Interval training compared with continuous training in patients with COPD

被引:64
作者
Arnardottir, Ragnheiour Harpa
Boman, Gunnar
Larsson, Kjell
Hedenstrom, Hans
Emtner, Margareta
机构
[1] Uppsala Univ, Dept Med Sci Resp Med & Allergol, Uppsala, Sweden
[2] Karolinska Inst, Natl Inst Environm Med, SE-17177 Stockholm, Sweden
[3] Uppsala Univ, Dept Med Sci, Uppsala, Sweden
关键词
chronic obstructive pulmonary disease; continuous training; endurance training; health-related quality of life; interval training; rehabilitation;
D O I
10.1016/j.rmed.2006.11.004
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The aim of this study was to compare the effects of interval training (3-min intervals) with continuous training on peak exercise capacity (W peak), physiological response, functional capacity, dyspnoea, mental health and health-retated quality of life (HRQoL) in patients with moderate or severe COPD. Sixty patients exercised twice weekly for 16 weeks after randomisation to interval- or continuous training. Target intensity was >= 80% of baseline W peak in the interval group (l-group) and >= 65% in the continuous group (C-group). Patients were tested by spirometry, ergometer cycle test, cardiopulmonary test and a 12min walk test. Dyspnoea was measured by the dyspnoea scale from Chronic Obstructive Disease Questionnaire (CRDQ), mental health by Hospital Anxiety and Depression scale (HAD) and HRQoL by the Medical Outcomes Survey Short Form 36 (SF-36). After training, W peak, peak oxygen uptake (VO2 peak) and exhaled carbon dioxide (VCO2 peak) increased significantly in both groups, no significant differences between the groups. Minute ventilation (V-E peak) increased only in the C-group. At identical work rates (isotime) VO2, VCO2 and V-E were significantly more decreased in the I-group than in the C-group (p < 0.05). Functional capacity, dyspnoea, mental health, and HRQpL improved significantly in both groups, no difference between the groups. Interval training and continuous training were equally potent in improving peak exercise capacity, functional exercise capacity, dyspnoea, mental health and HRQoL in patients with moderate or severe COPD. At isotime, the physiological response to training differed between the groups, in favour of the interval training. (c) 2006 Elsevier Ltd. All rights reserved.
引用
收藏
页码:1196 / 1204
页数:9
相关论文
共 45 条
[1]   Two different training programmes for patients with COPD:: A randomised study with 1-year follow-up [J].
Arnardóttir, RH ;
Sörensen, S ;
Ringqvist, I ;
Larsson, K .
RESPIRATORY MEDICINE, 2006, 100 (01) :130-139
[2]   Out-patient rehabilitation improves activities of daily living, quality of life and exercise tolerance in chronic obstructive pulmonary disease [J].
Bendstrup, KE ;
Jensen, JI ;
Holm, S ;
Bengtsson, B .
EUROPEAN RESPIRATORY JOURNAL, 1997, 10 (12) :2801-2806
[3]   Longitudinal trends in exercise capacity and health status after pulmonary rehabilitation in patients with COPD [J].
Bestall, JC ;
Paul, EA ;
Garrod, R ;
Garnham, R ;
Jones, PW ;
Wedzicha, JA .
RESPIRATORY MEDICINE, 2003, 97 (02) :173-180
[4]  
BORG G, 1970, Scandinavian Journal of Rehabilitation Medicine, V2, P92
[5]   PSYCHOPHYSICAL BASES OF PERCEIVED EXERTION [J].
BORG, GAV .
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE, 1982, 14 (05) :377-381
[6]   VALIDATING THE SF-36 HEALTH SURVEY QUESTIONNAIRE - NEW OUTCOME MEASURE FOR PRIMARY CARE [J].
BRAZIER, JE ;
HARPER, R ;
JONES, NMB ;
OCATHAIN, A ;
THOMAS, KJ ;
USHERWOOD, T ;
WESTLAKE, L .
BMJ-BRITISH MEDICAL JOURNAL, 1992, 305 (6846) :160-164
[7]   The effect of postrehabilitation programmes among individuals with chronic obstructive pulmonary disease [J].
Brooks, D ;
Krip, B ;
Mangovski-Alzamora, S ;
Goldstein, RS .
EUROPEAN RESPIRATORY JOURNAL, 2002, 20 (01) :20-29
[8]   REDUCTIONS IN EXERCISE LACTIC-ACIDOSIS AND VENTILATION AS A RESULT OF EXERCISE TRAINING IN PATIENTS WITH OBSTRUCTIVE LUNG-DISEASE [J].
CASABURI, R ;
PATESSIO, A ;
IOLI, F ;
ZANABONI, S ;
DONNER, CF ;
WASSERMAN, K .
AMERICAN REVIEW OF RESPIRATORY DISEASE, 1991, 143 (01) :9-18
[9]   Interval versus continuous training in patients with severe COPD:: a randomized clinical trial [J].
Coppoolse, R ;
Schols, AMWJ ;
Baarends, EM ;
Mostert, R ;
Akkermans, MA ;
Janssen, PP ;
Wouters, EFM .
EUROPEAN RESPIRATORY JOURNAL, 1999, 14 (02) :258-263
[10]   Anxiety and depression are related to the outcome of emergency treatment in patients with obstructive pulmonary disease [J].
Dahlén, I ;
Janson, C .
CHEST, 2002, 122 (05) :1633-1637