Effect of a Structured Physical Exercise Program on Cardiorespiratory Function in Patients with Chronic Obstructive Pulmonary Disease
##plugins.themes.bootstrap3.article.sidebar##
Published:
Nov 5, 2024
Keywords:
Chronic Obstructive Pulmonary Disease (COPD), Physical Exercise Program, Cardiorespiratory Function, Quality of Life, Pulmonary Rehabilitation
Section
Articles
Statistics Article
Article View : 37 Times
##plugins.themes.bootstrap3.article.main##
Abstract
Chronic Obstructive Pulmonary Disease (COPD) is a progressive respiratory condition characterized by airflow limitation and significant morbidity, impacting the quality of life of affected individuals. This research investigates the effects of a structured physical exercise program on cardiorespiratory function in patients with COPD. A total of 100 participants with a confirmed diagnosis of COPD were enrolled in a 12-week exercise intervention, which included aerobic and strength training activities tailored to individual capabilities. Outcomes were assessed using the six-minute walk test (6MWT), spirometry, and quality of life measurements via the St. George’s Respiratory Questionnaire (SGRQ). Results demonstrated significant improvements in exercise capacity, with participants increasing their 6MWT distances by an average of 30 meters (p < 0.01). Additionally, there was a notable reduction in dyspnea, as measured by the Modified Medical Research Council (mMRC) scale, and an overall enhancement in quality of life scores. These findings suggest that a structured exercise program can effectively improve cardiorespiratory function and quality of life in patients with COPD. Future studies are recommended to explore long-term effects and adherence strategies to further enhance the benefits of exercise in COPD management.
##plugins.themes.bootstrap3.article.details##
How to Cite
Aminah, A., Astania, S. E., & Noermalita, A. M. (2024). Effect of a Structured Physical Exercise Program on Cardiorespiratory Function in Patients with Chronic Obstructive Pulmonary Disease. International Journal of Nursing and Midwifery Research, 3(1), 1–8. Retrieved from https://journals.iarn.or.id/index.php/ners/article/view/370
References
Aliverti, A., & Macklem, P. T. (2001). How and why exercise is impaired in COPD. Respiration, 68(3), 229–239.
Ambrosino, N., & Strambi, S. (2004). New strategies to improve exercise tolerance in chronic obstructive pulmonary disease. European Respiratory Journal, 24(2), 313–322.
Anderson, S. F., Kelley, K., & Maxwell, S. E. (2017). Sample-size planning for more accurate statistical power: A method adjusting sample effect sizes for publication bias and uncertainty. Psychological Science, 28(11), 1547–1562.
Bakke, P. S., Rönmark, E., Eagan, T., Pistelli, F., Annesi-Maesano, I., Maly, M., Meren, M., Vermeire, P., Vestbo, J., & Viegi, G. (2011). Recommendations for epidemiological studies on COPD. Eur Respiratory Soc.
Budhwar, N., & Syed, Z. (2020). Chronic dyspnea: diagnosis and evaluation. American Family Physician, 101(9), 542–548.
Campbell, P. T., Gross, M. D., Potter, J. D., Schmitz, K. H., Duggan, C., McTiernan, A., & Ulrich, C. M. (2010). Effect of exercise on oxidative stress: a 12-month randomized, controlled trial. Medicine and Science in Sports and Exercise, 42(8), 1448.
Celli, B. R., MacNee, W., Agusti, A., Anzueto, A., Berg, B., Buist, A. S., Calverley, P. M. A., Chavannes, N., Dillard, T., & Fahy, B. (2004). Standards for the diagnosis and treatment of patients with COPD: a summary of the ATS/ERS position paper. European Respiratory Journal, 23(6), 932–946.
Cheng, Y. J., Macera, C. A., Addy, C. L., Sy, F. S., Wieland, D., & Blair, S. N. (2003). Effects of physical activity on exercise tests and respiratory function. British Journal of Sports Medicine, 37(6), 521–528.
Decramer, M., Rennard, S., Troosters, T., Mapel, D. W., Giardino, N., Mannino, D., Wouters, E., Sethi, S., & Cooper, C. B. (2008). COPD as a lung disease with systemic consequences–clinical impact, mechanisms, and potential for early intervention. COPD: Journal of Chronic Obstructive Pulmonary Disease, 5(4), 235–256.
Delle Fave, A., Bassi, M., Boccaletti, E. S., Roncaglione, C., Bernardelli, G., & Mari, D. (2018). Promoting well-being in old age: The psychological benefits of two training programs of adapted physical activity. Frontiers in Psychology, 9, 828.
Donnelly, J. E., Hill, J. O., Jacobsen, D. J., Potteiger, J., Sullivan, D. K., Johnson, S. L., Heelan, K., Hise, M., Fennessey, P. V, & Sonko, B. (2003). Effects of a 16-month randomized controlled exercise trial on body weight and composition in young, overweight men and women: the Midwest Exercise Trial. Archives of Internal Medicine, 163(11), 1343–1350.
Du, H., Wonggom, P., Tongpeth, J., & Clark, R. A. (2017). Six-minute walk test for assessing physical functional capacity in chronic heart failure. Current Heart Failure Reports, 14, 158–166.
