Pulmonary rehabilitation slows the decline in forced expiratory volume in 1 second and improves body mass index in patients with Chronic Obstructive Pulmonary Disease
Background: Chronic Obstructive Pulmonary Disease (COPD) is characterized by persistent airflow limitation that is usually progressive leading to disability with an increasing burden to the patient, his family and to the health services. Pulmonary rehabilitation (PR) is used as a complementary evide...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2015-01-01
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| Series: | Egyptian Journal of Chest Disease and Tuberculosis |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0422763814200264 |
| _version_ | 1819102947838001152 |
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| author | Sameh Embarak Waleed Mansour Mohammed A. Mortada |
| author_facet | Sameh Embarak Waleed Mansour Mohammed A. Mortada |
| author_sort | Sameh Embarak |
| collection | DOAJ |
| description | Background: Chronic Obstructive Pulmonary Disease (COPD) is characterized by persistent airflow limitation that is usually progressive leading to disability with an increasing burden to the patient, his family and to the health services. Pulmonary rehabilitation (PR) is used as a complementary evidence-based effective treatment option for patients with COPD. This study was carried out to evaluate the effects of PR on the rate of forced expiratory volume in 1 second (FEV1) decline in patients with stable COPD.
Patients and methods: Eighty five COPD patients completed the study, 60 with a mean age of 63 ± 7 years underwent PR for 3 years and 25 with a mean age of 62 ± 5.4 received only pharmacological treatment according to guidelines. Pulmonary function testing and body mass index (BMI) were carried out for all patients upon enrollment and at 1 year intervals for 3 years.
Results: The FEV1 decreased from 1246.8 ml (46.9% of predicted value) to 1192.8 ml (44.8% of predicted) in the PR group, while in the control group the FEV1 decreased from 1224.6 ml (45.4% of predicted) to 1060 ml (39.3% of predicted) (i.e., FEV1 declined 54 ml versus 164.6, respectively, p = 0.008). Also, the PR group showed an improvement in BMI, while in the control group a decreased BMI was noticed (p = 0.001).
Conclusion: Pulmonary rehabilitation resulted in slowing down the decline in FEV1, as well as improving BMI in patients with stable COPD. |
| first_indexed | 2024-12-22T01:42:40Z |
| format | Article |
| id | doaj.art-fd00a297a9754dbe9a8d2e489ea36256 |
| institution | Directory Open Access Journal |
| issn | 0422-7638 |
| language | English |
| last_indexed | 2024-12-22T01:42:40Z |
| publishDate | 2015-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Egyptian Journal of Chest Disease and Tuberculosis |
| spelling | doaj.art-fd00a297a9754dbe9a8d2e489ea362562022-12-21T18:43:11ZengWolters Kluwer Medknow PublicationsEgyptian Journal of Chest Disease and Tuberculosis0422-76382015-01-01641414510.1016/j.ejcdt.2014.08.009Pulmonary rehabilitation slows the decline in forced expiratory volume in 1 second and improves body mass index in patients with Chronic Obstructive Pulmonary DiseaseSameh Embarak0Waleed Mansour1Mohammed A. Mortada2Chest Department, Faculty of Medicine, Zagazig University, EgyptChest Department, Faculty of Medicine, Zagazig University, EgyptRheumatology Department, Faculty of Medicine, Zagazig University, EgyptBackground: Chronic Obstructive Pulmonary Disease (COPD) is characterized by persistent airflow limitation that is usually progressive leading to disability with an increasing burden to the patient, his family and to the health services. Pulmonary rehabilitation (PR) is used as a complementary evidence-based effective treatment option for patients with COPD. This study was carried out to evaluate the effects of PR on the rate of forced expiratory volume in 1 second (FEV1) decline in patients with stable COPD. Patients and methods: Eighty five COPD patients completed the study, 60 with a mean age of 63 ± 7 years underwent PR for 3 years and 25 with a mean age of 62 ± 5.4 received only pharmacological treatment according to guidelines. Pulmonary function testing and body mass index (BMI) were carried out for all patients upon enrollment and at 1 year intervals for 3 years. Results: The FEV1 decreased from 1246.8 ml (46.9% of predicted value) to 1192.8 ml (44.8% of predicted) in the PR group, while in the control group the FEV1 decreased from 1224.6 ml (45.4% of predicted) to 1060 ml (39.3% of predicted) (i.e., FEV1 declined 54 ml versus 164.6, respectively, p = 0.008). Also, the PR group showed an improvement in BMI, while in the control group a decreased BMI was noticed (p = 0.001). Conclusion: Pulmonary rehabilitation resulted in slowing down the decline in FEV1, as well as improving BMI in patients with stable COPD.http://www.sciencedirect.com/science/article/pii/S0422763814200264Pulmonary rehabilitationCOPDBody mass index |
| spellingShingle | Sameh Embarak Waleed Mansour Mohammed A. Mortada Pulmonary rehabilitation slows the decline in forced expiratory volume in 1 second and improves body mass index in patients with Chronic Obstructive Pulmonary Disease Egyptian Journal of Chest Disease and Tuberculosis Pulmonary rehabilitation COPD Body mass index |
| title | Pulmonary rehabilitation slows the decline in forced expiratory volume in 1 second and improves body mass index in patients with Chronic Obstructive Pulmonary Disease |
| title_full | Pulmonary rehabilitation slows the decline in forced expiratory volume in 1 second and improves body mass index in patients with Chronic Obstructive Pulmonary Disease |
| title_fullStr | Pulmonary rehabilitation slows the decline in forced expiratory volume in 1 second and improves body mass index in patients with Chronic Obstructive Pulmonary Disease |
| title_full_unstemmed | Pulmonary rehabilitation slows the decline in forced expiratory volume in 1 second and improves body mass index in patients with Chronic Obstructive Pulmonary Disease |
| title_short | Pulmonary rehabilitation slows the decline in forced expiratory volume in 1 second and improves body mass index in patients with Chronic Obstructive Pulmonary Disease |
| title_sort | pulmonary rehabilitation slows the decline in forced expiratory volume in 1 second and improves body mass index in patients with chronic obstructive pulmonary disease |
| topic | Pulmonary rehabilitation COPD Body mass index |
| url | http://www.sciencedirect.com/science/article/pii/S0422763814200264 |
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