Is a pulmonary rehabilitation program effective in COPD patients with chronic hypercapnic failure?

Şahin, Hülya; Naz, İlknur; Varol, Yelda; Tuksavul, Fevziye; Özsöz, Ayşe

doi:10.1586/17476348.2016.1164041

Cited by 19 publications

(20 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a study comparing hypercapnic and normocapnic COPD patients, the six-minute walk distance was found to be shorter in hypercapnic patients (39). In the present study, six-minute walk distance showed positive correlations with arterial saturation and PaO 2 but showed a negative correlation with PaCO 2 .…”

Section: Discussionsupporting

confidence: 51%

Association between Emergency Visits with Acute Exacerbation and Exercise Performance in Chronic Obstructive Pulmonary Disease

Naz¹,

Şahin²,

Karasu³

2017

Eurasian J Pulmonol

Self Cite

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 51%

Association between Emergency Visits with Acute Exacerbation and Exercise Performance in Chronic Obstructive Pulmonary Disease

Naz¹,

Şahin²,

Karasu³

2017

Eurasian J Pulmonol

Self Cite

View full text Add to dashboard Cite

“…For this reason, PR is considered to be one of the most efficient nonpharmacological methods in the treatment of COPD patients (24). Changes in pulmonary functions after PR show variation, however, and there are studies reporting no change in pulmonary functions (25,26) as well as the studies reporting increased FEV 1 values after PR (27)(28)(29). In our study, there was a significant increase in FEV 1 values in the normal-weight and pre-obese patients, whereas the increase in obese patients was not significant.…”

Section: Discussionmentioning

confidence: 99%

“…Earlier studies demonstrated increased exercise capacity after PR (27)(28)(29). One study, which evaluated exercise capacity using an incremental shuttle walk test and endurance shuttle walk test by grouping the patients according to BMI found that the baseline ISWT value was significantly lower in obese patients and that there was a significant increase in all groups after PR, but the difference between the groups was not significant (31).…”

Section: Discussionmentioning

confidence: 99%

Does Increased Body Mass Index Effect the Gains of Pulmonary Rehabilitation in Chronic Obstructive Pulmonary Disease Patients?

Şahin¹,

Naz²,

Varol³

et al. 2017

Eurasian J Pulmonol

Self Cite

View full text Add to dashboard Cite

Obesity is one of the most important public health problems, and it is increasing in prevalence worldwide (1,2). Obesity is an inflammatory disease that involves many systems in the body, especially the respiratory system, causing changes in pulmonary functions (2). Chronic obstructive pulmonary disease (COPD) is also an important public health problem usually accompanied by nutritional abnormalities (3, 4). The majority of COPD patients are overweight or obese rather than normal or low-weight (4). Obesity and COPD cause mortality and morbidity all over the world, and this global outbreak is predicted to be much higher in the future (5). Obesity might be the reason for respiratory symptoms alone due to decreased pulmonary compliance, increased work in breathing, and increased need for oxygen, even without airway obstruction. However, obesity might also increase the numbers of obstructed peripheral airways (6). It was determined that dyspnea perception is enhanced, health status is impaired, and quality of life (QOL) is reduced in obese COPD patients compared to non-obese COPD patients (7,8). It has been shown that pulmonary rehabilitation (PR) reduces dyspnea, enhances exercise performance, improves QOL, and decreases psychological symptoms in COPD patients (9). The present study aimed to compare the gains of PR in obese, pre-obese, and normal-weight COPD patients who completed an 8-week outpatient PR program. AbstractObjective: We aimed to compare the gain of pulmonary rehabilitation (PR) in obese, pre-obese, and normal-weight patients with chronic obstructive pulmonary disease (COPD) who underwent a PR program.Methods: COPD patients (n=137) underwent pulmonary and cardiac system examination and pulmonary function tests (PFTs) before PR. Chest X-rays, arterial blood gases, body mass index, quality of life (QOL) questionnaires, anxiety and depression scores, and Modified Medical Research Council dyspnea scale (MMRC) scores were evaluated in all patients. A 6-min walk test was performed to determine the exercise capacity of the patients. All patients underwent an 8-week outpatient PR program. The patients were reevaluated at the end of 8th week in terms of all parameters. Results:The study group consisted of 44 normal-weight, 52 pre-obese, and 41 obese COPD patients. Before PR, there was no significant difference in terms of 6-min walk distance (6MWD), PFT, MMRC, or QOL scores between the groups (p>0.05 for all). After PR, partial arterial oxygen pressure and arterial saturation, MMRC, and QOL scores improved significantly in all three groups (p<0.05 for all). 6MWD and walkwork significantly increased after PR in all three groups (p<0.001 for all), but the gain in 6MWD was significantly lower in obese patients compared to pre-obese and normal-weight patients (p=0.049). Conclusion:Pre-obese and obese patients benefit from PR similarly to the normal-weight patients in terms of gas exchange, dyspnea perception, and QOL. But it seems to be that exercise capacity improves less in obese COPD patients compared to pre-o...

show abstract

“…Even patients with chronic hypercapnic failure show benefit. 210 Limited data exist regarding the effectiveness of pulmonary rehabilitation after an acute exacerbation of COPD, but systematic reviews have shown that among those patients who have had a recent exacerbation (≤ 4 weeks from prior hospitalization), pulmonary rehabilitation can reduce…”

Section: Pulmonary Rehabilitationmentioning

confidence: 99%

Supporting the supporter: a focus on families of patients with chronic obstructive pulmonary disease

Siltanen

Jylhä²

2019

JBI Database of Systematic Reviews and Implementation Reports

View full text Add to dashboard Cite

When the Global Initiative for Chronic Obstructive Lung Disease (GOLD) program was initiated in 1998, a goal was to produce recommendations for management of COPD based on the best scientific information available. The first report, Global Strategy for Diagnosis, Management and Prevention of COPD was issued in 2001. In 2006 and again in 2011 a complete revision was prepared based on published research. These reports, and their companion documents, have been widely distributed and translated into many languages and can be found on the GOLD website (www.goldcopd.org). The GOLD Science Committee ‡ was established in 2002 to review published research on COPD management and prevention, to evaluate the impact of this research on recommendations in the GOLD documents related to management and prevention, and to post yearly updates on the GOLD website. Its members are recognized leaders in COPD research and clinical practice with the scientific credentials to contribute to the task of the Committee and are invited to serve in a voluntary capacity.

show abstract

Is a pulmonary rehabilitation program effective in COPD patients with chronic hypercapnic failure?

Abstract: Given the significant reductions in pCO2 levels and significant increases in exercise capacity and QoL parameters after PR, the patients with chronic hypercapnic failure apparently benefited from the PR.

Cited by 19 publications

References 28 publications

Association between Emergency Visits with Acute Exacerbation and Exercise Performance in Chronic Obstructive Pulmonary Disease

Association between Emergency Visits with Acute Exacerbation and Exercise Performance in Chronic Obstructive Pulmonary Disease

Does Increased Body Mass Index Effect the Gains of Pulmonary Rehabilitation in Chronic Obstructive Pulmonary Disease Patients?

Supporting the supporter: a focus on families of patients with chronic obstructive pulmonary disease

Contact Info

Product

Resources

About