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Exercise Training Decreases Ventilatory Requirements and Exercise-Induced Hyperinflation at Submaximal Intensities in Patients With COPD
Abstract
Study objectives We hypothesized that endurance exercise training would reduce the degree of hyperinflation for a given level of exercise and thereby improve submaximal exercise endurance. Methods Twenty-four patients with COPD (mean FEV(1), 36.4 +/- 8.5% of predicted [+/- SD]) undertook a high-intensity cycle ergometer exercise training program for 45 min, three times a week for 7 weeks. Before and after training, the patients performed both an incremental exercise test to maximum and a constant work rate (CWR) test on a cycle ergometer at 75% of the peak work rate obtained in the pretraining incremental test. Ventilatory variables were measured breath-by-breath, and inspiratory capacity (IC) was measured every 2 min to assess changes in end-expiratory lung volume. Results After training, the increase in peak oxygen uptake was not statistically significant; however, the peak work rate increased by 12.9 +/- 10.3 W (p < 0.01). For the CWR test performed at the same work rate both before and after training, ventilation and breathing frequency (f) were lower after training (average, 1.97 L/min and 3.2 breaths/min, respectively; p < 0.01) and IC was greater (by an average of 133 mL, p < 0.05), signifying decreased hyperinflation. The increase in IC at the point of termination in the shortest CWR test for each individual (defined as isotime) correlated well with both the decreased f (r = 0.63, p = 0.001) and with the increase in CWR exercise endurance (average, 13.1 min, r = 0.46, p = 0.023). Conclusions Exercise training in patients with severe COPD dramatically improves submaximal exercise endurance. Decreased dynamic hyperinflation may, in part, mediate the improvement in exercise endurance by delaying the attainment of a critically high inspiratory lung volume.
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“It is generally accepted that exercise training, unlike bronchodilators, does not have an impact on resting pulmonary mechanics.190”
From Pathogenesis of hyperinflation in chronic obstructive pulmonary disease (2014) · cites this paper as [190]
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“Similar to the acute effects of oxygen supplementation, exercise training reduces ventilatory needs for a given level of exertion.170,190,191”
From Pathogenesis of hyperinflation in chronic obstructive pulmonary disease (2014) · cites this paper as [190]
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Metadata
- Authors
- Porszasz, J., Emtner, M., Goto, S., Somfay, A., Whipp, B. J., & Casaburi, R.
- Affiliations
- Uppsala University (SE)
- Tokyo Women's Medical University (JP)
- University of Szeged (HU)
- The Lundquist Institute (US)
- Venue
- Chest
- Publisher
- Elsevier BV
- Published
- 2005-10
- Volume
- 128
- Issue
- 4
- Pages
- 2025-2034
- ISSN
- 0012-3692 (ISSN-L)
- OpenAlex
- W2129477026
- Cited by
- 262
- References
- 34
- Citations by year
- 2026: 8 · 2025: 3 · 2024: 6 · 2023: 8 · 2022: 6 · 2021: 8 · 2020: 11 · 2019: 14 · 2018: 11 · 2017: 12 · 2016: 8 · 2015: 20 · 2014: 14 · 2013: 23 · 2012: 10
- FWCI
- 13.26
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- CHEST Journal (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Health Sciences › Medicine › Physiology (medical) › Cardiovascular and exercise physiology
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Respiratory Support and Mechanisms
- Keywords
- chronic obstructive pulmonary disease, exercise training, inspiratory capacity, end-expiratory lung volume, peak work rate, respiratory rate, peak oxygen uptake
- MeSH terms
- Aged, Exercise Test, Female, Forced Expiratory Volume, Humans, Male, Oxygen Consumption, Physical Fitness, Residual Volume, Vital Capacity, Exercise, Pulmonary Disease, Chronic Obstructive
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