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Non-Pharmacological Management of Idiopathic Pulmonary Fibrosis.

作者信息

Mullholand Jon B, Grossman Catherine E, Perelas Apostolos

机构信息

Division of Pulmonary Disease and Critical Care Medicine, Virginia Commonwealth University, Richmond, VA 23298, USA.

出版信息

J Clin Med. 2025 Feb 17;14(4):1317. doi: 10.3390/jcm14041317.


DOI:10.3390/jcm14041317
PMID:40004847
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11856631/
Abstract

Idiopathic pulmonary fibrosis (IPF) is a relatively common progressive fibrotic interstitial lung disease associated with significant morbidity and mortality. The available medications for IPF only slow down the disease process, with lung transplantation the only option for a cure. Non-pharmacological therapies are significant adjuncts that can improve symptom burden and quality of life with minimal or no side effects. Supplemental oxygen can improve exercise capacity and the sensation of dyspnea in a significant portion of patients with resting or exertional hypoxemia and has been supported by several professional societies. Pulmonary rehabilitation is a comprehensive program that includes education and therapeutic exercises to improve patient stamina and strength. It is one of the few interventions that have been shown to produce a meaningful increase in a patient's exercise capacity, but its wide adoption is limited by availability, especially in rural areas. Sleep optimization with supplemental oxygen and positive airway pressure therapy should actively be investigated for all patients diagnosed with IPF. Although gastroesophageal reflux control with non-pharmacological means is still controversial as an intervention to reduce the rate of lung function decline, it can help control reflux symptoms and improve cough intensity. IPF patients should be educated on the importance of balanced nutrition and the potential benefits of screening for lung transplantation. Palliative medicine can help with symptom control and should be considered for all patients regardless severity, but especially in those in the later stages of disease.

摘要

相似文献

[1]
Non-Pharmacological Management of Idiopathic Pulmonary Fibrosis.

J Clin Med. 2025-2-17

[2]
Comorbidities, Complications and Non-Pharmacologic Treatment in Idiopathic Pulmonary Fibrosis.

Med Sci (Basel). 2018-7-24

[3]
Trajectories and Prognostic Significance of 6-Minute Walk Test Parameters in Fibrotic Interstitial Lung Disease: A Multicenter Study.

Chest. 2023-2

[4]
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Am J Respir Crit Care Med. 2024-10-15

[5]
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[6]
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Cochrane Database Syst Rev. 2021-2-1

[7]
Impact of gastroesophageal reflux disease on idiopathic pulmonary fibrosis and lung transplant recipients.

Curr Opin Gastroenterol. 2022-7-1

[8]
Clinical course and management of idiopathic pulmonary fibrosis.

Multidiscip Respir Med. 2019-12-2

[9]
Progressive Pulmonary Fibrosis: Where Are We Now?

Tuberc Respir Dis (Seoul). 2024-4

[10]
Gastroesophageal reflux disease and patterns of reflux in patients with idiopathic pulmonary fibrosis using hypopharyngeal multichannel intraluminal impedance.

Dis Esophagus. 2014-8

本文引用的文献

[1]
Higher body mass index was associated with a lower mortality of idiopathic pulmonary fibrosis: a meta-analysis.

J Health Popul Nutr. 2024-8-16

[2]
Barriers to Pulmonary Rehabilitation.

Respir Care. 2024-5-28

[3]
Oxygen therapy for exercise capacity in fibrotic interstitial lung disease: A systematic review and meta-analysis of randomised controlled trials.

Respir Med. 2024-6

[4]
Body mass index and weight loss as risk factors for poor outcomes in patients with idiopathic pulmonary fibrosis: a systematic review and meta-analysis.

Ann Med. 2024-12

[5]
The tolerability and efficacy of antifibrotic therapy in patients with idiopathic pulmonary fibrosis: Results from a real-world study.

Pulm Pharmacol Ther. 2024-3

[6]
The Role of High-Flow Nasal Cannula Oxygen Therapy in Exercise Testing and Pulmonary Rehabilitation: A Review of the Current Literature.

J Clin Med. 2023-12-30

[7]
Cohort study to evaluate prognostic factors in idiopathic pulmonary fibrosis patients introduced to oxygen therapy.

Sci Rep. 2023-8-22

[8]
Pulmonary Rehabilitation for Adults with Chronic Respiratory Disease: An Official American Thoracic Society Clinical Practice Guideline.

Am J Respir Crit Care Med. 2023-8-15

[9]
Characterization of Sleep-Disordered Breathing in Idiopathic Pulmonary Fibrosis.

Arch Bronconeumol. 2023-11

[10]
The relationship between gastro-oesophageal reflux and pulmonary fibrosis: a never-ending story.

Eur Respir J. 2023-5-25

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