Cardiorespiratory Responses to Short Bouts of Resistance Training Exercises in Individuals With Chronic Obstructive Pulmonary Disease

Robles, Priscila; Araújo, Tamara; Brooks, Dina; Zabjek, Karl; Janaudis-Ferreira, Tânia; Marzolini, Susan; Goldstein, Roger; Mathur, Sunita

doi:10.1097/hcr.0000000000000282

Cited by 10 publications

(6 citation statements)

References 34 publications

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“…In the study by Robles et al, 20 COPD patients performed a CPET and presented VO 2 peak values similar to those found in our study (mean value of 14.2 mL⋅kg −1 ⋅min −1 ). The study by Skjørten et al 21 also showed similar CPET parameters for COPD patients without pulmonary hypertension for: reached workload, pulmonary ventilation, and heart rate at the peak of the exercise.…”

Section: Discussionsupporting

confidence: 91%

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COPD assessment test and FEV<sub>1</sub>: do they predict oxygen uptake in COPD?

Carvalho-Jr¹,

Trimer²,

Arêas³

et al. 2018

COPD

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BackgroundChronic obstructive pulmonary disease (COPD) manifests itself in complex ways, with local and systemic effects; because of this, a multifactorial approach is needed for disease evaluation, in order to understand its severity and impact on each individual. Thus, our objective was to study the correlation between easily accessible variables, usually available in clinical practice, and maximum aerobic capacity, and to determine models for peak oxygen uptake (VO2peak) estimation in COPD patients.Subjects and methodsIndividuals with COPD were selected for the study. At the first visit, clinical evaluation was performed. During the second visit, the volunteers were subjected to the cardiopulmonary exercise test. To determine the correlation coefficient of VO2peak with forced expiratory volume in 1 second (FEV1) (% pred.) and the COPD Assessment Test score (CATs), Pearson or Spearman tests were performed. VO2 at the peak of the exercise was estimated from the clinical variables by simple and multiple linear regression analyses.ResultsA total of 249 subjects were selected, 27 of whom were included after screening (gender: 21M/5F; age: 65.0±7.3 years; body mass index: 26.6±5.0 kg/m2; FEV1 (% pred.): 56.4±15.7, CAT: 12.4±7.4). Mean VO2 peak was 12.8±3.0 mL⋅kg−1⋅min−1 and VO2peak (% pred.) was 62.1%±14.9%. VO2peak presented a strong positive correlation with FEV1 (% pred.), r: 0.70, and a moderate negative correlation with the CATs, r: -0.54. In the VO2peak estimation model based on the CAT (estimated VO2peak =15.148− [0.185× CATs]), the index explained 20% of the variance, with estimated error of 2.826 mL⋅kg−1⋅min−1. In the VO2peak estimation model based on FEV1 (estimated VO2peak =6.490+ [0.113× FEV1]), the variable explained 50% of the variance, with an estimated error of 2.231 mL⋅kg−1⋅min−1. In the VO2peak estimation model based on CATs and FEV1 (estimated VO2peak =8.441− [0.0999× CAT] + [0.1000× FEV1]), the variables explained 55% of the variance, with an estimated error of 2.156 mL⋅kg−1⋅min−1.ConclusionCOPD patients’ maximum aerobic capacity has a significant correlation with easily accessible and widely used clinical variables, such as the CATs and FEV1, which can be used to estimate peak VO2.

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Section: Discussionsupporting

confidence: 91%

“…The moderate correlation between CATs and VO 2 peak found in COPD patients in our study is in agreement with the findings by Chuang et al, 27 which showed a significant moderate negative correlation between the 2 variables ( r =−0.53, P <0.0001). 20 …”

Section: Discussionmentioning

confidence: 99%

COPD assessment test and FEV<sub>1</sub>: do they predict oxygen uptake in COPD?

Carvalho-Jr¹,

Trimer²,

Arêas³

et al. 2018

COPD

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“… Kerti et al (2018) studied the degree of contribution of lung exercise training and its evaluation criteria in patients with COPD, and the results showed that the level of exercise tolerance for pulmonary rehabilitation depends on the combined effects of exercise capacity, improvement of inspiratory lung capacity, metabolism and respiratory muscle function. The use of metronomes to set the equation of exercise training intensity improved the respiratory patterns and short-term resistance training of COPD patients during exercise and helped provide supervised exercise parameters for family lung rehabilitation ( Robles et al, 2017 ; Bernardi et al, 2018 ). COPD self-management improves patient engagement and the sustainability of athletic training through supervised collaboration with physicians and other medical rehabilitation personnel ( Bourbeau et al, 2015 ).…”

Section: Resultsmentioning

confidence: 99%

Mapping the global research landscape and hotspot of exercise therapy and chronic obstructive pulmonary disease: A bibliometric study based on the web of science database from 2011 to 2020

Zhou

Liu

2022

Front. Physiol.

