Heleen Demeyer, PT, PhD1,2 Divya Mohan, MD, PhD3 Chris Burtin, PT, PhD4 Anouk W. Vaes, PhD5 Matthew Heasley, M Eng6 Russell P. Bowler, MD, PhD7 Richard Casaburi, MD, PhD8 Christopher B. Cooper, MD, PhD9 Solange Corriol-Rohou, MD, PhD10 Anja Frei, PhD11 Alan Hamilton, PhD12 Nicholas S. Hopkinson, MD, PhD13,14 Niklas Karlsson, PhD15 William D-C. Man, MD, PhD13,16 Marilyn L. Moy, MD, PhD17,18 Fabio Pitta, PhD19 Michael I. Polkey, MD, PhD13,14 Milo Puhan, MD, PhD11 Stephen I. Rennard, MD20 Carolyn L. Rochester, MD, PhD21,22 Harry B. Rossiter, PhD8,23 Frank Sciurba, MD24 Sally Singh, PT, PhD25 Ruth Tal-Singer, PhD26 Ioannis Vogiatzis, PhD27 Henrik Watz, MD, PhD28 Rob Van Lummel, PhD29 Jeremy Wyatt, MBA30 Debora D. Merrill, MBA26 Martijn A. Spruit, PT, PhD4,5,31 Judith Garcia-Aymerich, MD, PhD32,33,34 Thierry Troosters, PT, PhD1; for the Chronic Lung Disease Biomarker and Clinical Outcome Assessment Qualification Consortium Task Force on Physical Activity
Author Affiliations
- Department of Rehabilitation Sciences, KU Leuven–University of Leuven and Respiratory Division, University Hospitals Leuven, Leuven, Belgium
- Department of Rehabilitation Sciences, Ghent University, Ghent, Belgium
- Medical Innovation, Value Evidence and Outcomes, GlaxoSmithKline Research and Development, Collegeville, Pennsylvania, United States
- Reval Rehabilitation Research Center, Biomed Biomedical Research Institute, Hasselt University, Diepenbeek, Belgium
- Department of Research and Development, CIRO, Horn, Netherlands
- Digital Biomarkers, GlaxoSmithKline Research and Development, Stevenage, United Kingdom
- National Jewish Health, Denver, Colorado, United States
- Rehabilitation Clinical Trials Center, The Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center, Torrance, California, United States
- Departments of Medicine and Physiology, David Geffen School of Medicine, University of California, Los Angeles, California, United States
- AstraZeneca Research and Development, Global Regulatory Excellence, Paris, France
- Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland
- Boehringer Ingelheim Canada, Burlington, Ontario, Canada
- National Heart and Lung Institute, Imperial College, London, United Kingdom
- Respiratory Medicine, Royal Brompton and Harefield NHS Foundation Trust, London, United Kingdom
- BioPharmaceuticals Research and Development Digital Health, AstraZeneca, Gothenburg, Sweden
- Harefield Respiratory Research Group, Royal Brompton and Harefield NHS Foundation Trust, London, United Kingdom
- Pulmonary, Critical Care, and Sleep Medicine Section, VA Boston Healthcare System, Boston, Massachusetts, United States
- Harvard Medical School, Boston, Massachusetts, United States
- Laboratory of Research in Respiratory Physiotherapy, State University of Londrina, Brazil
- Department of Internal Medicine, University of Nebraska Medical Center, Omaha, Nebraska, United States
- Section of Pulmonary, Critical Care and Sleep, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut, United States
- VA Connecticut Healthcare System, West Haven, Connecticut, United States
- Faculty of Biological Sciences, University of Leeds, Leeds, United Kingdom
- Division of Pulmonary, Allergy and Critical Care Medicine, University of Pittsburgh, Pennsylvania, United States
- Department of Respiratory Science, University of Leicester, Leicester, United Kingdom
- COPD Foundation, COPD360 Research, Miami, Florida, United States
- Department of Sport, Exercise, and Rehabilitation, Northumbria University, Newcastle, United Kingdom
- Pulmonary Research Institute at LungenClinic Grosshansdorf, Airway Research Center North, German Center for Lung Research, Grosshansdorf, Germany
- McRoberts B.V., The Hague, Netherlands
- ActiGraph, LLC, Pensacola, Florida, United States
- Department of Respiratory Medicine, School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Centre, Maastricht, Netherlands
- ISGlobal, Barcelona, Spain
- Universitat Pompeu Fabra, Barcelona, Spain
- CIBER Epidemiología y Salud Pública, Madrid, Spain
Address correspondence to:
Heleen Demeyer, PT, PhD
Herestraat 49, 3000
Leuven, Belgium
Email: Heleen.demeyer@kuleuven.be
Phone: +32 16 37 65 71
Abstract
Physical activity (PA) is of key importance for health among healthy persons and individuals with chronic obstructive pulmonary disease (COPD). PA has multiple dimensions that can be assessed and quantified objectively using activity monitors. Moreover, as shown in the published literature, variable methodologies have been used to date to quantify PA among individuals with COPD, precluding clear comparisons of outcomes across studies. The present paper aims to provide a summary of the available literature for the rationale behind using objectively measured PA and proposes a standardized methodology for assessment, including standard operating procedures for future research.
The present paper, therefore, describes the concept of PA, reports on the importance of PA, summarizes the dimensions of PA, provides a standard operating procedure on how to monitor PA using objective assessments, and describes the psychometric properties of objectively measured PA.
The present international task force recommends implementation of the standard operating procedure for PA data collection and reporting in the future. This should further clarify the relationship between PA and clinical outcomes, test the impact of treatment interventions on PA in individuals with COPD, and successfully propose a PA endpoint for regulatory qualification in the future.
Citation
Citation: Demeyer H, Mohan D, Burtin C, et al. Objectively measured physical activity in patients with COPD: recommendations from an international task force on physical activity. J COPD F. 2021; 8(4): 528-550. doi: http://doi.org/10.15326/jcopdf.8.4.2021.0213