Using 6-Min Walk Distance Expressed as a Percentage of Reference to Evaluate the Effect of Pulmonary Rehabilitation in Elderly Patients With Interstitial Lung Disease

Igarashi, Ai; Iwanami, Yuji; Sugino, Keishi; Gocho, Kyoko; Homma, Sakae; Ebihara, Satoru

doi:10.1097/hcr.0000000000000305

Cited by 17 publications

(15 citation statements)

References 32 publications

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“…Eligible patients were recruited from IPF patients as a subgroup of patients recruited for the Toho Rehabilitation for Interstitial Pneumonia (TRIP) study from July 2014 to July 2017. The TRIP study is investigating the long-term effects (2 years of follow-up) of pulmonary rehabilitation on patients with chronic interstitial lung diseases due to any cause, and is still ongoing at Toho University Omori Medical Center, Tokyo, Japan (Igarashi et al 2018). The Toho University Omori Medical Center Ethics Committee approved the study (approval #27-82).…”

Section: Subjectsmentioning

confidence: 99%

“…Leg muscle strength was assessed as quadriceps muscle force estimated by measuring isometric knee extension strength with a hand-held dynamometer (a Mobie; Sakai Medical Corp., Tokyo, Japan). Patients sat on a training bench and adjusted the position of the gluteal region so that a bench leg was behind the lower extremity on the measurement side (Igarashi et al 2018).…”

Section: Physical Performance Assessmentsmentioning

confidence: 99%

“…Handgrip strength was assessed for each hand with the shoulder and wrist in neutral positions (Igarashi et al 2018). Measurements were performed three times for each hand, taking the largest value as grip strength.…”

Section: Physical Performance Assessmentsmentioning

confidence: 99%

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Appendicular Skeletal Muscle Mass Correlates with Patient-Reported Outcomes and Physical Performance in Patients with Idiopathic Pulmonary Fibrosis

Ebihara

Iwanami

Yamasaki

et al. 2021

Tohoku J. Exp. Med.

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Idiopathic pulmonary fibrosis (IPF), an incurable lung disease of unknown cause, often presents with losses of skeletal muscle mass. IPF requires comprehensive care, but it has not been investigated which skeletal muscle mass index reflects holistic management factors: pulmonary function, patient-reported outcomes (PROs), and physical performance. We compared three representative indices of skeletal muscle mass with holistic management factors in IPF patients. Twenty-seven mild to severe IPF patients (21 male) with the mean age of 76.1 ± 5.9 years were enrolled. The three indices were appendicular skeletal muscle mass index (ASMI), cross-sectional area of pectoralis major (PM CSA), and cross-sectional area of erector spinae muscles (ESM CSA). ASMI is considered as a gold standard for sarcopenia assessment, while PM CSA and ESM CSA are frequently used in IPF. As PROs, we assessed breathlessness with the modified Medical Research Council dyspnea scale (mMRC), symptoms with the chronic obstructive pulmonary disease assessment test (CAT), and health-related quality of life with St. George's Respiratory Questionnaire (SGRQ). For physical performance, peripheral muscle strength and 6-min walk distance (6MWD) were investigated. In this cross-sectional study, ASMI showed the greatest number of significantly correlated indices, such as pulmonary function, peripheral muscle strength, 6MWD, mMRC, and SGRQ. PM CSA showed the next greatest number of correlations, with peripheral muscle strength, 6MWD, and mMRC, whereas ESM CSA showed no significant correlations with any index. Thus, ASMI correlated with both PROs and physical performance, and PM CSA correlated mainly with physical performance. In conclusion, assessing ASMI is helpful for the comprehensive care of patients with IPF.

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Section: Subjectsmentioning

confidence: 99%

Section: Physical Performance Assessmentsmentioning

confidence: 99%

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Appendicular Skeletal Muscle Mass Correlates with Patient-Reported Outcomes and Physical Performance in Patients with Idiopathic Pulmonary Fibrosis

Ebihara

Iwanami

Yamasaki

et al. 2021

Tohoku J. Exp. Med.

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“…Studies in patients with ILD reported 10 different exclusion criteria (Figure 4). From these, unstable cardiovascular disease [198,199,202,203,208,209] ( n = 6; 37.5%) was the most reported criterion, followed by contraindications to exercise training and/or testing (e.g., unstable angina, recent myocardial infarction or cerebrovascular accident) [201,204,207] ( n = 3; 18.8%). Four (25.0%) studies [185,197,205,206] did not report any information about exclusion criteria.…”

Section: Resultsmentioning

confidence: 99%

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

Machado

Quadflieg

Oliveira

et al. 2019

JCM

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Patients with chronic obstructive pulmonary disease (COPD), asthma and interstitial lung diseases (ILD) frequently suffer from cardiovascular comorbidities (CVC). Exercise training is a cornerstone intervention for the management of these conditions, however recommendations on tailoring programmes to patients suffering from respiratory diseases and CVC are scarce. This systematic review aimed to identify the eligibility criteria used to select patients with COPD, asthma or ILD and CVC to exercise programmes; assess the impact of exercise on cardiovascular outcomes; and identify how exercise programmes were tailored to CVC. PubMed, Scopus, Web of Science and Cochrane were searched. Three reviewers extracted the data and two reviewers independently assessed the quality of studies with the Quality Assessment Tool for Quantitative Studies. MetaXL 5.3 was used to calculate the individual and pooled effect sizes (ES). Most studies (58.9%) excluded patients with both stable and unstable CVC. In total, 26/42 studies reported cardiovascular outcomes. Resting heart rate was the most reported outcome measure (n = 13) and a small statistically significant effect (ES = −0.23) of exercise training on resting heart rate of patients with COPD was found. No specific adjustments to exercise prescription were described. Few studies have included patients with CVC. There was a lack of tailoring of exercise programmes and limited effects were found. Future studies should explore the effect of tailored exercise programmes on relevant outcome measures in respiratory patients with CVC.

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“…In Studien mit Patienten mit ILD waren 10 verschiedene Ausschlusskriterien angegeben (Abb 4). Von diesen waren instabile kardiovaskuläre Erkrankungen [198, 199, 202, 203, 208, 209] (n = 6; 37,5%) das am häufigsten berichtete Kriterium gefolgt von Kontraindikationen für Bewegungstraining und/oder Belastungstests (z.B. instabile Angina, kürzlich stattgehabter Myokardinfarkt oder zerebrovaskuläres Ereignis) [201, 204, 207] (n = 3; 18,8%).…”

Section: Ergebnisseunclassified

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

et al. 2020

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Patienten mit chronisch-obstruktiver Lungenerkrankung (COPD), Asthma und interstitiellen Lungenerkrankungen (ILD) weisen häufig kardiovaskuläre Komorbiditäten (KVK) auf. Bewegungstraining ist eine tragende Säule bei der Behandlung dieser Erkrankungen, doch existieren kaum Empfehlungen zur maßgeschneiderten Anpassung von Programmen für Patienten mit Atemwegserkrankungen und KVK. Ziel der vorliegenden systematischen Übersichtsarbeit war es, die Eignungskriterien zu identifizieren, die für die Auswahl von Patienten mit COPD, Asthma oder ILD und KVK für Bewegungsprogramme herangezogen werden, und die Auswirkungen von Bewegung auf die kardiovaskulären Outcomes zu bewerten. Darüber hinaus sollte festgestellt werden, wie Bewegungsprogramme auf Patienten mit KVK zugeschnitten wurden. Es erfolgte eine Suche in den Datenbanken PubMed, Scopus, Web of Science und Cochrane. Drei Reviewer extrahierten die Daten, und zwei Reviewer bewerteten unabhängig voneinander die Qualität

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Using 6-Min Walk Distance Expressed as a Percentage of Reference to Evaluate the Effect of Pulmonary Rehabilitation in Elderly Patients With Interstitial Lung Disease

Abstract: PR had a beneficial effect on elderly patients with ILD in terms of exercise endurance. %6MWD might be more useful than the absolute 6MWD as an outcome measure of PR and as a predictor of response to PR in elderly patients with ILD.

Cited by 17 publications

References 32 publications

Appendicular Skeletal Muscle Mass Correlates with Patient-Reported Outcomes and Physical Performance in Patients with Idiopathic Pulmonary Fibrosis

Appendicular Skeletal Muscle Mass Correlates with Patient-Reported Outcomes and Physical Performance in Patients with Idiopathic Pulmonary Fibrosis

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

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

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