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Exercise and copd

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https://www.readbyqxmd.com/read/29030339/muscle-%C3%AE-adrenergic-responsiveness-during-exercise-and-atp-induced-vasodilation-in-chronic-obstructive-pulmonary-disease-patients
#1
Ulrik Winning Iepsen, Gregers Druedal Wibe Munch, Camilla Koch Ryrsø, Niels H Secher, Peter Lange, Pia Thaning, Bente Klarlund Pedersen, Stefan P Mortensen
Sympathetic vasoconstriction is blunted in exercising muscle (functional sympatholysis) but becomes attenuated with age. We tested the hypothesis that functional sympatholysis is further impaired in chronic obstructive pulmonary disease (COPD) patients. We determined leg blood flow (LBF) and calculated leg vascular conductance (LVC) during 1) femoral-arterial Tyramine infusion (evokes endogenous norepinephrine release; 1 µmol min(-1) kg leg mass(-1)); 2) one-legged knee-extensor exercise with and without Tyramine infusion (10 W and 20% of maximal workload (WLmax)); 3) ATP (0...
October 13, 2017: American Journal of Physiology. Heart and Circulatory Physiology
https://www.readbyqxmd.com/read/29028775/the-effect-of-progressive-relaxation-exercises-on-fatigue-and-sleep-quality-in-individuals-with-copd
#2
Cemile Kutmec Yilmaz, Sevgisun Kapucu
This randomized controlled experimental study was conducted to investigate the effect of progressive muscle relaxation exercises on dyspnea, fatigue, and sleep quality in individuals with chronic obstructive pulmonary disease. A Descriptive Questionnaire and the Chronic Obstructive Pulmonary Disease and Asthma Fatigue Scale, Chronic Obstructive Pulmonary Disease and Asthma Sleep Scale and Medical Research Council Dyspnea Scale were used for data collection. The decrease in the mean dyspnea, fatigue, and sleep scores in the intervention group was statistically significantly more pronounced than the patients in the control group (P < ...
November 2017: Holistic Nursing Practice
https://www.readbyqxmd.com/read/29027309/the-importance-of-symptoms-in-the-longitudinal-variability-of-clusters-in-copd-patients-a-validation-study
#3
Juan P de Torres, Jose M Marin, Cristina Martinez-Gonzalez, Pilar de Lucas-Ramos, Borja Cosio, Ciro Casanova
BACKGROUND AND OBJECTIVE: Cluster analysis has been utilized to explore phenotypic heterogeneity in chronic obstructive pulmonary disease (COPD). To date, little is known about the longitudinal variability of clusters in COPD patients. We aimed to evaluate the 2-year cluster variability in stable COPD patients. METHODS: We evaluated the following variables in COPD patients at baseline and 2 years later: age, gender, pack-year history, body mass index (BMI), modified Medical Research Council (MMRC) scale, 6-min walking distance (6MWD), spirometry and COPD Assessment Test (CAT)...
October 12, 2017: Respirology: Official Journal of the Asian Pacific Society of Respirology
https://www.readbyqxmd.com/read/29025008/cardiopulmonary-interactions-with-beta-blockers-and-inhaled-therapy-in-copd
#4
S Jabbal, W Anderson, P Short, A Morrison, A Manoharan, B J Lipworth
Background: Beta-blockers remain underused in patients with chronic obstructive pulmonary disease (COPD) and cardiovascular disease. Aim: We compared how different inhaled therapies affect tolerability of bisoprolol and carvedilol in moderate to severe COPD. Design: A randomized, open label, cross-over study. Methods: We compared the cardiopulmonary interactions of bisoprolol 5 mg qd or carvedilol 12.5 mg bid for 6 weeks in conjunction with: (i) triple: inhaled corticosteroid/long acting beta-agonist/long acting muscarinic antagonist (ICS + LABA + LAMA), (ii) dual: ICS + LABA and (iii) ICS alone...
July 24, 2017: QJM: Monthly Journal of the Association of Physicians
https://www.readbyqxmd.com/read/29021576/the-recording-and-characteristics-of-pulmonary-rehabilitation-in-patients-with-copd-using-the-health-information-network-thin-primary-care-database
#5
Ali Hakamy, Tricia M McKeever, Jack E Gibson, Charlotte E Bolton
Pulmonary rehabilitation is recommended for patients with COPD to improve physical function, breathlessness and quality of life. Using The Health Information Network (THIN) primary care database in UK, we compared the demographic and clinical parameters of patients with COPD in relation to coding of pulmonary rehabilitation, and to investigate whether there is a survival benefit from pulmonary rehabilitation. We identified patients with COPD, diagnosed from 2004 and extracted information on demographics, pulmonary rehabilitation and clinical parameters using the relevant Read codes...
