With the growing global burden of chronic obstructive pulmonary disease (COPD), evidence-based and scientifically grounded exercise interventions have emerged as a key strategy for improving patients' quality of life. The Exercise Prescription Guidelines for Chronic Obstructive Pulmonary Disease (hereafter referred to as the guideline) was jointly developed by China Sport Science Society, National Institute of Sports Medicine, China-Japan Friendship Hospital, Capital Medical University, and Beijing Sport University, with the aim of providing evidence-based recommendations for exercise prescription in patients with COPD. The guideline systematically outlines pre-exercise screening and assessment, principles of exercise prescription, recommendations for different exercise modalities, identification and risk management of adverse events during exercise interventions, and telerehabilitation strategies for patients with COPD. Based on systematic reviews and meta-analyses, a total of 22 recommendations are proposed, covering aerobic exercise, resistance training, inspiratory muscle training, and resonance breathing. These exercise prescriptions and recommendations have been demonstrated to significantly improve dyspnea, pulmonary function, cardiorespiratory fitness, and quality of life in patients with COPD, while highlighting the importance of safety and individualized interventions. The development and implementation of this guideline are expected to promote the standardization and optimization of exercise-based interventions for COPD and provide more scientific and effective rehabilitation strategies for patients.

随着慢性阻塞性肺疾病（COPD）对全球健康的影响日益加重，科学、循证的运动干预方法成为改善患者生活质量的重要手段。《慢性阻塞性肺疾病运动处方指南》（以下简称指南）由中国体育科学学会和国家体育总局运动医学研究所、中日友好医院、首都医科大学和北京体育大学联合制订，旨在为COPD患者的运动处方提供循证依据。指南详细介绍了COPD患者的运动前筛查与评价、运动处方的制订原则、不同运动类别的推荐意见、COPD患者运动干预过程中不良反应的发生风险与识别及COPD患者的远程康复。通过系统评价和荟萃分析，指南提出了22条推荐意见，涵盖了有氧运动、抗阻运动、吸气肌训练和COPD患者运动中不良反应的发生风险和识别等内容。这些运动处方和推荐意见能够显著改善COPD患者的呼吸困难症状、肺功能和心肺耐力及生活质量，同时强调了运动干预的安全性和个体化需求。本指南的制订和实施将有助于推动COPD运动干预的标准化和规范化，为患者提供更加科学、有效的康复策略。