Bidirectional Associations Between Physical Activity, Sedentary Behavior, and Daily Symptoms in Patients With Chronic Obstructive Pulmonary Disease: Longitudinal Observational Study

Banchia Palmen   ^{1, 2} ;   Zjala Ebadi   ^{3, 4} ;   Maarten van Herck   ² ;   Yvonne M J Goërtz   ^{5, 6} ;   Qichen Deng   ² ;   Melissa S Y Thong   ^{7, 8} ;   Chris Burtin   ⁹ ;   Jeannette B Peters   ⁴ ;   Roy T M Sprooten   ¹⁰ ;   Erik W M A Bischoff   ¹¹ ;   Emiel F M Wouters   ^{2, 10} ;   Mirjam A G Sprangers   ⁷ ;   Jan H Vercoulen   ^{3, 4} ;   Sarah Houben-Wilke   ² ;   Anouk W Vaes   ² ;   Daisy J A Janssen   ^{12, 13} ;   Martijn A Spruit   ^{2, 14}

¹ Institute of Nutrition and Translational Research in Metabolism, Care and Public Health Research Institute, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands

² Department of Research and Development, Ciro Centre of Expertise for Chronic Organ Failure, Horn, The Netherlands

³ Department of Medical Psychology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands

⁴ Department of Pulmonary Diseases, Radboud University Medical Centre, Nijmegen, The Netherlands

⁵ Living Lab in Ageing and Long-Term Care, Maastricht University, Maastricht, The Netherlands

⁶ Department of Health Services Research, Care and Public Health Research Institute, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands

⁷ Amsterdam UMC location University of Amsterdam, Medical Psychology, Amsterdam, The Netherlands

⁸ Unit of Cancer Survivorship, Division of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), Heidelberg, Germany

⁹ REVAL - Rehabilitation Research Center, BIOMED - Biomedical Research Institute, Faculty of Rehabilitation Sciences, Hasselt University, Diepenbeek, Belgium

¹⁰ Department of Respiratory Medicine, Maastricht University Medical Center, Maastricht, The Netherlands

¹¹ Department of General Practice, Erasmus MC, Rotterdam, The Netherlands

¹² Department of Health Services Research and Department of Family Medicine, Care and Public Health Research Institute, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands

¹³ Department of Expertise and Treatment, Proteion, Horn, The Netherlands

¹⁴ Department of Respiratory Medicine, Institute of Nutrition and Translational Research in Metabolism, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands