The Breath project (Project Number: 2022-1-PL01-KA220-HED-000089283) has been Co-funded by the European Union. Views and opinions expressed are however those of the author or authors only and do not necessarily reflect those of the European Union or the Foundation for the Development of the Education System. Neither the European Union nor the entity providing the grant can be held responsible for them.
Benefits of a pilot program of supervised exercise training in Idiopathic Pulmonary Fibrosis (IPF)
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Institution
Siel Bleu Fundation
Institution Typology
Rehabilitation Center
Country
Spain
Description
The main objective was to evaluate the effects on exercise capacity and health-related quality of life (hrQoL) of supervised PT (sPT) compared to non-supervised physical exercise (nsPE) and IPF patients who did not participate in this program (obsIPF) at 12 weeks (w) and at 1 year (y).
19 voluntary IPF patients followed a pilot program of sPT during 12 w. 6 patients continued voluntarily this program for a y, and 10 patients continued activity without supervision (nsPE). 3 patients were withdrawn. The main barrier was a small sample of subjects.A randomized controlled study could help to avoid bias from underpowered observational studies.
Transferability: Supervised physical exercise can be extended to the whole population of patients with idiopathic pulmonary fibrosis.
Disease
Interstitial lung disease
Activity level
Low, Medium
Activity Typology
Home-based activities
Motivation Tools
Available
Innovation
Supervised physical training showed benefits in 6MWD and hrQoL at 12 weeks.
Evaluation System
Lung function tests (LFT) and hrQoL were recorded at start, 12 week and 1 year. This group was compared with 14 obesity physical training patients.
At 12 w sPT increased a mean of 30 meters (mt) from baseline at 6MW distance (6MWD) and obsIPF decreased a mean of 29 mt. At 1 y obsIPF patients decreased a total of 33 mt at 6MWD, while sPT and nsPE had no changes from baseline (statistically significant).
Assessment
In the short term, supervised exercise training programmes have demonstrated clinical benefits in improving exercise capacity, dyspnoea and quality of life in patients with IPF. Current exercise training data in IPF provide sufficient evidence of clinical benefit for consideration to be given to recommending exercise-based pulmonary rehabilitation as the standard of care for IPF.
References
Benefits of a pilot program of supervised exercise training in Idiopathic Pulmonary Fibrosis. Jaume Bordas Martinez, Jose Manuel Palma Lopez, Mariagna Sampere Aymerich, Anna Bachs Salvado, Lurdes Planas Cerezales, Ivette Callorda Boniatti, Ferran Lopez Beltran, Rosa Planas Balague, Jordi Dorca Sargatal, Maria Molina Molina, Vanesa Vicens Zygmunt. European Respiratory Journal Sep 2018, 52 (suppl 62) PA4786; DOI: 10.1183/13993003.congress-2018.PA4786
Effect of exercise pulmonary rehabilitation on long-term outcomes in idiopathic pulmonary fibrosis. Baruch Vainshelboim, Jose Oliveira, Benjamin Fox, Mordechai Kramer
