Targeting exertional breathlessness to improve physical activity: the role of primary care

Abstract Primary care physicians (PCPs) play a crucial role in the diagnosis and management of chronic obstructive pulmonary disease (COPD). By working together with patients to target exertional breathlessness and increase physical activity, PCPs have an important role to play, early in the disease...

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Autores principales:	Miguel Román-Rodríguez, Janwillem W. H. Kocks
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Diseases of the respiratory system RC705-779
Acceso en línea:	https://doaj.org/article/4e17a1c33af844308c39bfb95f0de0ba
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spelling	oai:doaj.org-article:4e17a1c33af844308c39bfb95f0de0ba2021-12-02T19:13:53ZTargeting exertional breathlessness to improve physical activity: the role of primary care10.1038/s41533-021-00254-82055-1010https://doaj.org/article/4e17a1c33af844308c39bfb95f0de0ba2021-09-01T00:00:00Zhttps://doi.org/10.1038/s41533-021-00254-8https://doaj.org/toc/2055-1010Abstract Primary care physicians (PCPs) play a crucial role in the diagnosis and management of chronic obstructive pulmonary disease (COPD). By working together with patients to target exertional breathlessness and increase physical activity, PCPs have an important role to play, early in the disease course, in improving patient outcomes in both the short and long term. In this article, we consider how physical activity affects disease progression from the PCP perspective. We discuss the role of pharmacological therapy, the importance of an holistic approach and the role of PCPs in assessing and promoting physical activity. The complexity and heterogeneity of COPD make it a challenging disease to treat. Patients’ avoidance of activity, and subsequent decline in capacity to perform it, further impacts the management of the disease. Improving patient tolerance of physical activity, increasing participation in daily activities and helping patients to remain active are clear goals of COPD management. These may require an holistic approach to management, including pulmonary rehabilitation and psychological programmes in parallel with bronchodilation therapy, in order to address both physiological and behavioural factors. PCPs have an important role to optimise therapy, set goals and communicate the importance of maintaining physical activity to their patients. In addition, optimal treatment that addresses activity-related breathlessness can help prevent the downward spiral of inactivity and get patients moving again, to improve their overall health and long-term prognosis.Miguel Román-RodríguezJanwillem W. H. KocksNature PortfolioarticleDiseases of the respiratory systemRC705-779ENnpj Primary Care Respiratory Medicine, Vol 31, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the respiratory system RC705-779
spellingShingle	Diseases of the respiratory system RC705-779 Miguel Román-Rodríguez Janwillem W. H. Kocks Targeting exertional breathlessness to improve physical activity: the role of primary care
description	Abstract Primary care physicians (PCPs) play a crucial role in the diagnosis and management of chronic obstructive pulmonary disease (COPD). By working together with patients to target exertional breathlessness and increase physical activity, PCPs have an important role to play, early in the disease course, in improving patient outcomes in both the short and long term. In this article, we consider how physical activity affects disease progression from the PCP perspective. We discuss the role of pharmacological therapy, the importance of an holistic approach and the role of PCPs in assessing and promoting physical activity. The complexity and heterogeneity of COPD make it a challenging disease to treat. Patients’ avoidance of activity, and subsequent decline in capacity to perform it, further impacts the management of the disease. Improving patient tolerance of physical activity, increasing participation in daily activities and helping patients to remain active are clear goals of COPD management. These may require an holistic approach to management, including pulmonary rehabilitation and psychological programmes in parallel with bronchodilation therapy, in order to address both physiological and behavioural factors. PCPs have an important role to optimise therapy, set goals and communicate the importance of maintaining physical activity to their patients. In addition, optimal treatment that addresses activity-related breathlessness can help prevent the downward spiral of inactivity and get patients moving again, to improve their overall health and long-term prognosis.
format	article
author	Miguel Román-Rodríguez Janwillem W. H. Kocks
author_facet	Miguel Román-Rodríguez Janwillem W. H. Kocks
author_sort	Miguel Román-Rodríguez
title	Targeting exertional breathlessness to improve physical activity: the role of primary care
title_short	Targeting exertional breathlessness to improve physical activity: the role of primary care
title_full	Targeting exertional breathlessness to improve physical activity: the role of primary care
title_fullStr	Targeting exertional breathlessness to improve physical activity: the role of primary care
title_full_unstemmed	Targeting exertional breathlessness to improve physical activity: the role of primary care
title_sort	targeting exertional breathlessness to improve physical activity: the role of primary care
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/4e17a1c33af844308c39bfb95f0de0ba
work_keys_str_mv	AT miguelromanrodriguez targetingexertionalbreathlessnesstoimprovephysicalactivitytheroleofprimarycare AT janwillemwhkocks targetingexertionalbreathlessnesstoimprovephysicalactivitytheroleofprimarycare
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Targeting exertional breathlessness to improve physical activity: the role of primary care

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