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Changes in lower limb muscle function and muscle mass following exercise-based interventions in patients with chronic obstructive pulmonary disease : a review of the English-language literature

Jana De Brandt, Martijn A Spruit, Dominique Hansen, Frits ME Franssen, Wim Derave (UGent) , Maurice JH Sillen and Chris Burtin
(2018) CHRONIC RESPIRATORY DISEASE. 15(2). p.182-219
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Abstract
Chronic obstructive pulmonary disease (COPD) patients often experience lower limb muscle dysfunction and wasting. Exercise-based training has potential to improve muscle function and mass, but literature on this topic is extensive and heterogeneous including numerous interventions and outcomemeasures. This reviewuses a detailed systematic approach to investigate the effect of this wide range of exercise-based interventions on muscle function and mass. PUBMED and PEDro databases were searched. In all, 70 studies (n = 2504 COPD patients) that implemented an exercise-based intervention and reported muscle strength, endurance, or mass in clinically stable COPD patients were critically appraised. Aerobic and/or resistance training, high-intensity interval training, electrical or magnetic muscle stimulation, whole-body vibration, andwater-based training were investigated. Muscle strength increased in 78%, muscle endurance in 92%, and muscle mass in 88% of the cases where that specific outcome was measured. Despite large heterogeneity in exercise-based interventions and outcome measures used, most exercise-based trials showed improvements in muscle strength, endurance, and mass in COPD patients. Which intervention(s) is (are) best for which subgroup of patients remains currently unknown. Furthermore, this literature review identifies gaps in the current knowledge and generates recommendations for future research to enhance our knowledge on exercise-based interventions in COPD patients.
Keywords
Exercise Physiology and nutrition, COPD, pulmonary rehabilitation, exercise training, lower limb, muscle function, muscle mass, NEUROMUSCULAR ELECTRICAL-STIMULATION, RANDOMIZED CONTROLLED-TRIAL, CHRONIC HEART-FAILURE, WHOLE-BODY VIBRATION, AIR-FLOW LIMITATION, COPD-PATIENTS, PHYSICAL-ACTIVITY, CLINICAL-TRIAL, OLDER MEN, REHABILITATION PROGRAM

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MLA
De Brandt, Jana, et al. “Changes in Lower Limb Muscle Function and Muscle Mass Following Exercise-Based Interventions in Patients with Chronic Obstructive Pulmonary Disease : A Review of the English-Language Literature.” CHRONIC RESPIRATORY DISEASE, vol. 15, no. 2, 2018, pp. 182–219, doi:10.1177/1479972317709642.
APA
De Brandt, J., Spruit, M. A., Hansen, D., Franssen, F. M., Derave, W., Sillen, M. J., & Burtin, C. (2018). Changes in lower limb muscle function and muscle mass following exercise-based interventions in patients with chronic obstructive pulmonary disease : a review of the English-language literature. CHRONIC RESPIRATORY DISEASE, 15(2), 182–219. https://doi.org/10.1177/1479972317709642
Chicago author-date
De Brandt, Jana, Martijn A Spruit, Dominique Hansen, Frits ME Franssen, Wim Derave, Maurice JH Sillen, and Chris Burtin. 2018. “Changes in Lower Limb Muscle Function and Muscle Mass Following Exercise-Based Interventions in Patients with Chronic Obstructive Pulmonary Disease : A Review of the English-Language Literature.” CHRONIC RESPIRATORY DISEASE 15 (2): 182–219. https://doi.org/10.1177/1479972317709642.
Chicago author-date (all authors)
De Brandt, Jana, Martijn A Spruit, Dominique Hansen, Frits ME Franssen, Wim Derave, Maurice JH Sillen, and Chris Burtin. 2018. “Changes in Lower Limb Muscle Function and Muscle Mass Following Exercise-Based Interventions in Patients with Chronic Obstructive Pulmonary Disease : A Review of the English-Language Literature.” CHRONIC RESPIRATORY DISEASE 15 (2): 182–219. doi:10.1177/1479972317709642.
Vancouver
1.
De Brandt J, Spruit MA, Hansen D, Franssen FM, Derave W, Sillen MJ, et al. Changes in lower limb muscle function and muscle mass following exercise-based interventions in patients with chronic obstructive pulmonary disease : a review of the English-language literature. CHRONIC RESPIRATORY DISEASE. 2018;15(2):182–219.
IEEE
[1]
J. De Brandt et al., “Changes in lower limb muscle function and muscle mass following exercise-based interventions in patients with chronic obstructive pulmonary disease : a review of the English-language literature,” CHRONIC RESPIRATORY DISEASE, vol. 15, no. 2, pp. 182–219, 2018.
@article{8523783,
  abstract     = {{Chronic obstructive pulmonary disease (COPD) patients often experience lower limb muscle dysfunction and wasting. Exercise-based training has potential to improve muscle function and mass, but literature on this topic is extensive and heterogeneous including numerous interventions and outcomemeasures. This reviewuses a detailed systematic approach to investigate the effect of this wide range of exercise-based interventions on muscle function and mass. PUBMED and PEDro databases were searched. In all, 70 studies (n = 2504 COPD patients) that implemented an exercise-based intervention and reported muscle strength, endurance, or mass in clinically stable COPD patients were critically appraised. Aerobic and/or resistance training, high-intensity interval training, electrical or magnetic muscle stimulation, whole-body vibration, andwater-based training were investigated. Muscle strength increased in 78%, muscle endurance in 92%, and muscle mass in 88% of the cases where that specific outcome was measured. Despite large heterogeneity in exercise-based interventions and outcome measures used, most exercise-based trials showed improvements in muscle strength, endurance, and mass in COPD patients. Which intervention(s) is (are) best for which subgroup of patients remains currently unknown. Furthermore, this literature review identifies gaps in the current knowledge and generates recommendations for future research to enhance our knowledge on exercise-based interventions in COPD patients.}},
  author       = {{De Brandt, Jana and Spruit, Martijn A and Hansen, Dominique and Franssen, Frits ME and Derave, Wim and Sillen, Maurice JH and Burtin, Chris}},
  issn         = {{1479-9723}},
  journal      = {{CHRONIC RESPIRATORY DISEASE}},
  keywords     = {{Exercise Physiology and nutrition,COPD,pulmonary rehabilitation,exercise training,lower limb,muscle function,muscle mass,NEUROMUSCULAR ELECTRICAL-STIMULATION,RANDOMIZED CONTROLLED-TRIAL,CHRONIC HEART-FAILURE,WHOLE-BODY VIBRATION,AIR-FLOW LIMITATION,COPD-PATIENTS,PHYSICAL-ACTIVITY,CLINICAL-TRIAL,OLDER MEN,REHABILITATION PROGRAM}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{182--219}},
  title        = {{Changes in lower limb muscle function and muscle mass following exercise-based interventions in patients with chronic obstructive pulmonary disease : a review of the English-language literature}},
  url          = {{http://doi.org/10.1177/1479972317709642}},
  volume       = {{15}},
  year         = {{2018}},
}
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