Urban Training for COPD Patients
Effectiveness of an Intervention of Urban Training in Patients With Chronic Obstructive Pulmonary Disease (COPD): a Randomised Controlled Trial
2 other identifiers
interventional
412
1 country
5
Brief Summary
This project plans on a training intervention by using public spaces and urban walkable trails, adapted to each patient needs and capabilities. Primary objective is to assess 12 months effectiveness of the intervention with respect to: (primary outcome): physical activity level, and (secondary outcomes): COPD admissions, exercise capacity, body composition, quality of life, and mental health.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jul 2013
Typical duration for not_applicable
5 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2013
CompletedFirst Submitted
Initial submission to the registry
July 3, 2013
CompletedFirst Posted
Study publicly available on registry
July 11, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2016
CompletedApril 27, 2018
April 1, 2018
2.6 years
July 3, 2013
April 26, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change in physical activity
Change in physical activity between baseline and 12 months follow-up, as defined by average steps per day measured with an activity monitor
Baseline and 12 months follow-up
Secondary Outcomes (5)
COPD admissions to emergency-room or hospital
12 months follow-up
Change in exercise capacity, as measured with 6-min walking distance
Baseline and 12 months
Change in body weight and composition
Baseline and 12 month
Change in quality of life
Baseline and 12-m
Change in anxiety and depression symptoms
Baseline and 12 months
Other Outcomes (2)
Changes in cognitive status
Baseline and 12months
Changes in the Clinical PPAC
Baseline and 12months
Study Arms (2)
Urban training Intervention
EXPERIMENTALPatients will be advised to walk in the defined urban trails.
Usual care
NO INTERVENTIONPatients will continue their usual care
Interventions
Recommendation to walk a minimum of 5 days per week in urban walkable trails appropriate for the patient.
Eligibility Criteria
You may qualify if:
- age \> 45 years
- COPD diagnosed by pulmonary function tests during clinical stability, with a ratio of forced expiratory volume in one second (FEV1) to forced vital capacity (FVC) ≤ 0.70
- clinical stability, defined as at least 4 weeks without antibiotics or oral corticosteroids.
You may not qualify if:
- living \>6 months/year outside of the included municipalities,
- living to a distance higher than 500 meters to any of the urban trails used for the study,
- mental disability according to the Mini Mental State Examination in its validated Spanish version
- comorbidity that could interfere with study tests (e.g., lower limb amputation)
- severe psychiatric disease or severe comorbidity limiting survival at one year, according to medical history.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Judith Garcia-Aymerichlead
- Instituto de Salud Carlos IIIcollaborator
- Sociedad Española de Neumología (SEPAR), Barcelonacollaborator
- University Ramon Llullcollaborator
- Hospital Clinic of Barcelonacollaborator
- Hospital del Marcollaborator
- Germans Trias i Pujol Hospitalcollaborator
- Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurinacollaborator
- Hospital de Mataró, Matarócollaborator
- Hospital de Viladecans, Viladecanscollaborator
- Universitat Internacional de Catalunyacollaborator
Study Sites (5)
Hospital Germans Trias i Pujol
Badalona, Barcelona, 08916, Spain
CAP Maresme
Mataró, Barcelona, 08303, Spain
CAP Maria Bernades
Viladecans, Barcelona, 08840, Spain
Hospital del Mar
Barcelona, 08003, Spain
Hospital Clinic
Barcelona, 08036, Spain
Related Publications (4)
Delgado-Ortiz L, Arbillaga-Etxarri A, Rodriguez-Chiaradia DA, Gimeno-Santos E, Barberan-Garcia A, Balcells E, Rodriguez-Roisin R, Garcia-Aymerich J. Physical activity and cardiac autonomic dysfunction in patients with chronic obstructive pulmonary disease: A cross-sectional analysis. Ann Phys Rehabil Med. 2022 May;65(3):101501. doi: 10.1016/j.rehab.2021.101501. Epub 2021 Nov 22.
PMID: 33662597DERIVEDKoreny M, Demeyer H, Arbillaga-Etxarri A, Gimeno-Santos E, Barberan-Garcia A, Benet M, Balcells E, Borrell E, Marin A, Rodriguez Chiaradia DA, Vall-Casas P, Vilaro J, Rodriguez-Roisin R, Garcia-Aymerich J. Determinants of study completion and response to a 12-month behavioral physical activity intervention in chronic obstructive pulmonary disease: A cohort study. PLoS One. 2019 May 20;14(5):e0217157. doi: 10.1371/journal.pone.0217157. eCollection 2019.
PMID: 31107900DERIVEDArbillaga-Etxarri A, Gimeno-Santos E, Barberan-Garcia A, Balcells E, Benet M, Borrell E, Celorrio N, Delgado A, Jane C, Marin A, Martin-Cantera C, Monteagudo M, Montella N, Munoz L, Ortega P, Rodriguez DA, Rodriguez-Roisin R, Simonet P, Toran-Monserrat P, Torrent-Pallicer J, Vall-Casas P, Vilaro J, Garcia-Aymerich J. Long-term efficacy and effectiveness of a behavioural and community-based exercise intervention (Urban Training) to increase physical activity in patients with COPD: a randomised controlled trial. Eur Respir J. 2018 Oct 18;52(4):1800063. doi: 10.1183/13993003.00063-2018. Print 2018 Oct.
PMID: 30166322DERIVEDArbillaga-Etxarri A, Gimeno-Santos E, Barberan-Garcia A, Benet M, Borrell E, Dadvand P, Foraster M, Marin A, Monteagudo M, Rodriguez-Roisin R, Vall-Casas P, Vilaro J, Garcia-Aymerich J; Urban Training Study Group. Socio-environmental correlates of physical activity in patients with chronic obstructive pulmonary disease (COPD). Thorax. 2017 Sep;72(9):796-802. doi: 10.1136/thoraxjnl-2016-209209. Epub 2017 Mar 1.
PMID: 28250201DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Judith Garcia-Aymerich, MD PhD
Centre for Research in Environmental Epidemiology (CREAL)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- CARE PROVIDER, OUTCOMES ASSESSOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Associate Research Professor
Study Record Dates
First Submitted
July 3, 2013
First Posted
July 11, 2013
Study Start
July 1, 2013
Primary Completion
February 1, 2016
Study Completion
March 1, 2016
Last Updated
April 27, 2018
Record last verified: 2018-04