Prescribing and adjusting exercise training in chronic respiratory diseases – Expert-based practical recommendations

Gloeckl, R., Zwick, R.H., Fürlinger, U., Jarosch, I., Schneeberger, T., Leitl, D., Koczulla, A.R., Vonbank, K., Alexiou, Charikleia, Vogiatzis, Ioannis and Spruit, M.A. (2022) Prescribing and adjusting exercise training in chronic respiratory diseases – Expert-based practical recommendations. Pulmonology. ISSN 2531-0437 (In Press)

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Official URL: https://doi.org/10.1016/j.pulmoe.2022.09.004

Abstract

Background
International guidelines recommend endurance (ET) and strength training (ST) in patients with chronic respiratory diseases (CRDs), but only provide rough guidance on how to set the initial training load. This may unintentionally lead to practice variation and inadequate training load adjustments. This study aimed to develop practical recommendations on tailoring ET and ST based on practices from international experts from the field of exercise training in CRDs.

Methods
35 experts were invited to address a 64-item online survey about how they prescribe and adjust exercise training.

Results
Cycling (97%) and walking (86%) were the most commonly implemented ET modalities. Continuous endurance training (CET, 83%) and interval endurance training (IET, 86%) were the frequently applied ET types. Criteria to prescribe IET instead of CET were: patients do not tolerate CET due to dyspnoea at the initial training session (79%), intense breathlessness during initial exercise assessment (76%), and/or profound exercise-induced oxygen desaturation (59%). For ST, most experts (68%) recommend 3 sets per exercise; 62% of experts set the intensity at a specific load that patients can tolerate for a range of 8 to 15 repetitions per set. Also, 56% of experts advise patients to approach local muscular exhaustion at the end of a single ST set.

Conclusions
The experts´ practices were summarized to develop practical recommendations in the form of flowcharts on how experts apply and adjust CET, IET, and ST in patients with CRDs. These recommendations may guide health care professionals to optimize exercise training programs in patients with CRDs.

Item Type: Article
Uncontrolled Keywords: COPD, Endurance training, Guideline, Pulmonary rehabilitation, Resistance training, Strength training
Subjects: C600 Sports Science
Department: Faculties > Health and Life Sciences > Sport, Exercise and Rehabilitation
Depositing User: John Coen
Date Deposited: 25 Oct 2022 09:33
Last Modified: 25 Oct 2022 09:45
URI: https://nrl.northumbria.ac.uk/id/eprint/50450

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