Chronic heart failure and COPD.
Conditions
Interventions
Patients in the intervention group will participate in a community-based physical exercies programme. In this programme, patients will exercise in small groups under supervision of a community based p
Sponsors
Department of Pulmonary Medicine, Medisch Spectrum Twente Enschede
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age between 40 and 75 years; 2. A clinical diagnosis of COPD defined by the GOLD-criteria stage 2 and 3; 3. A diagnosis of chronic heart failure defined by NYHA class II-III; 4. A left ventricular ejection fraction (LVEF) < 40% measured by echocardiogram; 5. A history of smoking of at least 10 pack-years.
Exclusion criteria
Exclusion criteria: 1. Serious other diseases with a survival rate of less than 1 year; 2. Other diseases which generate symptoms of dyspnoea and/or decreased exercise capacity, or which seriously influence the ability to walk; 3. Participation in a pulmonary or cardiac rehabilitation programme less than 1 year ago.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome measure is exercise capacity measured with the 6 Minutes Walking Test, and daily activity rate, measured by pedometer. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes are: 1. Health-related quality of life (disease specific: Clinical COPD Questionnaire, Minnesota Living with Heart Failure Questionnaire, and generic: Euroqol 5D, SF-36); 2. Health-related behaviour (European Heart Failure Self-care Behaviour Scale); 3. Self-efficacy (COPD Self-efficacy scale); 4. Exercise capacity measured with the Incremental Shuttle Walk Test. | — |
Contacts
Public ContactM. Zwerink
Outcome results
None listed