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Effects of exercise-based pulmonary rehabilitation on severe/very severe COPD: a systematic review and meta-analysis
OBJECTIVE: Pulmonary rehabilitation (PR) has been considered to be an effective treatment method for various respiratory diseases. However, the effects of exercise-based PR on patients with severe/very severe chronic obstructive pulmonary disease (COPD) are unclear. This review aimed to investigate...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10037727/ https://www.ncbi.nlm.nih.gov/pubmed/36946384 http://dx.doi.org/10.1177/17534666231162250 |
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author | He, Wenqing Wang, Jiajia Feng, Zhenzhen Li, Jiansheng Xie, Yang |
author_facet | He, Wenqing Wang, Jiajia Feng, Zhenzhen Li, Jiansheng Xie, Yang |
author_sort | He, Wenqing |
collection | PubMed |
description | OBJECTIVE: Pulmonary rehabilitation (PR) has been considered to be an effective treatment method for various respiratory diseases. However, the effects of exercise-based PR on patients with severe/very severe chronic obstructive pulmonary disease (COPD) are unclear. This review aimed to investigate the effects of exercise-based PR on patients with severe/very severe COPD. METHODS: PubMed, Embase, Cochrane Library, Web of Science, and ClinicalTrials.gov databases were searched from inception to December 23, 2022, without language restrictions. Randomized controlled trials (RCTs) investigating the effects of exercise-based PR on patients with severe/very severe COPD were included. Study selection, data extraction, and risk of bias assessment were conducted independently. RevMan software (version 5.3) was used for meta-analysis. The quality of evidence was rated using the Grading of Recommendations Assessment, Development and Evaluation system. RESULTS: Six studies (263 patients) were identified. Compared with the control group, the 6-min walking distance [MD = 52.91, 95% CI (3.80, 102.03)], the St. George’s Respiratory Questionnaire total scores [MD = −7.70, 95% CI (−14.32, −1.08)] and the Borg scale scores [MD = −0.68, 95% CI (−1.28, −0.08)] in the experimental group improved, respectively. The St. George’s Respiratory Questionnaire and Borg scale scores were rated as ‘moderate quality’ and ‘low quality’, respectively, and the 6-min walking distance was rated as ‘very low quality’. CONCLUSIONS: Exercise-based PR may improve the exercise capacity, quality of life and dyspnea of patients with severe/very severe COPD, which can be regarded as an adjuvant treatment. High quality and large sample RCTs are needed. REGISTRATION: This systematic review and meta-analysis protocol was prospectively registered with PROSPERO (No. CRD42022294085). |
format | Online Article Text |
id | pubmed-10037727 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-100377272023-03-25 Effects of exercise-based pulmonary rehabilitation on severe/very severe COPD: a systematic review and meta-analysis He, Wenqing Wang, Jiajia Feng, Zhenzhen Li, Jiansheng Xie, Yang Ther Adv Respir Dis Meta-Analysis OBJECTIVE: Pulmonary rehabilitation (PR) has been considered to be an effective treatment method for various respiratory diseases. However, the effects of exercise-based PR on patients with severe/very severe chronic obstructive pulmonary disease (COPD) are unclear. This review aimed to investigate the effects of exercise-based PR on patients with severe/very severe COPD. METHODS: PubMed, Embase, Cochrane Library, Web of Science, and ClinicalTrials.gov databases were searched from inception to December 23, 2022, without language restrictions. Randomized controlled trials (RCTs) investigating the effects of exercise-based PR on patients with severe/very severe COPD were included. Study selection, data extraction, and risk of bias assessment were conducted independently. RevMan software (version 5.3) was used for meta-analysis. The quality of evidence was rated using the Grading of Recommendations Assessment, Development and Evaluation system. RESULTS: Six studies (263 patients) were identified. Compared with the control group, the 6-min walking distance [MD = 52.91, 95% CI (3.80, 102.03)], the St. George’s Respiratory Questionnaire total scores [MD = −7.70, 95% CI (−14.32, −1.08)] and the Borg scale scores [MD = −0.68, 95% CI (−1.28, −0.08)] in the experimental group improved, respectively. The St. George’s Respiratory Questionnaire and Borg scale scores were rated as ‘moderate quality’ and ‘low quality’, respectively, and the 6-min walking distance was rated as ‘very low quality’. CONCLUSIONS: Exercise-based PR may improve the exercise capacity, quality of life and dyspnea of patients with severe/very severe COPD, which can be regarded as an adjuvant treatment. High quality and large sample RCTs are needed. REGISTRATION: This systematic review and meta-analysis protocol was prospectively registered with PROSPERO (No. CRD42022294085). SAGE Publications 2023-03-22 /pmc/articles/PMC10037727/ /pubmed/36946384 http://dx.doi.org/10.1177/17534666231162250 Text en © The Author(s), 2023 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Meta-Analysis He, Wenqing Wang, Jiajia Feng, Zhenzhen Li, Jiansheng Xie, Yang Effects of exercise-based pulmonary rehabilitation on severe/very severe COPD: a systematic review and meta-analysis |
title | Effects of exercise-based pulmonary rehabilitation on severe/very
severe COPD: a systematic review and meta-analysis |
title_full | Effects of exercise-based pulmonary rehabilitation on severe/very
severe COPD: a systematic review and meta-analysis |
title_fullStr | Effects of exercise-based pulmonary rehabilitation on severe/very
severe COPD: a systematic review and meta-analysis |
title_full_unstemmed | Effects of exercise-based pulmonary rehabilitation on severe/very
severe COPD: a systematic review and meta-analysis |
title_short | Effects of exercise-based pulmonary rehabilitation on severe/very
severe COPD: a systematic review and meta-analysis |
title_sort | effects of exercise-based pulmonary rehabilitation on severe/very
severe copd: a systematic review and meta-analysis |
topic | Meta-Analysis |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10037727/ https://www.ncbi.nlm.nih.gov/pubmed/36946384 http://dx.doi.org/10.1177/17534666231162250 |
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