Analysing the Effects of Different Types of Exercise on Dyspnoea and Fatigue in Adults through COPD-Systematic Review and Meta-Analysis of Randomised Clinical Trials

Background: Chronic obstructive pulmonary disease (COPD) is a heterogeneous lung condition, the main symptoms of which are dyspnoea and fatigue. Though exercise has been recommended for subjects with COPD, its benefits remain unclear. The aim of this study was to summarise, through a systematic revi...

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Main Authors: Nuno Couto, Luís Cid, Susana Alves, João Paulo Brito, Nuno Pimenta, Teresa Bento
Format: Article
Language:English
Published: MDPI AG 2023-05-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/11/10/1449
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author Nuno Couto
Luís Cid
Susana Alves
João Paulo Brito
Nuno Pimenta
Teresa Bento
author_facet Nuno Couto
Luís Cid
Susana Alves
João Paulo Brito
Nuno Pimenta
Teresa Bento
author_sort Nuno Couto
collection DOAJ
description Background: Chronic obstructive pulmonary disease (COPD) is a heterogeneous lung condition, the main symptoms of which are dyspnoea and fatigue. Though exercise has been recommended for subjects with COPD, its benefits remain unclear. The aim of this study was to summarise, through a systematic review and meta-analysis, the available evidence on the effects of aerobic, resistance, stretching, and combined exercise on the main symptoms of COPD. Methods: Search was performed using the electronic databases PubMed and Web of Science. Randomised controlled trials (RCTs) with interventions based on aerobic, resistance and/or combined exercise published until July 2022 were identified. The effects were summarised based on standardised mean differences (95% confidence intervals) using random and fixed effect models. Results: Eight studies were selected, including a total of 375 subjects. The results obtained showed that resistance exercise, aerobic exercise and combined exercise seem to improve dyspnoea and fatigue symptoms in COPD subjects. Conclusions: In general, we can conclude that exercise-based interventions appear to improve the main COPD symptoms and may benefit quality of life in this population.
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spelling doaj.art-2f7d3f3f1da5490dacbb580087ba6deb2023-11-18T01:32:33ZengMDPI AGHealthcare2227-90322023-05-011110144910.3390/healthcare11101449Analysing the Effects of Different Types of Exercise on Dyspnoea and Fatigue in Adults through COPD-Systematic Review and Meta-Analysis of Randomised Clinical TrialsNuno Couto0Luís Cid1Susana Alves2João Paulo Brito3Nuno Pimenta4Teresa Bento5Sport Sciences School of Rio Maior, Polytechnic of Santarém (ESDRM-IPSantarém), 2040-413 Rio Maior, PortugalSport Sciences School of Rio Maior, Polytechnic of Santarém (ESDRM-IPSantarém), 2040-413 Rio Maior, PortugalSport Sciences School of Rio Maior, Polytechnic of Santarém (ESDRM-IPSantarém), 2040-413 Rio Maior, PortugalSport Sciences School of Rio Maior, Polytechnic of Santarém (ESDRM-IPSantarém), 2040-413 Rio Maior, PortugalSport Sciences School of Rio Maior, Polytechnic of Santarém (ESDRM-IPSantarém), 2040-413 Rio Maior, PortugalSport Sciences School of Rio Maior, Polytechnic of Santarém (ESDRM-IPSantarém), 2040-413 Rio Maior, PortugalBackground: Chronic obstructive pulmonary disease (COPD) is a heterogeneous lung condition, the main symptoms of which are dyspnoea and fatigue. Though exercise has been recommended for subjects with COPD, its benefits remain unclear. The aim of this study was to summarise, through a systematic review and meta-analysis, the available evidence on the effects of aerobic, resistance, stretching, and combined exercise on the main symptoms of COPD. Methods: Search was performed using the electronic databases PubMed and Web of Science. Randomised controlled trials (RCTs) with interventions based on aerobic, resistance and/or combined exercise published until July 2022 were identified. The effects were summarised based on standardised mean differences (95% confidence intervals) using random and fixed effect models. Results: Eight studies were selected, including a total of 375 subjects. The results obtained showed that resistance exercise, aerobic exercise and combined exercise seem to improve dyspnoea and fatigue symptoms in COPD subjects. Conclusions: In general, we can conclude that exercise-based interventions appear to improve the main COPD symptoms and may benefit quality of life in this population.https://www.mdpi.com/2227-9032/11/10/1449COPDpulmonary rehabilitationaerobic exerciseresistance exercisecombined exerciserandomised controlled trials
spellingShingle Nuno Couto
Luís Cid
Susana Alves
João Paulo Brito
Nuno Pimenta
Teresa Bento
Analysing the Effects of Different Types of Exercise on Dyspnoea and Fatigue in Adults through COPD-Systematic Review and Meta-Analysis of Randomised Clinical Trials
Healthcare
COPD
pulmonary rehabilitation
aerobic exercise
resistance exercise
combined exercise
randomised controlled trials
title Analysing the Effects of Different Types of Exercise on Dyspnoea and Fatigue in Adults through COPD-Systematic Review and Meta-Analysis of Randomised Clinical Trials
title_full Analysing the Effects of Different Types of Exercise on Dyspnoea and Fatigue in Adults through COPD-Systematic Review and Meta-Analysis of Randomised Clinical Trials
title_fullStr Analysing the Effects of Different Types of Exercise on Dyspnoea and Fatigue in Adults through COPD-Systematic Review and Meta-Analysis of Randomised Clinical Trials
title_full_unstemmed Analysing the Effects of Different Types of Exercise on Dyspnoea and Fatigue in Adults through COPD-Systematic Review and Meta-Analysis of Randomised Clinical Trials
title_short Analysing the Effects of Different Types of Exercise on Dyspnoea and Fatigue in Adults through COPD-Systematic Review and Meta-Analysis of Randomised Clinical Trials
title_sort analysing the effects of different types of exercise on dyspnoea and fatigue in adults through copd systematic review and meta analysis of randomised clinical trials
topic COPD
pulmonary rehabilitation
aerobic exercise
resistance exercise
combined exercise
randomised controlled trials
url https://www.mdpi.com/2227-9032/11/10/1449
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