Heinrich, K. M., Patel, P. M., O’Neal, J. L., & Heinrich, B. S. (2014). High-intensity compared to moderate-intensity training for exercise initiation, enjoyment, adherence, and intentions: an intervention study. BMC Public Health, 14, 1–6.
Herring, L. Y., Stevinson, C., Carter, P., Biddle, S. J. H., Bowrey, D., Sutton, C., & Davies, M. J. (2017). The effects of supervised exercise training 12–24 months after bariatric surgery on physical function and body composition: a randomised controlled trial. International Journal of Obesity, 41(6), 909–916.
Marçôa, R., Rodrigues, D. M., Dias, M., Ladeira, I., Vaz, A. P., Lima, R., & Guimarães, M. (2018). Classification of chronic obstructive pulmonary disease (COPD) according to the new Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2017: comparison with GOLD 2011. COPD: Journal of Chronic Obstructive Pulmonary Disease, 15(1), 21–26.
Mastenbroek, M. H., Van’t Sant, J., Versteeg, H., Cramer, M. J., Doevendans, P. A., Pedersen, S. S., & Meine, M. (2016). Relationship between reverse remodeling and cardiopulmonary exercise capacity in heart failure patients undergoing cardiac resynchronization therapy. Journal of Cardiac Failure, 22(5), 385–394.
May, S. M., & Li, J. T. C. (2015). Burden of chronic obstructive pulmonary disease: healthcare costs and beyond. Allergy and Asthma Proceedings, 36(1), 4.
O’Donnell, D. E., Ora, J., Webb, K. A., Laveneziana, P., & Jensen, D. (2009). Mechanisms of activity-related dyspnea in pulmonary diseases. Respiratory Physiology & Neurobiology, 167(1), 116–132.
Page, P., & Ellenbecker, T. S. (2019). Strength band training. Human Kinetics Publishers.
Petrova, E., Dewing, J., & Camilleri, M. (2016). Confidentiality in participatory research: Challenges from one study. Nursing Ethics, 23(4), 442–454.
Plonsky, L. (2015). Statistical power, p values, descriptive statistics, and effect sizes: A “back-to-basics” approach to advancing quantitative methods in L2 research. In Advancing quantitative methods in second language research (pp. 23–45). Routledge.
Pollock, M. L., Franklin, B. A., Balady, G. J., Chaitman, B. L., Fleg, J. L., Fletcher, B., Limacher, M., Piña, I. L., Stein, R. A., & Williams, M. (2000). Resistance exercise in individuals with and without cardiovascular disease: benefits, rationale, safety, and prescription an advisory from the committee on exercise, rehabilitation, and prevention, council on clinical cardiology, American Heart Association. Circulation, 101(7), 828–833.
Ries, A. L., Bauldoff, G. S., Carlin, B. W., Casaburi, R., Emery, C. F., Mahler, D. A., Make, B., Rochester, C. L., ZuWallack, R., & Herrerias, C. (2007). Pulmonary rehabilitation: joint ACCP/AACVPR evidence-based clinical practice guidelines. Chest, 131(5), 4S-42S.
Spruit, M. A., Pitta, F., McAuley, E., ZuWallack, R. L., & Nici, L. (2015). Pulmonary rehabilitation and physical activity in patients with chronic obstructive pulmonary disease. American Journal of Respiratory and Critical Care Medicine, 192(8), 924–933.
Tully, J., Ninis, N., Booy, R., & Viner, R. (2000). The new system of review by multicentre research ethics committees: prospective study. BMJ, 320(7243), 1179–1182.
Ambrosino, N., & Strambi, S. (2004). New strategies to improve exercise tolerance in chronic obstructive pulmonary disease. European Respiratory Journal, 24(2), 313–322.
Anderson, S. F., Kelley, K., & Maxwell, S. E. (2017). Sample-size planning for more accurate statistical power: A method adjusting sample effect sizes for publication bias and uncertainty. Psychological Science, 28(11), 1547–1562.
Bakke, P. S., Rönmark, E., Eagan, T., Pistelli, F., Annesi-Maesano, I., Maly, M., Meren, M., Vermeire, P., Vestbo, J., & Viegi, G. (2011). Recommendations for epidemiological studies on COPD. Eur Respiratory Soc.
Budhwar, N., & Syed, Z. (2020). Chronic dyspnea: diagnosis and evaluation. American Family Physician, 101(9), 542–548.
Campbell, P. T., Gross, M. D., Potter, J. D., Schmitz, K. H., Duggan, C., McTiernan, A., & Ulrich, C. M. (2010). Effect of exercise on oxidative stress: a 12-month randomized, controlled trial. Medicine and Science in Sports and Exercise, 42(8), 1448.
Celli, B. R., MacNee, W., Agusti, A., Anzueto, A., Berg, B., Buist, A. S., Calverley, P. M. A., Chavannes, N., Dillard, T., & Fahy, B. (2004). Standards for the diagnosis and treatment of patients with COPD: a summary of the ATS/ERS position paper. European Respiratory Journal, 23(6), 932–946.
