Aerobic exercise training modulates bone mineral status in patients with chronic obstructive pulmonary disease

Abstract

Background:Chronic obstructive pulmonary disease (COPD) appears to be associated with low bone mineral density (BMD) due to long-term use of corticosteroids as a result patients with COPD are at risk for osteoporosis-related fractures and worsening pulmonary function. Objective: The present study aimed to measure the effects of treadmill walking exercises on bone mineral status in patients with COPD. Methods: Sixty patients with moderate COPD of both sexes, their age ranged from 45 to 58 years. Subjects were divided into two equal groups: training group (group A) received aerobic exercise training on treadmill for six months, where the second group (B) was considered as a control group who received no exercise training. The program consisted of three sessions per week for six months. Results:The results of this study indicated a significant increase in BMD of the lumbar spine & the radius and serum calcium & significant reduction in parathyroid hormone in group (A), while these changes were not significant in group (B).Also; there was a significant difference between both groups at the end of the study. Conclusion: Treadmill walking exercise training is an effective treatment policy to improve bone mineral status in patients with COPD.

Exercise Training in Patients with Chronic Respiratory Diseases: Are Cardiovascular Comorbidities and Outcomes Taken into Account?—A Systematic Review

“…The 180 studies included were conducted between 1987 and 2019. In total, 156 studies included patients with COPD [23,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58,59,60,61,62,63,64,65,66,67,68,69,70,71,72,73,74,75,76,77,78,79,80,81,82,83,84,85,86,87,88,89,90,91,92,93,94,95,96,97,98,99,100,101,102,103,104...…”

“…Forty-four different exclusion criteria were found in studies with patients with COPD (Figure 2). From these, exercise-limiting conditions [34,36,40,53,60,61,89,92,104,114,125,134,135,138,148,157,166,167,168,169,170,173,174,179,181,183,184] ( n = 27; 17.3%) was the most reported exclusion criterion, followed by general cardiovascular disease [32,39,44,70,74,75,94,100,103,107,109,112,130,152,153,160,164,171] ( n = 18; 11.5%) and unstable cardiovascular disease [38,47,53,65,66,98,99,101,108,116,117,118,119,133,137,146,147,180] ( n = 18; 11.5%). Thirty-four (21.8%) of the studies [23,48,50,55,63,<...>…”

Bewegungstraining bei Patienten mit chronischen Atemwegserkrankungen: Werden kardiovaskuläre Komorbiditäten und Outcomes berücksichtigt? Eine systematische Übersichtsarbeit

“…In den Studien mit COPD-Patienten fanden sich 44 verschiedene Ausschlusskriterien (Abb 2). Von diesen waren belastungseinschränkende Erkrankungen [34, 36, 40, 53, 60, 61, 89, 92, 104, 114, 125, 134, 135, 138, 148, 157, 166-170, 173, 174, 179, 181, 183, 184] (n = 27; 17,3%) das am häufigsten berichtete Ausschlusskriterium, gefolgt von allgemeiner kardiovaskulärer Erkrankung [32, 39, 44, 70, 74, 75, 94, 100, 103, 107, 109, 112, 130, 152, 153, 160, 164, 171] (n = 18; 11,5%) und instabiler kardiovaskulärer Erkrankung 38, 47, 53, 65, 66, 98, 99, 101, 108, 116–119, 133, 137, 146, 147, 180] (n = 18; 11,5%). Vierunddreißig Studien (21,8%) [23, 48, 50, 55, 63, 67, 69, 73, 77-80, 83, 84, 86, 88, 91, 95, 97, 110, 111, 115, 122, 126, 127, 132, 142, 149, 150, 155, 161, 165, 175, 185] enthielten keine Angaben zu den Eignungskriterien für kardiovaskuläre Komorbiditäten.…”