Improvement in cycle endurance through comprehensive exercise training in patients with severe COPD
P. H. C. Klijn, A. R. J. van Keimpema, H. F. van Stel (Hilversum, Amsterdam, Utrecht, Netherlands)
Source: Annual Congress 2010 - Exercise training: new groups, new methods and outcomes
Session: Exercise training: new groups, new methods and outcomes
Session type: Thematic Poster Session
Number: 4870
Disease area: Airway diseases
Abstract Rationale: The effect of traditional endurance and strength training is well established in patients with COPD. However, the different modalities used have different and often opposite effects on physiological properties of muscles. None of the existing training models take into account the individual cardiovascular, pulmonary, muscular and psychological limitations of patients with COPD. Therefore we compared the effects of a standard and an individualized exercise training program on cycle endurance. Methods: 36 inpatients with severe COPD were randomized over traditional concurrent endurance and strength training (CES, 3x per week for 12 wk) (N=18, age 62 ± 6 yr, FEV1 pred 34 ± 7%, FFMi 15.2±2.0 kg/m2 ) or individualized endurance and strength training (IES) (N=18, age 62 ± 7 yr, FEV1 pred 30 ± 8%, FFMi 15.3±2.5 kg/m2 ). Results: Both groups experienced significant improvements in cycle endurance (75% Wpeak): CES 287.5±221.6 vs 468.5±302.7 sec p<0.001; IES 338.2±159 vs 1020.4±318.5 sec p<0.001. A significant larger increase was found in IES compared to CES (671±290 vs 181±160 sec; p<0.001).Conclusion: We showed that an individualized, comprehensive exercise program leads to far more improved endurance than standard training. We suggest that individualized exercise training is required during pulmonary rehabilitation to optimize physical performance.
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P. H. C. Klijn, A. R. J. van Keimpema, H. F. van Stel (Hilversum, Amsterdam, Utrecht, Netherlands). Improvement in cycle endurance through comprehensive exercise training in patients with severe COPD. Eur Respir J 2010; 36: Suppl. 54, 4870
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