Cheng, Y. J., Macera, C. A., Addy, C. L., Sy, F. S., Wieland, D., & Blair, S. N. (2003). Effects of physical activity on exercise tests and respiratory function. British Journal of Sports Medicine, 37(6), 521–528.
Decramer, M., Rennard, S., Troosters, T., Mapel, D. W., Giardino, N., Mannino, D., Wouters, E., Sethi, S., & Cooper, C. B. (2008). COPD as a lung disease with systemic consequences–clinical impact, mechanisms, and potential for early intervention. COPD: Journal of Chronic Obstructive Pulmonary Disease, 5(4), 235–256.
Delle Fave, A., Bassi, M., Boccaletti, E. S., Roncaglione, C., Bernardelli, G., & Mari, D. (2018). Promoting well-being in old age: The psychological benefits of two training programs of adapted physical activity. Frontiers in Psychology, 9, 828.
Donnelly, J. E., Hill, J. O., Jacobsen, D. J., Potteiger, J., Sullivan, D. K., Johnson, S. L., Heelan, K., Hise, M., Fennessey, P. V, & Sonko, B. (2003). Effects of a 16-month randomized controlled exercise trial on body weight and composition in young, overweight men and women: the Midwest Exercise Trial. Archives of Internal Medicine, 163(11), 1343–1350.
Du, H., Wonggom, P., Tongpeth, J., & Clark, R. A. (2017). Six-minute walk test for assessing physical functional capacity in chronic heart failure. Current Heart Failure Reports, 14, 158–166.
Heinrich, K. M., Patel, P. M., O’Neal, J. L., & Heinrich, B. S. (2014). High-intensity compared to moderate-intensity training for exercise initiation, enjoyment, adherence, and intentions: an intervention study. BMC Public Health, 14, 1–6.
Herring, L. Y., Stevinson, C., Carter, P., Biddle, S. J. H., Bowrey, D., Sutton, C., & Davies, M. J. (2017). The effects of supervised exercise training 12–24 months after bariatric surgery on physical function and body composition: a randomised controlled trial. International Journal of Obesity, 41(6), 909–916.
Marçôa, R., Rodrigues, D. M., Dias, M., Ladeira, I., Vaz, A. P., Lima, R., & Guimarães, M. (2018). Classification of chronic obstructive pulmonary disease (COPD) according to the new Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2017: comparison with GOLD 2011. COPD: Journal of Chronic Obstructive Pulmonary Disease, 15(1), 21–26.
Mastenbroek, M. H., Van’t Sant, J., Versteeg, H., Cramer, M. J., Doevendans, P. A., Pedersen, S. S., & Meine, M. (2016). Relationship between reverse remodeling and cardiopulmonary exercise capacity in heart failure patients undergoing cardiac resynchronization therapy. Journal of Cardiac Failure, 22(5), 385–394.
May, S. M., & Li, J. T. C. (2015). Burden of chronic obstructive pulmonary disease: healthcare costs and beyond. Allergy and Asthma Proceedings, 36(1), 4.
O’Donnell, D. E., Ora, J., Webb, K. A., Laveneziana, P., & Jensen, D. (2009). Mechanisms of activity-related dyspnea in pulmonary diseases. Respiratory Physiology & Neurobiology, 167(1), 116–132.
Page, P., & Ellenbecker, T. S. (2019). Strength band training. Human Kinetics Publishers.
Petrova, E., Dewing, J., & Camilleri, M. (2016). Confidentiality in participatory research: Challenges from one study. Nursing Ethics, 23(4), 442–454.
Plonsky, L. (2015). Statistical power, p values, descriptive statistics, and effect sizes: A “back-to-basics” approach to advancing quantitative methods in L2 research. In Advancing quantitative methods in second language research (pp. 23–45). Routledge.
Pollock, M. L., Franklin, B. A., Balady, G. J., Chaitman, B. L., Fleg, J. L., Fletcher, B., Limacher, M., Piña, I. L., Stein, R. A., & Williams, M. (2000). Resistance exercise in individuals with and without cardiovascular disease: benefits, rationale, safety, and prescription an advisory from the committee on exercise, rehabilitation, and prevention, council on clinical cardiology, American Heart Association. Circulation, 101(7), 828–833.
Ries, A. L., Bauldoff, G. S., Carlin, B. W., Casaburi, R., Emery, C. F., Mahler, D. A., Make, B., Rochester, C. L., ZuWallack, R., & Herrerias, C. (2007). Pulmonary rehabilitation: joint ACCP/AACVPR evidence-based clinical practice guidelines. Chest, 131(5), 4S-42S.
Spruit, M. A., Pitta, F., McAuley, E., ZuWallack, R. L., & Nici, L. (2015). Pulmonary rehabilitation and physical activity in patients with chronic obstructive pulmonary disease. American Journal of Respiratory and Critical Care Medicine, 192(8), 924–933.
Tully, J., Ninis, N., Booy, R., & Viner, R. (2000). The new system of review by multicentre research ethics committees: prospective study. BMJ, 320(7243), 1179–1182.
Copyright and Licensing
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.