October 11, 2017: NPJ Primary Care Respiratory Medicine
https://www.readbyqxmd.com/read/28993936/the-influence-of-body-composition-on-pulmonary-rehabilitation-outcomes-in-chronic-obstructive-pulmonary-disease-patients
#6
Pichapong Tunsupon, M Jeffery Mador
INTRODUCTION: Alterations in body composition are commonly present in chronic obstructive pulmonary disease (COPD). The hypothesis of this study is that COPD patients would achieve clinical benefits after pulmonary rehabilitation (PR) independent of muscle mass depletion or body weight. METHODS: We conducted a retrospective cohort study using single-frequency bioelectrical impedance analysis (BIA) for assessment of fat-free mass (FFM) depletion (muscle depletion)...
October 9, 2017: Lung
https://www.readbyqxmd.com/read/28993264/sensory-mechanical-effects-of-a-dual-bronchodilator-and-its-anticholinergic-component-in-copd
#7
Denis E O'Donnell, Amany F Elbehairy, Azmy Faisal, J Alberto Neder, Katherine A Webb
This randomized, double-blind, crossover study examined the physiological rationale for using a dual long-acting bronchodilator (umeclidinium/vilanterol (UME/VIL)) versus its muscarinic-antagonist component (UME) as treatment for dyspnea and exercise intolerance in moderate COPD. After each 4-week treatment period, subjects performed pulmonary function and symptom-limited constant-work rate cycling tests with diaphragm electromyogram (EMGdi), esophageal (Pes), gastric (Pga) and transdiaphragmatic (Pdi) pressure measurements...
October 7, 2017: Respiratory Physiology & Neurobiology
https://www.readbyqxmd.com/read/28989279/estimating-the-effectiveness-of-pulmonary-rehabilitation-for-copd-exacerbations-reduction-of-hospital-inpatient-days-during-the-following-year
#8
Milla Katajisto, Tarja Laitinen
AIMS: To study the short- and long-term results of pulmonary rehabilitation (PR) given in the Helsinki University Heart and Lung Center and to understand the hospital resources used to treat severe COPD exacerbations in the city of Helsinki. MATERIALS AND METHODS: Seventy-eight inactive patients with severe COPD were recruited for a PR course; three of them did not finish the course. The course took 6-8 weeks and included 11-16 supervised exercise sessions. Using electronic medical records, we studied all COPD patients with hospital admission in the city of Helsinki in 2014, including COPD diagnosis, criteria for exacerbation, and potential exclusion/inclusion criteria for PR...
2017: International Journal of Chronic Obstructive Pulmonary Disease
https://www.readbyqxmd.com/read/28987858/-effectiveness-of-an-educational-program-for-respiratory-rehabilitation-of-chronic-obstructive-pulmonary-disease-patients-in-primary-care-in-improving-the-quality-of-life-symptoms-and-clinical-risk
#9
Cristina Blánquez Moreno, Cristina Colungo Francia, M Carme Alvira Balada, Belchin Kostov, Luis González-de Paz, Antoni Sisó-Almirall
AIM: To determine the impact of an educational program to improve the management of chronic obstructive pulmonary disease (COPD) that contributes to an increase of the quality of life, exercise capacity, level of dyspnoea, and clinical risk. DESIGN: Intervention study without controls. LOCATION: Primary Healthcare Centre. PARTICIPANTS: 193 patients with COPD were invited, 73 accepted and 55 participated in the educational program...
October 4, 2017: Atencion Primaria
https://www.readbyqxmd.com/read/28986203/inhaled-nebulised-unfractionated-heparin-improves-lung-function-in-moderate-to-very-severe-copd-a-pilot-study
#10
Janis K Shute, Luigino Calzetta, Vittorio Cardaci, Stefania di Toro, Clive P Page, Mario Cazzola
BACKGROUND: COPD is an inflammatory airway disease characterised by progressive airflow limitation and air trapping, leading to lung hyperinflation and exercise limitation. Acute worsening of symptoms, including dyspnea, cough and sputum production, occurs during exacerbations which are associated with significantly reduced health related quality of life, and increased morbidity and mortality. Chronic bronchial mucus production and productive cough are risk factors for exacerbations. Medicines targeting bronchoconstriction and airway inflammation are the current mainstays of COPD therapy...
