Effect of different exercise programs on lung function in people with chronic obstructive pulmonary disease: A network meta-analysis of RCTs

dc.creatorPriego-Jiménez, Susana
dc.creatorCavero-Redondo, Iván
dc.creatorPascual-Morena, Carlos
dc.creatorMartínez-García, Irene
dc.creatorMartínez-Vizcaíno, Vicente
dc.creatorÁlvarez-Bueno, Celia
dc.date2024-06-19T04:53:55Z
dc.date2024-06-19T04:53:55Z
dc.date2024
dc.date.accessioned2024-07-17T21:14:58Z
dc.date.available2024-07-17T21:14:58Z
dc.identifier10.1016/j.rehab.2023.101792
dc.identifier18770657
dc.identifierhttps://hdl.handle.net/20.500.12728/11389
dc.identifier.urihttps://repositorioslatinoamericanos.uchile.cl/handle/2250/9509769
dc.descriptionBackground: Chronic obstructive pulmonary disease (COPD) has systemic consequences and causes structural abnormalities throughout the respiratory system. It is associated with a high clinical burden worldwide. Aim: A network meta-analysis was performed to determine the effects of exercise programs on lung function measured by forced expiratory volume in the first second (FEV1), FEV1 as a percentage of the predicted value (FEV1%) and forced vital capacity in people with COPD. Methods: A literature search was performed to March 2023. Randomized controlled trials on the effectiveness of exercise programs on lung function in people with COPD were included. A standard pairwise meta-analysis and a network meta-analysis for direct and indirect comparisons between intervention and control/nonintervention groups were carried out to calculate the standardized mean difference and 95 % CI. The risk of bias was assessed using the Cochrane Risk of Bias tool and the Grading of Recommendations, Assessment, Development, and Evaluation tool was used to assess the quality of the evidence. Results: 35 studies with a total sample of 2909 participants were included in this network meta-analysis. The highest standardized mean difference was for active mind body movement therapy programs versus control for FEV1 and FEV1% (0.71; 95 % CI 0.32 to1.09; and 0.36; 95 % CI 0.15 to 0.58, respectively), and pulmonary rehabilitation+active mind body movements therapies versus control for forced vital capacity (0.45; 95 % CI 0.07 to 0.84). Conclusions: active mind body movement therapy programs were the most effective type of exercise program to improve lung function measured by FEV1 and FEV1%; pulmonary rehabilitation+active mind body movements therapies had the greatest effects on FVC in people with COPD. Exercise programs in which the abdominal muscles are strengthened could improve lung emptying, helping to overcome airway resistance in people with COPD. © 2023 Elsevier Masson SAS
dc.descriptionFederación Española de Enfermedades Raras, FEDER
dc.formatapplication/pdf
dc.languageen
dc.publisherElsevier Masson s.r.l.
dc.subjectActive mind-body movements therapies
dc.subjectCOPD
dc.subjectFEV1
dc.subjectFVC
dc.subjectLung function
dc.subjectMeta-analysis
dc.subjectPhysical activity
dc.subjectPulmonary rehabilitation
dc.subjectSystematic review
dc.titleEffect of different exercise programs on lung function in people with chronic obstructive pulmonary disease: A network meta-analysis of RCTs
dc.typeArticle


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