The impact of obesity on walking and cycling performance and response to pulmonary rehabilitation in COPD
Identifieur interne : 000A95 ( Main/Merge ); précédent : 000A94; suivant : 000A96The impact of obesity on walking and cycling performance and response to pulmonary rehabilitation in COPD
Auteurs : Francesco Sava [Canada] ; Louis Laviolette [Canada] ; Sarah Bernard [Canada] ; Marie-Josée Breton [Canada] ; Jean Bourbeau [Canada] ; François Maltais [Canada]Source :
- BMC Pulmonary Medicine [ 1471-2466 ] ; 2010.
Abstract
We examined the influence of overweight and obesity on pulmonary function, exercise tolerance, quality of life and response to pulmonary rehabilitation in COPD.
261 patients with COPD were divided into three groups: normal body mass index (BMI), overweight and obese. Baseline and post rehabilitation pulmonary function, 6-min walking test (6MWT), endurance time during a constant workrate exercise test (CET) and St. George's Respiratory Questionnaire (SGRQ) scores were compared between all three classes of BMI.
At baseline, obese and overweight patients had less severe airflow obstruction compared to normal BMI patients. There was no baseline difference in CET performance or SGRQ scores across BMI classes and 6MWT was reduced in the presence of obesity (p < 0.01). Compared to baseline, post-rehabilitation 6MWT, CET performance and SGRQ scores improved significantly in each group (p < 0.01), but 6MWT was still significantly lower in the presence of obesity.
Walking, but not cycling performance was worse in obese patients. This difference was maintained post rehabilitation despite significant improvements. Weight excess may counterbalance the effect of a better preserved respiratory function in the performance of daily activities such as walking. However, obesity and overweight did not influence the magnitude of improvement after pulmonary rehabilitation.
Url:
DOI: 10.1186/1471-2466-10-55
PubMed: 21054892
PubMed Central: 2987952
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Pneumologie de Québec, Université Laval, Québec, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Centre de recherche, Institut Universitaire de Cardiologie et de Pneumologie de Québec, Université Laval, Québec</wicri:regionArea><wicri:noRegion>Québec</wicri:noRegion></affiliation></author><author><name sortKey="Bernard, Sarah" sort="Bernard, Sarah" uniqKey="Bernard S" first="Sarah" last="Bernard">Sarah Bernard</name><affiliation wicri:level="1"><nlm:aff id="I1">Centre de recherche, Institut Universitaire de Cardiologie et de Pneumologie de Québec, Université Laval, Québec, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Centre de recherche, Institut Universitaire de Cardiologie et de Pneumologie de Québec, Université Laval, Québec</wicri:regionArea><wicri:noRegion>Québec</wicri:noRegion></affiliation></author><author><name sortKey="Breton, Marie Josee" sort="Breton, Marie Josee" uniqKey="Breton M" first="Marie-Josée" last="Breton">Marie-Josée Breton</name><affiliation wicri:level="3"><nlm:aff id="I2">Respiratory Epidemiology and Clinical Research Unit, Montreal Chest Institute of the Royal Victoria Hospital, McGill University Health Centre, McGill University, Montreal, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Respiratory Epidemiology and Clinical Research Unit, Montreal Chest Institute of the Royal Victoria Hospital, McGill University Health Centre, McGill University, Montreal</wicri:regionArea><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author><author><name sortKey="Bourbeau, Jean" sort="Bourbeau, Jean" uniqKey="Bourbeau J" first="Jean" last="Bourbeau">Jean Bourbeau</name><affiliation wicri:level="3"><nlm:aff id="I2">Respiratory Epidemiology and Clinical Research Unit, Montreal Chest Institute of the Royal Victoria Hospital, McGill University Health Centre, McGill University, Montreal, 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impact of obesity on walking and cycling performance and response to pulmonary rehabilitation in COPD</title><author><name sortKey="Sava, Francesco" sort="Sava, Francesco" uniqKey="Sava F" first="Francesco" last="Sava">Francesco Sava</name><affiliation wicri:level="1"><nlm:aff id="I1">Centre de recherche, Institut Universitaire de Cardiologie et de Pneumologie de Québec, Université Laval, Québec, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Centre de recherche, Institut Universitaire de Cardiologie et de Pneumologie de Québec, Université Laval, Québec</wicri:regionArea><wicri:noRegion>Québec</wicri:noRegion></affiliation></author><author><name sortKey="Laviolette, Louis" sort="Laviolette, Louis" uniqKey="Laviolette L" first="Louis" last="Laviolette">Louis Laviolette</name><affiliation wicri:level="1"><nlm:aff id="I1">Centre de recherche, Institut Universitaire de Cardiologie et de Pneumologie de Québec, Université Laval, Québec, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Centre de recherche, Institut Universitaire de Cardiologie et de Pneumologie de Québec, Université Laval, Québec</wicri:regionArea><wicri:noRegion>Québec</wicri:noRegion></affiliation></author><author><name sortKey="Bernard, Sarah" sort="Bernard, Sarah" uniqKey="Bernard S" first="Sarah" last="Bernard">Sarah Bernard</name><affiliation wicri:level="1"><nlm:aff id="I1">Centre de recherche, Institut Universitaire de Cardiologie et de Pneumologie de Québec, Université Laval, Québec, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Centre de