Article

Endurance training (ET) as part of pulmonary rehabilitation in patients
with chronic obstructive pulmonary disease (COPD) has been shown to improve
exercise capacity and health-related quality of life, but dyspnea limits the
exercise intensity. Therefore, resistance training (RT), which may cause less
dyspnea, could be an alternative. The purpose of this review was to formulate
evidence-based recommendations on the use of RT in pulmonary rehabilitation of
patients with COPD. Our primary outcomes were health-related quality of life,
activities of daily living, dyspnea, possible harm, and total mortality. Our
secondary outcomes were walking distance, lean body mass, muscle strength, and
exercise capacity. METHODS: We identified randomized controlled trials through a
systematic multidatabase search. One author checked titles and abstracts for
relevance using broad inclusion criteria, whereas 2 authors independently checked
the full-text articles for eligibility. Two authors independently extracted data
and assessed the risk of bias and quality of evidence. Meta-analyses were
performed when deemed feasible based on the quality and amount of data. RESULTS:
We included 8 randomized controlled trials (328 participants). On the basis of
moderate- to very low-quality evidence, we found no clinically important
difference between RT and ET. We did not find sufficient data for a meta-analysis
of total mortality, adverse events, dyspnea, or lean body mass. CONCLUSIONS: We
found that in patients with COPD, RT seems to induce the same beneficial effects
as ET. Therefore, we recommend that RT should be considered according to patient
preferences when designing a pulmonary rehabilitation program for patients with
COPD.

Langue : ANGLAIS