Are the Effects of High-Intensity Exercise Training Different in Patients with COPD Versus COPD+Asthma Overlap?

Autor: Lorena Paltanin Schneider, Ana Carolina Andrelo, Thais Paes, Antenor Rodrigues, Nidia A. Hernandes, Joice Mara Oliveira, Josiane Marques Felcar, Vanessa S. Probst, Felipe V C Machado, Letícia Fernandes Belo, Igor Lopes Brito, Karina Couto Furlanetto, Jéssica Fonseca, Andrea Akemi Morita, Fabio Pitta
Rok vydání: 2019
Předmět:
Male
Pulmonary and Respiratory Medicine
Spirometry
medicine.medical_specialty
Activities of daily living
medicine.medical_treatment
Vital Capacity
Walk Test
Anxiety
Asthma-Chronic Obstructive Pulmonary Disease Overlap Syndrome
Hospital Anxiety and Depression Scale
Pulmonary function testing
Pulmonary Disease
Chronic Obstructive
03 medical and health sciences
0302 clinical medicine
Forced Expiratory Volume
Activities of Daily Living
Electric Impedance
medicine
Humans
Pulmonary rehabilitation
Muscle Strength
030212 general & internal medicine
Aged
Asthma
COPD
medicine.diagnostic_test
Depression
business.industry
Resistance Training
Middle Aged
medicine.disease
Exercise Therapy
Treatment Outcome
030228 respiratory system
Body Composition
Physical therapy
Female
business
Bioelectrical impedance analysis
Zdroj: Lung. 198:135-141
ISSN: 1432-1750
0341-2040
DOI: 10.1007/s00408-019-00311-7
Popis: This study aimed to investigate whether patients with chronic obstructive pulmonary disease (COPD) presenting asthma overlap (ACO) benefit similarly in comparison to patients with only COPD after a 12-week high-intensity exercise training (ET) program. Subjects with a diagnosis of COPD alone or ACO were evaluated and compared before and after a high-intensity ET program composed of walking and cycling plus strengthening exercises of the upper and lower limbs (3 days/week, 3 months, 36 sessions). Assessments included spirometry, bioelectrical impedance, 6-min walk test (6MWT), London Chest Activity of Daily Living Scale (LCADL), Hospital anxiety and depression Scale, modified Medical Research Council Scale (mMRC), Saint George Respiratory Questionnaire (SGRQ), and respiratory and peripheral muscle strength [manovacuometry and 1-repetition maximum test (quadriceps femoris, biceps and triceps brachialis), respectively]. ACO was defined according to Sin et al. (Eur Respir J 48(3):664-673, 2016). The sample was composed of 74 subjects (57% male, age 67 ± 8 years, BMI 26 (21–32) kg/m2, FEV1 47 ± 17%predicted), and 12 (16%) of them were classified as presenting ACO. Both groups improved pulmonary function, 6MWT, peripheral and inspiratory muscle strength, LCADL, and SGRQ after ET (p 0.05 for all). Likewise, there was no difference in the proportion of patients achieving the minimum clinical important difference for 6MWT and mMRC. High-intensity exercise training generates similar benefits in patients with COPD regardless of whether presenting asthma overlap or not.
Databáze: OpenAIRE
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