PMID- 27334811 OWN - NLM STAT- MEDLINE DCOM- 20170627 LR - 20220321 IS - 1543-5474 (Electronic) IS - 1543-3080 (Linking) VI - 13 IP - 11 DP - 2016 Nov TI - Objectively Measured Steps/Day in Patients With Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-Analysis. PG - 1275-1283 LID - 10.1123/jpah.2016-0087 [doi] AB - BACKGROUND: Although individual studies have reported on the number of steps/day taken by individuals with chronic obstructive pulmonary disease (COPD), this evidence has not been systematically reviewed or synthesized. METHODS: MEDLINE and PsycINFO were searched for studies reporting objectively-measured steps/day and percent predicted forced expiratory volume in 1 second (FEV(1)%) in patients with COPD. Meta-analyses were used to estimate steps/day across studies, while metaregression was used to estimate between-study variance based on clinical and demographic factors (year and location of study, activity monitor brand, number of days wearing the monitor, whether participants were about to enter pulmonary rehabilitation, 6-minute walk distance (6MWD), FEV(1)%, age, and sex). RESULTS: 38 studies including 2621 participants met inclusion criteria. The pooled mean estimate was 4579 steps/day (95% CI:4310 to 5208) for individuals with COPD. Only 6MWD, FEV(1)% and whether patients were about to undergo pulmonary rehabilitation explained a significant portion of the variance (P < 0.1) in univariate meta-regression. In a multivariate model including the above risk factors, only FEV(1)% was associated with steps/day after adjustment for other covariates. CONCLUSIONS: These results indicate that patients with COPD achieve extremely low levels of physical activity as assessed by steps/day, and that severity of airflow obstruction is associated with activity level. FAU - Saunders, Travis AU - Saunders T FAU - Campbell, Nerissa AU - Campbell N FAU - Jason, Timothy AU - Jason T FAU - Dechman, Gail AU - Dechman G FAU - Hernandez, Paul AU - Hernandez P FAU - Thompson, Kara AU - Thompson K FAU - Blanchard, Chris M AU - Blanchard CM LA - eng PT - Journal Article PT - Meta-Analysis PT - Review PT - Systematic Review DEP - 20160824 PL - United States TA - J Phys Act Health JT - Journal of physical activity & health JID - 101189457 SB - IM MH - Accelerometry MH - Aged MH - *Exercise MH - Exercise Tolerance MH - Female MH - Humans MH - Male MH - Middle Aged MH - Pulmonary Disease, Chronic Obstructive/*rehabilitation MH - *Walking OTO - NOTNLM OT - accelerometer OT - ambulation OT - exercise OT - pedometer OT - physical activity OT - walking EDAT- 2016/10/25 06:00 MHDA- 2017/06/28 06:00 CRDT- 2016/06/24 06:00 PHST- 2016/10/25 06:00 [pubmed] PHST- 2017/06/28 06:00 [medline] PHST- 2016/06/24 06:00 [entrez] AID - 2016-0087 [pii] AID - 10.1123/jpah.2016-0087 [doi] PST - ppublish SO - J Phys Act Health. 2016 Nov;13(11):1275-1283. doi: 10.1123/jpah.2016-0087. Epub 2016 Aug 24.