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The efficacy of singing versus exercise training: do the data really support the authors’ conclusions?

Anouk W. Vaes, Martijn A. Spruit, Frits M.E. Franssen, Alex J. van ’t Hul, Chris Burtin, Rainer Gloeckl, Sarah Houben-Wilke
European Respiratory Journal 2021; DOI: 10.1183/13993003.02857-2021
Anouk W. Vaes
1Department of Research and Education, Ciro, Horn, The Netherlands
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  • For correspondence: anoukvaes@ciro-horn.nl
Martijn A. Spruit
1Department of Research and Education, Ciro, Horn, The Netherlands
2Department of Respiratory Medicine, Maastricht University Medical Centre, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht, The Netherlands
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Frits M.E. Franssen
1Department of Research and Education, Ciro, Horn, The Netherlands
2Department of Respiratory Medicine, Maastricht University Medical Centre, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht, The Netherlands
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Alex J. van ’t Hul
3Department of Respiratory Diseases, Radboud university medical center, Radboud Institute for Health Sciences, Nijmegen, The Netherlands
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Chris Burtin
4REVAL-Rehabilitation Research Center, BIOMED-Biomedical Research Institute, Faculty of Rehabilitation Sciences, Hasselt University, Diepenbeek, Belgium
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Rainer Gloeckl
5Institute for Pulmonary Rehabilitation Research, Schoen Klinik Berchtesgadener Land, Schoenau am Koenigssee, Germany
6Department of Pulmonary Rehabilitation, Philipps-University of Marburg, Marburg, Germany
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Sarah Houben-Wilke
1Department of Research and Education, Ciro, Horn, The Netherlands
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Extract

With great interest we have read the article by Kaasgaard et al. entitled “Use of Singing for Lung Health as an alternative training modality within pulmonary rehabilitation for COPD: an RCT” [1]. Earlier studies already suggested that singing may improve health status, respiratory muscle strength and functional exercise capacity, though, quality of evidence was often low and conflicting findings exist [2]. In this randomised controlled trial, a singing program (“Singing for Lung Health”) was compared with conventional exercise training as part of a 10-week community-based pulmonary rehabilitation (PR) program in patients with COPD. Based on their findings, the authors concluded that a singing program was not inferior to an exercise training program in improving functional exercise capacity. However, there are several methodological issues, which we like to highlight to frame these somewhat surprising results.

Footnotes

This manuscript has recently been accepted for publication in the European Respiratory Journal. It is published here in its accepted form prior to copyediting and typesetting by our production team. After these production processes are complete and the authors have approved the resulting proofs, the article will move to the latest issue of the ERJ online. Please open or download the PDF to view this article.

Conflict of interest: A. W. Vaes has nothing to disclose.

Conflict of interest: M. A. Spruit is member of the Executive Board of Ciro, which offers inpatient and outpatient pulmonary rehabilitation

Conflict of interest: F. M.E. Franssen is member of the Executive Board of Ciro, which offers inpatient and outpatient pulmonary rehabilitation and reports speaker fees from Chiesi, Boehringer Ingelheim, GlaxoSmithKline, Novartis, AstraZeneca, consultancy fees from AstraZeneca, MSD and study support from AstraZeneca, outside the submitted work.

Conflict of interest: A. J. van ’t Hul has nothing to disclose.

Conflict of interest: C. Burtin has nothing to disclose.

Conflict of interest: R. Gloeckl has nothing to disclose.

Conflict of interest: S. Houben-Wilke has nothing to disclose.

  • Received November 9, 2021.
  • Accepted November 11, 2021.
  • Copyright ©The authors 2021. For reproduction rights and permissions contact permissions{at}ersnet.org
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The efficacy of singing versus exercise training: do the data really support the authors’ conclusions?
Anouk W. Vaes, Martijn A. Spruit, Frits M.E. Franssen, Alex J. van ’t Hul, Chris Burtin, Rainer Gloeckl, Sarah Houben-Wilke
European Respiratory Journal Jan 2021, 2102857; DOI: 10.1183/13993003.02857-2021

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The efficacy of singing versus exercise training: do the data really support the authors’ conclusions?
Anouk W. Vaes, Martijn A. Spruit, Frits M.E. Franssen, Alex J. van ’t Hul, Chris Burtin, Rainer Gloeckl, Sarah Houben-Wilke
European Respiratory Journal Jan 2021, 2102857; DOI: 10.1183/13993003.02857-2021
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