5-14. http://www.jstor.org/stable/3767202 doi:10.1097/00005650-199901000-00003
[35] Strauss, S.E., Richardson, W.S. and Haynes, R.B. (2005) Evidence-based medicine: How to practice and teach EBM. 3rd Edition, Elsevier Churchill Livingstone, Edinburgh.
[36] Medlicott, M.S. and Harris, S.R. (2006) A systematic review of the effectiveness of exercise, manual therapy, electrotherapy, relaxation training, and bio-feedback in the management of temporomandibular disorder. Physical Therapy, 86, 955-973.
[37] Brodie, D.A. and Inoue, I. (2005) Motivational interviewing to promote physical activity for people with chronic heart failure. Journal of Advanced Nursing, 50, 518-527. doi:10.1111/j.1365-2648.2005.03422.x
[38] Gottlieb, S.S., Fisher, M.L., Freudenberger, R., et al. (1999) Effects of Exercise Training on Peak Performance and Quality of Life in Congestive Heart Failure Patients. Journal of Cardiac Failure, 5, 188-194. doi:10.1016/S1071-9164(99)90002-7
[39] Mueller, L., Myers, J., Kottman, W., et al. (2007) Exercise capacity, physical activity patterns, and outcomes six years after cardiac rehabilitation in patients with heart failure. Clinical Rehabilitation, 21, 923-931. doi:10.1177/0269215507079097
[40] Van den Berg-Emons, R., Balk, A., Bussmann, H., and Stam, H. (2004) Does aerobic training lead to a more active lifestyle and improved quality of life in patients with chronic heart failure? European Journal of Heart Failure, 6, 95-100. doi:10.1016/j.ejheart.2003.10.005
[41] Willenheimer, R., Rydberg, E., Cline, C., et al. (2001) Effects on quality of life, symptoms and daily activity 6 months after termination of an exercise training programme in heart failure patients. International Journal of Cardiology, 77, 25-31. doi:10.1016/S0167-5273(00)00383-1
[42] Witham, M.D., Gray, J.M., Argo, I.S., et al. (2005) Effect of a seated exercise program to improve physical function and health status in frail patients ≥ 70 years of age with heart failure. American Journal of Cardiology, 95, 11201124.doi:10.1016/j.amjcard.2005.01.031
[43] Witham, M.D., Fulton, R.L., Greig, C.A., et al. (2012) Efficacy and cost of an exercise program for functionally impaired older patients with heart failure: A randomized controlled trial. Circulation: Heart Failure, 5, 209-216. doi:10.1161/CIRCHEARTFAILURE.111.963132
[44] Dallas, M.I., McCusker, C., Haggerty, M.C., et al. (2009) Using pedometers to monitor walking activity in outcome assessment for pulmonary rehabilitation. Chronic Respiratory Disease, 6, 217-222. doi: 10.1177/1479972309346760
[45] De Blok, B.M.J., De Greef, M.H.G., Ten Hacken, N.H.T., et al. (2006) The effects of a lifestyle physical activity counseling program with feedback of a pedometer during pulmonary rehabilitation in patients with COPD: A pilot study. Patient Education Counseling, 61, 48-55. doi:10.1016/j.pec.2005.02.005
[46] Pitta, F., Troosters, T., Probst, V.S., et al. (2008) Are patients with COPD more active after pulmonary rehabilitation? CHEST, 134, 273-280. doi:10.1378/chest.07-2655
[47] Probst, V.S., Kovelis, D., Hernandes, N., et al. (2011) Effects of 2 exercise training programs on physical activity in daily life in patients with COPD. Respiratory Care, 56, 1799-1807. doi:10.4187/respcare.01110
[48] Sewell, L., Singh, S.J., Williams, J.E.A., Collier, R. and Morgan, M.D.L. (2005) Can individualized rehabilitation improve functional independence in elderly patients with COPD? CHEST, 128, 1194-1200.
[49] Slinde, F., Kvarnhult, K., Grönberg, A.M., et al. (2006) Energy expenditure in underweight COPD patients before and during a physiotherapy program. European Journal of Clinical Nutrition, 60, 870-876. doi:10.1038/sj.ejcn.1602392
[50] Steele, B.G., Belza, B., Cain, K., et al. (2010) The impact of chronic obstructive pulmonary disease exacerbation on pulmonary rehabilitation participation and functional outcomes. Journal of Cardiopulmonary Rehabilitation and Prevention, 30, 53-60. doi:10.1097/HCR.0b013e3181c85845
[51] Steele, B.G., Belza, B., Hunziker, J., et al. (2003) Monitoring daily activity during pulmonary rehabilitation using a triaxial accelerometer. Journal of Cardiopulmonary Rehabilitation and Prevention, 23, 139-142.
[52] Walker, P.P., Burnett, A., Flavahan, P.W. and Calverley, P.M.A. (2008) Lower limb activity and its determinants in COPD. Thorax, 63, 683-689. doi:10.1136/thx.2007.087130
[53] Shoemaker, M.J., Curtis, A., Vansgnes, E. and Dickinson, M. (2013) Clinically meaningful change estimates for the six-minute walk test and daily activity in individuals with chronic heart failure. Cardiopulmonary Physical Therapy Journal, in press.
[54] US Department of Health and Human Services (1996) Physical activity and health: A report of the surgeon general. Center for Disease Control and Prevention, National Center for Chronic Disease Prevention and Healthy Promotion, Atlanta.

Copyright © 2024 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.