I believe the amount of oxygen supplied to people

 with COPD motivates them to become less active.


“In summary, exercise training as part of a comprehensive pulmonary rehabilitation programme, can make a profound difference in the lives of patients with COPD. Indeed, exercise training reduces daily symptoms of dyspnea and fatigue, improves physical fitness, reduces symptoms of anxiety/depression and improves quality of life in patients with COPD.”

From  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4933612/


“Low motivation is a frequently reported factor for the reduced physical activity (PA) levels observed in patients with chronic obstructive pulmonary disease (COPD).”

From https://pubmed.ncbi.nlm.nih.gov/34884333/


Optimizing physical activity (PA) in patients with chronic obstructive pulmonary disease (COPD) is a major goal, as this population is highly inactive in daily life, and low physical activity (PA) levels are related to poor health outcomes (e.g., acute exacerbations, increased risk of hospitalizations and death). 

Low (or lack of) motivation is one of the most frequently reported factors for reduced PA levels in patients with COPD, in addition to the impact of symptoms such as dyspnoea on exertion and fatigue.”

From https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8658241/pdf/jcm-10-05631.pdf


Personal experience leads me to believe that getting patients with respiratory problems the oxygen they need will give them the ability and motivate them to stay physically active, healthier, out of the hospital and will also help with urinary incontinence.


Urinary incontinence (UI) is defined as a loss of bladder control and is characterized by the complaint of any involuntary leakage of urine. Evidence suggests that the prevalence of UI is higher in subjects with chronic obstructive pulmonary disease (COPD) than in age-matched controls in both sexes. UI is classified as stress, urge, and mixed, and has a considerable impact on quality of life. However, the prevalence of UI in individuals with COPD is mostly unexplored in clinical research and often underestimated in clinical practice.

From https://pubmed.ncbi.nlm.nih.gov/31201688/


The last sentence is important and needs to be repeated, “However, the prevalence of UI in individuals with COPD is mostly unexplored in clinical research and often underestimated in clinical practice.”

Research is scarce, but those who deal with COPD in the real world know there is a problem and learn to live with it.  One solution is never to leave the house.  Below are two sites where individuals with COPD tell their stories about COPD and incontinence.



I needed to rush to the bathroom years before starting supplemental oxygen, but always when out of breath.  To start with, it was when playing tennis and now when my blood oxygen level is low with a full bladder.  I am not willing to talk about my experiences but will say some have been embarrassing.  Getting the oxygen I need and experience has made a huge difference for me.   I still watch my liquids and don’t pass up a bathroom unless I know where the next is.  I still have some problems, but it is often when I am trying to do to much on the oxygen supplied by my Durable Medical Equipment provider and need to fill my LOX reservoir.  With liquid oxygen I can turn my oxygen up to 10 or 15 LPM for several minutes, and the intense need to find a bathroom goes away.  Out of caution, I still find a bathroom, but in a more leisurely way.

Liquid Oxygen is the reason I was able to visit Fort Bridger State Historic Site (6,674 ft elevation) and Devils Tower National Monument (The visitors center located at the base of the tower is at an elevation of 4,250) Liquid Oxygen allows me to travel, visit museums and parks, shop, and so much more.

I don’t know that Liquid Oxygen motivates me, but what it allows me to do does.

Telling us to stay active is not motivating.  Getting us the oxygen we need to be active is!




These are my thoughts and experiences, not medical advice.

Gerald(Skip) Miller

Contact   hors.sens1@gmail.com
Copyright © 2022 Gerald Miller. All Rights Reserved.