Open research questions in Chronic Obstructive Pulmonary Disease (COPD) Research
300 unresolved questions extracted from the limitations and future-work sections of 1,034 Chronic Obstructive Pulmonary Disease (COPD) Research papers in our library. Each links back to the study that raised it.
What the literature leaves open
The study was limited by examining physical activity as a single intensity dimension without distinguishing specific PA types in previous studies, - The cross-sectional design of the study limits the ability to establish causality, - The study relied on self-reported physical activity data
Association between intensity and type of physical activity and lung function in patients with COPD: a population-based study · 2026 · DOIFurther research is needed to investigate the causal relationship between physical activity and lung function in COPD patients, - Studies should examine the effects of different types and intensities of physical activity on lung function in COPD patients, - Research should focus on developing effective interventions to increase physical activity in COPD patients
Association between intensity and type of physical activity and lung function in patients with COPD: a population-based study · 2026 · DOIRecruiting and retaining participants with COPD for longitudinal studies can be challenging. Ensuring accurate and reliable measurement of physical activity using triaxial accelerometry can be difficult. Interpreting the results of small, paired samples can be challenging due to limited statistical power.
Changes in Physical Activity and Psychological Status in Patients with COPD Between Pre- and Post-COVID-19 Assessments: A Pilot Observational Longitudinal Cohort Study · 2026 · DOIThe changes in physical activity patterns during the COVID-19 pandemic in patients with COPD are not well understood. There is a need to assess the impact of the pandemic on physical activity and psychological status in patients with COPD.
Changes in Physical Activity and Psychological Status in Patients with COPD Between Pre- and Post-COVID-19 Assessments: A Pilot Observational Longitudinal Cohort Study · 2026 · DOIThe study identifies physical limitations and exercise-induced fatigue as barriers to adherence. Time constraints and caregiving responsibilities are also identified as challenges to consistent engagement in the PR program. The study acknowledges the complexity of managing COPD in an aging population with multimorbidity and the need for personalized strategies.
Understanding facilitators and barriers to adherence in home-based pulmonary rehabilitation for chronic obstructive pulmonary disease patients using the Health Belief Model: a qualitative study · 2025 · DOISmall sample size, - Limited to patients who already participated in home-based PR for at least three months, - Language or hearing impairments that would hinder interview participation were excluded
Understanding facilitators and barriers to adherence in home-based pulmonary rehabilitation for chronic obstructive pulmonary disease patients using the Health Belief Model: a qualitative study · 2025 · DOIFurther studies are needed to explore the impact of DII and CDAI on all-cause mortality in COPD patients. Research on the effects of dietary patterns on COPD progression and mortality is needed. Studies on the relationship between dietary inflammation and antioxidant indices and COPD are required.
Associations of dietary inflammation index and composite dietary antioxidant index with all-cause mortality in COPD patients · 2025 · DOIThe study identifies a gap in the understanding of the association between PRISm and adverse outcomes of depression and anxiety. Previous studies have focused on the association between COPD and depression and anxiety, but not PRISm.
The association between preserved ratio impaired spirometry and adverse outcomes of depression and anxiety: evidence from the UK Biobank · 2024 · DOIIn runners, repeated exposure to mechanical loading favours musculoskeletal symptoms, yet the effects of diaphragmatic myofascial release on pain, chest wall mobility and performance remain poorly documented.
Efeitos da liberação miofascial do diafragma sobre a dor musculoesquelética, a mobilidade torácica e o desempenho funcional em corredores: estudo quase-experimental · 2026 · DOIHowever, little is known about how these tools are delivered in routine practice or how delivery influences patient engagement across different clinical settings.
Understanding Delivery and Engagement With a Digital Self-Management Intervention for Chronic Obstructive Pulmonary Disease Across Two Clinical Settings: Qualitative Study · 2026 · DOIPURPOSE: Despite high rates of lung disease and lung cancer among women, few studies have focused on adverse lung health risk factors among rural Appalachian women.
Identifying risk factors for adverse lung health outcomes among rural Appalachian women · 2025 · DOIHowever, the impact of a comprehensive healthy lifestyle as a potential mediator between SES and COPD risk remains understudied.
Associations of socioeconomic status and health lifestyles with chronic obstructive pulmonary disease: two nationwide population-based studies · 2025 · DOIBackground Few studies have investigated the effects of both dietary inflammatory index (DII) and composite dietary antioxidant index (CDAI) on mortality in patients with Chronic Obstructive Pulmonary Disease (COPD).
Associations of dietary inflammation index and composite dietary antioxidant index with all-cause mortality in COPD patients · 2025 · DOINevertheless, the investigation into the association between LAP and COPD risk is still insufficient, particularly in population-based research.
Association between lipid accumulation product and chronic obstructive pulmonary disease: a cross-sectional study based on U.S. adults · 2025 · DOISkeletal muscle mass loss, a systemic manifestation of COPD, has garnered increasing attention, but its association with all-cause mortality in AECOPD remains unclear.
The association between skeletal muscle mass and all-cause mortality in acute exacerbation of chronic obstructive pulmonary disease · 2025 · DOIHowever, the relationship between CVD and the severity of COPD remains inadequately understood.
