Discussion
COPD, diabetes [
COPD
The semi-automated PA-telecoaching program implemented at 3 months of PR was able to induce a sustained and clinically significant [Despite the ATS/ERS recommendation of including physical activity promotion within PR [A first explanation for this apparent discrepancy across trials, is the timing of the PA-coaching intervention. Providing PA coaching interventions at the start of a PR program might be overwhelming and unrealistic in these symptomatic, inactive and deconditioned patients [The present study is supported by the “Capability, Opportunity & Motivation” for Behaviour change (COM-B) system, a framework for understanding behaviour (change) from Michie and colleagues(Despite the significant effect on the amount of PA, this intervention did not result in sustained training benefits. The latter could have been expected as several of these PR training benefits are known to be positively associated with PA in patients with COPD [In line with the results on exercise tolerance, muscle force, quality of life, body composition, BMD and blood markers of insulin and lipids were not clinically better in the IG at the end of the trial. A decrease in the level of fasted blood glucose in the IG was noted compared to the UCG, which could lower the incidence risk for diabetes [