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Interval training copd

Sarah Jones, William D-C Man, Wei Gao, Irene J Higginson, Andrew Wilcock, Matthew Maddocks
BACKGROUND: This review is an update of a previously published review in the Cochrane Database of Systematic Reviews Issue 1, 2013 on Neuromuscular electrical stimulation for muscle weakness in adults with advanced disease.Patients with advanced progressive disease often experience muscle weakness, which can impact adversely on their ability to be independent and their quality of life. In those patients who are unable or unwilling to undertake whole-body exercise, neuromuscular electrical stimulation (NMES) may be an alternative treatment to enhance lower limb muscle strength...
October 17, 2016: Cochrane Database of Systematic Reviews
Joseph Em van Agteren, Kristin V Carson, Leong Ung Tiong, Brian J Smith
BACKGROUND: Lung volume reduction surgery (LVRS) performed to treat patients with severe diffuse emphysema was reintroduced in the nineties. Lung volume reduction surgery aims to resect damaged emphysematous lung tissue, thereby increasing elastic properties of the lung. This treatment is hypothesised to improve long-term daily functioning and quality of life, although it may be costly and may be associated with risks of morbidity and mortality. Ten years have passed since the last version of this review was prepared, prompting us to perform an update...
October 14, 2016: Cochrane Database of Systematic Reviews
Norman R Morris, James Walsh, Lewis Adams, Jennifer Alision
Most of the current guidelines for pulmonary rehabilitation recommend higher, over lower, intensity exercise training for COPD. Typically, we consider intensity of exercise training to be a key component of any exercise training programme. Whilst studies of young individuals have demonstrated that higher exercise training intensity results in greater improvements in exercise capacity, the evidence for older patients is not so clear cut. In COPD, there is limited evidence regarding the optimal intensity of exercise training...
October 2016: Respirology: Official Journal of the Asian Pacific Society of Respirology
Daniel Neunhäuserer, Eva Steidle-Kloc, Gertraud Weiss, Bernhard Kaiser, David Niederseer, Sylvia Hartl, Marcus Tschentscher, Andreas Egger, Martin Schönfelder, Bernd Lamprecht, Michael Studnicka, Josef Niebauer
BACKGROUND: Physical exercise training is an evidence-based treatment in chronic obstructive pulmonary disease (COPD), and patients' peak work rate is associated with reduced COPD mortality. We assessed whether supplemental oxygen during exercise training in nonhypoxemic COPD patients might lead to superior training outcomes, including improved peak work rate. METHODS: This was a randomized, double-blind, controlled, crossover trial. Twenty-nine COPD patients (63...
July 14, 2016: American Journal of Medicine
Amelia Guadalupe-Grau, Susana Aznar-Laín, Asier Mañas, Juan Castellanos, Julián Alcázar, Ignacio Ara, Esmeralda Mata, Rosa Daimiel, Francisco José García-García
To investigate the short and long time effects of concurrent strength and high intensity interval training (HIIT) on octogenarian COPD patients, nine males (age=84.2 ± 2.8 yrs, BMI=29.3 ± 2.3), with low to severe COPD level (2.1 ± 1.5 BODE index), underwent a supervised 9-week strength and HIIT exercise program. Training had a significant (P<0.05) impact on senior fitness test scores (23-45%), 30m walking speed (from 1.29 ± 0.29 to 1.62 ± 0.33 m/s), leg and chest press 1RM (38 and 45% respectively), maximal isometric strength (30-35%), and 6-minute walking test (from 286...
July 12, 2016: Journal of Aging and Physical Activity
Andrew J Belli, Sonali Bose, Neil Aggarwal, Christopher DaSilva, Sritika Thapa, Laura Grammer, Laura M Paulin, Nadia N Hansel
INTRODUCTION: Exposure to fine particulate matter (PM2.5) is associated with worse morbidity in individuals with COPD. Inhaled PM is phagocytosed by airway macrophages (AM), and black carbon measured in AM may serve as a biomarker of air pollution exposure. As there is little data on how indoor PM exposure may influence AM black carbon content in those with respiratory disease, we investigated the association of indoor PM2.5 concentration to AM black carbon content in adults with COPD...
October 2016: Environmental Research
Peng Yin, Qingfeng Ma, Limin Wang, Peng Lin, Mei Zhang, Shige Qi, Zhihui Wang
BACKGROUND: Previous studies suggested an association between chronic obstructive pulmonary disease (COPD) and cognitive impairment, mostly in developed countries. There is no evidence available on the association between these two common chronic disorders in the elderly people in People's Republic of China where the population is aging rapidly. METHODS: The study population was randomly selected from a nationally representative Disease Surveillance Point System in People's Republic of China...
