Navigation Links
Lifestyle program for patients with COPD is health and cost effective
Date:5/20/2009

ATS 2009, SAN DIEGOPatients with moderate COPD were randomized to receive "usual care" or to undergo an interdisciplinary, community-based program (INTERCOM) that offered an intensive lifestyle moderation phase of four months, during which patients were instructed in detail to perform two 15-minute intervals of pleasurable walking or cycling, and offered instruction in other lifestyle changes such as nutrition and smoking cessation. After the four-month introductory period, there was a less intensive 20-month maintenance during which patients were offered guidance but not intensive intervention.

Researcher Carel van Wetering, from the Department of Respiratory Medicine at the Maxima Medical Centre and colleagues randomized patients with mild to moderate COPD to receive "usual care" or undergo an interdisciplinary, community-based program (INTERCOM) that offered an intensive lifestyle moderation phase of four months, during which patients were instructed in detail to perform two 15-minute intervals of pleasurable walking or cycling, and offered instruction in other lifestyle changes such as nutrition and smoking cessation. After the four-month introductory period, there was a less 20-month maintenance period.

The study results will be presented at the 105th international conference of the American Thoracic Society, taking place in San Diego from May 15-20.

After two years, the researchers found that, compared with patients who had gotten the usual care, those who had undergone the INTERCOM program showed significant improvements in health status (SGRQ); exercise capacity, and dyspnea. Improvements were seen at four months with respect to disease-specific quality of life, walk distance, exercise capacity, dyspnea, handgrip force and fat free mass index. After two years improvements in exercise capacity remained significant, as were improvements over the entire period in dyspnea (MRC) and disease-specific quality of life.

Furthermore, perceived effectivenessthe patients' subjective evaluation of the benefits of the program highly favored the INTERCOM program.

While overall costs for the two year period were 2,751 (about $3686) more per patient for the INTERCOM group, the researchers point out that the expense of the INTERCOM program is "front-loaded" and that maintenance costs were minimal. After exclusion of five patients who were referred to in-patient pulmonary rehabilitation, the difference in costs between INTERCOM and usual care groups was reduced to 909 (about $1218) over two years. The cost for patients with a low muscle mass who participated in the additional nutritional intervention hospital admission were 4724 (about $6330) lower per patient in the INTERCOM group compared with the muscle wasted usual care group.

"This is the first randomized controlled trial showing that community-based pulmonary rehabilitation is feasible and effective, even for patients with less advanced airflow obstruction and that the INTERCOM program improves functional exercise capacity and health related quality of life during 24 months relative to usual care at acceptable costs," said Annemie Schols, Ph.D., professor of nutrition and metabolism in chronic diseases at Maastricht University in the Netherlands. "The INTERCOM program is based upon an integrated view on pulmonary and extra pulmonary manifestations of chronic obstructive pulmonary disease resulting from smoking, suboptimal diet, inactivity and disease susceptibility. These new findings from the INTERCOM trial could lead to a shift in clinical medicine and public health towards personalized lifestyle intervention."


'/>"/>

Contact: Keely Savoie
ksavoie@thoracic.org
212-315-8620
American Thoracic Society
Source:Eurekalert

Related medicine news :

1. Life Ionizers Promotes Convenience and Healthy Lifestyles With New Convertible Water Ionizers Line
2. Stressed and Sedentary Lifestyles Increase as Recession Appears to Take its Toll on Britains Health
3. Simple Steps Toward a Healthy Lifestyle
4. Lifestyle Factors Tied to Older Adults Diabetes Risk
5. SynCardia Introduces New 12-lb Freedom Discharge Driver Designed to Provide Quality 'Lifestyle' for Total Artificial Heart Patients
6. Hometown Grocer, Local Food Companies Team up to Support Pediatric Patients, Encourage Green Lifestyle
7. U.S. Department of Health & Human Services Releases Public Service Announcements to Encourage Healthy Lifestyles
8. Cope with Recession-Related Stress with a Lifestyle Magazine Subscription
9. Photos: Tips for Living a Healthy Lifestyle on a Budget
10. DaVitas Customized Lifestyle Management Programs Assist Employees to Meet Their Lifestyle Goals
11. Barriers to diabetes care include restaurants and high-risk lifestyles, says international review
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:3/23/2017)... New Braunfels, TX (PRWEB) , ... March 23, 2017 , ... ... a new clinic, located at 960 Gruene Road in Building 2. The clinic is ... co-owner Dr. Andrew Bennett, PT, says opening the company’s second New Braunfels location brings ...
(Date:3/23/2017)... (PRWEB) , ... March 23, 2017 , ... 82% of adults are unaware of the ... do not brush their teeth the minimum two times a day that dentists recommend. The ... missing 51 million hours of school and adults missing 164 million hours of work each ...
(Date:3/23/2017)... ... March 23, 2017 , ... The StayWell Company ... NCQA. The accreditation covers StayWell’s asthma, coronary artery disease, congestive heart failure, chronic ... organizations that have excellent programs for the delivery and improvement of disease management ...
(Date:3/23/2017)... CO (PRWEB) , ... March 23, 2017 , ... ... serving the families and businesses of the greater Fort Collins area, has unveiled ... in their ongoing community involvement program. Donations to this worthy cause may now ...
(Date:3/23/2017)... ... March 23, 2017 , ... ?This conference will prominently feature 150+ Hospital and Health System Executive ... Healthcare: Susan Salka , 43rd President of the United States of America: George ... Life In and Out of the Ring: Sugar Ray Leonard , JD, Chairperson, ...
Breaking Medicine News(10 mins):
(Date:3/23/2017)...  Transportation Insight, a multi-modal lead logistics solutions provider ... firm with expertise serving clients in the food industry. ... was named a 2017 Food Logistics ... only publication exclusively dedicated to covering the movement of ... "Rick has brought to Transportation Insight a wealth of ...
(Date:3/23/2017)... As a result of diagnostic technology ... of allergic diseases, cutting edge developments in targeted ... ways in which pharmaceutical and biotech companies are ... be both a high quality meeting and a ... immunologists, research scholars and doctors. The event will ...
(Date:3/23/2017)... DES MOINES, Iowa , March 23, 2017 /PRNewswire/ ... news and career resource, has partnered with Indiana ... Indiana organizations and educational institutions to ... stage with the first-ever BioIndiana Hotbed map, an artistic ... A framed print was presented to Vice President ...
Breaking Medicine Technology: