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A Network Meta-Analysis of Aerobic, Resistance, Endurance, and High-Intensity Interval Training to Prioritize Exercise for Stable COPD.

International journal of chronic obstructive pulmonary disease
May 5, 2024
Xu Tian et al. (5 authors)
Journal ArticleNetwork Meta-AnalysisHuman Study
Study Details

Study Goal

The researchers aimed to compare the effectiveness of High-Intensity Interval Training (HIIT) with other exercise types (aerobic, resistance, and endurance training) in improving outcomes like exercise capacity, pulmonary function, and quality of life in stable COPD patients.

Results Summary

HIIT was found to be the most favorable exercise type for enhancing 6-minute walk test distance (6MWD), with an 82.9% probability of being the most effective. However, it was not the top performer in improving pulmonary function or quality of life, where endurance training and resistance training showed superiority, respectively.

Population

951 patients with stable chronic obstructive pulmonary disease (COPD).

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (7)
InterventionDirectionEndpointPopulationDosageImpactClaim #
high-intensity interval training (HIIT)
increase
6-minute walk test distance (6MWD)
patients with stable COPD
probability of 82.9%
emerged as the most favorable exercise type for enhancing
#1
resistance training (RT)
decrease
St. George's Respiratory Questionnaire (SGRQ) score
patients with stable COPD
probability of 49.8%
exhibited the greatest efficacy in reducing
#2
endurance training (ET)
increase
forced expiratory volume in one second (FEV1)
patients with stable COPD
probability of being most effective at 78.1%
demonstrated superiority in improving
#3
endurance training (ET)
increase
forced vital capacity (FVC)
patients with stable COPD
probability of being most effective at 42.0%
demonstrated superiority in improving
#4
high-intensity interval training (HIIT)
increase
exercise capacity
stable COPD patients
-
may be a viable intervention for improving
#5
resistance training (RT)
increase
quality of life
-
-
may hold promise for improving
#6
endurance training (ET)
increase
pulmonary function
-
-
may demonstrate superiority in improving
#7
Abstract

PURPOSE: While the benefits of exercises for chronic obstructive pulmonary disease (COPD) are well-established, the relative effectiveness of different exercise types for stable COPD remains unclear. This network meta-analysis aims to investigate the comparative effects of aerobic exercise (AE), resistance training (RT), endurance training (ET), and high-intensity interval training (HIIT) in stable COPD. METHODS: Electronic searches were performed in PubMed, Embase, and the Cochrane library to identify relevant randomized controlled trials (RCTs) investigating the effects of exercises on 6-minute walk test distance (6MWD), forced expiratory volume in one second (FEV1), and forced vital capacity (FVC), and St. George's Respiratory Questionnaire (SGRQ) score. Two authors screened the retrieved articles, extracted relevant data, and assessed the risk of bias. Network meta-analysis was conducted using Stata 14.0. RESULTS: This study included a total of 19 studies involving 951 patients with stable COPD. HIIT emerged as the most favorable exercise type for enhancing 6MWD, with a probability of 82.9%. RT exhibited the greatest efficacy in reducing SGRQ scores, with probability of 49.8%. Notably, ET demonstrated superiority in improving FEV1 and FVC, with probabilities of being most effective at 78.1% and 42.0%, respectively. CONCLUSION: This study suggests that HIIT may be a viable intervention for improving exercise capacity in stable COPD patients, compared to AE, RR, and ET. RT may hold promise for improving quality of life, and ET may demonstrate superiority in improving pulmonary function. However, variation in response likely depends on patient characteristics, program parameters, and delivery context. Future research should explore the synergistic effects of combining RT with ET/HIIT, focusing on patient subgroups, optimal dosing, and settings, as current guidelines indicate this combination may offer the most significant benefits.

Medical Subject Headings (MeSH)
HumansEndurance TrainingExercise TherapyExercise ToleranceForced Expiratory VolumeHigh-Intensity Interval TrainingLungPulmonary Disease, Chronic ObstructiveQuality of LifeRecovery of FunctionResistance TrainingTime FactorsTreatment OutcomeVital CapacityWalk Test
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality80/10
Citation Metrics
Total Citations1
Citations/Year1.0
Research Impact Scores
APT Score0.50
Weight Score2.60
Normalized Score0.70