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Resistance versus endurance training in patients with COPD and peripheral muscle weakness

M.A. Spruit, R. Gosselink, T. Troosters, K. De Paepe, M. Decramer
European Respiratory Journal 2002 19: 1072-1078; DOI: 10.1183/09031936.02.00287102
M.A. Spruit
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R. Gosselink
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T. Troosters
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K. De Paepe
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M. Decramer
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  • Fig. 1.—
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    Fig. 1.—

    Increments in training loads during shoulder abduction exercise expressed as a percentage of the initial one-repetition maximum (%1RM) versus time (weeks). Data are presented as mean±SD.

  • Fig. 2.—
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    Fig. 2.—

    Increments in a) treadmill speed and b) cycling load. Treadmill speed (○) is expressed as a percentage of the average speed obtained from the initial 6-min walking distance (%6MWDpeak) and treadmill duration (▴) is expressed in minutes (min) versus time (weeks). Cycling load (○) is expressed as a percentage of the initial maximum workload (%Wpeak) and cycling duration (▴) expressed in minutes (min) versus time (weeks). Data are presented as mean±SD.

  • Fig. 3.—
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    Fig. 3.—

    Change in isometric knee extension peak torque (KEPT), maximal isometric knee extension force (KEF), knee flexion force (KFF), shoulder abduction force (SAF), and elbow flexion force (EFF), all expressed as a percentage of the initial value (%init) after strength training (□) or endurance training (└). Data are presented as mean±SEM. *: p<0.05 within group; **: p<0.01 between groups.

Tables

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  • Table 1—

    Baseline characteristics

    Resistance trainingEndurance training
    Sex, M:F12:214:2
    Age yrs64±763±8
    FEV1 % pred40±1841±20
    FVC % pred75±2073±17
    TL,CO % pred*33±1356±13
    BMI, kg·m−224±526±5
    Pa,O2, mmHg63±1470±20
    Pa,CO2, mmHg42±943±8
    • Data are presented as mean±sd

    • M: male

    • F: female

    • FEV1: forced expiratory volume in one second

    • FVC: forced vital capacity

    • TL,CO: diffusion capacity for carbon monoxide

    • Pa,O2: oxygen tension in arterial blood

    • Pa,CO2: carbon dioxide tension in arterial blood

    • BMI: body mass index

    • *: p<0.05 between groups

  • Table 2—

    Baseline muscle forces, exercise capacity, and health related quality of life

    Resistance trainingEndurance training
    PI,max % pred65±1162±22
    PE,max % pred76±1474±26
    KEPT % pred61±1554±14
    HGF % pred83±2081±27
    VO2peak % pred47±1854±12
    Wpeak % pred38±1446±15
    HRpeak % HRmax pred84±891±11
    V'E/MVV %101±10104±12
    Borg score dyspnoea points8±28±2
    Borg score fatigue points7±38±1
    6MWD % pred45±1448±18
    CRDQ points72±1775±21
    • Data are presented as mean±sd

    • PI,max: maximal inspiratory pressure

    • PE,max: maximal expiratory pressure

    • KEPT: knee extension peak torque

    • HGF: handgrip force

    • VO2peak: peak oxygen uptake

    • Wpeak: peak workload

    • 6MWD: 6-min walking distance

    • Peak heart rate (HRpeak) expressed as % of maximal heart rate (HRmax) predicted

    • Ventilation (V'E) expressed as a % of maximal voluntary ventilation (MVV)

    • Borg scores for dyspnoea and fatigue were taken at Wpeak

    • Total score Chronic Respiratory Disease Questionnaire (CRDQ) expressed in points

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Resistance versus endurance training in patients with COPD and peripheral muscle weakness
M.A. Spruit, R. Gosselink, T. Troosters, K. De Paepe, M. Decramer
European Respiratory Journal Jun 2002, 19 (6) 1072-1078; DOI: 10.1183/09031936.02.00287102

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Resistance versus endurance training in patients with COPD and peripheral muscle weakness
M.A. Spruit, R. Gosselink, T. Troosters, K. De Paepe, M. Decramer
European Respiratory Journal Jun 2002, 19 (6) 1072-1078; DOI: 10.1183/09031936.02.00287102
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