Digital Metabolic Rehabilitation COPD

Inclusion Criteria: * Adult patients (18+) * COPD stage 1 or 2 * Identified by their family doctor as having at least two out of five MetS factors * Adjusted body mass index (BMI) between 26 to 40 * Able to provide written informed consent in English Exclusion Criteria: * Inability to speak, read or understand English * Having a medical or physical condition that makes moderate-intensity physical difficult or unsafe * Diagnosis of Type 1 diabetes mellitus or type 2 diabetes mellitus with proliferative diabetic retinopathy, nephropathy (serum creatine \> 160 µmol/L), clinically significant neuropathy (defined as absent ankle jerks), severe hyperglycemia (fasting blood glucose \> 11 mmol/L), or claudication symptoms * Significant medical co-morbidities, including uncontrolled metabolic disorders (e.g., thyroid, renal, liver), COPD stages 3 or 4, heart failure stage D, stroke, and ongoing substance abuse, undergoing active treatment for cancer * Clinically significant renal failure (.i.e., creatinine \> 200 µmol/L) * Diagnosis of psychiatric disorders that would limit the adequate ability to comply with the study protocol * Unable or unwilling to use technology to meet with the healthcare team and My Viva Plan to manage self-care