recherche, Institut Universitaire de Cardiologie et de Pneumologie de Québec, Université Laval, Québec</wicri:regionArea><wicri:noRegion>Québec</wicri:noRegion></affiliation></author><author><name sortKey="Breton, Marie Josee" sort="Breton, Marie Josee" uniqKey="Breton M" first="Marie-Josée" last="Breton">Marie-Josée Breton</name><affiliation wicri:level="3"><nlm:aff id="I2">Respiratory Epidemiology and Clinical Research Unit, Montreal Chest Institute of the Royal Victoria Hospital, McGill University Health Centre, McGill University, Montreal, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Respiratory Epidemiology and Clinical Research Unit, Montreal Chest Institute of the Royal Victoria Hospital, McGill University Health Centre, McGill University, Montreal</wicri:regionArea><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author><author><name sortKey="Bourbeau, Jean" sort="Bourbeau, Jean" uniqKey="Bourbeau J" first="Jean" last="Bourbeau">Jean Bourbeau</name><affiliation wicri:level="3"><nlm:aff id="I2">Respiratory Epidemiology and Clinical Research Unit, Montreal Chest Institute of the Royal Victoria Hospital, McGill University Health Centre, McGill University, Montreal, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Respiratory Epidemiology and Clinical Research Unit, Montreal Chest Institute of the Royal Victoria Hospital, McGill University Health Centre, McGill University, Montreal</wicri:regionArea><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author><author><name sortKey="Maltais, Francois" sort="Maltais, Francois" uniqKey="Maltais F" first="François" last="Maltais">François Maltais</name><affiliation wicri:level="1"><nlm:aff id="I1">Centre de recherche, Institut Universitaire de Cardiologie et de Pneumologie de Québec, Université Laval, Québec, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Centre de recherche, Institut Universitaire de Cardiologie et de Pneumologie de Québec, Université Laval, Québec</wicri:regionArea><wicri:noRegion>Québec</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Pulmonary Medicine</title><idno type="eISSN">1471-2466</idno><imprint><date when="2010">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>We examined the influence of overweight and obesity on pulmonary function, exercise tolerance, quality of life and response to pulmonary rehabilitation in COPD.</p></sec><sec><title>Methods</title><p>261 patients with COPD were divided into three groups: normal body mass index (BMI), overweight and obese. Baseline and post rehabilitation pulmonary function, 6-min walking test (6MWT), endurance time during a constant workrate exercise test (CET) and St. George's Respiratory Questionnaire (SGRQ) scores were compared between all three classes of BMI.</p></sec><sec><title>Results</title><p>At baseline, obese and overweight patients had less severe airflow obstruction compared to normal BMI patients. There was no baseline difference in CET performance or SGRQ scores across BMI classes and 6MWT was reduced in the presence of obesity (p < 0.01). Compared to baseline, post-rehabilitation 6MWT, CET performance and SGRQ scores improved significantly in each group (p < 0.01), but 6MWT was still significantly lower in the presence of obesity.</p></sec><sec><title>Conclusions</title><p>Walking, but not cycling performance was worse in obese patients. This difference was maintained post rehabilitation despite significant improvements. Weight excess may counterbalance the effect of a better preserved respiratory function in the performance of daily activities such as walking. However, obesity and overweight did not influence the magnitude of improvement after pulmonary rehabilitation.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Schols, Am" uniqKey="Schols A">AM Schols</name></author><author><name sortKey="Slangen, J" uniqKey="Slangen J">J Slangen</name></author><author><name sortKey="Volovics, L" uniqKey="Volovics L">L Volovics</name></author><author><name sortKey="Wouters, Ef" uniqKey="Wouters E">EF Wouters</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bernard, S" uniqKey="Bernard S">S Bernard</name></author><author><name sortKey="Leblanc, P" uniqKey="Leblanc P">P Leblanc</name></author><author><name sortKey="Whittom, F" uniqKey="Whittom F">F Whittom</name></author><author><name sortKey="Carrier, G" uniqKey="Carrier G">G Carrier</name></author><author><name sortKey="Jobin, J" uniqKey="Jobin J">J Jobin</name></author><author><name sortKey="Belleau, R" 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uniqKey="Kawata N">N Kawata</name></author><author><name sortKey="Shibayama, T" uniqKey="Shibayama T">T Shibayama</name></author><author><name sortKey="Matsumoto, H" uniqKey="Matsumoto H">H Matsumoto</name></author><author><name sortKey="Hamada, N" uniqKey="Hamada N">N Hamada</name></author><author><name sortKey="Hirano, A" uniqKey="Hirano A">A Hirano</name></author><author><name sortKey="Kimura, G" uniqKey="Kimura G">G Kimura</name></author><author><name sortKey="Okada, C" uniqKey="Okada C">C Okada</name></author><author><name sortKey="Endo, S" uniqKey="Endo S">S Endo</name></author><author><name sortKey="Yamashita, M" uniqKey="Yamashita M">M Yamashita</name></author><author><name sortKey="Date, H" uniqKey="Date H">H Date</name></author><author><name sortKey="Takahashi, K" uniqKey="Takahashi K">K Takahashi</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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