2016: International Journal of Chronic Obstructive Pulmonary Disease
Jana De Brandt, Martijn A Spruit, Wim Derave, Dominique Hansen, Lowie E G W Vanfleteren, Chris Burtin
Patients with COPD suffer from lower-limb muscle dysfunction characterized by lower muscle oxidative capacity and muscle mass. Exercise-based training is expected to attenuate lower-limb intramuscular characteristics, but a detailed systematic approach to review the available evidence has not been performed yet. PUBMED and PEDro databases were searched. Twenty-five studies that implemented an exercise-based training program (aerobic and/or resistance training, high intensity interval training, electrical or magnetic stimulation) and reported muscle biopsy data of patients with COPD were critically appraised...
2016: Expert Review of Respiratory Medicine
A I Uyanaeva, N S Airapetova, N G Badalov, Yu Yu Tupitsina, N V L'Vova, O V Nitchenko, M A Uyanaeva, I V Ksenofontova
The present publication presents the available data concerning the mechanisms of the development of enhanced meteosensitivity in the patients presenting with chronic broncho-obstructive pulmonary pathology with special reference to the characteristics of the most important biotropic weather factors acting on the population of the Moscow region. The possibility is substantiated for the introduction of non-medicamental methods (such as gas-air sodium dioxide bathtubs, whole body bathtubs with the use of mitofen preparations, and interval hypoxic trainings) into the prophylactic programs designed to prevent weather-dependent exacerbations of the chronic obstructive pulmonary disease...
November 2015: Voprosy Kurortologii, Fizioterapii, i Lechebnoĭ Fizicheskoĭ Kultury
M Majewska-Pulsakowska, K Wytrychowski, K Rożek-Piechura
Chronic obstructive pulmonary disease (COPD) adversely affects the quality of life and life expectancy of patients. Shortness of breath, cough, and fatigue in lower limbs are the main reasons limiting physical activities of patients. The lack of physical activity results in poorer muscle strength. The latest guidelines regarding breathing rehabilitation in COPD patients emphasize a significant role of inspiratory muscle exercises. The objective of the present study was to evaluate the effects of an 8-week long inspiratory muscle training, interval training on a cycle ergometer, and training combining both kinds of rehabilitation, on pulmonary function, health-related quality of life, and the tolerance to exercise in patients with COPD...
2016: Advances in Experimental Medicine and Biology
Marceli Rocha Leite, Ercy Mara Cipulo Ramos, Carlos Augusto Kalva-Filho, Ana Paula Coelho Figueira Freire, Bruna Spolador de Alencar Silva, Juliana Nicolino, Alessandra Choqueta de Toledo-Arruda, Marcelo Papoti, Luiz Carlos Marques Vanderlei, Dionei Ramos
INTRODUCTION: Patients with chronic obstructive pulmonary disease (COPD) exhibit aerobic function, autonomic nervous system, and mucociliary clearance alterations. These parameters can be attenuated by aerobic training, which can be applied with continuous or interval efforts. However, the possible effects of aerobic training, using progressively both continuous and interval sessions (ie, linear periodization), require further investigation. AIM: To analyze the effects of 12-week aerobic training using continuous and interval sessions on autonomic modulation, mucociliary clearance, and aerobic function in patients with COPD...
2015: International Journal of Chronic Obstructive Pulmonary Disease
Amanda K Rizk, Rima Wardini, Emilie Chan-Thim, Simon L Bacon, Kim L Lavoie, Véronique Pepin
The objectives of our study were to (i) compare, in chronic obstructive pulmonary disease (COPD) patients, acute responses to continuous training at high intensity (CTHI), continuous training at ventilatory threshold (CTVT) and interval training (IT); (ii) examine associations between acute responses and 12-week adherence; and (iii) investigate whether the relationship between acute responses and adherence is mediated/moderated by affect/vigour. Thirty-five COPD patients (forced expiratory volume in 1 second = 60...
November 2015: Chronic Respiratory Disease
Samantha L Harrison, Marla K Beauchamp, Kathryn Sibley, Tamara Araujo, Julia Romano, Roger S Goldstein, Dina Brooks
BACKGROUND: We have recently demonstrated the efficacy of balance training in addition to Pulmonary Rehabilitation (PR) at improving measures of balance associated with an increased risk of falls in individuals with Chronic Obstructive Pulmonary Disease (COPD). Few knowledge translation (KT) projects have been conducted in rehabilitation settings. The goal of this study was to translate lessons learnt from efficacy studies of balance training into a sustainable clinical service. METHODS: Health care professionals (HCPs) responsible for delivering PR were given an hour of instruction on the principles and practical application of balance training and the researchers offered advice regarding; prescription, progression and practical demonstrations during the first week...
2015: BMC Pulmonary Medicine
Chaicharn Pothirat, Warawut Chaiwong, Nittaya Phetsuk, Sangnual Pisalthanapuna, Nonglak Chetsadaphan, Woranoot Choomuang
BACKGROUND: Poor inhalation techniques are associated with decreased medication delivery and poor disease control in chronic obstructive pulmonary disease (COPD). The purpose of this study was to evaluate techniques for using inhaler devices in COPD patients. METHODS: A prospective cross-sectional study was conducted to assess patient compliance with correct techniques for using inhaler devices across four regimens, ie, the pressurized metered-dose inhaler (pMDI), the pMDI with a spacer, the Accuhaler, and the Handihaler...
