Effects of resistance training on exercise capacity in elderly patients with chronic obstructive pulmonary disease: A meta-analysis and systematic review
Abstract
Objective The objective of this study was to summarize and determine the effectiveness of resistance training on exercise capacity in patients with chronic obstructive pulmonary disease (COPD).Methods We searched PubMed, EMBASE, Cochrane Library, and two Chinese databases (China National Knowledge Infrastructure and Wanfang Data) to identify articles written in English or Chinese and published from January 2000 to January 2019. Randomized controlled trials were included if they evaluated the effects of resistance training on exercise capacity in COPD patients. We assessed the quality of the trials using the Physiotherapy Evidence Database Scale. Data from these studies were pooled to calculate weighted mean difference (WMD) or standardized mean difference (SMD) with 95% confidence intervals (CI).Results Eleven studies with a total of 405 participants met the inclusion criteria. Compared with the non-exercise control group, resistance training significantly improved 6-min walking distance (WMD, 54.52; 95% CI 25.47-83.56; I 2 = 43%; P = 0.14), transfer numbers for the 6-min pegboard and ring test (WMD, 25.17; 95% CI 10.17-40.16; I 2 = 0%; P = 0.55), and tolerance time for the unsupported upper-limb exercise test (SMD, 0.41; 95% CI 0.03-0.79; I 2 = 0%; P = 0.83). There were no significant differences in constant work rate endurance test results or in peak oxygen uptake between the two groups.Conclusions Resistance training was an effective approach to improve functional exercise capacity, endurance exercise capacity, and peak exercise capacity in COPD patients.
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Resistance training improves muscle strength and endurance and is used to improve physical fitness and functional performance in elderly people.
“Resistance training is a form of exercise that improves muscle strength and endurance and is progressively gaining attention and interest as a method used to improve physical fitness and functional performance in elderly people [6].”
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- Authors
- Li, N., Li, P., Lu, Y., Wang, Z., Li, J., Liu, X., & Wu, W.
- Affiliations
- Shanghai University of Sport (CN)
- Shanghai University of Traditional Chinese Medicine (CN)
- Corresponding author
- Liu, Xiaodan
- Wu, Weibing
- Venue
- Aging Clinical and Experimental Research
- Published
- 2019-09-07
- Volume
- 32
- Issue
- 10
- Pages
- 1911-1922
- ISSN
- 1594-0667 (ISSN-L)
- 1720-8319
- OpenAlex
- W2972073860
- Cited by
- 35
- References
- 41
- Citations by year
- 2025: 4 · 2024: 1 · 2023: 6 · 2022: 14 · 2021: 8 · 2020: 2
- FWCI
- 1.02
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Aging Clinical and Experimental Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- national fitness project of General Administration of Sport of China (2017B021)
- the “Qi Kang” young innovative talents project of School of Rehabilitation Medicine in Shanghai University of Traditional Chinese Medicine
- the directed research grants from Science and Technology Commission of Shanghai Municipality (18DZ1200600)
- National Natural Science Foundation of China (81902307)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Keywords
- resistance training, chronic obstructive pulmonary disease, exercise capacity, elderly patients, 6-minute walk distance, functional exercise capacity, endurance exercise capacity, peak oxygen uptake
- MeSH terms
- Aged, China, Humans, Quality of Life, Exercise Tolerance, Pulmonary Disease, Chronic Obstructive, Resistance Training
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