Related Experiment Video
Updated: Dec 16, 2025
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Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
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Interval Versus Continuous Aerobic Exercise Training in Overweight and Obese Patients With Chronic Obstructive
Dilek Ozge Zincir Ercin1, Hakan Alkan, Gulin Findikoglu
1Departments of Physical Medicine and Rehabilitation (Drs Zincir Ercin, Alkan, Findikoglu, and Ardic) and Chest Diseases (Drs Dursunoglu and Evyapan), Faculty of Medicine, Pamukkale University Denizli, Turkey.
Summary
Supervised aerobic exercise programs, either interval or continuous, significantly improved exercise capacity and quality of life in overweight COPD patients compared to home-based exercise alone.
Area of Science:
- Pulmonary Medicine
- Exercise Physiology
- Cardiorespiratory Health
Background:
- Chronic Obstructive Pulmonary Disease (COPD) significantly impacts patients' quality of life and exercise capacity.
- Overweight and obese individuals with COPD often face greater challenges in managing their condition and participating in rehabilitation.
- Pulmonary rehabilitation is a cornerstone of COPD management, aiming to improve symptoms and functional status.
Purpose of the Study:
- To compare the effectiveness of supervised interval-type (IT) and continuous-type (CT) aerobic exercise programs, combined with home-based exercise, against a home-based exercise (HE) only program.
- To evaluate the impact of different exercise modalities on exercise capacity, dyspnea, leg fatigue, mental health, and health-related quality of life (HRQoL) in overweight/obese COPD patients.
Main Methods:
- A randomized controlled study involving 72 overweight and obese COPD patients assigned to three groups: IT aerobic exercise + home exercise, CT aerobic exercise + home exercise, and HE only.
- Evaluations included anthropometric measures, cardiopulmonary exercise testing (CPX), 6-minute walk test (6MWT), modified-Borg dyspnea and leg fatigue scores, St George's Respiratory Questionnaire, and Hospital Anxiety and Depression Scale.
Main Results:
- Both IT and CT groups showed significant improvements in CPX parameters, 6MWT distance, mental health, and HRQoL compared to the HE group (P < .001).
- The IT group experienced a significant reduction in modified-Borg dyspnea and leg fatigue during CPX compared to both CT and HE groups (P < .001).
- Training-related dyspnea and leg fatigue were lower in the IT group than in the CT group (P < .05).
Conclusions:
- Supervised interval or continuous aerobic exercise programs, when added to home-based exercise, enhance exercise capacity and HRQoL in overweight and obese COPD patients.
- Interval training demonstrated superior benefits in reducing dyspnea and leg fatigue during exercise compared to continuous training and home-based exercise alone.
- These findings support the integration of supervised aerobic exercise, particularly interval training, into pulmonary rehabilitation for overweight and obese COPD patients to optimize outcomes.
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