Assessment of Aerobic Exercise Adverse Effects during COPD Exacerbation Hospitalization
Introduction. Aerobic exercise performed after hospital discharge for exacerbated COPD patients is already recommended to improve respiratory and skeletal muscle strength, increase tolerance to activity, and reduce the sensation of dyspnea. Previous studies have shown that anaerobic activity can cli...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Canadian Respiratory Journal |
| Online Access: | http://dx.doi.org/10.1155/2017/5937908 |
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| author | Caroline Knaut Carolina Bonfanti Mesquita Laura M. O. Caram Renata Ferrari Victor Zuniga Dourado Irma de Godoy Suzana Erico Tanni |
| author_facet | Caroline Knaut Carolina Bonfanti Mesquita Laura M. O. Caram Renata Ferrari Victor Zuniga Dourado Irma de Godoy Suzana Erico Tanni |
| author_sort | Caroline Knaut |
| collection | DOAJ |
| description | Introduction. Aerobic exercise performed after hospital discharge for exacerbated COPD patients is already recommended to improve respiratory and skeletal muscle strength, increase tolerance to activity, and reduce the sensation of dyspnea. Previous studies have shown that anaerobic activity can clinically benefit patients hospitalized with exacerbated COPD. However, there is little information on the feasibility and safety of aerobic physical activity performed by patients with exacerbated COPD during hospitalization. Objective. To evaluate the effects of aerobic exercise on vital signs in hospitalized patients with exacerbated COPD. Patients and Methods. Eleven COPD patients (63% female, FEV1: 34.2 ± 13.9% and age: 65 ± 11 years) agreed to participate. Aerobic exercise was initiated 72 hours after admission on a treadmill; speed was obtained from the distance covered in a 6-minute walk test (6MWT). Vital signs were assessed before and after exercise. Results. During the activity systolic blood pressure increased from 125.2 ± 13.6 to 135.8 ± 15.0 mmHg (p=0.004) and respiratory rate from 20.9 ± 4.4 to 24.2 ± 4.5 rpm (p=0.008) and pulse oximetry (SpO2) decreased from 93.8 ± 2.3 to 88.5 ± 5.7% (p<0.001). Aerobic activity was considered intense, heart rate ranged from 99.2 ± 11.5 to 119.1 ± 11.1 bpm at the end of exercise (p=0.092), and patients reached on average 76% of maximum heart rate. Conclusion. Aerobic exercise conducted after 72 hours of hospitalization in patients with exacerbated COPD appears to be safe. |
| format | Article |
| id | doaj-art-33c1f19b95d149ed834c021e82b96691 |
| institution | OA Journals |
| issn | 1198-2241 1916-7245 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Respiratory Journal |
| spelling | doaj-art-33c1f19b95d149ed834c021e82b966912025-08-20T02:24:15ZengWileyCanadian Respiratory Journal1198-22411916-72452017-01-01201710.1155/2017/59379085937908Assessment of Aerobic Exercise Adverse Effects during COPD Exacerbation HospitalizationCaroline Knaut0Carolina Bonfanti Mesquita1Laura M. O. Caram2Renata Ferrari3Victor Zuniga Dourado4Irma de Godoy5Suzana Erico Tanni6Botucatu Medical School, Universidade Estadual Paulista (UNESP), Department of Internal Medicine, Pneumology Area, Botucatu Campus, Botucatu, SP, BrazilBotucatu Medical School, Universidade Estadual Paulista (UNESP), Department of Internal Medicine, Pneumology Area, Botucatu Campus, Botucatu, SP, BrazilBotucatu Medical School, Universidade Estadual Paulista (UNESP), Department of Internal Medicine, Pneumology Area, Botucatu Campus, Botucatu, SP, BrazilBotucatu Medical School, Universidade Estadual Paulista (UNESP), Department of Internal Medicine, Pneumology Area, Botucatu Campus, Botucatu, SP, BrazilBotucatu Medical School, Universidade Estadual Paulista (UNESP), Department of Internal Medicine, Pneumology Area, Botucatu Campus, Botucatu, SP, BrazilBotucatu Medical School, Universidade Estadual Paulista (UNESP), Department of Internal Medicine, Pneumology Area, Botucatu Campus, Botucatu, SP, BrazilBotucatu Medical School, Universidade Estadual Paulista (UNESP), Department of Internal Medicine, Pneumology Area, Botucatu Campus, Botucatu, SP, BrazilIntroduction. Aerobic exercise performed after hospital discharge for exacerbated COPD patients is already recommended to improve respiratory and skeletal muscle strength, increase tolerance to activity, and reduce the sensation of dyspnea. Previous studies have shown that anaerobic activity can clinically benefit patients hospitalized with exacerbated COPD. However, there is little information on the feasibility and safety of aerobic physical activity performed by patients with exacerbated COPD during hospitalization. Objective. To evaluate the effects of aerobic exercise on vital signs in hospitalized patients with exacerbated COPD. Patients and Methods. Eleven COPD patients (63% female, FEV1: 34.2 ± 13.9% and age: 65 ± 11 years) agreed to participate. Aerobic exercise was initiated 72 hours after admission on a treadmill; speed was obtained from the distance covered in a 6-minute walk test (6MWT). Vital signs were assessed before and after exercise. Results. During the activity systolic blood pressure increased from 125.2 ± 13.6 to 135.8 ± 15.0 mmHg (p=0.004) and respiratory rate from 20.9 ± 4.4 to 24.2 ± 4.5 rpm (p=0.008) and pulse oximetry (SpO2) decreased from 93.8 ± 2.3 to 88.5 ± 5.7% (p<0.001). Aerobic activity was considered intense, heart rate ranged from 99.2 ± 11.5 to 119.1 ± 11.1 bpm at the end of exercise (p=0.092), and patients reached on average 76% of maximum heart rate. Conclusion. Aerobic exercise conducted after 72 hours of hospitalization in patients with exacerbated COPD appears to be safe.http://dx.doi.org/10.1155/2017/5937908 |
| spellingShingle | Caroline Knaut Carolina Bonfanti Mesquita Laura M. O. Caram Renata Ferrari Victor Zuniga Dourado Irma de Godoy Suzana Erico Tanni Assessment of Aerobic Exercise Adverse Effects during COPD Exacerbation Hospitalization Canadian Respiratory Journal |
| title | Assessment of Aerobic Exercise Adverse Effects during COPD Exacerbation Hospitalization |
| title_full | Assessment of Aerobic Exercise Adverse Effects during COPD Exacerbation Hospitalization |
| title_fullStr | Assessment of Aerobic Exercise Adverse Effects during COPD Exacerbation Hospitalization |
| title_full_unstemmed | Assessment of Aerobic Exercise Adverse Effects during COPD Exacerbation Hospitalization |
| title_short | Assessment of Aerobic Exercise Adverse Effects during COPD Exacerbation Hospitalization |
| title_sort | assessment of aerobic exercise adverse effects during copd exacerbation hospitalization |
| url | http://dx.doi.org/10.1155/2017/5937908 |
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