van Buul AR, et al. - This study focused on the association between objectively measured physical activity and morning symptoms in COPD. Significant higher morning symptom scores were seen in patients with overall more symptomatic COPD. Notably, there was an association of morning symptom severity with important clinical outcomes such as lower health status, more symptoms, increased anxiety and depression, fewer steps a day, less time in moderate and vigorous physical activity with bouts of at least 10 minutes and lower forced expiratory volume in 1 second [FEV₁]. Overall, in addition to assessment by general COPD-specific questionnaires, a careful evaluation of morning symptoms was recommended, especially in those with more symptomatic COPD.