Version 2 2024-01-04, 10:58Version 2 2024-01-04, 10:58
Version 1 2023-12-21, 08:55Version 1 2023-12-21, 08:55
journal contribution
posted on 2024-01-04, 10:58authored byThomas JC Ward, Charles D Plumptre, Alessandra V Fraser-Pye, Thomas E Dolmage, Amy V Jones, Ruth Trethewey, Lorna Latimer, Sally J Singh, Martin R Lindley, Michael C Steiner, Rachael A Evans
Pulmonary rehabilitation programmes including aerobic training improve cardiorespiratory fitness in patients with COPD, but the optimal programme design is unclear. We used random effects additive component network meta-analysis to investigate the relative effectiveness of different programme components on fitness measured by V̇O2peakin COPD. The included 59 studies involving 2191 participants demonstrated that V̇O2peakincreased after aerobic training of at least moderate intensity with the greatest improvement seen following high intensity training. Lower limb aerobic training (SMD 0.56 95% CI 0.32;0.81, intervention arms=86) and the addition of non-invasive ventilation (SMD 0.55 95% CI 0.04;1.06, intervention arms=4) appeared to offer additional benefit but there was limited evidence for effectiveness of other exercise and non-exercise components.
History
Author affiliation
Department of Respiratory Sciences, University of Leicester