Key result
CPET-guided aerobic exercise improves peak VO2 by ~19% over routine respiratory training in COPD.
Why the study?
The therapeutic effect of aerobic exercise nursing plans based on target heart rate in cardiopulmonary exercise tests on male COPD patients was explored.
Does aerobic exercise based on target heart rate in cardiopulmonary exercise tests improve cardiopulmonary function and quality of life in male patients with chronic obstructive pulmonary disease?
RCT (n=90)
Open-label
Random number table
Yes
Does aerobic exercise based on target heart rate in cardiopulmonary exercise tests improve cardiopulmonary function and quality of life in male patients with chronic obstructive pulmonary disease?
Absolute Event Rate: 22.78% vs 19.13%
p-value: p=<0.001
Aerobic exercise guided by cardiopulmonary exercise testing significantly improves cardiopulmonary function, exercise capacity, and quality of life in male patients with COPD compared to respiratory training alone.
May support target heart rate-guided aerobic exercise in male COPD; leaves open benefits versus standard care in larger trials.
To explore the therapeutic effect of aerobic exercise nursing plans based on target heart rate in cardiopulmonary exercise tests on male patients with chronic obstructive pulmonary disease. This study recruited 90 male patients with chronic obstructive pulmonary disease who met specific screening criteria and were evenly divided into a control group and an experimental group based on a random number table. The control group received respiratory training based on the target heart rate in the cardiopulmonary exercise test, while the experimental group received aerobic exercise based on the target heart rate in the cardiopulmonary exercise test. Both groups received 12 weeks of exercise each. Cardiopulmonary function tests showed that peak oxygen consumption (peak VO2), anaerobic threshold (AT), forced expiratory volume in the first second (FEV1), forced vital capacity (FVC), and the FEV1/FVC ratio in the test group were significantly higher than those in the control group (p < 0.05); furthermore, the carbon dioxide ventilation equivalent (VE/VCO2) slope was significantly lower than that in the control group (p < 0.05). The 6MWT of the test group was significantly higher than that in the control group (p < 0.05). The CAT score, Borg score and scores related to the symptoms, activities, and impacts related to quality-of-life were significantly reduced after intervention (p < 0.05). Aerobic exercise based on cardiopulmonary exercise testing can improve the health status, quality of life and prognosis of COPD patients.
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Shen et al. (2023) conducted an RCT in Chronic obstructive pulmonary disease (n=90). Aerobic exercise guided by cardiopulmonary exercise test target heart rate vs. Routine nursing program and respiratory training was evaluated on Peak oxygen consumption (peak VO2) at 12 weeks (mL/min/kg) (p=<0.001). Aerobic exercise guided by cardiopulmonary exercise test target heart rate significantly improved peak oxygen consumption (22.78 vs 19.13 mL/min/kg, p<0.001) compared to routine respiratory training in male patients with COPD.
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