Department of Neurological, Biomedical and Movement Sciences, University of Verona, Italy.
Section of Endocrinology, Diabetes and Metabolism, Department of Medicine, University of Verona, Italy.
Int J Sports Med. 2017 Nov;38(13):1001-1008. doi: 10.1055/s-0043-112339. Epub 2017 Oct 5.
We compared the effects of a new physical activity education program approach (EDU), based on a periodically supervised protocol of different exercise modalities vs traditionally supervised combined strength-endurance training (CT) on health-related factors in patients with stable chronic obstructive pulmonary disease (COPD). Twenty-eight COPD patients without comorbidities were randomly assigned to receive either EDU or CT. CT was continuously supervised to combine strength-endurance training; EDU was taught to progressively increase the rate of autonomous physical activity, through different training modalities such as Nordic walking, group classes and circuit training. Body composition, walking capacity, muscle strength, flexibility and balance, total daily energy expenditure and quality of life were evaluated at baseline, after 28 weeks training period (3d/week) and after a 14-week follow-up. No adverse events occurred during the interventions. After training, CT and EDU similarly improved walking capacity, body composition and quality of life. However, after 14 weeks of follow-up, such improvements were not maintained. Only in CT, muscle strength and flexibility improved after training but returned to baseline after follow-up. EDU, similar to CT, can effectively and safely improve health-related parameters in COPD patients. EDU could be an attractive alternative to traditional supervised training for improving quality of life in COPD patients.
我们比较了一种新的体力活动教育计划方法（EDU）与传统监督的综合力量耐力训练（CT）对稳定慢性阻塞性肺疾病（COPD）患者健康相关因素的影响。28 名无合并症的 COPD 患者被随机分配接受 EDU 或 CT。CT 持续监督以结合力量耐力训练；EDU 则通过不同的训练方式，如北欧式行走、团体课程和循环训练，逐步教授增加自主体力活动的频率。在基线、28 周训练期（每周 3 天）和 14 周随访后评估身体成分、步行能力、肌肉力量、柔韧性和平衡、总日常能量消耗和生活质量。干预过程中未发生不良事件。训练后，CT 和 EDU 同样改善了步行能力、身体成分和生活质量。然而，14 周随访后，这些改善并未持续。只有 CT 在训练后肌肉力量和柔韧性得到改善，但随访后又恢复到基线水平。EDU 与 CT 一样，可以有效和安全地改善 COPD 患者的健康相关参数。EDU 可能是改善 COPD 患者生活质量的一种有吸引力的替代传统监督训练的方法。
