Priority 16 from the COPD Exacerbation PSP

UNCERTAINTY: Does regular exercise reduce the risk of having an exacerbation (and to what level of exercise)? (JLA PSP Priority 16)
Overall ranking	16
JLA question ID	0104/16
Explanatory note	This question seeks to understand whether regular exercise might be associated with better prevention of exacerbations. There is good evidence that an education and exercise programme called 'Pulmonary Rehabiliation' is effective, but less evidence on what level of exercise in daily life would be required to maintain this benefit.
Evidence	Limited evidence at COPD exacerbations. https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD011434.pub2/full
Health Research Classification System category	Respiratory

Extra information provided by this PSP
Original uncertainty examples	how much exercise is wise as to not cause an exacerbation # ~ What is the minimal important difference of physical activity improvement from Physical activity interventions aiming to reduce exacerbations? ~ Does very regular exercise, to the point of pushing your breathing ability to the max, help maintain the lung capacity you have, or even improve it; and assist with keeping exacerbations at bay? ~ Does exercise impact on exacerbations or reduce them What exercises can i do to prevent or should I rest? ~ Does daily physical activity regimen prevent AECOPD?
Submitted by	Patient, Carer, Relative, Healthcare professional

Extra information provided by this PSP

Original uncertainty examples

how much exercise is wise as to not cause an exacerbation # ~ What is the minimal important difference of physical activity improvement from Physical activity interventions aiming to reduce exacerbations? ~ Does very regular exercise, to the point of pushing your breathing ability to the max, help maintain the lung capacity you have, or even improve it; and assist with keeping exacerbations at bay? ~ Does exercise impact on exacerbations or reduce them
What exercises can i do to prevent or should I rest? ~ Does daily physical activity regimen prevent AECOPD?

Submitted by

Patient, Carer, Relative, Healthcare professional

PSP information
PSP unique ID	0104
PSP name	COPD Exacerbation PSP
Total number of uncertainties identified by this PSP.	51 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop	1 April 2021