COPD, Exercise, Resistance Training
Conditions
Brief summary
The purpose of the present project is to investigate the physiological effects of two different types of exercise training in COPD patients. The patients will be examined before, during and after 8 weeks of training to evaluate the effect of different types of skeletal muscle stimulation on health related quality of life, 6 min walking distance, flow mediated dilation, and histological properties of skeletal muscle cells, regarding oxidative capacity, fiber type, purinergic receptor amounts and measures of systemic inflammation. The study will test the hypothesis that: Resistance training is superior to endurance training in patients with COPD
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* FEV1/FVC fixed ratio \<0.70, FEV1: \<60% of predicted and MRC \> or equal to 3 * Arterial oxygen saturation at rest\> 90%, BMI \>18, LVEF\> 45. * Age: 40 - 80 years The medical treatment will be continued unchanged during the study and additional prednisolone and /or antibiotic treatment will be prescribed in case of acute exacerbation.
Exclusion criteria
* Unstable ischemic heart disease, severe heart valve failure, pulmonary emboli, severe heart failure, severe infections, musculoskeletal disorders, malignant disease, contraindicated medicine as MAO inhibitors and anticoagulants.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Skeletal muscle function | At baseline and after 8 weeks of traning | Muscle biopsy |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Flow mediated dilation | Change from baseline at 8 weeks | Endothelium function |
| Body composition | Change from baseline at 8 weeks | DEXA scan |
| 6 min walking test | Change from baseline at 8 weeks | — |
| Health Related Quality of Life - COPD assessment test (CAT) | Change from baseline at 8 weeks | — |
Countries
Denmark