About this trial
Preserved Ratio Impaired Spirometry (PRISm) describes individual with spirometry findings of forced expiratory volume (FEV1) and forced vital capacity (FVC) ratio greater than 0.7 but with the FEV1 less than 80% predicted.
While the spirometry findings of individuals with PRISm can be transited into obstructive pattern, remains at PRISm or become normal spirometry, limited evidence is on the role of exercise in the course of PRISm. This study aims to investigate the role of exercise, namely exercise with telehealth and walking exercise, together with smoking cessation advice, would alter the clinical course of PRISm.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 18 or above
Smoker/ ex-smoker
Spirometry shows PRISm, with FEV1/FVC >= 0.7 and FEV1 <80% predicted
Ambulatory to walk
Disqualifiers
Age below 18
Non-smoker
Spirometry does not show PRISm/ unable to perform spirometry
Requires assistance for walking
Trial design
Parallel
Treatments tested in this trial
Exercise with telehealth group
BehavioralParticipants will attend telehealth physiotherapy class for exercise. Smoking cessation advice will be given.
Exercise group
BehavioralParticipants will exercise with walking. Smoking cessation advice will be given.
No exercise group
BehavioralNo exercise instruction will be given. Participants are encouraged to exercise. Smoking cessation advice will be given.
Treatment groups
Trial outcomes
Primary outcomes
Change in 6 minute walk test distance
The 6 minute walk test distance will be measured in the start of the study, at 3 months, 6 months and 12 months. The differences will be compared.
Sponsors and contacts
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The University of Hong Kong
Lead sponsor
Queen Mary Hospital, Hong Kong
Collaborator