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Two different training programmes for patients with COPD: A randomised study with 1-year follow-up
Akademiska Sjukhuset, Uppsala University, Sweden.
Mälardalen University.
Centre for Clinical Research, Central Hospital.
Karolinska Institutet, Sweden.
2006 (English)In: Respiratory Medicine, ISSN 0954-6111, E-ISSN 1532-3064, Vol. 100, no 1, 130-139 p.Article in journal (Refereed) Published
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Abstract [en]

Purpose: To compare the effects on exercise capacity and health related quality of life (HRQoL) of two exercise programmes; one programme including endurance training and one including only resistance training and callisthenics. A second purpose was to find out whether the severity of chronic obstructive pulmonary disease (COPD) affected the training response and whether the interventions had a long-term effect. Methods: Sixty-three patients were stratified according to severity of COPD and randomised to two training groups. Group A had a mixed programme including endurance training. Group B had resistance training and callisthenics. All trained twice weekly for 8 weeks. A symptom-limited ergometer test, 12-min walking test, dynamic spirometry, blood gas analysis at rest and HRQoL were measured before and after the training period. Follow-up tests were conducted at 6 and 12 months after training. Results: Forty-two patients fulfilled the trial. In group A (n = 20) peak exercise capacity increased by 7 W (P<0.001) and 12-min walking distance (12MWD) by 50 m (P<0.01), whereas group B (n = 22) did not change in any of these variables. HRQoL did not change significantly in either group. Training response was similar in patients with moderate and severe disease. One year post-training 12MWD had returned to pre-training level in group A, and below pre-training level in group B (P<0.05). Conclusions: Exercise capacity in patients with severe and moderate COPD improved by intensive endurance training, two sessions a week for 8 weeks. The improvement was however small and HRQoL did not improve. Severity of illness did not affect response to training. The results indicated that the effects of a short endurance training intervention slowed down decline in baseline functional exercise capacity for 1 year.

Place, publisher, year, edition, pages
2006. Vol. 100, no 1, 130-139 p.
Keyword [en]
Chronic obstructive pulmonary disease (COPD), Endurance training, Exercise training, Rehabilitation, Resistance training, adult, aged, analysis of variance, arterial gas, arterial oxygen tension, article, blood gas analysis, breathing rate, chronic obstructive lung disease, clinical trial, controlled clinical trial, controlled study, disease severity, ergometry, exercise, female, follow up, forced expiratory volume, Hospital Anxiety and Depression Scale, human, intermethod comparison, long term care, lung function test, major clinical study, male, oxygen saturation, peak expiratory flow, physical education, physical stress, priority journal, quality of life, questionnaire, randomized controlled trial, spirometry, Sweden, training, treatment outcome, walking, Exercise Therapy, Exercise Tolerance, Follow-Up Studies, Health Status, Humans, Pulmonary Disease, Chronic Obstructive
Identifiers
URN: urn:nbn:se:mdh:diva-31909DOI: 10.1016/j.rmed.2005.03.043ISI: 000234588400019Scopus ID: 2-s2.0-29844452508OAI: oai:DiVA.org:mdh-31909DiVA: diva2:937573
Available from: 2016-06-15 Created: 2016-06-14 Last updated: 2016-11-01Bibliographically approved

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