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

R Gloeckl; R H Zwick; U Fürlinger; I Jarosch; T Schneeberger; D Leitl; A R Koczulla; K Vonbank; C Alexiou; I Vogiatzis; M A Spruit

doi:10.1016/j.pulmoe.2022.09.004

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

R Gloeckl^*, R H Zwick, U Fürlinger, I Jarosch, T Schneeberger, D Leitl, A R Koczulla, K Vonbank, C Alexiou, I Vogiatzis, M A Spruit

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

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.

Original language	English
Pages (from-to)	306-314
Number of pages	9
Journal	Pulmonology
Volume	29
Issue number	4
Early online date	20 Oct 2022
DOIs	https://doi.org/10.1016/j.pulmoe.2022.09.004
Publication status	Published - 1 Jul 2023

Keywords

COPD
Endurance training
Guideline
Pulmonary rehabilitation
Resistance training
Strength training

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10.1016/j.pulmoe.2022.09.004Licence: CC BY-NC-ND

Cite this

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title = "Prescribing and adjusting exercise training in chronic respiratory diseases - Expert-based practical recommendations",

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.",

keywords = "COPD, Endurance training, Guideline, Pulmonary rehabilitation, Resistance training, Strength training",

author = "R Gloeckl and Zwick, {R H} and U F{\"u}rlinger and I Jarosch and T Schneeberger and D Leitl and Koczulla, {A R} and K Vonbank and C Alexiou and I Vogiatzis and Spruit, {M A}",

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doi = "10.1016/j.pulmoe.2022.09.004",

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T1 - Prescribing and adjusting exercise training in chronic respiratory diseases - Expert-based practical recommendations

AU - Gloeckl, R

AU - Zwick, R H

AU - Fürlinger, U

AU - Jarosch, I

AU - Schneeberger, T

AU - Leitl, D

AU - Koczulla, A R

AU - Vonbank, K

AU - Alexiou, C

AU - Vogiatzis, I

AU - Spruit, M A

PY - 2023/7/1

Y1 - 2023/7/1

N2 - 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.

AB - 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.

KW - COPD

KW - Endurance training

KW - Guideline

KW - Pulmonary rehabilitation

KW - Resistance training

KW - Strength training

U2 - 10.1016/j.pulmoe.2022.09.004

DO - 10.1016/j.pulmoe.2022.09.004

M3 - Article

C2 - 36272962

SN - 2531-0437

VL - 29

SP - 306

EP - 314

JO - Pulmonology

JF - Pulmonology

IS - 4

ER -