Exercise training is a key component in COPD management and can lead to multiple physiological and clinically relevant adaptations and improvements. Different exercise modalities are (likely) needed to manage the disease as it is clear that one-size-does-not-fit-all when it comes to COPD management.
Prof. Andre Nyberg (Umea University, Sweden) discussed various aspects of exercise training for patients with COPD. He stated that low muscle mass in patients with COPD holds a 4-fold increase in mortality risk . “However, we do not really know what happens within the muscle tissue, so we still need to learn which type of exercise is suitable for which patient,” he commented. “It is clear though, that exercise training is a cornerstone of COPD management,” Prof. Nyberg stated. “Exercise is effective independent of the GOLD stage, symptom severity, or disease control.” Referring to the type of exercise, aerobic and resistance training are very effective . “In addition, the type and level of exercise need to be customised for the individual patient according to the disease manifestations and its imposed limitations as well as harmonised with lifestyle adjustments.” To this end, new targets have been set by the guidelines, focusing not only on patients who experience reduced strength, but also reduced muscle power, and endurance [3,4]. Prof. Nyberg warned that the response may differ at individual level, and that patients with even mild COPD can experience difficulties in progressing exercise workloads which calls for alternative strategies. Besides, variation is very important to prevent stagnation . “So, though exercise training in patients with COPD is effective, there is still room for improvement at the individual level .”
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- Nolan CM, et al. COPD. 2019;16(5-6):378–389.
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- Evans RA, et al. Chest. 2015;147(3):673-684.
- Klijn P, et al. Am J Respir Crit Care Med. 2013;188(2):193–200.
- Nyberg A. Exercise adaptations and -prescription in COPD. Nordic Lung Congress 2022, 01–03 June, Copenhagen, Denmark
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Table of Contents: NLC 2022
NLC 2022 Highlights Podcast
Respiratory Disease and Physical Activity
Physical activity improves asthma control
Tailored exercise needed for COPD patients
Exercise training for IPF patients is feasible but access needs to be improved
Respiratory Disease and Reproduction
Asthma increases risks around delivery
PRO-ART study: unravelling the link between asthma and subfertility
Early-onset and uncontrolled asthma: strong association with recurrent pregnancy loss
Palliative Care in Respiratory Diseases
Advance care planning
Biologics in Asthma
Severe asthma in the spotlights
Common comorbidities in severe asthma
Treatable Traits in Obstructive Airway Diseases
Targeting treatable traits allows a personalised approach to management of (severe) asthma
Challenges in Upper Airway Diseases
Exercise-induced laryngeal obstruction (EILO) is often misdiagnosed
The role of biologics in CRSwNP
The ULANC Group: working together in CRSwNP/asthma
Interstitial Lung Diseases (ILD)
Rheumatoid arthritis-associated ILD
Thoracic ultrasound: a new diagnostic imaging tool in RA-ILD?
Update on treatment of fibrotic ILD
Lung Cancer Screening in the Nordics
Lung cancer screening in Denmark
Points of interest for radiologists screening for lung cancer
E-cigarettes impose detrimental effects on health
Effects of passive vaping in COPD patients
Vaping amongst adolescents: an alarming trend
Tuberculosis and Sarcoidosis
New antigens in sarcoidosis
Detection of latent TB infection key to preventing the spread of the disease
New antigens in sarcoidosis
Fatigue syndrome in sarcoidosis