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Understanding the effectiveness of different exercise training programme designs on V̇O2peak in COPD: a component network meta-analysis
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Understanding the effectiveness of different exercise training programme designs on V̇O2peak in COPD: a component network meta-analysis
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Journal Article
Understanding the effectiveness of different exercise training programme designs on V̇O2peak in COPD: a component network meta-analysis
2023
Overview
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 V̇O2peak in COPD. The included 59 studies involving 2191 participants demonstrated that V̇O2peak 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.
Publisher
BMJ Publishing Group Ltd and British Thoracic Society,BMJ Publishing Group LTD
