Your browser doesn't support javascript.
Effects of different exercise training programs on the functional performance in fibrosing interstitial lung diseases: A randomized trial.
Essam, Hatem; Abdel Wahab, Nashwa Hassan; Younis, Gihan; El-Sayed, Enas; Shafiek, Hanaa.
  • Essam H; Department of Chest diseases, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
  • Abdel Wahab NH; Department of Chest diseases, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
  • Younis G; Department of Physical Medicine, Rheumatology and Rehabilitation, Faculty of medicine, Alexandria University, Alexandria, Egypt.
  • El-Sayed E; Department of Chest diseases, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
  • Shafiek H; Department of Chest diseases, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
PLoS One ; 17(5): e0268589, 2022.
Article in English | MEDLINE | ID: covidwho-1933280
ABSTRACT

OBJECTIVES:

We aimed to compare the effects of different aerobic exercise training (ET) programs on respiratory performance, exercise capacity, and quality of life in fibrosing interstitial lung diseases (f-ILD).

METHODS:

A case-control study where 31 patients with f-ILD diagnosis based on chest high-resolution computed tomography were recruited from Main Alexandria University hospital-Egypt. Ten patients were randomly assigned for only lower limbs (LL) endurance training program, and 10 patients for upper limbs, lower limbs, and breathing exercises (ULB) program for consecutive 18 sessions (3 sessions/week for 6 consecutive weeks). Eleven patients who refused to participate in the ET program were considered as control. All patients were subjected for St George's respiratory questionnaire (SGRQ), 6-minute walk test (6-MWT), forced spirometry and cardiopulmonary exercise testing (CPET) before and after ET programs.

RESULTS:

Fibrosing non-specific interstitial pneumonia (NSIP) and collagenic associated-ILD were the commonest pathologies among the ET groups (30% each) with mean age of 44.4±12.25 and 41.90±7.58 years for LL and ULB groups respectively and moderate-to-severe lung restriction. 6-MWT and SGRQ significantly improved after both ET programs (p<0.001). Peak oxygen consumption (VO2) improved significantly after both LL training (median of 22 (interquartile range (IQR) = 17.0-24.0) vs. 17.5 (IQR = 13.0-23.0) ml/kg/min, p = 0.032) and ULB training (median of 13.5 (IQR = 11.0-21.0) vs. 10.5 (IQR = 5.0-16.0) ml/kg/min, p = 0.018). Further, maximal work load and minute ventilation (VE) significantly improved after both types of ET training (p<0.05); however, neither ventilation equivalent (VE/VCO2) nor FVC% improved after ET (p = 0.052 and 0.259 respectively). There were no statistically significant important differences between LL and ULB training programs regarding 6-MWT, SGRQ or CPET parameters (p>0.05).

CONCLUSIONS:

ET was associated with improvements in exercise capacity and quality of life in f-ILD patients irrespective of the type of ET program provided.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Exercise Tolerance / Lung Diseases, Interstitial Type of study: Experimental Studies / Observational study / Randomized controlled trials Topics: Variants Limits: Adult / Humans / Middle aged Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2022 Document Type: Article Affiliation country: Journal.pone.0268589

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Main subject: Exercise Tolerance / Lung Diseases, Interstitial Type of study: Experimental Studies / Observational study / Randomized controlled trials Topics: Variants Limits: Adult / Humans / Middle aged Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2022 Document Type: Article Affiliation country: Journal.pone.0268589