Understanding the impact of physical activity in COPD outcomes: moving forward.

Arguably, three outcome categories are of greatest importance to chronic obstructive pulmonary disease (COPD) patients, their families and their caregivers: health-related quality of life (including symptom burden); hospitalisations and other forms of healthcare utilisation; and, of course, mortality. Lower levels of baseline physical activity are not only prevalent in patients with COPD [1, 2], they are associated a negative impact in each of these three outcome categories [3–5].