Physical Activity in Rehabilitation of Persons with Chronic Obstructive Pulmonary Disease

Abstract

Topicality. According to the World Health Organization, by 2030, chronic obstructive pulmonary disease (COPD) will be the third leading cause of death in the world. The main measures to combat COPD are aimed at preventing the occurrence, slowdown of progression and reduction of probability of complications. A higher level of physical activity (PA) is associated with a lower risk of exacerbation, hospitalization and mortality in COPD patients and has the benefits of improving physical endurance, shortness of breath and quality of life. Therefore, PA is included in the program of pulmonary rehab as a necessary component. The purpose is to analyze the evidence of the effectiveness of physical activity in the rehabilitation of people with COPD and current recommendations on their physical activity. Research Methods. Analysis of literary sources of scientific-evidence bases. Results. Physical activity in patients with COPD is significantly reduced and the main symptoms that reduces the ability to withstand physical activity in patients with COPD is shortness of breath. Age-related changes and the presence of concomitant diseases (heart disease, diabetes, obesity, cognitive impairment, etc.) can also contribute to a decrease in physical activity. In the GOLD Global Initiative Report (2019), physical  activity is recommended to all people with COPD, as there is clear evidence of the benefits of regular physical training for these patients. Conclusions. Physical activity is an important part of the complex treatment of COPD and plays an important role in improving the quality of life, reducing the risk of exacerbation, hospitalization and mortality. The guidelines for the level of PA for COPD patients do not differ from those for the healthy population. It is recommended to gradually achieve at least the minimum level of physical activity recommended by the World Health Organization.