Effect of high‐intensity training on bone health and body composition in lung transplant recipients: A secondary analysis of a randomized controlled trial

Ulvestad, Mariann; Godang, Kristin; Durheim, Michael T.; Kongerud, Johny; Lund, May Brit; Bollerslev, Jens; Edvardsen, Elisabeth

doi:10.1111/ctr.14375

Cited by 4 publications

(3 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This shows that the patients in the observation group who did the physical rehabilitation training had significantly improved postoperative functions, and the rehabilitation effect was very good. This is consistent with the research results of Ulvestad et al (26). In addition, 75% of patients in the observation group were satisfied with rehabilitation nursing, which was significantly better than the 54.17% of the control group, and the difference was statistically significant (P<0.05).…”

Section: Early Physical Training Can Improve Lung Function and Motor ...supporting

confidence: 92%

The effect of early tracheal extubation combined with physical training on pulmonary rehabilitation of patients after lung transplantation: a randomized controlled trial

Wu¹,

Zhou²,

Wu³

et al. 2022

J Thorac Dis

View full text Add to dashboard Cite

Background: This study aimed to explore the effect of early extubation combined with physical training on pulmonary rehabilitation of patients after lung transplantation. Methods: This is an open parallel randomized controlled trial. A total of 96 lung transplant patients admitted to Wuxi People's Hospital (July 2018 to June 2019) were included. Inclusion criteria: (I) aged 18-75; (II) lung transplantation; (III) communicate normally; (IV) voluntary participation. According to the random number method, they were divided into the control group (routine nursing intervention) and the observation group (early extubation combined with a physical training program). The indwelling tracheal intubation time, discharge time, intensive care unit (ICU) stay time, lung function, 6 Minutes Walk Distance (6MWD), Modified Barthel Index (MBI) and satisfaction rate were recorded and analyzed. Results:The observation group's first-time postoperative ambulation (t=2.10, P=0.039), indwelling tracheal intubation time (Z=2.864, P=0.004), and discharge time (t=3.111, P<0.001) were shorter than the control group, while the difference of ICU stay time was not statistically significant (Z=−1.658, P=0.097).Before treatment, there was no significant difference in the lung function, 6MWD, and MBI of the two groups (P>0.05). After treatment, the Forced Expiratory Volume In 1 s (FEV1)% (t=−2.707, P<0.001), forced vital capacity (FVC)% (t=−3.716, P<0.001), FEV1/FVC (t=−3.539, P<0.001), 6MWD (t=−5.567, P<0.001), and MBI indexes (t=−4.073, P<0.001) were better than in observation group. The satisfaction rate of the observation group was better than the control group (P<0.05).Conclusions: For lung transplant recipients, early extubation combined with a physical training program is scientific, safe, and feasible. This approach is helpful to promote the postoperative recovery of lung transplant patients, reduce the length of hospitalization, help patients improve their lung function and ability to engage in activities of daily living, and increase the satisfaction rate of postoperative recovery. Results show that the combination of early extubation and a physical training program is worthy of clinical promotion for lung transplant recipients.

show abstract

Section: Early Physical Training Can Improve Lung Function and Motor ...supporting

confidence: 92%

The effect of early tracheal extubation combined with physical training on pulmonary rehabilitation of patients after lung transplantation: a randomized controlled trial

Wu¹,

Zhou²,

Wu³

et al. 2022

J Thorac Dis

View full text Add to dashboard Cite

show abstract

“…Although we observed an increase in lumbar spine TBS over the off-season period, this change was not affected by the intervention. This contrasts with previous work showing a positive effect on lumbar spine TBS following 20 weeks of resistancetype exercise training, albeit in older adults (Pinho et al, 2020;Ulvestad et al, 2021). It is worth noting that those studies included specific resistance exercises that load the lower back (i.e., squats, back extensions).…”

Section: Discussionmentioning

confidence: 74%

Jumping Exercise Combined With Collagen Supplementation Preserves Bone Mineral Density in Elite Cyclists

