Physical activity, sedentary behaviour and sleep in COPD guidelines: A systematic review

Hayley Lewthwaite, Tanja W. Effing, Timothy Olds, Marie T. Williams

    Research output: Contribution to journalReview articlepeer-review

    28 Citations (Scopus)
    26 Downloads (Pure)


    Objectives: Physical activity, sedentary and sleep behaviours have strong associations with health. This systematic review aimed to identify how clinical practice guidelines (CPGs) for the management of chronic obstructive pulmonary disease (COPD) report specific recommendations and strategies for these movement behaviours. Methods: A systematic search of databases (Medline, Scopus, CiNAHL, EMbase, Clinical Guideline), reference lists and websites identified current versions of CPGs published since 2005. Specific recommendations and strategies concerning physical activity, sedentary behaviour and sleep were extracted verbatim. The proportions of CPGs providing specific recommendations and strategies were reported. Results: From 2370 citations identified, 35 CPGs were eligible for inclusion. Of these, 21 (60%) provided specific recommendations for physical activity, while none provided specific recommendations for sedentary behaviour or sleep. The most commonly suggested strategies to improve movement behaviours were encouragement from a healthcare provider (physical activity n = 20; sedentary behaviour n = 2) and referral for a diagnostic sleep study (sleep n = 4). Conclusion: Since optimal physical activity, sedentary behaviour and sleep durations and patterns are likely to be associated with mitigating the effects of COPD, as well as with general health and well-being, there is a need for further COPD-specific research, consensus and incorporation of recommendations and strategies into CPGs.

    Original languageEnglish
    Pages (from-to)231-244
    Number of pages14
    JournalChronic Respiratory Disease
    Issue number3
    Publication statusPublished - 1 Aug 2017

    Bibliographical note

    Creative Commons CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License ( which permits non-commercial use, reproductionand distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages(


    • Chronic obstructive pulmonary disease
    • clinical practice guideline
    • disease management
    • lung diseases obstructive
    • sedentary lifestyle


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