October 3, 2017: Pulmonary Pharmacology & Therapeutics
https://www.readbyqxmd.com/read/28985325/home-based-telerehabilitation-in-older-patients-with-chronic-obstructive-pulmonary-disease-and-heart-failure-a-randomised-controlled-trial
#11
Palmira Bernocchi, Michele Vitacca, Maria Teresa La Rovere, Maurizio Volterrani, Tiziana Galli, Doriana Baratti, Mara Paneroni, Giuseppe Campolongo, Barbara Sposato, Simonetta Scalvini
Background: chronic obstructive pulmonary disease (COPD) and chronic heart failure (CHF) frequently coexist in older people, reducing patients' quality of life (QoL) and increasing morbidity and mortality. Objective: we studied the feasibility and efficacy of an integrated telerehabilitation home-based programme (Telereab-HBP), 4 months long, in patients with combined COPD and CHF. The primary outcome was exercise tolerance evaluated at the 6-min walk test (6MWT)...
August 30, 2017: Age and Ageing
https://www.readbyqxmd.com/read/28982202/effects-of-combined-aerobic-strength-training-vs-fitness-education-program-in-copd-patients
#12
Nicoletta Rinaldo, Elisabetta Bacchi, Giuseppe Coratella, Francesca Vitali, Chiara Milanese, Andrea Rossi, Federico Schena, Massimo Lanza
We compared the effects of a new physical activity education program approach (EDU), based on a periodically supervised protocol of different exercise modalities vs traditionally supervised combined strength-endurance training (CT) on health-related factors in patients with stable chronic obstructive pulmonary disease (COPD). Twenty-eight COPD patients without comorbidities were randomly assigned to receive either EDU or CT. CT was continuously supervised to combine strength-endurance training; EDU was taught to progressively increase the rate of autonomous physical activity, through different training modalities such as Nordic walking, group classes and circuit training...
October 5, 2017: International Journal of Sports Medicine
https://www.readbyqxmd.com/read/28979116/self-management-behaviors-to-reduce-exacerbation-impact-in-copd-patients-a-delphi-study
#13
Yvonne Jg Korpershoek, Joyce C Bruins Slot, Tanja W Effing, Marieke J Schuurmans, Jaap Ca Trappenburg
BACKGROUND: Little is known about which self-management behaviors have the highest potential to influence exacerbation impact in COPD patients. We aimed to reach expert consensus on the most relevant set of self-management behaviors that can be targeted and influenced to maximize reduction of exacerbation impact. MATERIALS AND METHODS: A 2-round Delphi study was performed using online surveys to rate the relevance and feasibility of predetermined self-management behaviors identified by literature and expert opinion...
2017: International Journal of Chronic Obstructive Pulmonary Disease
https://www.readbyqxmd.com/read/28969859/effects-of-acute-use-of-pursed-lips-breathing-during-exercise-in-patients-with-copd-a-systematic-review-and-meta-analysis
#14
REVIEW
Anamaria Fleig Mayer, Manuela Karloh, Karoliny Dos Santos, Cintia Laura Pereira de Araujo, Aline Almeida Gulart
BACKGROUND: Pursed-lips breathing (PLB) is a ventilatory strategy frequently adopted spontaneously by patients with chronic obstructive pulmonary disease (COPD) to relieve dyspnoea, and its practice is widely taught as a respiratory strategy to increase exercise tolerance. OBJECTIVE: To investigate the effects of acute use of PLB in exercise performance, dyspnoea, ventilatory parameters and oxygen saturation during exercise in patients with COPD. DATA SOURCES: PEDro, EMBASE, MEDLINE via OVID, and EBSCO up to May 2016...
August 31, 2017: Physiotherapy
https://www.readbyqxmd.com/read/28967733/there-s-no-place-like-home-integrating-pulmonary-rehabilitation-into-the-home-setting
#15
Madalina Macrea, Richard ZuWallack, Linda Nici
Traditional, outpatient pulmonary rehabilitation provided to stable COPD patients leads to significant improvements in dyspnea, exercise capacity and health related quality of life.  Also, when started during or shortly after a hospitalization for a COPD exacerbation, pulmonary rehabilitation improves these patient-centered outcomes and arguably reduces subsequent health care utilization and mortality.  Despite these benefits, the uptake of traditional pulmonary rehabilitation remains disappointingly poor...
