Commentary on 'Clinical features and longitudinal assessment in outcomes of chronic obstructive pulmonary disease with biomass smoke exposure history: A prospective study of the realDTC cohort'.

This commentary addresses a prospective cohort study examining how biomass smoke exposure shapes the clinical presentation and long-term outcomes of chronic obstructive pulmonary disease (COPD). The piece highlights findings from the realDTC cohort, which tracked patients with biomass-related COPD over time to distinguish their disease trajectory from tobacco-related COPD. Physical therapists working in pulmonary rehabilitation should be aware of this exposure-specific phenotype, as it may influence exercise tolerance, functional decline, and rehabilitation planning.

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