Pulmonary rehabilitation improves heart rate variability at peak exercise, exercise capacity and health-related quality of life in chronic obstructive pulmonary disease

Cheng, Shih Tsung; Wu, Yi-Ming; Yang, Mei; Huang, Chun Yao; Huang, Hui‐Chuan; Chu, Wen Hua; Lan, Chou Chin

doi:10.1016/j.hrtlng.2014.03.002

Cited by 50 publications

(41 citation statements)

References 37 publications

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“…In addition to its potential adjunctive role in organ allocation decisions, CPET holds promise as an objective measure for identifying patients at high‐risk for mortality or prolonged hospitalisations who may benefit from more intensive dietary, physical activity and novel pharmacotherapy‐based interventions. Accumulating data support the modifiability of CPET parameters in other chronic diseases and in cirrhosis . Recent trials have demonstrated up to 15% improvement in the peak VO 2 after 8–12 weeks of supervised endurance training and nutritional counselling interventions in patients with cirrhosis .…”

Section: Discussionmentioning

confidence: 92%

Systematic review: pre‐ and post‐operative prognostic value of cardiopulmonary exercise testing in liver transplant candidates

Ney

Haykowsky

Vandermeer

et al. 2016

Aliment Pharmacol Ther

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Patient's listed for liver transplant have significant functional limitations, with a weighted mean VO2 below the threshold level required for independent living. Although heterogeneity in study designs with respect to timing, CPET variables, and cut-off values precluded the determination of CPET mortality thresholds, the studies support CPET as an objective and independent predictor of pre- and post-transplant mortality.

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Section: Discussionmentioning

confidence: 92%

Systematic review: pre‐ and post‐operative prognostic value of cardiopulmonary exercise testing in liver transplant candidates

Ney

Haykowsky

Vandermeer

et al. 2016

Aliment Pharmacol Ther

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“…Improvement of anxiety and depression was also produced by breathing and relaxation (Valenza et al, ). Breathing exercise is especially useful to reduce anxious and depressive emotions because the slow breathing rate and higher tidal volumes increase the respiratory sinus arrhythmia amplitude (Cheng et al, ). Breathing exercise also improves oxygen uptake, adjusts the autonomic nervous system and helps create a better emotional state through interaction between the body and the brain (Paulus, ).…”

Section: Discussionmentioning

confidence: 99%

Two‐month breathing‐based walking improves anxiety, depression, dyspnoea and quality of life in chronic obstructive pulmonary disease: A randomised controlled study

Lin

Yeh

Lai

et al. 2019

Journal of Clinical Nursing

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Aims and objectives To examine the effects of the two‐month breathing‐based walking intervention and its follow‐up on anxiety, depression, dyspnoea and quality of life in patients with chronic obstructive pulmonary disease. Background Mind–body‐related exercises improve bio‐psychological symptoms and quality of life in chronic diseases, but these improvements are not proven for chronic obstructive pulmonary disease. Design This was a randomised controlled study and applied the Consolidated Standards of Reporting Trials (CONSORT) statement. Methods Outpatients diagnosed with chronic obstructive pulmonary disease were recruited from a medical centre in Taiwan and randomly assigned to two groups. The walking group (n = 42) received breathing, meditation and walking for two months, and the control group (n = 42) did not. Data from the outcomes of anxiety, depression, dyspnoea and quality of life were collected at baseline and in Month 1, Month 2 and Month 3. Clinical trial registration was done (ClinicalTrials.gov.: NCT03388489). Findings The results showed significant changes in anxiety, depression, dyspnoea and quality of life in the walking group across three months, compared to those in the control group and at baseline. Conclusion This breathing‐based walking intervention is promising to achieve bio‐psychological well‐being for patients with chronic obstructive pulmonary disease. Relevance to clinical practice This breathing‐based walking, as a mind–body exercise, could serve as an evidence‐based nursing care that contributes to improving anxiety, depression, dyspnoea and quality of life in stable chronic obstructive pulmonary disease outpatients. The feasibility and acceptability of the breathing‐based walking were met the requirement of the chronic obstructive pulmonary disease outpatients, which could be considered as home‐based exercise.

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“…49 Such rehabilitation remains a key factor in the postoperative management of COPD patients and improving health-related quality of life. 50 However, the careful monitoring and intervention of COPD symptoms, distress, and impaired functional status associated with fatigue, dyspnea, and depression also merit close attention on the part of health care providers. For example, the prevalence of fatigue among COPD patients has been estimated to be as high as 71%, 51 and fatigue is associated with an increase in the severity of pulmonary impairment 52 and COPD exacerbations.…”

Section: Multivariable Hr (95%ci)mentioning

confidence: 99%

Long-Term Survival after Cardiac Surgery in Patients with Chronic Obstructive Pulmonary Disease

Efird

Griffin

O’Neal

et al. 2016

American Journal of Critical Care

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Background Although many patients with chronic obstructive pulmonary disease (COPD) require a prolonged length of stay (PLOS) following coronary artery bypass grafting (CABG), the impact of PLOS on long-term survival has not been examined in this population. Objectives To determine the association between PLOS and long-term survival among COPD and non-COPD patients after CABG and to examine consequent policy and practice-based implications. Methods A retrospective cohort study of CABG patients was conducted between 2002 and 2011. Long-term survival was compared in patients with and without COPD and stratified by PLOS. Hazard ratios (HR) and 95% confidence intervals (CI) were computed using a Cox regression model. Conclusions COPD and PLOS are 2 of many factors that affect long-term mortality in postoperative CABG patients. Aggressive treatment strategies aimed at early weaning off of mechanical ventilation and prevention of reintubation among COPD patients must be considered carefully as a means to reduce length of stay after CABG. Our results also have important implications for the long-term management of these patients and strategies for containing costs over the life course of the patient.

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Pulmonary rehabilitation improves heart rate variability at peak exercise, exercise capacity and health-related quality of life in chronic obstructive pulmonary disease

Cited by 50 publications

References 37 publications

Systematic review: pre‐ and post‐operative prognostic value of cardiopulmonary exercise testing in liver transplant candidates

Systematic review: pre‐ and post‐operative prognostic value of cardiopulmonary exercise testing in liver transplant candidates

Two‐month breathing‐based walking improves anxiety, depression, dyspnoea and quality of life in chronic obstructive pulmonary disease: A randomised controlled study

Long-Term Survival after Cardiac Surgery in Patients with Chronic Obstructive Pulmonary Disease

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