July 18, 2017: Monaldi Archives for Chest Disease, Archivio Monaldi Per le Malattie del Torace
https://www.readbyqxmd.com/read/28967440/effects-of-pulmonary-rehabilitation-on-exercise-capacity-and-disease-impact-in-patients-with-chronic-obstructive-pulmonary-disease-and-obesity
#16
J Broderick, C Mc Grath, K Cullen, D Talbot, J Gilmor, M Baily-Scanlan, T O'Dwyer
OBJECTIVES: To explore the influence of obesity on outcomes of exercise capacity and disease impact in patients with chronic obstructive pulmonary disease (COPD) in response to pulmonary rehabilitation (PR) and to compare outcomes to those of normal weight and overweight counterparts. DESIGN: Secondary data analysis of clinical database. SETTING: St. James's Hospital, Dublin, Ireland. PARTICIPANTS: 155 participants with a primary diagnosis of COPD who completed a PR programme between 2012 and 2014...
August 10, 2017: Physiotherapy
https://www.readbyqxmd.com/read/28960914/cpap-and-epap-elicit-similar-lung-deflation-in-a-non-equivalent-mode-in-gold-3-4-copd-patients
#17
Paulo de Tarso Müller, Gustavo Christofoletti, Rodrigo Koch, João Henrique Zardetti Nogueira, Luiz Armando Pereira Patusco, Gaspar Rogério Chiappa
Introduction Lung hyperinflation is associated with inspiratory muscle strength reduction, nocturnal desaturation, dyspnea, altered cardiac function and poor exercise capacity in advanced COPD. Objectives We investigated the responses of inspiratory capacity (IC) and inspiratory muscle strength (PImax), comparing continuous positive airway pressure (CPAP) and expiratory positive airway pressure (EPAP) with the main hypothesis that there would be similar effects on lung deflation. Methods Eligible patients were submitted to 10 cmH2 O CPAP and EPAP on different days, under careful ECG (HR) and peripheral oxygen saturation (SpO2 ) monitoring...
September 28, 2017: Clinical Respiratory Journal
https://www.readbyqxmd.com/read/28957884/palliative-and-end-of-life-care-for-adults-with-advanced-chronic-obstructive-pulmonary-disease-a-rapid-review-focusing-on-patient-and-family-caregiver-perspectives
#18
Gillian Mathews, Bridget Johnston
PURPOSE OF REVIEW: The aim of the review was to explore patient and family caregiver perspectives on key issues for ensuring quality of end-of-life care for people with chronic obstructive pulmonary disease (COPD). The growing evidence on the value of specialist palliative care services demonstrates significant improvements in treatments and provisions; however, much of the literature is generic in nature or centred on people with a cancer diagnosis. In this review, we examine the literature to ascertain the views and needs of patients and carers affected by advanced COPD, a highly debilitating condition that can have a profoundly negative impact on the quality of end-of-life experience...
September 27, 2017: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/28952865/promoting-physical-activity-using-the-internet-is-it-feasible-and-acceptable-for-patients-with-chronic-obstructive-pulmonary-disease-copd-and-bronchiectasis
#19
Athina Liacos, Angela T Burge, Narelle S Cox, Anne E Holland
Older people with chronic lung diseases with low physical activity participation rates are at higher risk of morbidity and mortality. This study assessed the feasibility and acceptability of a purpose-designed internet-based program (ActivOnline) to monitor and encourage exercise and physical activity. Twelve participants with COPD or bronchiectasis were recruited (54-84 years). Primary outcome measures were feasibility measured by frequency of program access, and acceptability measured by semi-structured interview, system usability scores and participant perception of benefit...
September 27, 2017: Journal of Aging and Physical Activity
https://www.readbyqxmd.com/read/28947079/evidence-for-aerobic-exercise-training-on-the-autonomic-function-in-patients-with-chronic-obstructive-pulmonary-disease-copd-a-systematic-review
#20
REVIEW
Jibril Mohammed, Eric Derom, Jessica Van Oosterwijck, Hellen Da Silva, Patrick Calders
OBJECTIVE: To assess evidence for the effectiveness of aerobic exercise training (AET) on the autonomic function (AF) outcomes in patients with chronic obstructive pulmonary disease (COPD). DATA SOURCES: Online databases of PubMed, CINAHL and Web of Science were systematically searched for all years till 26th of January, 2017. STUDY SELECTION: Clinical studies assessing any measure of AF following exercise training in patients with COPD were included...
July 22, 2017: Physiotherapy
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