Effects of 12 weeks of aerobic training on autonomic modulation, mucociliary clearance, and aerobic parameters in patients with COPD
Patients with chronic obstructive pulmonary disease (COPD) exhibit aerobic function, autonomic nervous system, and mucociliary clearance alterations. These parameters can be attenuated by aerobic training, which can be applied with continuous or interval efforts. However, the possible effects of aer...
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| Published in: | International journal of chronic obstructive pulmonary disease Vol. 10; no. Issue 1; pp. 2549 - 2557 |
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| Abstract | Patients with chronic obstructive pulmonary disease (COPD) exhibit aerobic function, autonomic nervous system, and mucociliary clearance alterations. These parameters can be attenuated by aerobic training, which can be applied with continuous or interval efforts. However, the possible effects of aerobic training, using progressively both continuous and interval sessions (ie, linear periodization), require further investigation.
To analyze the effects of 12-week aerobic training using continuous and interval sessions on autonomic modulation, mucociliary clearance, and aerobic function in patients with COPD.
Sixteen patients with COPD were divided into an aerobic (continuous and interval) training group (AT) (n=10) and a control group (CG) (n=6). An incremental test (initial speed of 2.0 km·h(-1), constant slope of 3%, and increments of 0.5 km·h(-1) every 2 minutes) was performed. The training group underwent training for 4 weeks at 60% of the peak velocity reached in the incremental test (vVO2peak) (50 minutes of continuous effort), followed by 4 weeks of sessions at 75% of vVO2peak (30 minutes of continuous effort), and 4 weeks of interval training (5×3-minute effort at vVO2peak, separated by 1 minute of passive recovery). Intensities were adjusted through an incremental test performed at the end of each period.
The AT presented an increase in the high frequency index (ms(2)) (P=0.04), peak oxygen uptake (VO2peak) (P=0.01), vVO2peak (P=0.04), and anaerobic threshold (P=0.02). No significant changes were observed in the CG (P>0.21) group. Neither of the groups presented changes in mucociliary clearance after 12 weeks (AT: P=0.94 and CG: P=0.69).
Twelve weeks of aerobic training (continuous and interval sessions) positively influenced the autonomic modulation and aerobic parameters in patients with COPD. However, mucociliary clearance was not affected by aerobic training. |
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| AbstractList | Introduction: Patients with chronic obstructive pulmonary disease (COPD) exhibit aerobic function, autonomic nervous system, and mucociliary clearance alterations. These parameters can be attenuated by aerobic training, which can be applied with continuous or interval efforts. However, the possible effects of aerobic training, using progressively both continuous and interval sessions (ie, linear periodization), require further investigation. Aim: To analyze the effects of 12-week aerobic training using continuous and interval sessions on autonomic modulation, mucociliary clearance, and aerobic function in patients with COPD. Methods: Sixteen patients with COPD were divided into an aerobic (continuous and interval) training group (AT) (n=10) and a control group (CG) (n = 6). An incremental test (initial speed of 2.0 km x [h.sup.-1], constant slope of 3%, and increments of 0.5 km x [h.sup.-1] every 2 minutes) was performed. The training group underwent training for 4 weeks at 60% of the peak velocity reached in the incremental test (vV[O.sub.2peak]) (50 minutes of continuous effort), followed by 4 weeks of sessions at 75% of vV[O.sub.2peak] (30 minutes of continuous effort), and 4 weeks of interval training (5x3 - minute effort at vV[O.sub.2peak], separated by 1 minute of passive recovery). Intensities were adjusted through an incremental test performed at the end of each period. Results: The AT presented an increase in the high frequency index ([ms.sup.2]) (P = 0.04), peak oxygen uptake (V[O.sub.2peak]) (P = 0.01), vV[O.sub.2peak] (P = 0.04), and anaerobic threshold (P=0.02). No significant changes were observed in the CG (P > 0.21) group. Neither of the groups presented changes in mucociliary clearance after 12 weeks (AT: P = 0.94 and CG: P = 0.69). Conclusion: Twelve weeks of aerobic training (continuous and interval sessions) positively influenced the autonomic modulation and aerobic parameters in patients with