Study on the effect of aerobic exercise combined with whole body vibration on bone and cardiorespiratory function in patients with Stable Chronic Obstructive Pulmonary Disease Complicated with Osteoporosis
Mini-Oral Presentation A3.24
DOI:
https://doi.org/10.14288/hfjc.v14i3.465Keywords:
Aerobic Exercise, Whole Body Vibration, Cardiorespiratory Function, Chronic Obstructive Pulmonary Disease, OsteoporosisAbstract
Background and Purpose: Chronic obstructive pulmonary disease (COPD) has become a common chronic respiratory disease, which seriously threatens human health. Its morbidity and mortality rank in the forefront of all kinds of diseases. The prevalence of osteoporosis (OP) in patients with COPD is about 38%, and about 38% of patients have bone loss, resulting in brittle fracture which greatly increases the mortality and disability rate of patients with COPD. However, OP, as an extra complication of COPD, has not received enough attention and it is often not treated in time in clinical practice. In this study, aerobic exercise (AE) combined with whole body vibration (WBV) was used as an adjuvant treatment for patients with stable COPD complicated with OP. The aim of this study was to investigate the effects of this program on BMD and cardiorespiratory function of patients. Methods: In this study, 40 male patients with stable COPD complicated with OP were recruited and divided into control group by random number table method (maintain current living status, C group) and AE group (on 50%VO2max speed, intermittent running for 30 minutes, 3 times a week, A group), WBV group (squatting posture on the vibration training platform, intermittent training for 30 minutes, 3 times a week, whole body vibration, W group), AE+WBV group (on 50%VO2max speed for 3 times a week, squatting posture on the vibration training platform for 15 minutes plus squatting posture on the vibration training platform, intermittent training for 15 minutes, AW group), with 10 patients in each group. The subjects were tested for dualenergy X-ray absorptiometry (DXA) and Cardiopulmonary Exercise Test (CPET) before the experiment. The experiment lasted for 40 weeks while the subjects maintained normal treatment. DXA and CPET posttests were performed in each group at the end of intervention. Paired samples T test and one-way ANOVA were performed using spss22.0, p =0.05. Results: After 40 weeks Of intervention, for Neck Of Femur BMD index, A group, W group, AW group results were higher than pre-test (pre) results and C group (P<0.05), W group, AW group was significantly higher than A group (P<0.05); for L1-L4BMD indexes, W group and AW group were higher than pretest results and C group (P<0.05). As for the indexes of Peak VO2/kg, Peak Power and Peak VCO2, A group, W group and AW group were all higher than those in pre-test (pre) and C group (P<0.05), while the results of A group and AW group were significantly higher than that of W group (P<0.05). Conclusions: In the exercise adjuvant therapy of patients with stable COPD complicated with OP, it was found that WBV had a good effect on the improvement of BMD, and AE had a significant effect on the improvement of cardiopulmonary endurance. AE combined with WBV can comprehensively improve BMD and cardiopulmonary endurance of patients, which is worthy of promotion as exercise prescription.
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Copyright (c) 2021 Tingran Zhang, Kun Wang, Ning Li, Chansol Hurr
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