Barely Significant
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No impact of exacerbation frequency and severity on the physical activity decline in COPD: a long-term observation.

Int J Chron Obstruct Pulmon Dis · 2019 · PMC6388775 · PMID 30863043

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.