| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
Guest Access | Sign In via User Name/Password
|
|
|
|||||||
Guest Access | Sign In via User Name/Password |
|||||||||
*
From the Department of Health and Exercise Science (Drs. Foy, Rejeski, Berry, and Mr. Woodward), Wake Forest University, Winston-Salem, NC; and the Department of Biostatistics (Mr. Zaccaro), Wake Forest University Baptist Medical Center, Winston-Salem, NC.
Drs. Foy and Rejeski contributed equally to the
preparation of this article.
Correspondence to: W. Jack Rejeski, PhD, Department of Health and Exercise Science, PO Box 7868, Winston-Salem, NC 27109
Abstract
Study objectives: To determine whether long-term treatment with exercise therapy results in more favorable, disease-specific, health-related quality of life (HRQL) compared with short-term treatment with exercise therapy; and to determine whether there are gender differences in disease-specific HRQL among individuals randomized into the two treatment groups.
Design: Randomized clinical trial.
Setting: Center-based exercise therapy unit at a university.
Participants: One hundred forty patients with COPD; 118 completed trial.
Interventions: Short-term exercise therapy (3 months); long-term exercise therapy (18 months).
Measurements: Chronic Disease Respiratory Questionnaire (CRQ).
Results: After 3 months of treatment, there were significant improvements in all CRQ scores for men and women (p < 0.01), and for the total sample (p < 0.01). At 18 months, individuals randomized into the long-term group had significantly more favorable scores than the short-term group for dyspnea (p = 0.03), fatigue (p < 0.01), emotional function (p = 0.04), and mastery (p = 0.04). However, these effects were moderated by gender. That is, men in the long-term group reported significantly more favorable scores than men in the short-term group for dyspnea (0.04), fatigue (p < 0.001), emotional function (p = 0.02), and mastery (p = 0.02). At the 18-month assessment, there were no differences between long-term and short-term exercise therapy for women on any of the subscales of the CRQ.
Conclusions: Taken collectively, the CRQ data demonstrate that long-term exercise therapy has little added benefit for women over short-term exercise therapy; however, men derive significant benefits from extended training.
Key Words: pulmonary rehabilitation • quality of life • exercise training • gender differences • COPD
This article has been cited by other articles:
|
|
 |
|
  M. T. Dransfield, G. R. Washko, M. G. Foreman, R. S. J. Estepar, J. Reilly, and W. C. Bailey Gender Differences in the Severity of CT Emphysema in COPD Chest, August 1, 2007; 132(2): 464 - 470. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. L. Ries, G. S. Bauldoff, B. W. Carlin, R. Casaburi, C. F. Emery, D. A. Mahler, B. Make, C. L. Rochester, R. ZuWallack, and C. Herrerias Pulmonary Rehabilitation: Joint ACCP/AACVPR Evidence-Based Clinical Practice Guidelines Chest, May 1, 2007; 131(5_suppl): 4S - 42S. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B. R. Celli Roger S. Mitchell Lecture. Chronic Obstructive Pulmonary Disease Phenotypes and Their Clinical Relevance Proceedings of the ATS, August 1, 2006; 3(6): 461 - 465. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. Verrill, C. Barton, W. Beasley, and W. M. Lippard The Effects of Short-term and Long-term Pulmonary Rehabilitation on Functional Capacity, Perceived Dyspnea, and Quality of Life Chest, August 1, 2005; 128(2): 673 - 683. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. Antonelli-Incalzi, C. Imperiale, V. Bellia, F. Catalano, N. Scichilone, R. Pistelli, F. Rengo, and the SaRA investigators Do GOLD stages of COPD severity really correspond to differences in health status? Eur. Respir. J., September 1, 2003; 22(3): 444 - 449. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