COPD. However, mucociliary clearance was not affected by aerobic training. Keywords: COPD, exercise, aerobic treatment, mucociliary clearance Introduction: Patients with chronic obstructive pulmonary disease (COPD) exhibit aerobic function, autonomic nervous system, and mucociliary clearance alterations. These parameters can be attenuated by aerobic training, which can be applied with continuous or interval efforts. However, the possible effects of aerobic training, using progressively both continuous and interval sessions (ie, linear periodization), require further investigation. Aim: To analyze the effects of 12-week aerobic training using continuous and interval sessions on autonomic modulation, mucociliary clearance, and aerobic function in patients with COPD. Methods: Sixteen patients with COPD were divided into an aerobic (continuous and interval) training group (AT) (n=10) and a control group (CG) (n=6). An incremental test (initial speed of 2.0 km·h-1, constant slope of 3%, and increments of 0.5 km·h-1 every 2 minutes) was performed. The training group underwent training for 4 weeks at 60% of the peak velocity reached in the incremental test (vVO2peak) (50 minutes of continuous effort), followed by 4 weeks of sessions at 75% of vVO2peak (30 minutes of continuous effort), and 4 weeks of interval training (5×3-minute effort at vVO2peak, separated by 1 minute of passive recovery). Intensities were adjusted through an incremental test performed at the end of each period. Results: The AT presented an increase in the high frequency index (ms2) (P=0.04), peak oxygen uptake (VO2peak) (P=0.01), vVO2peak (P=0.04), and anaerobic threshold (P=0.02). No significant changes were observed in the CG (P>0.21) group. Neither of the groups presented changes in mucociliary clearance after 12 weeks (AT: P=0.94 and CG: P=0.69). Conclusion: Twelve weeks of aerobic training (continuous and interval sessions) positively influenced the autonomic modulation and aerobic parameters in patients with COPD. However, mucociliary clearance was not affected by aerobic training. INTRODUCTIONPatients with chronic obstructive pulmonary disease (COPD) exhibit aerobic function, autonomic nervous system, and mucociliary clearance alterations. These parameters can be attenuated by aerobic training, which can be applied with continuous or interval efforts. However, the possible effects of aerobic training, using progressively both continuous and interval sessions (ie, linear periodization), require further investigation.AIMTo analyze the effects of 12-week aerobic training using continuous and interval sessions on autonomic modulation, mucociliary clearance, and aerobic function in patients with COPD.METHODSSixteen patients with COPD were divided into an aerobic (continuous and interval) training group (AT) (n=10) and a control group (CG) (n=6). An incremental test (initial speed of 2.0 km·h(-1), constant slope of 3%, and increments of 0.5 km·h(-1) every 2 minutes) was performed. The training group underwent training for 4 weeks at 60% of the peak velocity reached in the incremental test (vVO2peak) (50 minutes of continuous effort), followed by 4 weeks of sessions at 75% of vVO2peak (30 minutes of continuous effort), and 4 weeks of interval training (5×3-minute effort at vVO2peak, separated by 1 minute of passive recovery). Intensities were adjusted through an incremental test performed at the end of each period.RESULTSThe AT presented an increase in the high frequency index (ms(2)) (P=0.04), peak oxygen uptake (VO2peak) (P=0.01), vVO2peak (P=0.04), and anaerobic threshold (P=0.02). No significant changes were observed in the CG (P>0.21) group. Neither of the groups presented changes in mucociliary clearance after 12 weeks (AT: P=0.94 and CG: P=0.69).CONCLUSIONTwelve weeks of aerobic training (continuous and interval sessions) positively influenced the autonomic modulation and aerobic parameters in patients with COPD. However, mucociliary clearance was not affected by aerobic training. Patients with chronic obstructive pulmonary disease (COPD) exhibit aerobic function, autonomic nervous system, and mucociliary clearance alterations. These parameters can be attenuated by aerobic training, which can be applied with continuous or interval efforts. However, the possible effects of aerobic training, using progressively both continuous and interval sessions (ie, linear periodization), require further investigation. To analyze the effects of 12-week aerobic training using continuous and interval sessions on autonomic modulation, mucociliary clearance, and aerobic function