Kaur Antarpreet, Bourbeau Jean, Brighton Lisa, Celli Bartolome, Crouch Rebecca, Demeyer Heleen, Gerardi Daniel A, Katsura Hideki, Meek Paula, Morgan Mike, Paneroni Mara, Singh Sally, Stickland Michael K
Section of Pulmonary, Interventional Pulmonary, Critical Care, and Sleep Medicine, Saint Francis Hospital and Medical Center, Hartford, CT, USA.
Respiratory Epidemiology and Clinical Research Unit, Department of Medicine, McGill University Health Centre (MUHC), Montreal, QC, Canada.
Breathe (Sheff). 2024 Jun 11;20(2):230347. doi: 10.1183/20734735.0347-2023. eCollection 2024 Jun.
Higher levels of exercise capacity and physical activity are desired outcomes in the comprehensive management of the COPD patient. In addition, improvements in exercise capacity and physical activity are instrumental to optimising other important therapeutic goals, such as improved health status, reduced healthcare utilisation and increased survival. Four general approaches towards increasing exercise capacity and physical activity in individuals with COPD will be discussed in this review: 1) pharmacological intervention, especially the administration of long-acting bronchodilators; 2) pulmonary rehabilitation, including exercise training and collaborative self-management; 3) behavioural interventions; and 4) web-based interventions. These are by no means the only approaches, nor are they mutually exclusive: indeed, combining them, as necessary, to meet the needs of the individual respiratory patient may promote optimal outcomes, although further research is necessary in this area.
更高水平的运动能力和体力活动是慢性阻塞性肺疾病（COPD）患者综合管理中期望达到的结果。此外，运动能力和体力活动的改善有助于优化其他重要的治疗目标，如改善健康状况、减少医疗保健利用和提高生存率。本综述将讨论提高COPD患者运动能力和体力活动的四种一般方法：1）药物干预，特别是长效支气管扩张剂的使用；2）肺康复，包括运动训练和协作式自我管理；3）行为干预；4）基于网络的干预。这些绝不是唯一的方法，也不是相互排斥的：事实上，根据个体呼吸疾病患者的需要，必要时将它们结合起来可能会促进最佳效果，尽管这一领域还需要进一步研究。
