Department of Sports Medicine, Shanghai University of Sport, Shanghai, 200438, China.
School of Rehabilitation Science, Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China.
Aging Clin Exp Res. 2020 Oct;32(10):1911-1922. doi: 10.1007/s40520-019-01339-8. Epub 2019 Sep 7.
The objective of this study was to summarize and determine the effectiveness of resistance training on exercise capacity in patients with chronic obstructive pulmonary disease (COPD).
We searched PubMed, EMBASE, Cochrane Library, and two Chinese databases (China National Knowledge Infrastructure and Wanfang Data) to identify articles written in English or Chinese and published from January 2000 to January 2019. Randomized controlled trials were included if they evaluated the effects of resistance training on exercise capacity in COPD patients. We assessed the quality of the trials using the Physiotherapy Evidence Database Scale. Data from these studies were pooled to calculate weighted mean difference (WMD) or standardized mean difference (SMD) with 95% confidence intervals (CI).
Eleven studies with a total of 405 participants met the inclusion criteria. Compared with the non-exercise control group, resistance training significantly improved 6-min walking distance (WMD, 54.52; 95% CI 25.47-83.56; I = 43%; P = 0.14), transfer numbers for the 6-min pegboard and ring test (WMD, 25.17; 95% CI 10.17-40.16; I = 0%; P = 0.55), and tolerance time for the unsupported upper-limb exercise test (SMD, 0.41; 95% CI 0.03-0.79; I = 0%; P = 0.83). There were no significant differences in constant work rate endurance test results or in peak oxygen uptake between the two groups.
Resistance training was an effective approach to improve functional exercise capacity, endurance exercise capacity, and peak exercise capacity in COPD patients.
本研究旨在总结和确定阻力训练对慢性阻塞性肺疾病（COPD）患者运动能力的效果。
我们检索了 PubMed、EMBASE、Cochrane 图书馆以及两个中文数据库（中国知网和万方数据），以确定 2000 年 1 月至 2019 年 1 月发表的英文或中文文章。如果评估阻力训练对 COPD 患者运动能力的影响的随机对照试验，则将其纳入。我们使用物理治疗证据数据库量表评估试验的质量。这些研究的数据被汇总以计算加权均数差（WMD）或标准化均数差（SMD）及 95%置信区间（CI）。
符合纳入标准的 11 项研究共纳入 405 名参与者。与非运动对照组相比，阻力训练显著提高了 6 分钟步行距离（WMD，54.52；95%CI 25.47-83.56；I=43%；P=0.14）、6 分钟划桨和指环测试的转移次数（WMD，25.17；95%CI 10.17-40.16；I=0%；P=0.55）以及非支撑上肢运动试验的耐受时间（SMD，0.41；95%CI 0.03-0.79；I=0%；P=0.83）。两组之间的恒功耐力试验结果或峰值摄氧量无显著差异。
阻力训练是改善 COPD 患者功能运动能力、耐力运动能力和峰值运动能力的有效方法。
