Effect of interval training with non-invasive ventilation in severe chronic obstructive pulmonary disease—a prospective cohort study with matched control group

Fekete, Mónika; Kerti, Mária; Fazekas-Pongor, Vince; Balázs, Pèter; Csizmadia, Zoltán; Németh, A; Tarantini, Stefano; Varga, János

doi:10.21037/apm-21-378

Cited by 11 publications

(9 citation statements)

References 50 publications

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“…Also, Greulich et al [ 38 ] and Hsiao et al [ 39 ] stated a considerable improvement in CAT score in the group receiving O 2 therapy, demonstrating the importance of oxygen supplementation during the exercise training in relieving the symptoms. Fekete et al [ 40 ] and Fakharian et al [ 41 ] found that the NIV group had significant CAT score improvement compared with the control group (PR group without NIV). Also, Borghi-Silva et al [ 17 ] concurred with our results as they stated that QoL had more significant improvement in the NIV group than O 2 supplementation group.…”

Section: Discussionmentioning

confidence: 99%

Effect of pulmonary rehabilitation programme including either O2 inhalation or noninvasive ventilation in patients with chronic obstructive pulmonary disease

Elmorshidy¹,

Elkholy²,

Elsaadany³

et al. 2023

Can J Respir Ther

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Background Pulmonary rehabilitation (PR) is crucial in managing chronic obstructive pulmonary disease (COPD) and enhancing functional capacity and health status. Oxygen therapy and noninvasive ventilation (NIV) may be needed to be incorporated into rehabilitation to augment the effectiveness of physical training. Objectives To compare and assess the impact of the PR programme alone and with augmentation with O 2 or NIV on COPD patients. Methods Seventy-five COPD patients were equally divided into three groups: group 1 patients performed 8 week-PR programme only. Group 2 performed the PR programme while receiving O 2 . Group 3 completed the PR programme plus NIV. Modified Borg scale, VO 2 max, modified Medical Research Council Dyspnea Scale, 6-minute walk test, COPD assessment test score, spirometric measures and arterial blood gases were assessed before and after the programme. Results The outcome measurements showed meaningful improvement compared with the baseline in the three studied groups. However, VO 2 max in group 3 showed higher significant improvement than both groups 1 and 2. Regarding 6-minute walk test, groups 2 and 3 had a higher significant improvement than group 1. COPD assessment test score in group 3 showed higher significant improvement than groups 1 and 2. Arterial blood gases in groups 2 and 3 showed significant increase in partial pressure of arterial oxygen and arterial oxygen saturation, but group 3 only had a significant decrease in PaCO 2 . Conclusion O 2 supplementation and NIV help severe to very severe COPD patients to perform higher exercise intensity, so they augment the benefits of PR.

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Section: Discussionmentioning

confidence: 99%

Effect of pulmonary rehabilitation programme including either O2 inhalation or noninvasive ventilation in patients with chronic obstructive pulmonary disease

Elmorshidy¹,

Elkholy²,

Elsaadany³

et al. 2023

Can J Respir Ther

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“…Nearly 50% of premature deaths are linked to lifestyle, such as our diet [ 111 ]. A diet can be characterized quantitatively, by its calorie content, or qualitatively, for example, by its macro- and micronutrient content.…”

Section: Dietary Factors Influencing Mortalitymentioning

confidence: 99%

Nutrition Strategies Promoting Healthy Aging: From Improvement of Cardiovascular and Brain Health to Prevention of Age-Associated Diseases

et al. 2022

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Background: An increasing number of studies suggest that diet plays an important role in regulating aging processes and modulates the development of the most important age-related diseases. Objective: The aim of this review is to provide an overview of the relationship between nutrition and critical age-associated diseases. Methods: A literature review was conducted to survey recent pre-clinical and clinical findings related to the role of nutritional factors in modulation of fundamental cellular and molecular mechanisms of aging and their role in prevention of the genesis of the diseases of aging. Results: Studies show that the development of cardiovascular and cerebrovascular diseases, neurodegenerative diseases, cognitive impairment and dementia can be slowed down or prevented by certain diets with anti-aging action. The protective effects of diets, at least in part, may be mediated by their beneficial macro- (protein, fat, carbohydrate) and micronutrient (vitamins, minerals) composition. Conclusions: Certain diets, such as the Mediterranean diet, may play a significant role in healthy aging by preventing the onset of certain diseases and by improving the aging process itself. This latter can be strengthened by incorporating fasting elements into the diet. As dietary recommendations change with age, this should be taken into consideration as well, when developing a diet tailored to the needs of elderly individuals. Future and ongoing clinical studies on complex anti-aging dietary interventions translating the results of preclinical investigations are expected to lead to novel nutritional guidelines for older adults in the near future.

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“…However, it is essential that chronic lung patients adhere to medication and medication monitoring instructions, with regular preventive inhaled bronchodilator medication being of particular importance [32]. It is important to avoid smoking completely and to maintain regular physical activity [33,34]. Most patients are given long-acting bronchodilators or a combination of different types of bronchodilators in their inhalers (so-called "sprays" or "dry powder inhalers"), and abandoning these preparations is particularly dangerous [35].…”

Section: Treatment Of Copd Patients Infected With Covid-19mentioning

confidence: 99%

COVID-19 infection in patients with chronic obstructive pulmonary disease: From pathophysiology to therapy. Mini-review

Fekete

Szarvas

Fazekas-Pongor

et al. 2022

PhysInt

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Introduction Patients with chronic obstructive pulmonary disease (COPD) are a vulnerable group in terms of the outcome of coronavirus infection in relation to their disease or its treatment, with a higher risk of developing serious complications compared to the healthy population. Aim The aim of our summary study is to review the background and health outcomes of chronic obstructive pulmonary disease and COVID-19 infection in the presence of both diseases. Methods Review of national and international medical databases (PubMed, MEDLINE, and MOB) with keywords COPD, COVID-19, disease risk, cause, prevention, complications, and prognosis. Results Meta-analyses show that COPD is one of the most common underlying conditions in patients hospitalized for COVID-19. Such patients are five times more likely to develop a serious complication due to oxygen supply problems therefore they are more likely to be admitted to intensive care units, where they may require mechanical ventilation. In the case of underlying COPD, the usual care plan for COVID-19 infection should be followed, as well as all public health recommendations to minimize the risk of developing and transmitting COVID-19. Conclusion Coronavirus infection is especially dangerous for COPD patients, who are much more likely to become seriously ill, so increased surveillance, prevention, early detection, adequate treatment and rehabilitation of the disease group are of paramount importance.

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Effect of interval training with non-invasive ventilation in severe chronic obstructive pulmonary disease—a prospective cohort study with matched control group

Abstract: Background: In severe chronic obstructive pulmonary disease (COPD), interval training (IT) can be performed with oxygen support, which provides beneficial effect on metabolic processes, tissue perfusion, and peripheral muscle function.

Cited by 11 publications

References 50 publications

Effect of pulmonary rehabilitation programme including either O2 inhalation or noninvasive ventilation in patients with chronic obstructive pulmonary disease

Effect of pulmonary rehabilitation programme including either O2 inhalation or noninvasive ventilation in patients with chronic obstructive pulmonary disease

Nutrition Strategies Promoting Healthy Aging: From Improvement of Cardiovascular and Brain Health to Prevention of Age-Associated Diseases

COVID-19 infection in patients with chronic obstructive pulmonary disease: From pathophysiology to therapy. Mini-review

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