Improvement of the cardiopulmonary capacity of patients with chronic obstructive pulmonary disease of Kinshasa by training of aerobic endurance and resistance

Year 2018, , 149 - 154, 30.12.2018

Mabele Godefroid Kusuayi , Ekisawa Constant Nkiama Ngasa Nicias Kiana Nzeloka Jolie Bongo Ntumba Jean Marie Kayembe

https://doi.org/10.31459/turkjkin.466236

Cited By: 3

Abstract

The objective is to determine the effect of aerobic endurance training and resistance on cardiorespiratory fitness in patients with Chronic Obstructive Pulmonary Disease in Kinshasa, Democratic Republic of Congo. In a follow-up study with a duration of 36 weeks, between March and May 2018, 30 mismatched patients with a mean age of 49 ± 9.7 years followed after medical management at the Kinesiology Department's medical fitness laboratory and functional exercises of University Clinics of Kinshasa, were subject to an aerobic endurance and resistance training program of 3 days per week, for one hour 30 minutes per day, three sets of 20 minutes of work and 10 minutes of rest, of moderate intensity including: treadmill walking, ergo-cycle exercises with progressive loading and respiratory gymnastics. The paired Student T test was used to compare the continuous variables before and after the program. A significant decrease in most of the parameters studied respectively: (- 23 bpm) p <0.0001 for resting heart rate; (- 26 bpm); p <0.0001 for heart rate immediately after exercise (-10 mm Hg); p <0.0001 for systolic blood pressure; (- 8 cycles per minute); p <0.0001 for the respiratory rate; (- 20.7%); p <0.0001 for workload (intensity of effort) and (- 10 minutes); p <0.0001 for dyspnea on exertion. On the other hand, a significant increase of: (+ 2.6 liter per second); p <0.0001 for Peak Expiratory Flow; (+ 19%); p <0.0001 for the Tiffeneau index; (+ 51minutes); p <0.0001 for the duration of sensation of fatigue during exercise; (+ 6%), p <0.0001 for oxygen saturation in the open air and (+ 640 meters); p <0.0001 for the walking area. A training program for aerobic endurance and resistance significantly improves the stress tolerance of patients with Chronic Obstructive Pulmonary Disease and can be considered as an effective non-pharmacological management for the improvement of physical capacity as well as the quality of life of these patients. 

