Combined Physical Training Improves Exercise Tolerance and Prognosis in Individuals with COPD

Authors

  • Victor Fernando Couto
  • Cilso Dias Paes
  • Marcos Rassi Fernandes
  • Maurício Jamami
  • Marcos Rassi Fernandes Filho
  • Valéria Amorim Pires Di Lorenzo
  • Maurício Jamami

Keywords:

Pulmonary disease chronic obstructive, Physical education and training, Exercise tolerance, Elderly

Abstract

Objective: To identify the effect of this training on exercise tolerance in people with COPD and on the prognosis of the disease. Method: Nine elderly patients with COPD (COPDG) and nine healthy elderly (HG), were avaluated before and after physical training to: six-minute walk test (6MWT), incremental test (ICT), body composition and test 1 repetition maximum (1RM), it was avaluated also in COPDG the BODE index. The training consisted of thirty minutes of aerobic training and three sets of fifteen repetitions of resistance training in leg press horizontal with 40-60% of 1RM, with an interval of five minutes for recovery. Three weekly sessions were held for six weeks. Results: In COPDG, there was a significant increase in the distance covered and an improvement in the BODE index. Conclusion: The 6-week CPT evidence to be effective in improving exercise tolerance in both elderly COPD subjects and the prognosis of disease.

References

American College of Sports Medicine. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: Guidance for prescribing exercise. Med Sci Sports Exerc. 2011; 43: 1334-59.

Libardi CA, De Souza GV, Cavaglieri CR, Madruga VA, Chacon-Mikahil MP. Effect of resistance, endurance and concurrent training on TNF-alpha, IL-6 and CRP. Med Sci Sports Exerc. 2012; 44: 50-6.

Markofski MM, Carrillo AE, Timmerman KL, Jennings K, Coen PM et al. Exercise training modifies ghrelin and adiponectin concentrations and is related to inflammation in older adults. J Gerontol A Biol Sci Med Sci. 2014; 69(9): 675–681.

Ortega F, Toral J, Cejudo P, Villagomez R, Sanchez H, Castilho J. Comparasion of effects of strength and endurance training in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2002; 166: 669-74.

Ertek S, Cicero A. Impact of physical activity on inflammation: effects on cardiovascular disease risk and other inflammatory conditions. Arch Med Sci. 2012; 8: 794-804.

Bernard S, Whitton F, Lebranc P, Jobin J, Belleau R, Carrier G, et al. Aerobic and strength training in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 1999; 159: 896-901.

Rodrigues F. Importância de fatores extrapulmonares: depressão, fraqueza muscular, qualidade de vida – na evolução da DPOC. Rev Port Pneumol. 2010; 16(5): 709-15.

Pedersen BK, Febbraio, MA. Muscles, exercise and obesity: skeletal muscle as a secretory organ. Nat Rev Endocrinol. 2012; 8: 457-65.

Seymour JM, Spruit MA, Hopkinson NS, Natanek SA, Man WDC, Jackson A, et al. The prevalence of quadriceps weakness in COPD and the relationship with disease severity. Eur Resp J. 2010; 36: 81-8.

Cardoso AP. Exacerbação da DPOC. Pulmão RJ. 2013; 22: 60-4.

Libardi CA, Cavaglieri CR, Tricoli V, Roschel H, Vechin FC, Conceição MS et al. Effect of concurrent training with blood flow restriction in the elderly. Int J Sports Med. 2015; 36(5): 395-9.

Fontoura CSM, Cruz DO, Londero LG, Vieira RM. Avaliação nutricional de pacientes críticos. Rev Bras Ter Intensiva. 2006; 18: 298-306.

Vivacqua R, Hespanha R. Introdução – Histórico – Perspectiva. In: Ergometria e Reabilitação em Cardiologia. Rio de Janeiro: Medsi; 1992.

Soares MR, Pereira CAC. Teste de caminhada de seis minutos: Valores de referência para adultos saudaveis no Brasil. J Bras Pneumol. 2011; 37: 576-83.

