高强度间歇训练与中等强度持续训练在间歇性肺病肺部康复中的比较:一个随机对照试点可行性试验
Dimitra Nikoletou1,2, Irina Chis Ster3, Carmen Y Lech3
1Centre for Allied Health, Institute of Medical and Biomedical Education, St George's University of London, London, UK dinikole@sgul.ac.uk.
BMJ open
|August 22, 2023
概括
高强度间歇训练 (HIIT) 是可行的肺部康复 (PR) 在间歇性肺病 (ILD),提供快速改善. 然而,中等强度持续培训 (MICT) 在PR后显示出更持久的益处.
科学领域:
- 肺部康复治疗 肺部康复治疗
- 运动生理学 运动生理学
- 间歇性肺部疾病 间歇性肺部疾病
背景情况:
- 肺部康复 (PR) 对于管理间歇性肺病 (ILD) 至关重要.
- 高强度间歇训练 (HIIT) 和中等强度持续训练 (MICT) 是潜在的公关模式.
- 在ILD PR中,HIIT与MICT的可行性和有效性需要调查.
研究的目的:
- 为了比较HIIT与MICT在ILD患者的PR中的可行性和有效性.
- 评估短期改善和长期维持运动能力和呼吸功能.
主要方法:
- 一个单一中心的随机对照可行性试验,涉及58名ILD患者.
- 参与者根据ILD类型进行了分层,并随机分配到为期8周的HIIT或MICT基于电路的PR计划中.
- 结果包括可行性指标 (退学率),6分钟步行距离 (6MWD),呼吸压力,肌肉强度和健康状况.
主要成果:
- 在ILD PR中,HIIT是可行的,与MICT相比,在6MWD中表现出更快的改善.
- 然而,高峰6MWD与HIIT相比较低,并且在康复后的效益下降得更快.
- 二次结果显示HIIT的改善速度更快,但更小,MICT提供了更一致的长期维护.
结论:
- 对于ILD PR来说,HIIT是可行的,并且可以快速获得收益,但需要更密切的监督和资源.
- 在PR后,MICT似乎提供了更持久的好处,这使得它对临床计划具有潜在的吸引力.
- 需要进行更多的多中心试验,以确定HIIT在ILD PR中的作用.
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