in patients with COPD. Sixteen patients with COPD were divided into an aerobic (continuous and interval) training group (AT) (n=10) and a control group (CG) (n=6). An incremental test (initial speed of 2.0 km·h(-1), constant slope of 3%, and increments of 0.5 km·h(-1) every 2 minutes) was performed. The training group underwent training for 4 weeks at 60% of the peak velocity reached in the incremental test (vVO2peak) (50 minutes of continuous effort), followed by 4 weeks of sessions at 75% of vVO2peak (30 minutes of continuous effort), and 4 weeks of interval training (5×3-minute effort at vVO2peak, separated by 1 minute of passive recovery). Intensities were adjusted through an incremental test performed at the end of each period. The AT presented an increase in the high frequency index (ms(2)) (P=0.04), peak oxygen uptake (VO2peak) (P=0.01), vVO2peak (P=0.04), and anaerobic threshold (P=0.02). No significant changes were observed in the CG (P>0.21) group. Neither of the groups presented changes in mucociliary clearance after 12 weeks (AT: P=0.94 and CG: P=0.69). Twelve weeks of aerobic training (continuous and interval sessions) positively influenced the autonomic modulation and aerobic parameters in patients with COPD. However, mucociliary clearance was not affected by aerobic training. Marceli Rocha Leite,1 Ercy Mara Cipulo Ramos,1 Carlos Augusto Kalva-Filho,2 Ana Paula Coelho Figueira Freire,1 Bruna Spolador de Alencar Silva,1 Juliana Nicolino,1 Alessandra Choqueta de Toledo-Arruda,3 Marcelo Papoti,4 Luiz Carlos Marques Vanderlei,1 Dionei Ramos1 1Department of Physiotherapy, São Paulo State University, Presidente Prudente, 2Program in Rehabilitation and Functional Performance, São Paulo University, Ribeirão Preto, 3Department of Medicine, São Paulo University, 4School of Physical Education and Sport of Ribeirão Preto, São Paulo University, Ribeirão Preto, São Paulo, Brazil Introduction: Patients with chronic obstructive pulmonary disease (COPD) exhibit aerobic function, autonomic nervous system, and mucociliary clearance alterations. These parameters can be attenuated by aerobic training, which can be applied with continuous or interval efforts. However, the possible effects of aerobic training, using progressively both continuous and interval sessions (ie, linear periodization), require further investigation.Aim: To analyze the effects of 12-week aerobic training using continuous and interval sessions on autonomic modulation, mucociliary clearance, and aerobic function in patients with COPD.Methods: Sixteen patients with COPD were divided into an aerobic (continuous and interval) training group (AT) (n=10) and a control group (CG) (n=6). An incremental test (initial speed of 2.0 km·h-1, constant slope of 3%, and increments of 0.5 km·h-1 every 2 minutes) was performed. The training group underwent training for 4 weeks at 60% of the peak velocity reached in the incremental test (vVO2peak) (50 minutes of continuous effort), followed by 4 weeks of sessions at 75% of vVO2peak (30 minutes of continuous effort), and 4 weeks of interval training (5×3-minute effort at vVO2peak, separated by 1 minute of passive recovery). Intensities were adjusted through an incremental test performed at the end of each period.Results: The AT presented an increase in the high frequency index (ms2) (P=0.04), peak oxygen uptake (VO2peak) (P=0.01), vVO2peak (P=0.04), and anaerobic threshold (P=0.02). No significant changes were observed in the CG (P>0.21) group. Neither of the groups presented changes in mucociliary clearance after 12 weeks (AT: P=0.94 and CG: P=0.69).Conclusion: Twelve weeks of aerobic training (continuous and interval sessions) positively influenced the autonomic modulation and aerobic parameters in patients with COPD. However, mucociliary clearance was not affected by aerobic training. Keywords: COPD, exercise, aerobic treatment, mucociliary clearance |
| Audience | Academic |
| Author | Ramos, Dionei Leite, Marceli Rocha Papoti, Marcelo Vanderlei, Luiz Carlos Marques Ramos, Ercy Mara Cipulo Freire, Ana Paula Coelho Figueira Nicolino, Juliana de Alencar Silva, Bruna Spolador de Toledo-Arruda, Alessandra Choqueta Kalva-Filho, Carlos Augusto |
| AuthorAffiliation | 3 Department of Medicine, São Paulo University, Ribeirão Preto, São Paulo, Brazil 4 School of Physical Education and Sport of Ribeirão Preto, São Paulo University, Ribeirão Preto, São Paulo, Brazil 2 Program in Rehabilitation and Functional Performance, São Paulo University, Ribeirão Preto, Brazil 1 Department of Physiotherapy, São Paulo State University, Presidente Prudente, Brazil |
