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Updated: Jul 28, 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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Understanding the effectiveness of different exercise training programme designs on V̇O2peak in COPD: a component
Thomas Jc Ward1,2, Charles D Plumptre3, Alessandra V Fraser-Pye4
1Respiratory Sciences, University of Leicester, Leicester, Leicestershire, UK tom.ward@leicester.ac.uk.
Thorax
|June 1, 2023
Summary
High-intensity aerobic training significantly boosts cardiorespiratory fitness in patients with Chronic Obstructive Pulmonary Disease (COPD). Lower limb training and non-invasive ventilation may offer additional benefits for improving V̇O2peak.
Area of Science:
- Pulmonary Medicine
- Exercise Physiology
- Rehabilitation Science
Background:
- Pulmonary rehabilitation improves cardiorespiratory fitness in COPD patients.
- Optimal program design for pulmonary rehabilitation remains unclear.
Purpose of the Study:
- To investigate the relative effectiveness of different pulmonary rehabilitation program components on cardiorespiratory fitness (V̇O2peak) in COPD patients.
- To identify optimal exercise and non-exercise components for improving V̇O2peak.
Main Methods:
- Random effects additive component network meta-analysis of 59 studies.
- Inclusion of 2191 participants with COPD.
- Assessment of V̇O2peak as the primary outcome measure.
Main Results:
- Aerobic training of at least moderate intensity improved V̇O2peak.
- High-intensity aerobic training yielded the greatest improvement in V̇O2peak.
- Lower limb aerobic training (SMD 0.56) and non-invasive ventilation (SMD 0.55) showed potential additional benefits.
Conclusions:
- High-intensity aerobic training is most effective for improving V̇O2peak in COPD.
- Lower limb training and non-invasive ventilation may enhance rehabilitation outcomes.
- Limited evidence exists for other exercise and non-exercise components.
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