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Exercise training in patients with chronic obstructive pulmonary disease
1Department of Medicine and Physiology, University of Texas Health Center, Tyler 75710.
Medicine and Science in Sports and Exercise
|March 1, 1992
Summary
Most patients with chronic obstructive pulmonary disease (COPD) benefit from exercise, experiencing reduced breathlessness and improved tolerance. Further research is needed to optimize training for all COPD patients and ensure long-term benefits.
Area of Science:
- Pulmonary Rehabilitation
- Exercise Physiology
Background:
- Chronic Obstructive Pulmonary Disease (COPD) patients often show positive responses to exercise conditioning, including reduced dyspnea and increased work tolerance.
- Improvements in exercise tolerance may stem from psychological, mechanical, cardiovascular, muscular, and biochemical adaptations, alongside better self-care.
Purpose of the Study:
- To review the current understanding of exercise conditioning responses in COPD patients.
- To identify areas requiring further research for optimizing exercise interventions in COPD.
Main Methods:
- Review of existing data on exercise conditioning in COPD patients.
- Analysis of potential factors influencing training responses and non-responses.
Main Results:
- Exercise conditioning generally improves exercise tolerance and reduces dyspnea in COPD patients.
- Not all patients respond positively, suggesting variability in patient selection, training approaches, comorbidities, or optimal training parameters.
Conclusions:
- Further well-controlled studies are essential to identify and enhance training responses in diverse COPD populations.
- Long-term epidemiological surveillance is needed to confirm sustained benefits of exercise conditioning in COPD.