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联合训练与有氧运动训练对慢性阻塞性肺疾病认知功能的影响:一项随机对照试验

Effects of combined training vs aerobic training on cognitive functions in COPD: a randomized controlled trial.

作者信息

Aquino Giovanna, Iuliano Enzo, di Cagno Alessandra, Vardaro Angela, Fiorilli Giovanni, Moffa Stefano, Di Costanzo Alfonso, De Simone Giuseppe, Calcagno Giuseppe

机构信息

Department of Medicine and Health Sciences "Vincenzo Tiberio", University of Molise, Campobasso, Italy.

Department of Health Science, University ForoItalico, Rome, Italy.

出版信息

Int J Chron Obstruct Pulmon Dis. 2016 Apr 4;11:711-8. doi: 10.2147/COPD.S96663. eCollection 2016.

Abstract

AIM

The aim of this study was to investigate the effects of high-intensity aerobic training (AT) and high-intensity aerobic training combined with resistance training (ie, combined training [CT]) on cognitive function in patients with COPD.

METHODS

Twenty-eight Caucasian male patients (68.35±9.64 years; mean ± SD) with COPD were recruited and randomized into two groups, AT and CT. Both groups performed physical reconditioning for 4 weeks, with a frequency of five training sessions per week. The CT group completed two daily sessions of 30 minutes: one aerobic session and one strength session, respectively; The AT group performed two 30-minute aerobic endurance exercise sessions on treadmill. Physical and cognitive function tests were performed before and after the training intervention performances.

RESULTS

Exercise training improved the following cognitive functions: long-term memory, verbal fluency, attentional capacity, apraxia, and reasoning skills (P<0.01). Moreover, the improvements in the CT group were significantly greater than those in the AT group in long-term memory, apraxia, and reasoning skills (P<0.05).

CONCLUSION

CT may be a possible strategy to prevent cognitive decline and associated comorbidities in male patients with COPD.

摘要

目的

本研究旨在探讨高强度有氧运动训练(AT)以及高强度有氧运动训练与抗阻训练相结合(即联合训练[CT])对慢性阻塞性肺疾病(COPD)患者认知功能的影响。

方法

招募了28名患有COPD的白种男性患者(68.35±9.64岁;均值±标准差),并将其随机分为两组,即AT组和CT组。两组均进行了为期4周的身体机能恢复训练,每周训练5次。CT组每天完成两个30分钟的训练时段:分别为一个有氧运动时段和一个力量训练时段;AT组在跑步机上进行两个30分钟的有氧耐力运动时段。在训练干预前后进行了身体和认知功能测试。

结果

运动训练改善了以下认知功能:长期记忆、语言流畅性、注意力、失用症和推理能力(P<0.01)。此外,在长期记忆、失用症和推理能力方面,CT组的改善明显大于AT组(P<0.05)。

结论

CT可能是预防男性COPD患者认知能力下降及相关合并症的一种可行策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d58d/4831596/b61b5a2b2d7a/copd-11-711Fig1.jpg

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