| AuthorAffiliation_xml | – name: 2 Program in Rehabilitation and Functional Performance, São Paulo University, Ribeirão Preto, Brazil – name: 3 Department of Medicine, São Paulo University, Ribeirão Preto, São Paulo, Brazil – name: 4 School of Physical Education and Sport of Ribeirão Preto, São Paulo University, Ribeirão Preto, São Paulo, Brazil – name: 1 Department of Physiotherapy, São Paulo State University, Presidente Prudente, Brazil |
| Author_xml | – sequence: 1 givenname: Marceli Rocha surname: Leite fullname: Leite, Marceli Rocha organization: Department of Physiotherapy, São Paulo State University, Presidente Prudente, Brazil – sequence: 2 givenname: Ercy Mara Cipulo surname: Ramos fullname: Ramos, Ercy Mara Cipulo organization: Department of Physiotherapy, São Paulo State University, Presidente Prudente, Brazil – sequence: 3 givenname: Carlos Augusto surname: Kalva-Filho fullname: Kalva-Filho, Carlos Augusto organization: Program in Rehabilitation and Functional Performance, São Paulo University, Ribeirão Preto, Brazil – sequence: 4 givenname: Ana Paula Coelho Figueira surname: Freire fullname: Freire, Ana Paula Coelho Figueira organization: Department of Physiotherapy, São Paulo State University, Presidente Prudente, Brazil – sequence: 5 givenname: Bruna Spolador surname: de Alencar Silva fullname: de Alencar Silva, Bruna Spolador organization: Department of Physiotherapy, São Paulo State University, Presidente Prudente, Brazil – sequence: 6 givenname: Juliana surname: Nicolino fullname: Nicolino, Juliana organization: Department of Physiotherapy, São Paulo State University, Presidente Prudente, Brazil – sequence: 7 givenname: Alessandra Choqueta surname: de Toledo-Arruda fullname: de Toledo-Arruda, Alessandra Choqueta organization: Department of Medicine, São Paulo University, Ribeirão Preto, São Paulo, Brazil – sequence: 8 givenname: Marcelo surname: Papoti fullname: Papoti, Marcelo organization: School of Physical Education and Sport of Ribeirão Preto, São Paulo University, Ribeirão Preto, São Paulo, Brazil – sequence: 9 givenname: Luiz Carlos Marques surname: Vanderlei fullname: Vanderlei, Luiz Carlos Marques organization: Department of Physiotherapy, São Paulo State University, Presidente Prudente, Brazil – sequence: 10 givenname: Dionei surname: Ramos fullname: Ramos, Dionei organization: Department of Physiotherapy, São Paulo State University, Presidente Prudente, Brazil |
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| Keywords | exercise mucociliary clearance aerobic treatment COPD |
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| Snippet | Patients with chronic obstructive pulmonary disease (COPD) exhibit aerobic function, autonomic nervous system, and mucociliary clearance alterations. These... Introduction: Patients with chronic obstructive pulmonary disease (COPD) exhibit aerobic function, autonomic nervous system, and mucociliary clearance... INTRODUCTIONPatients with chronic obstructive pulmonary disease (COPD) exhibit aerobic function, autonomic nervous system, and mucociliary clearance... Marceli Rocha Leite,1 Ercy Mara Cipulo Ramos,1 Carlos Augusto Kalva-Filho,2 Ana Paula Coelho Figueira Freire,1 Bruna Spolador de Alencar Silva,1 Juliana... |
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| SubjectTerms | Aerobic exercises Aerobics Aged Analysis Autonomic Nervous System - physiopathology Brazil Cardiovascular System - innervation Care and treatment Chronic obstructive pulmonary disease Exercise Exercise Test Exercise Therapy - adverse effects Exercise Therapy - methods Exercise Tolerance Female Health aspects Heart Rate Humans Lung - innervation Lung diseases, Obstructive Male Middle Aged Mucociliary Clearance Mucociliary system Original Research Oxygen Consumption Patients Physical fitness Pulmonary Disease, Chronic Obstructive - diagnosis Pulmonary Disease, Chronic Obstructive - physiopathology Pulmonary Disease, Chronic Obstructive - therapy Quality of life Recovery of Function Rehabilitation Respiratory Rate Spirometry Time Factors Treatment Outcome |
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| Title | Effects of 12 weeks of aerobic training on autonomic modulation, mucociliary clearance, and aerobic parameters in patients with COPD |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/26648712 https://www.proquest.com/docview/2680370649 https://search.proquest.com/docview/1747305680 https://pubmed.ncbi.nlm.nih.gov/PMC4664442 https://doaj.org/article/eb7b84abf8a844d3929335fa5b5cf321 |
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