Laboratory of Evaluation and Intervention in Cardiorespiratory Physical Therapy of the Postgraduate Program in Physical Therapy, College of Health Sciences, Methodist University of Piracicaba, São Paulo, Brazil (Mss Gallo-Silva and Cerezer-Silva); Regional Specialty Outpatient Clinic of Limeira, Limeira, Brazil (Dr Ferreira); Department of Physical Therapy of the Einstein Integrated Faculties of Limeira, Limeira, Brazil (Dr Sakabe and Mss Kel-Souza, Bertholo, Brasil, and Ladeia); and Laboratory of Evaluation and Intervention in Cardiorespiratory Physical Therapy of the Postgraduate Program in Physical Therapy and Postgraduate Program in Human Movement Sciences, College of Health Sciences, Methodist University of Piracicaba, São Paulo, Brazil (Dr Moreno).
J Cardiopulm Rehabil Prev. 2019 Mar;39(2):105-111. doi: 10.1097/HCR.0000000000000352.
Chronic obstructive pulmonary disease promotes systemic repercussions, which can be minimized with physical exercise. This study investigated the effects of a water-based aerobic interval training program on the autonomic modulation of heart rate (HR), quality of life (QoL), and functional capacity (FC) of patients with chronic obstructive pulmonary disease.
Nineteen patients with chronic obstructive pulmonary disease were enrolled in this randomized clinical trial and allocated to either the usual care group (n = 9) or training group (n = 10). Before and after 24 sessions of water-based physical training, the patients underwent evaluation of autonomic modulation of HR by analyzing the HR variability, QoL using the St George's Respiratory Questionnaire, and FC using 6-min walk test distance.
The results showed significant improvement when comparing the variables of HR variability, QoL, and FC in the training group in the pre- and post-training conditions (P < .05). In the usual care group, there was no significant difference for any of the variables. Negative correlations were found between HR variability and QoL (r =-0. 55; P = .01) and 6-min walk test distance and QoL (r =-0.49; P = .02).
Water-based physical training promoted beneficial adaptations in the autonomic modulation of HR, QoL, and FC of patients with chronic obstructive pulmonary disease.
慢性阻塞性肺疾病会引起全身性反应，而身体运动可减轻这些反应。本研究旨在探讨水上有氧间歇训练对慢性阻塞性肺疾病患者心率（HR）自主调节、生活质量（QoL）和功能能力（FC）的影响。
19 名慢性阻塞性肺疾病患者参与了这项随机临床试验，分为常规护理组（n=9）和训练组（n=10）。在进行 24 次水上身体训练前后，通过分析 HR 变异性评估 HR 自主调节、使用圣乔治呼吸问卷评估 QoL、使用 6 分钟步行测试距离评估 FC。
与常规护理组相比，训练组在训练前后的 HR 变异性、QoL 和 FC 变量方面均有显著改善（P＜0.05）。常规护理组的任何变量均无显著差异。HR 变异性与 QoL 呈负相关（r=-0.55；P=0.01），6 分钟步行测试距离与 QoL 呈负相关（r=-0.49；P=0.02）。
水上身体训练可促进慢性阻塞性肺疾病患者 HR 自主调节、QoL 和 FC 的有益适应。