The association between cardiovascular diseases and their subcategories with the severity of chronic obstructive pulmonary disease: a large cross-sectional study based on a Chinese hospital population cohort · 2025 · DOI1% exposed specific gaps in understanding, emphasizing deficiencies in 12 questions answered by less than 50%.
Assessment of ABCDE approach knowledge among residents and interns in multiple Egyptian hospitals, a cross-sectional study · 2025 · DOIWhile its physical manifestations such as dyspnea, chronic cough, and sputum production are well known, its psychological impact, particularly the high prevalence of depression among patients, remains under-recognized.
However, a comprehensive assessment of the burden of COPD in older adults is lacking.
Burden of chronic obstructive pulmonary disease in adults aged 70 years and older, 1990–2021: Findings from the Global Burden of Disease Study 2021 · 2025 · DOIThis demonstrates the need for further research on the impact of linguistic and cultural characteristics on adherence to treatment interventions for COPD.
Barriers and facilitators of adherence to treatment interventions for COPD amongst individuals from minority ethnic communities: Meta-ethnography · 2025 · DOIMETHODS: Utilizing the GBD 2021 database, we performed in-depth analyses and preliminary projections of global, regional, and national burden trends for chronic obstructive pulmonary disease (COPD), asthma, and interstitial lung disease & pulmonary sarcoidosis (ILD&PS) through multi-model approaches including but not limited to Age-Period-Cohort (APC) models, Joinpoint regression, and Bayesian Age-Period-Cohort (BAPC) modeling.
Global burden of major chronic respiratory diseases among older adults aged 55 and above from 1990 to 2021: Changes, challenges, and predictions amid the pandemic · 2025 · DOIHowever, the effects of modulating these regulatory axes in the context of smoking remain poorly studied.
Impact of the modulation of PD-1/ligands axis on the pulmonary response to cigarette smoke 3021 · 2025 · DOIBACKGROUND: Sedentary behavior may influence the respiratory health, but the joint effects of sedentary behavior and physical activity on pulmonary function remains poorly elucidated.
The relationship between middle-aged men's I/E ratios and their physical fitness warrants further investigation.
However, the links between respiration patterns during spontaneous breathing and physical fitness remain unknown.
Most-cited papers in Chronic Obstructive Pulmonary Disease (COPD) Research
- The Nature of Small-Airway Obstruction in Chronic Obstructive Pulmonary Disease · New England Journal of Medicine · 2004 · 3,006 citations
- The Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index in Chronic Obstructive Pulmonary Disease · New England Journal of Medicine · 2004 · 3,004 citations
- Salmeterol and Fluticasone Propionate and Survival in Chronic Obstructive Pulmonary Disease · New England Journal of Medicine · 2007 · 2,450 citations
- Susceptibility to Exacerbation in Chronic Obstructive Pulmonary Disease · New England Journal of Medicine · 2010 · 2,232 citations
- Effects of Smoking Intervention and the Use of an Inhaled Anticholinergic Bronchodilator on the Rate of Decline of FEV1 · JAMA · 1994 · 1,720 citations
- The natural history of chronic airflow obstruction. · BMJ · 1977 · 1,657 citations
- A 4-Year Trial of Tiotropium in Chronic Obstructive Pulmonary Disease · New England Journal of Medicine · 2008 · 1,592 citations
- Global burden of COPD: risk factors, prevalence, and future trends · The Lancet · 2007 · 1,536 citations
- International variation in the prevalence of COPD (The BOLD Study): a population-based prevalence study · The Lancet · 2007 · 1,509 citations
- Prevalence and risk factors of chronic obstructive pulmonary disease in China (the China Pulmonary Health [CPH] study): a national cross-sectional study · The Lancet · 2018 · 1,438 citations
Most recent work
- Safety and efficacy of astegolimab for COPD with frequent exacerbations regardless of baseline blood eosinophil counts (ALIENTO and ARNASA): randomised, double-blind, placebo-controlled, phase 2b and 3 trials · The Lancet · 2026
- COPD and cognitive impairment: a review of associated factors and intervention strategies · Frontiers in Psychiatry · 2026
- GOLD 2026: Transforming COPD Management with Early Intervention, Multi-dimensional Assessment, and Personalized Care · Drugs · 2026
- Artificial Intelligence in COPD: New Venues to Study a Complex Disease · Barcelona Respiratory Network · 2026
- The effect of clinical and psychosocial factors on quality of life in COPD: a cross-sectional assessment using a mediation analysis approach · Frontiers in Psychiatry · 2026
- Data base of Benefits of Hydrotherapy in patients with chronic obstructive pulmonary disease: additional results from a randomized controlled trial · Pensar en Movimiento: Revista de Ciencias del Ejercicio y la Salud · 2026
- Defining disease stability in chronic obstructive pulmonary disease: evidence from phase 3 clinical trials · American Journal of Respiratory and Critical Care Medicine · 2026
- Effectiveness of self-management digital interventions in improving health-related outcomes in patients with chronic obstructive pulmonary disease: An umbrella review · Pulmonology · 2026
- Immune-metabolic positive feedback model in COPD: cross-mechanisms and potential intervention strategies · Frontiers in Cell and Developmental Biology · 2026
- A Brief History of COPD: As Told by Some of Its Senior Scientists and Clinicians · Journal of Clinical Medicine · 2026
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