Understanding the effectiveness of different exercise training programme designs on V̇O<sub>2peak</sub> in COPD: a component network meta-analysis.
meta_analysis · Level I
Where this comes from
- Record sourced from PubMed, PMID 37263780.
- Also identified by DOI 10.1136/thorax-2023-220071.
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Abstract
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 V̇O<sub>2peak</sub> in COPD. The included 59 studies involving 2191 participants demonstrated that V̇O<sub>2peak</sub> increased 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.
Medical subject headings
- Cardiorespiratory Fitness
- Pulmonary Disease, Chronic Obstructive