RT Journal Article SR Electronic T1 High-intensity knee extensor training restores skeletal muscle function in COPD patients JF European Respiratory Journal JO Eur Respir J FD European Respiratory Society SP 1130 OP 1136 DO 10.1183/09031936.00193411 VO 40 IS 5 A1 Eivind Brønstad A1 Øivind Rognmo A1 Arnt Erik Tjonna A1 Hans Henrich Dedichen A1 Idar Kirkeby-Garstad A1 Asta K. Håberg A1 Charlotte Bjørk Ingul A1 Ulrik Wisløff A1 Sigurd Steinshamn YR 2012 UL http://erj.ersjournals.com/content/40/5/1130.abstract AB Improving reduced skeletal muscle function is important for optimising exercise tolerance and quality of life in chronic obstructive pulmonary disease (COPD) patients. By applying high-intensity training to a small muscle group, we hypothesised a normalisation of muscle function. Seven patients with COPD performed 6 weeks (3 days·week−1) of high-intensity interval aerobic knee extensor exercise training. Five age-matched healthy individuals served as a reference group. Muscle oxygen uptake and mitochondrial respiration of the vastus lateralis muscle were measured before and after the 6-week training programme. Initial peak work and maximal mitochondrial respiration were reduced in COPD patients and improved significantly after the training programme. Peak power and maximal mitochondrial respiration in vastus lateralis muscle increased to the level of the control subjects and were mainly mediated via improved complex I respiration. Furthermore, when normalised to citrate synthase activity, no difference in maximal respiration was found either after the intervention or compared to controls, suggesting normal functioning mitochondrial complexes. The present study shows that high-intensity training of a restricted muscle group is highly effective in restoring skeletal muscle function in COPD patients.