[Persons with COPD should be recommended training].

Area of Science:

• Pulmonary Rehabilitation
• Exercise Physiology
• Chronic Disease Management

Background:

• Chronic obstructive pulmonary disease (COPD) significantly impacts quality of life and physical function.
• Dyspnea, anxiety, and depression are common comorbidities in COPD patients.
• Exacerbations pose risks of mortality and hospitalization.

Purpose of the Study:

• To recommend aerobic and resistance training for individuals with COPD.
• To outline exercise guidelines during and after COPD exacerbations.
• To emphasize individualized exercise prescription based on physical capacity assessment.

Main Methods:

• Systematic review of scientific evidence (grades 2 and 3).
• Analysis of benefits for quality of life, physical capacity, and symptom reduction.
• Consideration of exercise intensity and monitoring parameters.

Main Results:

• Moderately strong evidence supports training for improved quality of life, physical capacity, and reduced dyspnea, anxiety, and depression.
• Limited evidence suggests low-intensity training during exacerbations can lower mortality and hospitalization risk.
• Aerobic exercise can be continuous or interval-based.

Conclusions:

• Aerobic and resistance training are recommended for COPD management.
• Exercise prescription must be tailored to individual physical capacity.
• Close monitoring of physiological responses during exercise is crucial.