INtervention Study In overweiGHT Patients With COPD

INtervention Study In overweiGHT Patients With COPD

Symptoms of chronic obstructive pulmonary disease (COPD) and high body mass index (BMI) overlap. The investigators are trying to find out if a program proven to help people lose a modest amount of weight and increase their physical activity will improve COPD symptoms for those with a high BMI. The program uses a series of video sessions and self-study handouts focused on healthy eating and increasing physical activity, and encourages participants to monitor their weight, diet, and physical activity for one year. For those who want to, they will be able to work with a health coach to help meet weight and activity goals. We hope that the program will lead to improved exercise tolerance, body weight, dyspnea, generic health-related quality of life, and major cardiovascular risk factors (central obesity by waist circumference, Framingham Risk Score, and blood pressure) through 12 months of follow-up. To be in the study, participants will need to have COPD, high BMI, history of smoking, shortness of breath, and be at least 40 years old.

Inclusion Criteria:

• 40 years or older at time of eligibility screening;
• Body mass index 25.0-44.9 kg/m2 (also see Figure 2);
• Smoked more than 10 pack-years of cigarettes;
• Shortness of breath;
• COPD;
• Able to participate fully in all study protocol/procedures including written informed consent process.

Exclusion Criteria:

• Inability to speak, read, or understand English;
• Active weight loss interventions;
• Expected weight loss because of alternate explanations, such as from illness;
• Unable to ambulate to weight scale for weight measurement;
• Safety and/or adherence concerns due to severe physical or mental health issues or life expectancy <18 months;
• Pregnant, lactating, or planning to become pregnant during the study period;
• Participation in other intervention studies.