Keywords

Aerobic endurance, cardiorespiratory capacity, MPCO, training

References

• American Thoracic Society and European Respiratory Society. Skeletal muscle dysfunction in chronic obstructive pulmonary disease. a statement of the American Thoracic Society and European Respiratory Society. Am J Respir Crit Care Med, 1999; 159: S1 -40.
• Borghi-Silva A, Mendes RG, Trimer R, Oliveira CR, Fregonezi GA, Resqueti VR, Costa D. Potential effect of 6 versus 12-weeks of physical training on cardiac autonomy function and exercise capacity in chronic obstructive pulmonary disease. Eur J Phys Rehabil Med, 2015; 51(2): 211-221.
• Bryanton V, Chen Y, Johanson H, Leeb K, McRae A, Michealson P, Nair C, Stewart P. Respiratory disease in Canada Statistiques Canada, Santé Canada, 2001.
• Cambach W, Wagenaar RC, Koelman TW, van Keimpema AR, Kemper HC. The long-term effects of pulmonary rehabilitation in patients with asthma and chronic obstructive pulmonary disease: a research synthesis. Arch Phys Med Rehabil, 1999; 80: 103-111.
• Cambach W, Wagenaar RC, Koelman TW, van Keimpema AR, Kemper HC. The long-term effects of pulmonary rehabilitation in patients with asthma and chronic obstructive pulmonary disease: are search synthesis. Arch Phys Med Rehabil, 1999; 80(1): 103-111.
• Camilli AE, Robbins DR, Lebowitz MD. Death certificate reporting of confirmed airways obstructive disease. Am J Epidemiol, 1991; 133: 795-800.
• O’Donnell DE, Aaron S, Bourbeau J, Hemandez P, Marciniuk D, Balter M, Ford G, Gervais A, Goldstein R, Hodder R, Maltais F, Road J. Canadian Thoracic Society recommendations for management of chronic obstructive pulmonary disease-2003. Can Respir J, 2003; 10 Suppl A: 11A-65A.
• Fahy BF. Pulmonary rehabilitation for chronic obstructive pulmonary disease: a scientific and political agenda. Respir Care, 2004; 49: 28-38.
• Godefroid KM, Constant NE, Christophe D, Francois LB, Alosha NN. Effect of a structured physical exercises program on cardiovascular risk factors related to the metabolic syndrome in obese workers of Kinshasa in Democratic Republic of Congo. Sports and Science, 2018; 33(3): 115-122.
• Godefroid KM, Constant NE, Christophe D, Francois LB, Alosha NN. Evaluation de la prevalence de hypertension artérielle de l’adulte en milieu du travail à Kinshasa, République Démocratique du Congo. Sports and Science, 2018; 33(4): 213-220.
• Heyward V. Advanced fitness assessment and exercise prescription (Six th Edition ed.). US: Human Kinetics, 2010. Jean-Jacques Gauthier, Philippe Bolduc, Yvon Cormier, and Pierre Nadeau. Pneumologie Clinique Les presses de l'Université de Montréal, 2002.
• Karvonen J, Chwalbinska-moneta J, Pekkarinen H, Savola R. Abnormal ECG findings and heard function examined by non-invasive methods in a group of athletes. J Sports Med Phys Fitness, 1983; 23(4): 364-372.
• Kunsgea. Ventilatory muscle endurance training in normal subjects and patients with captic fibrosis. Am Rev Respir Dis, 1977; 41(4): 508-516.
• Kusuayi MG, NKiama EC. Level of physical activity and eating behavior: Risk factors associated with sedentariness among employees of a company in the city of Kinshasa province. Turk J Kinesiol, 2018; 4(3): 82-90. DOI: 10.31459/turkjkin.439760
• Kusuayi MG, Constant NE, Christophe D, Teddy BL, Nicias KN, Francois LB. Effects of a physical exercise program on the level of physical activity and energy expenditure of obese workers in Kinshasa in the Democratic Republic of Congo. International Journal of Kinesiology & Sports Science, 2018; 6(2): 1- 6
• Laçasse Y, Wong E, Guyatt GH, King D, Cook DJ, Goldstein RS. Meta-analysis of respiratory rehabilitation in chronic obstructive pulmonary disease. Lancet, 1996; 348: 1115-1119.
• Lakka T, Vanalainen JM, Rauramaa R, Salomen R, Tuomiletho J. Relation of leisure-time physical activity and cardiorespiratory fitness to the risk of acute myocardial infarction. N Engl J Med, 1994; 330-22): 1549-1554.
• Maltais F, Simard AA, Simard C, Jobin J, Desgagnes P, LeBlanc P. Oxidative capacity of the skeletal muscle and lactic acid kinetics during exercise in normal subjects and in patients with COPD. Am J Respir Crit Care Med, 1996; 153: 288-293.
• Mehri SN, Khoshnevis MA, Zarrehbinan F, Hafezi S, Ghasemi A, Ebadi A. Effect of treadmill exercise training on VO2 peak in chronic obstructive pulmonary Disease. Tanaffos, 2007; 6(4): 18-24.
• National Center for Health Statistics. Death: final data for 2001. National Vital Statistics Report 52, 2003.
• Pagani M, Lucini D, Pizzinelli P, Sergi M, Bosisio E, Mela GS, Malliani A. Effects of aging and of chronic obstructive pulmonary disease on RR interval variability. J Auton Nerv Syst, 1996; 59(3): 125-132.
• Pardy R, Rivington R, Despas P, Macklem P. Inspiratory muscle training compared with physiotherapy in pateints with chronic airflow limitation. Am Rev Respir Dis, 1981; 123(4): 421-425.
• Pauwels RA, Buist AS, Calverley PM, Jenkins CR, Hurd SS, Gold Scientific Committee. Global strategy for the diagnosis, management, and prévention of chronic obstructive pulmonary disease. NHLBI/WHO global initiative for chronic obstructive lung disease (GOLD) workshop summary. 2001; Am J Respir Crit Care Med, 163: 1256-1276.
• Puhan M, Schunemann H, Frey M, Scharplatz M, Bachmann L. How should COPD patients exercise during respiratory rehabilitation? Comparison of exercise modalities and intensities to treat skeletal muscle dysfunction. Thorax, 2005; 60(5): 367-375. doi: 10.i136/thx.2004.033274
• Ricci-Vitor AL, Bonfim R, Fosco LC, Bertolini GN, Ramos EM, Ramos D, Pastre CM, Godoy M, Vanderlei LC. Influence of the resistance training on heart rate variability, functional capacity and muscle strength in the chronic obstructive pulmonary disease. Eur J Phys Rehabil Med, 2013; 49(6): 793-801.
• Ries AL, Carlin BW, Carrieri-Kohlman V, Casaburi R, Celli BR, Emery CF, Hodgkin JE, Mahler DA, Make B, Skolnick J. Pulmonary Rehabilitation: Joint ACCP/AACVPR Evidence-Based Guidelines. J Cardiopulm Rehabil, 1997; 17(6): 371-405.
• Rochester CL. Exercise training in chronic obstructive pulmonary disease. J Rehabil Res Dev, 2003; 40(5 Suppl 2): 59-80.
• Salman GF, Mosier MC, Beasley BW, Calkins DR. Rehabilitation for patients with chronic obstructive pulmonary disease: meta- analysis of randomized controlled trials. J Gen Intern Med, 2003; 18: 213-221.
• Tomas LH, Varkey B. Improving health-related quality of life in chronic obstructive pulmonary disease. Curr Opin Pulm Med, 2004; 10: 120-127.
• Van Gestel AJ, Kohler M, Steier J, Sommerwerck U, Teschler S, Russi EW, Teschler H. Cardiac autonomie function and cardiovascular response to exercise in patients with chronic obstructive pulmonary disease. Int J Chron Obstruct Pulmon Dis, 2012; 9(2): 160-165. doi: 10.3109115412555.2011.647130
• Vogiatzis I, Zakynthinos S. The physiological basis of rehabilitation in chronic heart and lung disease. J Appl Physiol (1985), 2013; 115(1): 16-21. doi: 10.1152/japplphysiol.OO 195.2013
• Walk JA, Hart CL, Soriano JB. What do COPD patients die of? A multiple cause coding analysis for England and Wales from 1993-99. Am J Respir Crit Care Med, 2003; 167(7): A237.