Physical exercise turns out to be recognised as a fundamental component of a correct life style also for persons suffering from a chronic pulmonary disease (COPD). Nevertheless it seems difficult to include exercise programs in the Health Care and COPD patients do not generally reached the requested level of daily PA. We tested the possibility to create a specific COPD exercise program to be implemented in an University Fitness Center (UFC) in order to evaluate the effective dissemination of this program on the field. 22 older COPD patients and 22 age matched healthy controls (CG), (mean±SD: age 70.90±6.28 years, BMI 29.08±4.32 kg/m2; FEV1 62.67±12.59 % of predicted) have been involved in an exercise program: 2 times/week, 90 min per session in the UFC and home training twice/week low aerobic activity 30-40 min. The individual program was set up according to ACSM and American Thoracic Society (ATS) guidelines. Physical performances: 6' Walking Test, % HRRES at Treadmill Test, 1RM for Upper and Lower Arms, Sit&Reach, Back Scratch and Balance Test and standard pulmonary clinical test were assessed several times along a overall 36 month duration. COPD group (men) presents initial lower performances in 6'Walking, 1RM of lower limbs and Balance test vs. Control Group (CG) (p< 0.05). Attendance in UFC was 74.6%±3.24, while home exercise was very seldom performed: 13.0%±14.1, not significantly different from GC. Nonattendance in COPD was largely related to illness (43.0% vs. 27.0%, COPD and CG respectively.). Along the whole period of 36 months, COPD group show no change in FEV1. After 32 months, COPD group showed significant enhancement in 1RM of Upper Arms (p<0.05), a tendency to a slight improvements in 6'Walking, %HRres Treadmill, 1RM of Lower Arms test and a no changes in Flexibility and Balance test. In the same 32 months, CG shows improvement in 6'Walking and 1RM of Upper Arms (p< 0.05), and a tendency to improve all the others test. The pre-training assessment confirms the well known limitation of COPD patients in endurance and strength. The tailored exercise program in the fitness center appears to maintain or slightly improve physical performances in diseased group which also exhibited a substation stability in pulmonary condition along a 3 year period. Since the global amount of activity do not reach the required level it also seems necessary the identification of new strategies to involve subjects also in an autonomous Physical Activity, to meet ACSM and ATS Guidelines.
Long term activity in a fitness centre preserve functional decrease in COPD patients
RINALDO, Nicoletta;RUDI, Doriana;LANZA, Massimo;SCHENA, Federico
2010-01-01
Abstract
Physical exercise turns out to be recognised as a fundamental component of a correct life style also for persons suffering from a chronic pulmonary disease (COPD). Nevertheless it seems difficult to include exercise programs in the Health Care and COPD patients do not generally reached the requested level of daily PA. We tested the possibility to create a specific COPD exercise program to be implemented in an University Fitness Center (UFC) in order to evaluate the effective dissemination of this program on the field. 22 older COPD patients and 22 age matched healthy controls (CG), (mean±SD: age 70.90±6.28 years, BMI 29.08±4.32 kg/m2; FEV1 62.67±12.59 % of predicted) have been involved in an exercise program: 2 times/week, 90 min per session in the UFC and home training twice/week low aerobic activity 30-40 min. The individual program was set up according to ACSM and American Thoracic Society (ATS) guidelines. Physical performances: 6' Walking Test, % HRRES at Treadmill Test, 1RM for Upper and Lower Arms, Sit&Reach, Back Scratch and Balance Test and standard pulmonary clinical test were assessed several times along a overall 36 month duration. COPD group (men) presents initial lower performances in 6'Walking, 1RM of lower limbs and Balance test vs. Control Group (CG) (p< 0.05). Attendance in UFC was 74.6%±3.24, while home exercise was very seldom performed: 13.0%±14.1, not significantly different from GC. Nonattendance in COPD was largely related to illness (43.0% vs. 27.0%, COPD and CG respectively.). Along the whole period of 36 months, COPD group show no change in FEV1. After 32 months, COPD group showed significant enhancement in 1RM of Upper Arms (p<0.05), a tendency to a slight improvements in 6'Walking, %HRres Treadmill, 1RM of Lower Arms test and a no changes in Flexibility and Balance test. In the same 32 months, CG shows improvement in 6'Walking and 1RM of Upper Arms (p< 0.05), and a tendency to improve all the others test. The pre-training assessment confirms the well known limitation of COPD patients in endurance and strength. The tailored exercise program in the fitness center appears to maintain or slightly improve physical performances in diseased group which also exhibited a substation stability in pulmonary condition along a 3 year period. Since the global amount of activity do not reach the required level it also seems necessary the identification of new strategies to involve subjects also in an autonomous Physical Activity, to meet ACSM and ATS Guidelines.
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