Exercise training in patients with chronic respiratory diseases: are cardiovascular comorbidities and outcomes taken into account? a systematic review
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10773/28079 |
Resumo: | Patients with chronic obstructive pulmonary disease (COPD), asthma and interstitial lung diseases (ILD) frequently suffer from cardiovascular comorbidities (CVC). Exercise training is a cornerstone intervention for the management of these conditions, however recommendations on tailoring programmes to patients suffering from respiratory diseases and CVC are scarce. This systematic review aimed to identify the eligibility criteria used to select patients with COPD, asthma or ILD and CVC to exercise programmes; assess the impact of exercise on cardiovascular outcomes; and identify how exercise programmes were tailored to CVC. PubMed, Scopus, Web of Science and Cochrane were searched. Three reviewers extracted the data and two reviewers independently assessed the quality of studies with the Quality Assessment Tool for Quantitative Studies. MetaXL 5.3 was used to calculate the individual and pooled effect sizes (ES). Most studies (58.9%) excluded patients with both stable and unstable CVC. In total, 26/42 studies reported cardiovascular outcomes. Resting heart rate was the most reported outcome measure (n = 13) and a small statistically significant effect (ES = -0.23) of exercise training on resting heart rate of patients with COPD was found. No specific adjustments to exercise prescription were described. Few studies have included patients with CVC. There was a lack of tailoring of exercise programmes and limited effects were found. Future studies should explore the effect of tailored exercise programmes on relevant outcome measures in respiratory patients with CVC. |
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Exercise training in patients with chronic respiratory diseases: are cardiovascular comorbidities and outcomes taken into account? a systematic reviewExerciseEhronic lung diseaseChronic obstructive pulmonary diseaseCOPDAsthmaInterstitial lung diseaseILDCcardiovascular comorbiditiesCardiovascular outcomesPatients with chronic obstructive pulmonary disease (COPD), asthma and interstitial lung diseases (ILD) frequently suffer from cardiovascular comorbidities (CVC). Exercise training is a cornerstone intervention for the management of these conditions, however recommendations on tailoring programmes to patients suffering from respiratory diseases and CVC are scarce. This systematic review aimed to identify the eligibility criteria used to select patients with COPD, asthma or ILD and CVC to exercise programmes; assess the impact of exercise on cardiovascular outcomes; and identify how exercise programmes were tailored to CVC. PubMed, Scopus, Web of Science and Cochrane were searched. Three reviewers extracted the data and two reviewers independently assessed the quality of studies with the Quality Assessment Tool for Quantitative Studies. MetaXL 5.3 was used to calculate the individual and pooled effect sizes (ES). Most studies (58.9%) excluded patients with both stable and unstable CVC. In total, 26/42 studies reported cardiovascular outcomes. Resting heart rate was the most reported outcome measure (n = 13) and a small statistically significant effect (ES = -0.23) of exercise training on resting heart rate of patients with COPD was found. No specific adjustments to exercise prescription were described. Few studies have included patients with CVC. There was a lack of tailoring of exercise programmes and limited effects were found. Future studies should explore the effect of tailored exercise programmes on relevant outcome measures in respiratory patients with CVC.MDPI2020-03-26T11:34:21Z2019-09-13T00:00:00Z2019-09-13info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10773/28079eng10.3390/jcm8091458Machado, Ana FilipaQuadflieg, KirstenOliveira, AnaKeytsman, CharlyMarques, AldaHansen, DominiqueBurtin, Chrisinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-02-22T11:54:18Zoai:ria.ua.pt:10773/28079Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:00:42.002459Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Exercise training in patients with chronic respiratory diseases: are cardiovascular comorbidities and outcomes taken into account? a systematic review |
title |
Exercise training in patients with chronic respiratory diseases: are cardiovascular comorbidities and outcomes taken into account? a systematic review |
spellingShingle |
Exercise training in patients with chronic respiratory diseases: are cardiovascular comorbidities and outcomes taken into account? a systematic review Machado, Ana Filipa Exercise Ehronic lung disease Chronic obstructive pulmonary disease COPD Asthma Interstitial lung disease ILD Ccardiovascular comorbidities Cardiovascular outcomes |
title_short |
Exercise training in patients with chronic respiratory diseases: are cardiovascular comorbidities and outcomes taken into account? a systematic review |
title_full |
Exercise training in patients with chronic respiratory diseases: are cardiovascular comorbidities and outcomes taken into account? a systematic review |
title_fullStr |
Exercise training in patients with chronic respiratory diseases: are cardiovascular comorbidities and outcomes taken into account? a systematic review |
title_full_unstemmed |
Exercise training in patients with chronic respiratory diseases: are cardiovascular comorbidities and outcomes taken into account? a systematic review |
title_sort |
Exercise training in patients with chronic respiratory diseases: are cardiovascular comorbidities and outcomes taken into account? a systematic review |
author |
Machado, Ana Filipa |
author_facet |
Machado, Ana Filipa Quadflieg, Kirsten Oliveira, Ana Keytsman, Charly Marques, Alda Hansen, Dominique Burtin, Chris |
author_role |
author |
author2 |
Quadflieg, Kirsten Oliveira, Ana Keytsman, Charly Marques, Alda Hansen, Dominique Burtin, Chris |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Machado, Ana Filipa Quadflieg, Kirsten Oliveira, Ana Keytsman, Charly Marques, Alda Hansen, Dominique Burtin, Chris |
dc.subject.por.fl_str_mv |
Exercise Ehronic lung disease Chronic obstructive pulmonary disease COPD Asthma Interstitial lung disease ILD Ccardiovascular comorbidities Cardiovascular outcomes |
topic |
Exercise Ehronic lung disease Chronic obstructive pulmonary disease COPD Asthma Interstitial lung disease ILD Ccardiovascular comorbidities Cardiovascular outcomes |
description |
Patients with chronic obstructive pulmonary disease (COPD), asthma and interstitial lung diseases (ILD) frequently suffer from cardiovascular comorbidities (CVC). Exercise training is a cornerstone intervention for the management of these conditions, however recommendations on tailoring programmes to patients suffering from respiratory diseases and CVC are scarce. This systematic review aimed to identify the eligibility criteria used to select patients with COPD, asthma or ILD and CVC to exercise programmes; assess the impact of exercise on cardiovascular outcomes; and identify how exercise programmes were tailored to CVC. PubMed, Scopus, Web of Science and Cochrane were searched. Three reviewers extracted the data and two reviewers independently assessed the quality of studies with the Quality Assessment Tool for Quantitative Studies. MetaXL 5.3 was used to calculate the individual and pooled effect sizes (ES). Most studies (58.9%) excluded patients with both stable and unstable CVC. In total, 26/42 studies reported cardiovascular outcomes. Resting heart rate was the most reported outcome measure (n = 13) and a small statistically significant effect (ES = -0.23) of exercise training on resting heart rate of patients with COPD was found. No specific adjustments to exercise prescription were described. Few studies have included patients with CVC. There was a lack of tailoring of exercise programmes and limited effects were found. Future studies should explore the effect of tailored exercise programmes on relevant outcome measures in respiratory patients with CVC. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-09-13T00:00:00Z 2019-09-13 2020-03-26T11:34:21Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10773/28079 |
url |
http://hdl.handle.net/10773/28079 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.3390/jcm8091458 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
MDPI |
publisher.none.fl_str_mv |
MDPI |
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reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799137662143037440 |