Summary of the best evidence for physical activity in patients with chronic obstructive pulmonary disease / 中华健康管理学杂志

ABSTRACT

Objective:To summarize the best evidence of physical activity (PA) in patients with chronic obstructive pulmonary disease (COPD).Methods:According to the 6S evidence model, BMJ Best Practice, UpToDate, Joanna Briggs Institute (JBI) database, National Guideline Clearinghouse (NGC), National Institute for Health and Clinical Excellence (NICE) network, Scottish Intercollegiate Guidelines Network (SIGN), Guidelines International Network (GIN), New Zealand Guideline Group (NZGG) network, Registered Nurses′ Association of Ontario (RNAO) network, Medlive, PubMed, Web of Science, Cochrane Library, CNKI, Wanfang Knowledge Data Service Platform, VIP database and Chinese Biomedical Database and European Respiratory Society/American Thoracic Society were searched systematically to obtain guidelines, expert consensus, best practice information book, clinical decision-making, recommended practice, and systematic review on PA management in patients with COPD. The data retrieval time was from the establishment of the databases to April 30, 2022. Two researchers with evidence-based medicine background evaluated the quality and extracted evidence of the included literature.Results:A total of 19 articles were selected including 4 guidelines, 2 clinical decision, 9 systematic reviews, 3 expert consensus and 1 randomized controlled trial. Finally, 33 pieces of best evidence were formed from 10 themes, namely pre-exercise assessment, exercise prescription, exercise style, time, intensity, PA location, safety and effectiveness of PA, intervention strategies, effect evaluation and quality control.Conclusions:This study summarizes the best evidence of PA in patients with COPD. Health professionals should choose and apply the best evidence with consideration of the clinical situation and patient preference.