Chronic Respiratory Disease
Conditions
Keywords
Pulmonary rehabilitation, Maintenance program, Cohort, Microenvironment, Long-term benefits
Brief summary
Chronic respiratory diseases are characterized by a progressive and long term deline. Pulmonary rehabilitation (exercise training and therapeutic education) can improve several disease outcomes like dyspnea, exercise tolerance and health-related quality of life. After an inpatient PR program, maintenance program can stabilize the disease outcomes. However, maintenance program are heterogeneous and long term benefits (\>36 month) have been observed in only one study, which is not feasible in France. A realistic maintenance program as proposed by the French Air+R network (http://airplusr.com/wordpress/) has only demonstrated benefits after 12 month. In addition, the time course of patients may be heterogeneous, with differens clusters that could be influenced by the clinical, functional and systemic determinants. In particular, the cellular muscle microenvironment could be deleterious for the muscle function in patients, caused by a spill-over of inflammatory pulmonary molecules in the systemic milieu.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
Patients with a chronic respiratory disease (COPD, Asthma, bronchiectasis , Fibrosis, Sleep Apnea, …) undergoing pulmonary rehabilitation (maintenance or inpatient)
Exclusion criteria
Contraindication to exercise training
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 6 minutes walking distance | 10 years | 6 minutes walking distance |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| health-related quality of life | 10 years | health-related quality of life : VQ-11 questionnaire |
| Forced expiratory volume in 1 seconde | 10 years | Forced expiratory volume in 1 seconde : FEV1 |
| BODE index | 10 years | BODE index |
| death | 10 years | death |
Countries
France