The effect of combined aerobic and resistance training on exercise capacity and quality of life in patients with severe or very severe chronic obstructive pulmonary disease_West China Medical Journal

Authors：

LIU Sa , LIU Yuan , ZHANG Wenliang , XIE Kangling ,  LIU Suixin

Department of Rehabilition, Xiangya Hospital of Central South University, Changsha, Hunan 410008, P. R. China;

Corresponding author：

LIU Suixin, Email: 2278359828@qq.com

Keywords：

Chronic obstructive pulmonary disease; Pulmonary rehabilitation; Exercise capacity; Quality of life

DOI：

10.7507/1002-0179.201805002

Video：

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Objective To investigate the effect of aerobic combined with resistance training on exercise capacity and quality of life in patients with severe or very severe chronic obstructive pulmonary disease (COPD). Methods Thirty patients with severe or very severe COPD were randomly divided into the control group (n=15) and the exercise group (n=15) from January 2011 to January 2013. The control group was given health education and routine drug treatment. The exercise group was given muscle relaxation and 6-week aerobic combined resistance exercise training on the basis of the control group. Pulmonary function, 6-minute walk test (6MWT), 30-second sit-to-stand (30-STS), 30-second arm curl test (30-ACT), Medical Research Council Dyspnea Scale (MRC), COPD Assessment Test (CAT), Beck Anxiety and Depression Scale were performed before and after intervention in both groups. Results After intervention, compared with those in the control group, the 6MWT, 30-STS and 30-ACT in the exercise group increased significantly [(518.44±84.62) vs. (412.93±82.53) m, (24.53±3.98) vs. (16.87±3.91) times, (26.07±3.41) vs. (17.93±3.39) times, P<0.05], while the CAT score, Beck anxiety and depression scores decreased significantly (4.87±3.68vs. 26.10±10.18, 2.47±1.81 vs. 11.50±4.89, 2.27±2.49 vs. 12.20±6.35, P<0.05), and MRC score also decreased significantly [1.0 (1.0, 2.0)vs. 2.0 (2.0, 4.0), P<0.05]. There was no statistical difference in pulmonary function between the two groups before or after intervention (P>0.05). Conclusion Exercise-based pulmonary rehabilitation can significantly improve the treatment outcomes in Chinese patients with severe or very severe COPD.

Citation： LIU Sa, LIU Yuan, ZHANG Wenliang, XIE Kangling, LIU Suixin. The effect of combined aerobic and resistance training on exercise capacity and quality of life in patients with severe or very severe chronic obstructive pulmonary disease. West China Medical Journal, 2018, 33(10): 1252-1256. doi: 10.7507/1002-0179.201805002 Copy

1.	中华医学会呼吸病学分会慢性阻塞性肺疾病学组. 慢性阻塞性肺疾病诊治指南 (2013 年修订版). 中国医学前沿杂志: 电子版, 2014, 6(2): 67-80.
2.	GOLD Executive Committee. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary Disease (Revised 2015). (2016-3-18)[2018-04-20]. http.//www.goldcopd.com.
3.	Vogiatzis I. Strategies of muscle training in very severe COPD patients. Eur Respir J, 2011, 38(4): 971-975.
4.	GOLD Executive Committee. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease (Revised 2011). www.Goldcopd.com.
5.	Foster C, Porcari JP, Gibson M, et al. Translation of submaximal exercise test responses to exercise prescription using the Talk Test. J Strength Cond Res, 2009, 23(9): 2425-2429.
6.	Williams MA, Haskell WL, Ades PA, et al. Resistance exercise in individuals with and without cardiovascular disease: 2007 update: a scientific statement from the American Heart Association Council on Clinical Cardiology and Council on Nutrition, Physical Activity, and Metabolism. Circulation, 2007, 116(5): 572-584.
7.	Ross R, Blair SN, Arena R, et al. Importance of assessing cardiorespiratory fitness in clinical practice: a case for fitness as a clinical vital sign: a scientific statement from the American Heart Association. Circulation, 2016, 134(24): e653-e699.
8.	盛舰辉, 谭薇, 王晓丽. 肺康复训练对老年重度慢性阻塞性肺病的影响. 潍坊医学院学报, 2016, 38(2): 103-106.
9.	刘汉坤, 周明, 吴志强. 肺康复联合布地奈德/福莫特罗和噻托溴铵治疗重度和极重度稳定期 COPD 的效果. 中国当代医药, 2016, 23(15): 23-25.
10.	刘景新, 刘晓丹, 吴卫兵, 等. 高强度间歇训练对 COPD 患者的康复效果及作用机制. 中国康复医学杂志, 2017, 32(12): 1441-1444.
11.	孟申. 从肺康复指南的更新看肺康复研究的进展. 中华结核和呼吸杂志, 2010, 33(3): 216-218.
12.	COPD Working Group. Pulmonary rehabilitation for patients with chronic pulmonary disease (COPD): an evidence-based analysis. Ont Health Technol Assess Ser, 2012, 12(6): 1-75.
13.	汪立新, 顾晓燕, 沈素娥, 等. 运动及渐进性肌肉放松训练对缓解期 COPD 患者运动耐力、日常生活能力及情绪的影响. 临床肺科杂志, 2014, 19(8): 1377-1380.
14.	Puhan MA, Siebeling L, Zoller M, et al. Simple functional performance tests and mortality in COPD. Eur Respir J, 2013, 42(4): 956-963.
15.	Eisner MD, Blanc PD, Yelin EH, et al. Influence of anxiety on health outcomes in COPD. Thorax, 2010, 65(3): 229-234.
16.	李毅, 李月川. 不同时期施行肺康复对 COPD 患者抑郁及焦虑的改善效果比较. 天津医药, 2016, 44(8): 1010-1014.
17.	Ries AL. ACCP/AACVPR evidence-based guidelines for pulmonary rehabilitation. Round 3: another step forward. J Cardiopulm Rehabil Prev, 2007, 27(4): 233-236.
18.	吴海燕, 钱钧, 李树雯, 等. 心肺康复运动训练对 COPD 稳定期患者肺功能的影响. 中国康复医学杂志, 2016, 31(3): 351-353.
19.	Spruit MA, Singh SJ, Garvey C, et al. An official American Thoracic Society/European Respiratory Society statement: key concepts and advances in pulmonary rehabilitation. Am J Respir Crit Care Med, 2013, 188(8): e13-e64.

