Univ. Limoges, ILFOMER - Readaptation Sciences Institute, F-87000 Limoges, France.
Univ. Limoges, HAVAE, UR 20217, F-87000, Limoges, France; Univ. Limoges, ILFOMER - Readaptation Sciences Institute, F-87000 Limoges, France.
Respir Med. 2024 Jul;228:107662. doi: 10.1016/j.rmed.2024.107662. Epub 2024 May 15.
Chronic Obstructive Pulmonary Disease (COPD) is usually associated with sedentary behavior (SB). Literature reports a harmful impact of SB on the physical, mental, and social health of individuals with COPD. However, Pulmonary Rehabilitation (PR) programs seem to have no clear effect on changing SB. Therefore, our study aimed to identify the strategies used in the literature to reduce SB among individuals with COPD.
A scoping review was conducted to summarize the current literature regarding the proposed strategies to reduce SB in individuals with COPD. Searches were conducted in PUBMED; SCOPUS and COCHRANE LIBRARY for studies published from 2010 to march 2024.
Twenty four articles were retained for our review. Most of the identified strategies in the literature (21/24 articles) are based on behavioral approaches, with various forms: promoting self-efficacy, self-management and self-regulation of one's own behavior (12 articles), goal setting (10 articles), constant feedback (11 articles), therapeutic education (8 articles), motivational strategies (6 articles), re-engagement in meaningful activities (4 articles), promoting light intensity physical activity (LPA) (6 articles) and social support (6 articles). In association with the behavioral strategies, wearable connected technologies have been used in 4 articles, alone or combined with physical exercise programs included or not in a PR program. The home is associated with 83 % of interventions as a place for initial and continuous implementation of behavioral strategies.
It would seem appropriate to focus on combined strategies to reduce SB in individuals with COPD (improvement of physical abilities and behavioral strategies). Further research is needed to only target the reduction of SB and to evaluate the effects of various interventions.
慢性阻塞性肺疾病（COPD）通常与久坐行为（SB）有关。文献报道，SB 对 COPD 患者的身心健康和社会健康有不良影响。然而，肺康复（PR）计划似乎对改变 SB 没有明显效果。因此，我们的研究旨在确定文献中用于减少 COPD 患者 SB 的策略。
进行了范围综述，以总结关于减少 COPD 患者 SB 的建议策略的现有文献。在 PUBMED、SCOPUS 和 COCHRANE LIBRARY 中检索了 2010 年至 2024 年 3 月发表的研究。
有 24 篇文章被保留用于我们的综述。文献中确定的大多数策略（24 篇文章中的 21 篇）基于行为方法，形式多样：提高自我效能、自我管理和自我调节行为（12 篇文章）、设定目标（10 篇文章）、持续反馈（11 篇文章）、治疗性教育（8 篇文章）、激励策略（6 篇文章）、重新参与有意义的活动（4 篇文章）、促进低强度体力活动（LPA）（6 篇文章）和社会支持（6 篇文章）。与行为策略相关的是，可穿戴式互联技术已在 4 篇文章中使用，单独或与包含或不包含在 PR 计划中的体育锻炼计划一起使用。家庭与 83%的干预措施有关，作为初始和持续实施行为策略的场所。
似乎应该将重点放在减少 COPD 患者 SB 的综合策略上（改善身体能力和行为策略）。需要进一步的研究来专门针对减少 SB 并评估各种干预措施的效果。