Iwama AM, Andrade GN, Shima P, Tanni SE, Godoy I, Dourado VZ. The six-minute walk test and body weight-walk distance product in healthy Brazilian subjects. Braz J Med Biol Res. 2009; 42: 1080-5.

Cote CG, Celli BR. Pulmonary rehabilitation and the BODE index in COPD. Eur Respir J. 2005; 26: 630-6.

Oga T, Nishimura K, Tsukino M, Hajiro T, Ikeda A, Izumi T. The effects of oxitropium bromide on exercise performance in patients with stable chronic obstructive pulmonary disease. A comparison of three different exercise tests. Am J Respir Crit Care Med. 2000; 161: 1897-1901.

Probst VS, Troosters T, Pitta F, Decramer M, Gosselink R. Cardiopulmonary stress during exercise training in patients with COPD. Eur Respir J. 2006; 27: 1110-8.

Sociedade Brasileira de Cardiologia. II Diretrizes sobre Testes Ergométricos. Arq Bras Cardiol. 2002; 78(2): 1-17.

Casaburi R, Bhasin S, Cosentino L, Porszasz J, Sonfay A, Lewis MI. Effects of testosterone and resistance training in men with chronic obstrutive pulmonary disease. Am J Respir Crit Care Med. 2004; 170: 870-8.

Puhan MA, Mador MJ, Held U, Goldstein R, Guyatt GH, Schunemann HJ. Interpretation of treatment changes in 6-minute walk distance in patients with COPD. Eur Respir J. 2008; 32: 637-43.

Dourado VZ, Godoy I. Recondicionamento muscular na DPOC: principais intervenções e novas tendências. Rev Bras Med Esporte. 2004; 10(4): 331-4.

Egan C, Deering BM, Blake C, Fullen MB, McCormack NM, Spruit MA, et al. Short term and long term effects of pulmonar rehabilitation on physical activity in COPD. Respiry Med. 2012; 106:1671-9.

Wanke T, Formanek D, Lahrmann H, Brath H, Wild M, Wagner C, et al. Effects of combined inspiratory muscle and cycle ergometer training on exercise performance in patients with COPD. Eur Respir J. 1994; 7(12): 2205-11.

Wang K, Zeng GQ, Li R, Luo YW, Wang M, Hu YH, et al. Cycle ergometer and inspiratory muscle training offer modest benefit compared with cycle ergometer alone: a comprehensive assessment in stable COPD patients. Int J Chronic Obstr Pulm Dis. 2017; 12: 2655-68.

Spruit MA, Singh SJ, Garvey C, ZuWallack R, Nici L, Rochester 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.

Puhan MA, Schunemann HJ, Frey M, Scharplatz M, Bachmann LM. How should COPD patients exercise during respiratory rehabilitation. Comparison of exercise modalities and intensities to treat skeletal muscle dysfunction. Thorax. 2005; 60: 367-75.

Nasis I.J, Vogiatzis I, Stratakos G, Athanasopoulos D, Koutsoukou A, Daskalakis A, et al. Effects of interval-load versus constant-load training on the BODE index in COPD patients. Respir Med. 2009; 103: 1392-8.

Luo Y, Zhou L, Li Y, et al. Fat-free mass index for evaluating the

nutritional status and disease severity in COPD. Respir Care. 2016;

(5):680–8.

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Published

2020-05-28

How to Cite

Couto, V. F., Paes, C. D., Fernandes, M. R., Jamami, M., Fernandes Filho, M. R., Di Lorenzo, V. A. P., & Jamami, M. (2020). Combined Physical Training Improves Exercise Tolerance and Prognosis in Individuals with COPD. Revista De Divulgação Científica Sena Aires, 9(2), 282–290. Retrieved from https://rdcsa.emnuvens.com.br/revista/article/view/597

Issue

Vol. 9 No. 2 (2020): REVISA

Section

Original Paper

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