Effects of exercise intensity on nutritional status, body composition, and energy balance in patients with COPD: a randomized controlled trial

被引:1
作者
Ikeuchi, Tomoyuki [1 ,2 ]
Shingai, Kazuya [1 ,2 ]
Ichiki, Katsuyuki [3 ]
Jimi, Takeo [3 ]
Kawano, Tetsuya [3 ]
Kato, Kaori [3 ]
Tsuda, Toru [3 ]
机构
[1] Kirigaoka Tsuda Hosp, Dept Pulm Rehabil Ctr, 3-9-20 Kirigaoka,Kokurakita Ku, Kitakyushu, Fukuoka 8020052, Japan
[2] Nagasaki Univ, Grad Sch Biomed Sci, Dept Phys Therapy Sci, 1-7-1 Sakamoto, Nagasaki 8528520, Japan
[3] Kirigaoka Tsuda Hosp, Dept Resp Med, 3-9-20 Kirigaoka,Kokurakita Ku, Kitakyushu, Fukuoka 8020052, Japan
关键词
Chronic obstructive pulmonary disease; Exercise therapy; Nutritional status; Weight loss; OBSTRUCTIVE PULMONARY-DISEASE; CLINICALLY IMPORTANT DIFFERENCE; DIETARY-INTAKE; STRENGTH; INTERVENTION;
D O I
10.1186/s12890-024-03448-1
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
BackgroundHigh-intensity exercise is recommended for the pulmonary rehabilitation of patients with chronic obstructive pulmonary disease (COPD); however, it can cause an energy imbalance due to increased energy expenditure. Here, we aimed to explore the effect of reducing exercise intensity on energy balance in patients with COPD experiencing high-intensity training-induced weight loss.MethodsAll participants underwent high-intensity endurance and resistance training for a 2-week preliminary period. Those who lost more than 1% of their weight were then randomized to either continue high-intensity exercise (AA group) or switch to low-intensity exercise (AB group) for another 2 weeks (experimental period).ResultsThe analysis included 30 participants (AA, n = 15; AB, n = 15). The AA group showed significant increases in body composition, dietary intake, nutritional status, muscle strength, and exercise capacity at week 4 than at week 2, with no significant changes in the AB group. After the experimental period, a greater proportion of the AA group had energy intake exceeding expenditure than did the AB group (80% vs. 40%).ConclusionsIn patients with COPD who lost body weight during pulmonary rehabilitation with high-intensity exercise, continuing this exercise had a more positive effect on body composition, nutritional status, physical function, and energy balance than did reducing exercise intensity. These results suggest the importance of continuing high-intensity exercise, while taking into consideration energy intake and nutritional therapy, even when body weight loss occurs during pulmonary rehabilitation in patients with COPD.Trial registrationThis study was retrospectively registered on the UMIN-CTR as UMIN000050976 on May 5, 2023.
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页数:13
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共 39 条
[1]   2011 Compendium of Physical Activities: A Second Update of Codes and MET Values [J].
Ainsworth, Barbara E. ;
Haskell, William L. ;
Herrmann, Stephen D. ;
Meckes, Nathanael ;
Bassett, David R., Jr. ;
Tudor-Locke, Catrine ;
Greer, Jennifer L. ;
Vezina, Jesse ;
Whitt-Glover, Melicia C. ;
Leon, Arthur S. .
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE, 2011, 43 (08) :1575-1581
[2]   Age-Related Decline in Vertical Jumping Performance in Masters Track and Field Athletes: Concomitant Influence of Body Composition [J].
Alvero-Cruz, Jose R. ;
Brikis, Mieszko ;
Chilibeck, Phil ;
Frings-Meuthen, Petra ;
Vico Guzman, Jose F. ;
Mittag, Uwe ;
Michely, Sarah ;
Mulder, Edwin ;
Tanaka, Hirofumi ;
Tank, Jens ;
Rittweger, Joern .
FRONTIERS IN PHYSIOLOGY, 2021, 12
[3]  
[Anonymous], 2023, Global Strategy for the Diagnosis, Managment, and Prevention of Chronic Obstructive Pulmonary Disease
[4]  
[Anonymous], 2009, Dietary Reference Intake for Japanese
[5]   Combined Exercise Training and Nutritional Interventions or Pharmacological Treatments to Improve Exercise Capacity and Body Composition in Chronic Obstructive Pulmonary Disease: A Narrative Review [J].
Brauwers, Bente ;
Machado, Felipe V. C. ;
Beijers, Rosanne J. H. C. G. ;
Spruit, Martijn A. ;
Franssen, Frits M. E. .
NUTRIENTS, 2023, 15 (24)
[6]   Assessment of nutritional status in the healthcare setting in Spain [J].
Campos del Portillo, Rocio ;
Palma Miila, Samara ;
Garcia Vaquez, Natalia ;
Plaza Lopez, Bricia ;
Bermejo Lopez, Laura ;
Riobo Servan, Pilar ;
Pablo Garcia-Luna, Pedro ;
Gomez-Candela, Carmen .
NUTRICION HOSPITALARIA, 2015, 31 :196-207
[7]  
Cohen J. W, 1988, STAT POWER ANAL BEHA
[8]   Determinants of prognosis in geriatric patients followed in respiratory ICU; either infection or malnutrition [J].
Doganay, Guler Eraslan ;
Cirik, Mustafa Ozgur .
MEDICINE, 2021, 100 (36) :E27159
[9]   Assessment of energy intake in women with chronic obstructive pulmonary disease: A doubly labeled water method study [J].
Farooqi, N. ;
Slinde, F. ;
Haglin, L. ;
Sandstrom, T. .
JOURNAL OF NUTRITION HEALTH & AGING, 2015, 19 (05) :518-524
[10]   Energy expenditure of acutely ill hospitalised patients [J].
Gariballa, Salah ;
Forster, Sarah .
NUTRITION JOURNAL, 2006, 5 (1)