October 22, 2025Open Access

Bidirectional Associations Between Physical Activity, Sedentary Behavior, and Daily Symptoms in Patients With Chronic Obstructive Pulmonary Disease: Longitudinal Observational Study

BPBanchia PalmenMaastricht University Medical Centre ZEZjala EbadiRadboud University Nijmegen MHMaarten Van HerckMaastricht University Medical Centre

Structured PICO

Are physical activity and sedentary behavior associated with daily symptoms in patients with COPD?

Population

Patients with Chronic Obstructive Pulmonary Disease (COPD)

Intervention

Physical activity (PA) and sedentary behavior (ST)

Outcome

Daily symptoms (feeling relaxed, short of breath, tired, anxiety)patient reported

In patients with COPD, physical activity and sedentary behavior have bidirectional associations with daily symptoms such as feeling relaxed, shortness of breath, fatigue, and anxiety.

Abstract

A bidirectional association of feeling relaxed with PA was found in patients with COPD. Higher step count was related to feeling more short of breath and tired, whereas higher ST was associated with heightened anxiety.

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