O6. Non-pharmacological interventions

There is strong evidence for the benefits of regular exercise in individuals with COPD (McCarthy 2015, Ries 2003, Spruit 2013, Alison 2017) [evidence level I].  All individuals with COPD should be encouraged to engage in physical activity consistent with the recommendations for ‘healthy’ adults. The current Australian and New Zealand guidelines for physical activity for adults at: www.health.gov.au/internet/main/publishing.nsf/Content/health-pubhlth-strateg-phys-act-guidelines#apaadult and www.health.govt.nz/system/files/documents/publications/eating-activity-guidelines-for-new-zealand-adults-oct15_0.pdf recommend:

  • Doing any physical activity is better than doing none;
  • Be active on most, preferably all, days every week;
  • Accumulate 150 to 300 minutes of moderate intensity physical activity or 75 to 150 minutes of vigorous intensity physical activity, or an equivalent combination of both moderate and vigorous activities, each week;
  • Do muscle strengthening activities on at least 2 days each week.