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| Name | Class |
|---|---|
| National Health Service, United Kingdom | OTHER_GOV |
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COPD is characterised by irreversible airflow limitation that is usually progressive and associated with an enhanced chronic inflammatory response. This inflammation can be amplified with flare-ups that are commonly seen in COPD patients. Pulmonary rehabilitation is one of the most effective methods of managing chronic obstructive pulmonary disease (COPD). Pulmonary rehabilitation has been seen to induce improvements in functional capacity and quality.
In healthy individuals, exercise has been shown to induce an anti-inflammatory response when performed regularly. However, the effects of exercise on inflammation in COPD are unclear. Our initial CIMPRES-COPD study has looked into the effects of short-term exercise, as part of pulmonary rehabilitation, on inflammation. However, this trial will examine the inflammatory response in COPD patients who are most active following pulmonary rehabilitation against those who are least active.
This study will split participants into 2 groups according to physical activity level following pulmonary rehabilitation. We will recruit 40 COPD patients who provided a sample in the initial CIMPRES-COPD study to explore inflammatory responses in those who are most active and least active. By better understanding the mechanisms of how long-term physical activity levels affects inflammation in COPD, we could design better interventions to increase physical activity levels following pulmonary rehabilitation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Most active | COPD patients with higher physical activity levels as defined by daily step counts. |
| |
| Least active | COPD patients with lower physical activity levels as defined by daily step counts. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Physical activity monitoring | Other | COPD patients will wear an accelerometer and complete questionnaires related to daily physical activity levels for 7 days before returning for a clinic visit. |
| Measure | Description | Time Frame |
|---|---|---|
| Cytokines | Changes in concentration of inflammatory cytokines in the plasma of all participants using ELISA's (mg/L) | May 2018 - August 2018 |
| Measure | Description | Time Frame |
|---|---|---|
| Leukocyte count | Changes in total and differential leukocyte count in all participants (10^9.L-1) | May 2018 - August 2018 |
| Cell function | Changes in function of the following cells: myeloperoxidase, neutrophil elastase, MMP-8, MMP-9, TNF-a in the plasma of all participants using ELISA's (mg/L) |
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Inclusion Criteria:
Exclusion Criteria:
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COPD patients who have enrolled on pulmonary rehabilitation and took part in the initial CIMPRES-COPD study.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Lindum Medical Practice | Lincoln | Lincolnshire | LN2 2JP | United Kingdom | ||
| Nettleham Medical Practice |
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| ID | Term |
|---|---|
| D029424 | Pulmonary Disease, Chronic Obstructive |
| ID | Term |
|---|---|
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D002908 | Chronic Disease |
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Whole blood samples will be used on the day of collection and analysed before being appropriately disposed of on the same day. Blood samples will be centrifuged with separated acellular plasma to be frozen at -80c for later analysis of cellular content.
| May 2018 - August 2018 |
| Cell sensitivity to corticosteroids | Changes in cell sensitivity to corticosteroids and forskolin in all participants (expressed as fold increase from not treated samples) | May 2018 - August 2018 |
| Lincoln |
| Lincolnshire |
| LN2 2RS |
| United Kingdom |
| Birchwood Medical Practice | Lincoln | Lincolnshire | LN6 0QQ | United Kingdom |
| D020969 |
| Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |