Noninvasive Ventilation as an Important Adjunct to an Exercise Training Program in Subjects With Moderate to Severe COPD.
BACKGROUND: The primary objective of this study was to investigate whether noninvasive ventilation (NIV) can positively affect exercise capacity, maximum oxygen uptake (...), and symptoms after a 6-week physical training program for subjects with moderate to very severe COPD. METHODS: 47 subjects wi...
| Publicado en: | Respiratory Care Vol. 63; no. 11; pp. 1388 - 1399 |
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| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Mary Ann Liebert, Inc.
Nov2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=133121601&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 133121601 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00201324 4GG jtl: Respiratory Care issn: 00201324 maglogo: N pubinfo: dt: Nov2018 vid: 63 iid: 11 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 133121601 133121601 133121601 10.4187/respcare.05763 133121601 ppf: 1388 ppct: 11 formats: fmt: @attributes: type: P tig: atl: Noninvasive Ventilation as an Important Adjunct to an Exercise Training Program in Subjects With Moderate to Severe COPD. aug: au: Marrara, Kamilla Tays Pires Di Lorenzo, Valéria Amorim Jaenisch, Rodrigo B. Cabiddu, Ramona de Oliveira Sato, Tatiana Gonçalves Mendes, Renata Oliveira, Claudio R. Costa, Dirceu Borghi-Silva, Audrey affil: Cardiopulmonary Physiotherapy Laboratory, Federal University of São Carlos, São Carlos, São Paulo, Brazil sug: subj: Pulmonary Disease, Chronic Obstructive Noninvasive Procedures Respiration, Artificial Physical Education and Training Training Effect (Physiology) Human Prospective Studies Randomized Controlled Trials Random Assignment Treatment Outcomes Short Form-36 Health Survey (SF-36) Clinical Assessment Tools Brazil Exercise Test Respiratory Muscles Muscle Strength Chi Square Test Two-Way Analysis of Variance Data Analysis Software Male Female Middle Age Descriptive Statistics Aged Quality of Life Middle Aged: 45-64 years Aged: 65+ years Male Female ab: BACKGROUND: The primary objective of this study was to investigate whether noninvasive ventilation (NIV) can positively affect exercise capacity, maximum oxygen uptake (...), and symptoms after a 6-week physical training program for subjects with moderate to very severe COPD. METHODS: 47 subjects with COPD who were enrolled in a physical training program were randomized to either physical training alone or NIV + physical training (NIV-Physical training). Physical training consisted of dynamic aerobic exercises on a treadmill 3 times/week for 6 weeks, for a total of 18 sessions. NIV was titrated according to the subject's tolerance at rest and during exercise. Assessments included physiological responses and symptoms at the incremental cardiopulmonary exercise test peak and during submaximal exercise on a treadmill, 6-min walk distance, maximum inspiratory (PImax) and expiratory pressure (PEmax), BODE index, and health-related quality of life. RESULTS: 43 subjects completed the 6-week physical training program. Both groups improved 6-min walk distance, PImax, BODE index, and quality of life, and no differences were found between groups. However, significant improvements were observed for subjects in the NIV-Physical training group with regard to PEmax, maximum ..., maximum metabolic equivalents, circulatory power, and maximum ... CONCLUSIONS: A 6-week physical training program alone can improve tolerance for exercise and quality of life, in addition to reducing the risk of mortality. However, NIV associated with a physical training program was shown to have an additive beneficial effect on powerful prognostic markers (maximum ... and circulatory power) and to reduce symptoms and improve oxygen saturation in subjects with moderate to very severe COPD. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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