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Background: The application of exercise therapy (ET) in chronic obstructive pulmonary disease (COPD) is generating increasing clinical efficacy and social-economic value. In this study, research trends, evolutionary processes and hot topics in this field are detailed, as well as predictions of future development directions.Methods: Search for literature in the field of COPD and ET and analyze data to generate knowledge graphs using VOSiewer and CiteSpace software. The time frame for the search was from 2011 to January 2021. Then we extracted full-text key information (such as title, journal category, publication date, author, country and institution, abstract, and keyword) and obtained the co-citation analysis. Use hierarchal clustering analysis software developed by VOSviewer to map common citations, and use Citespace software to plot trend networks.Results: The United States topped the list with 27.91% of the number of articles posted, followed by the UK at 25.44%. Imperial College London was the highest number of article publications in institutions, followed by Maastricht University and the University of Toronto. The Royal Brompton Harefield NHS Foundation Trust was one of many research institutions and currently holds the highest average citations per item (ACI) value, followed by Imperial College London and the University of Leuven. Judging from the number of publications related to ET and COPD, it is mainly published in cell biology, respiratory pulmonary diseases, and rehabilitation experiments study medicine. The European Respiration Journal is the most widely published in this field, followed by the International Journal of Chronic Obstructive Pulmonary Disease and Respiratory Medicine.Conclusion: COPD combined with ET is widely used in clinical practice and is on the rise. A distinctive feature of the field is multidisciplinary integration. Rehabilitation research for COPD involves multidisciplinary collaboration, tissue engineering, and molecular biology mechanism studies to help patients remodel healthy breathing. Multidisciplinary rehabilitation measures provide a solid foundation for advancing clinical efficacy in the field of COPD.

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“…Based on our results, RPE was the acute symptom with the greatest and more consistent increase likely due to its moderate association with RF and VL nRMS and dyspnea, and especially due to its strong correlation with muscle fatigue. Notably, a study among COPD participants reported no cardiorespiratory changes during knee extensions at low and high intensities, but RPE did increase with the latter ( 38 ). In accordance, we found that heart rate and oxygen saturation were stable during the different resistance levels, whereas the other acute symptoms, and especially RPE, increased.…”

Section: Discussionmentioning

confidence: 99%

Neuromuscular and acute symptoms responses to progressive elastic resistance exercise in patients with chronic obstructive pulmonary disease: Cross-sectional study

Calatayud¹,

Torres‐Castro²,

Vera-Uribe³

et al. 2022

Front. Med.

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BackgroundQuadriceps muscle training is a key part in the rehabilitation of chronic obstructive pulmonary disease (COPD) patients. However, exercise intensity prescription and progression with the typically used elastic bands is challenging. We aimed to evaluate neuromuscular, acute symptoms and cardiorespiratory responses (heart rate and dyspnea) during progressive elastic resistance exercise in patients with COPD.MethodsFourteen patients diagnosed with moderate-very severe COPD performed knee extensions at different elastic resistance levels (i.e., colors). The neuromuscular activity was recorded using surface electromyography for the rectus femoris, vastus lateralis and vastus medialis, together with rate of perceived exertion, perceived quadriceps fatigue, dyspnea, oxygen saturation and heart rate.ResultsFor the vastus lateralis and rectus femoris, increase of muscle activity was evident from a two-level increment when using the red color. For the vastus medialis, there were no muscle activity progressions. Dyspnea, quadriceps fatigue and especially rate of perceived exertion increased in a dose-response fashion and were correlated with the resistance level and muscle activity at the three muscles.ConclusionHeavy elastic resistance exercise is feasible in COPD patients without excessive dyspnea and a stable cardiorespiratory response. In general, at least two elastic resistance increments are needed to enhance muscle activity for the vastus lateralis and rectus femoris, while there is no increase for the vastus medialis. These results may help to individualize exercise dosing during elastic resistance training in patients with COPD.

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Cardiorespiratory Responses to Short Bouts of Resistance Training Exercises in Individuals With Chronic Obstructive Pulmonary Disease

Cited by 10 publications

References 34 publications

COPD assessment test and FEV<sub>1</sub>: do they predict oxygen uptake in COPD?

COPD assessment test and FEV<sub>1</sub>: do they predict oxygen uptake in COPD?

Mapping the global research landscape and hotspot of exercise therapy and chronic obstructive pulmonary disease: A bibliometric study based on the web of science database from 2011 to 2020

Neuromuscular and acute symptoms responses to progressive elastic resistance exercise in patients with chronic obstructive pulmonary disease: Cross-sectional study

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