1. 中华医学会呼吸病学分会慢性阻塞性肺疾病学组. 慢性阻塞性肺疾病诊治指南 (2013 年修订版). 中国医学前沿杂志: 电子版, 2014, 6(2): 67-80.
2. GOLD Executive Committee. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary Disease (Revised 2015). (2016-3-18)[2018-04-20]. http.//www.goldcopd.com.
3. Vogiatzis I. Strategies of muscle training in very severe COPD patients. Eur Respir J, 2011, 38(4): 971-975.
4. GOLD Executive Committee. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease (Revised 2011). www.Goldcopd.com.
5. Foster C, Porcari JP, Gibson M, et al. Translation of submaximal exercise test responses to exercise prescription using the Talk Test. J Strength Cond Res, 2009, 23(9): 2425-2429.
6. Williams MA, Haskell WL, Ades PA, et al. Resistance exercise in individuals with and without cardiovascular disease: 2007 update: a scientific statement from the American Heart Association Council on Clinical Cardiology and Council on Nutrition, Physical Activity, and Metabolism. Circulation, 2007, 116(5): 572-584.
7. Ross R, Blair SN, Arena R, et al. Importance of assessing cardiorespiratory fitness in clinical practice: a case for fitness as a clinical vital sign: a scientific statement from the American Heart Association. Circulation, 2016, 134(24): e653-e699.
8. 盛舰辉, 谭薇, 王晓丽. 肺康复训练对老年重度慢性阻塞性肺病的影响. 潍坊医学院学报, 2016, 38(2): 103-106.
9. 刘汉坤, 周明, 吴志强. 肺康复联合布地奈德/福莫特罗和噻托溴铵治疗重度和极重度稳定期 COPD 的效果. 中国当代医药, 2016, 23(15): 23-25.
10. 刘景新, 刘晓丹, 吴卫兵, 等. 高强度间歇训练对 COPD 患者的康复效果及作用机制. 中国康复医学杂志, 2017, 32(12): 1441-1444.
11. 孟申. 从肺康复指南的更新看肺康复研究的进展. 中华结核和呼吸杂志, 2010, 33(3): 216-218.
12. COPD Working Group. Pulmonary rehabilitation for patients with chronic pulmonary disease (COPD): an evidence-based analysis. Ont Health Technol Assess Ser, 2012, 12(6): 1-75.
13. 汪立新, 顾晓燕, 沈素娥, 等. 运动及渐进性肌肉放松训练对缓解期 COPD 患者运动耐力、日常生活能力及情绪的影响. 临床肺科杂志, 2014, 19(8): 1377-1380.
14. Puhan MA, Siebeling L, Zoller M, et al. Simple functional performance tests and mortality in COPD. Eur Respir J, 2013, 42(4): 956-963.
15. Eisner MD, Blanc PD, Yelin EH, et al. Influence of anxiety on health outcomes in COPD. Thorax, 2010, 65(3): 229-234.
16. 李毅, 李月川. 不同时期施行肺康复对 COPD 患者抑郁及焦虑的改善效果比较. 天津医药, 2016, 44(8): 1010-1014.
17. Ries AL. ACCP/AACVPR evidence-based guidelines for pulmonary rehabilitation. Round 3: another step forward. J Cardiopulm Rehabil Prev, 2007, 27(4): 233-236.
18. 吴海燕, 钱钧, 李树雯, 等. 心肺康复运动训练对 COPD 稳定期患者肺功能的影响. 中国康复医学杂志, 2016, 31(3): 351-353.
19. Spruit MA, Singh SJ, Garvey C, et al. An official American Thoracic Society/European Respiratory Society statement: key concepts and advances in pulmonary rehabilitation. Am J Respir Crit Care Med, 2013, 188(8): e13-e64.

West China Medical Journal

The effect of combined aerobic and resistance training on exercise capacity and quality of life in patients with severe or very severe chronic obstructive pulmonary disease

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