RT Journal Article T1 Spanish COPD Guidelines (GesEPOC 2021): Non-pharmacological Treatment Update. T2 Actualización 2021 de la Guía Española de la EPOC (GesEPOC). Tratamiento no farmacológico. A1 Cosío, Borja G A1 Hernández, Carme A1 Chiner, Eusebi A1 Gimeno-Santos, Elena A1 Pleguezuelos, Eulogio A1 Seijas, Nuria A1 Rigau, David A1 López-Campos, José Luis A1 Soler-Cataluña, Juan José A1 Calle, Myriam A1 Miravitlles, Marc A1 Casanova, Ciro A1 en nombre del equipo de trabajo de GesEPOC 2021, K1 Actividad física K1 Lung rehabilitation K1 Lung transplantation K1 Lung volume reduction K1 Nutrición K1 Nutrition K1 Oxigenoterapia K1 Oxygen therapy K1 Physical activity K1 Reducción de volumen pulmonar K1 Rehabilitación pulmonar K1 Trasplante pulmonar AB In addition to recommendations for pharmacological treatment stratified for risk and phenotype, the new 2021 edition of the Spanish COPD Guidelines (GesEPOC 2021) proposes a personalized approach to treatable traits, defined as a characteristic (clinical, physiological, or biological) that can be identified by diagnostic tests or biomarkers, for which a specific treatment is available. Some treatable traits, such as malnutrition, sedentarism, emphysema or respiratory failure, can be treated with non-pharmacological therapies, and this was not covered in detail in the guidelines. This section of GesEPOC 2021 includes a narrative update with recommendations on dietary treatment, physical activity, respiratory rehabilitation, oxygen therapy, non-invasive ventilation, volume reduction, and lung transplantation. A PICO question with recommendations on the use of supplemental oxygen during exercise in COPD patients without severe hypoxemia is also included. YR 2021 FD 2021-09-17 LK http://hdl.handle.net/10668/21997 UL http://hdl.handle.net/10668/21997 LA en LA es DS RISalud RD Apr 12, 2025