Hilkens,

van Schijndel,

Weijer

et al. 2024

International Journal of Sport Nutrition and Exercise Metabolism

View full text Add to dashboard Cite

This study assessed the effect of combined jump training and collagen supplementation on bone mineral density (BMD) in elite road-race cyclists. In this open-label, randomized study with two parallel groups, 36 young (21 ± 3 years) male (n = 8) and female (n = 28) elite road-race cyclists were allocated to either an intervention (INT: n = 18) or a no-treatment control (CON: n = 18) group. The 18-week intervention period, conducted during the off-season, comprised five 5-min bouts of jumping exercise per week, with each bout preceded by the ingestion of 15 g hydrolyzed collagen. Before and after the intervention, BMD of various skeletal sites and trabecular bone score of the lumbar spine were assessed by dual-energy X-ray absorptiometry, along with serum bone turnover markers procollagen Type I N propeptide and carboxy-terminal cross-linking telopeptide of Type I collagen. BMD of the femoral neck decreased in CON (from 0.789 ± 0.104 to 0.774 ± 0.095 g/cm2), while being preserved in INT (from 0.803 ± 0.058 to 0.809 ± 0.066 g/cm2; Time × Treatment, p < .01). No differences between treatments were observed for changes in BMD at the total hip, lumbar spine, and whole body (Time × Treatment, p > .05 for all). Trabecular bone score increased from 1.38 ± 0.08 to 1.40 ± 0.09 in CON and from 1.46 ± 0.08 to 1.47 ± 0.08 in INT, respectively (time effect: p < .01), with no differences between treatments (Time × Treatment: p = .33). Serum procollagen Type I N propeptide concentrations decreased to a similar extent in CON (83.6 ± 24.8 to 71.4 ± 23.1 ng/ml) and INT (82.8 ± 30.7 to 66.3 ± 30.6; time effect, p < .001; Time × Treatment, p = .22). Serum carboxy-terminal cross-linking telopeptide of Type I collagen concentrations did not change over time, with no differences between treatments (time effect, p = .08; Time × Treatment, p = .58). In conclusion, frequent short bouts of jumping exercise combined with collagen supplementation beneficially affects femoral neck BMD in elite road-race cyclists.

show abstract

“…Exercise training can be successful in reversing these consequences. For example, a recent study showed improved bone health after exercise training in patients after lung transplantation [ 112 ] and another study showed promising results in terms of improved blood pressure [ 113 ].…”

Section: Scenarios For Pulmonary Rehabilitation In Patients With Copdmentioning

confidence: 99%

Pulmonary rehabilitation and physical interventions

Troosters¹,

Janssens²,

Demeyer³

et al. 2023

Eur Respir Rev

View full text Add to dashboard Cite

Pulmonary rehabilitation has established a status of evidence-based therapy for patients with symptomatic COPD in the stable phase and after acute exacerbations. Rehabilitation should have the possibility of including different disciplines and be offered in several formats and lines of healthcare. This review focusses on the cornerstone intervention, exercise training, and how training interventions can be adapted to the limitations of patients. These adaptations may lead to altered cardiovascular or muscular training effects and/or may improve movement efficiency. Optimising pharmacotherapy (not the focus of this review) and oxygen supplements, whole-body low- and high-intensity training or interval training, and resistance (or neuromuscular electrical stimulation) training are important training modalities for these patients in order to accommodate cardiovascular and ventilatory impairments. Inspiratory muscle training and whole-body vibration may also be worthwhile interventions in selected patients. Patients with stable but symptomatic COPD, those who have suffered exacerbations and patients waiting for or who have received lung volume reduction or lung transplantation are good candidates. The future surely holds promise to further personalise exercise training interventions and to tailor the format of rehabilitation to the individual patient's needs and preferences.

show abstract

Effect of high‐intensity training on bone health and body composition in lung transplant recipients: A secondary analysis of a randomized controlled trial

Cited by 4 publications

References 24 publications

The effect of early tracheal extubation combined with physical training on pulmonary rehabilitation of patients after lung transplantation: a randomized controlled trial

The effect of early tracheal extubation combined with physical training on pulmonary rehabilitation of patients after lung transplantation: a randomized controlled trial

Jumping Exercise Combined With Collagen Supplementation Preserves Bone Mineral Density in Elite Cyclists

Pulmonary rehabilitation and physical interventions

Contact Info

Product

Resources

About