scholarly journals Effects of simple long-term respiratory care strategies in older men with COPD

2017 ◽  
Vol 43 (6) ◽  
pp. 464-471
Author(s):  
Fabrício Zambom-Ferraresi ◽  
Pilar Cebollero ◽  
Javier Hueto ◽  
María Hernández ◽  
José Cascante ◽  
...  

ABSTRACT Objective: To evaluate a 24-month supervised, community-based maintenance exercise program after 3 months of pulmonary rehabilitation (PR) in comparison with a 27-month physical activity counseling program, in terms of the effects on maximal muscle strength, muscle power output, and exercise capacity, in individuals with COPD. Methods: Sixty-three men with moderate-to-severe COPD were recruited from two previous studies. Of those 63 participants, 31 were offered 3 months of PR followed by a 24-month supervised maintenance exercise program (24MME group) and 32 were offered a 27-month physical activity counseling program (27MPAC group). Measurements at 3 months and at the end of the study period included maximal strength of the upper and lower limbs, power output of the lower limbs, six-minute walk distance (6MWD), and quality of life. Results: At 27 months, the improvements in maximal strength of the upper and lower limbs were greater in the 24MME group than in the 27MPAC group (37.6 ± 28.3% and 28.4 ± 13.3%, respectively, vs. 8.8 ± 16% and 13.6 ± 16.4%, respectively; p < 0.05), as was the improvement in power output of the lower limbs (24.6 ± 18.4% vs. −2.3 ± 28.5%; p < 0.01). The increase in the 6MWD after 3 months was also greater in the 24MME group than in the 27MPAC group (33.2 ± 36.6 m vs. 2.9 ± 34.7 m; p < 0.05), although there were no differences between the two groups in terms of the Δ6MWD at 27 months (vs. baseline). Conclusions: A supervised, community-based maintenance program is a successful long-term strategy to preserve the benefits of PR on peripheral muscle function and exercise capacity in individuals with COPD. However, physical activity counseling can maintain maximal muscle strength and exercise capacity in such individuals.

Author(s):  
Femke Hoekstra ◽  
Trynke Hoekstra ◽  
Cees P. van der Schans ◽  
Florentina J. Hettinga ◽  
Lucas H. V. van der Woude ◽  
...  

2004 ◽  
Vol 36 (Supplement) ◽  
pp. S213
Author(s):  
Karin I. Proper ◽  
Martine C. de Bruyne ◽  
Vincent H. Hildebrandt ◽  
Allard J. van der Beek ◽  
Willem Jan Meerding ◽  
...  

2012 ◽  
Vol 20 (2) ◽  
pp. 135-147 ◽  
Author(s):  
Antonia M. Martin ◽  
Catherine B. Woods

Purpose:Research addressing methods to sustain long-term adherence to physical activity among older adults is needed. This study investigated the motivations and supports deemed necessary to adhere to a community-based cardiac rehabilitation (CBCR) program by individuals with established coronary heart disease.Methods:Twenty-four long-term adherers (15 men, 9 women; age 67.7 ± 16.7 yr) took part in focus-group discussions.Results:Constant comparative analysis supported previous research in terms of the importance of referral procedures, social support, and knowledge of health benefits in influencing uptake and adherence to CBCR. Results also highlighted the routine of a structured class and task-, barrier-, and recovery-specific self-efficacy as necessary to sustain long-term adherence for this specific clinical group.Discussion:Older adults themselves provide rich information on how to successfully support their long-term adherence to structured exercise sessions. Further research into how to build these components into any exercise program is necessary.


2013 ◽  
Vol 39 (2) ◽  
pp. 44-50 ◽  
Author(s):  
Lars Gabrys ◽  
Lisa Michallik ◽  
Christian Thiel ◽  
Lutz Vogt ◽  
Winfried Banzer

Author(s):  
Chris Burtin ◽  
Daniel Langer ◽  
Hans Van Remoortel ◽  
Rik Gosselink ◽  
Marc Decramer ◽  
...  

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