2015: International Journal of Chronic Obstructive Pulmonary Disease
Ana Alice Soares Dos Santos, Ana Laura Ricci-Vitor, Vanessa Santa Rosa Bragatto, Ana Paula Soares Dos Santos, Ercy Mara Cipulo Ramos, Luiz Carlos Marques Vanderlei
Chronic obstructive pulmonary disease (COPD) is associated with autonomic dysfunctions that can be evaluated through heart rate variability (HRV). Resistance training promotes improvement in autonomic modulation; however, studies that evaluate this scenario using geometric indices, which include nonlinear evaluation, thus providing more accurate information for physiological interpretation of HRV, are unknown. This study aimed to investigate the influence of resistance training on autonomic modulation, using geometric indices of HRV, and peripheral muscle strength in individuals with COPD...
July 4, 2015: Clinical Physiology and Functional Imaging
Renske Van Abbema, Mathieu De Greef, Celine Crajé, Wim Krijnen, Hans Hobbelen, Cees Van Der Schans
BACKGROUND: Improved preferred gait speed in older adults is associated with increased survival rates. There are inconsistent findings in clinical trials regarding effects of exercise on preferred gait speed, and heterogeneity in interventions in the current reviews and meta-analyses. OBJECTIVE: to determine the meta-effects of different types or combinations of exercise interventions from randomized controlled trials on improvement in preferred gait speed. METHODS: HASH(0x4082918) DATA SOURCES: A literature search was performed; the following databases were searched for studies from 1990 up to 9 December 2013: PubMed, EMBASE, EBSCO (AMED, CINAHL, ERIC, Medline, PsycInfo, and SocINDEX), and the Cochrane Library...
2015: BMC Geriatrics
I Nasis, E Kortianou, Μ Vasilopoulou, S Spetsioti, Z Louvaris, G Kaltsakas, C H Davos, S Zakynthinos, N G Koulouris, I Vogiatzis
Dynamic hyperinflation (DH) has a significant adverse effect on cardiovascular function during exercise in COPD patients. COPD patients with (n = 25) and without (n = 11) exercise-induced DH undertook an incremental (IET) and a constant-load exercise test (CLET) sustained at 75% peak work (WRpeak) prior to and following an interval cycling exercise training regime (set at 100% WRpeak with 30-s work/30-s rest intervals) lasting for 12 weeks. Cardiac output (Q) was assessed by cardio-bio-impedance (PhysioFlow, enduro, PF-O7) to determine Q mean response time (QMRT) at onset (QMRT(ON)) and offset (QMRT(OFF)) of CLET...
October 2015: Respiratory Physiology & Neurobiology
Jane L Canavan, Djeya Kaliaraju, Claire M Nolan, Amy L Clark, Sarah E Jones, Samantha S C Kon, Michael I Polkey, William D-C Man
Pulmonary rehabilitation (PR) can improve aerobic exercise capacity, health-related quality of life and dyspnoea in patients with chronic obstructive pulmonary disease (COPD). Recent studies have suggested that exercise training may improve blood pressure and arterial stiffness, albeit in small highly selected cohorts. The aim of the study was to establish whether supervised outpatient or unsupervised home PR can reduce peripheral blood pressure. Resting blood pressure was measured in 418 patients with COPD before and after outpatient PR, supervised by a hospital-based team (HOSP)...
August 2015: Chronic Respiratory Disease
Annemarije L Kruis, Melinde R S Boland, Willem J J Assendelft, Jacobijn Gussekloo, Apostolos Tsiachristas, Theo Stijnen, Coert Blom, Jacob K Sont, Maureen P H M Rutten-van Molken, Niels H Chavannes
OBJECTIVE: To investigate the long term effectiveness of integrated disease management delivered in primary care on quality of life in patients with chronic obstructive pulmonary disease (COPD) compared with usual care. DESIGN: 24 month, multicentre, pragmatic cluster randomised controlled trial, Netherlands Trial Register NTR2268. METHOD: HASH(0x4093828) SETTING: 40 general practices in the western part of the Netherlands...
2015: Nederlands Tijdschrift Voor Geneeskunde
Ulrik Winning Iepsen, Karsten Juhl Jørgensen, Thomas Ringbæk, Henrik Hansen, Conni Skrubbeltrang, Peter Lange
Resistance training (RT) is thought to be effective in preventing muscle depletion, whereas endurance training (ET) is known to improve exercise capacity and health-related quality of life (HRQoL) in chronic obstructive pulmonary disease (COPD). Our objectives were to assess the efficiency of combining RT with ET compared with ET alone. We identified eligible studies through a systematic multi-database search. One author checked titles and abstracts for relevance using broad inclusion criteria, whilst two independent authors checked the full-text copies for eligibility...
May 2015: Chronic Respiratory Disease
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