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Combined aerobic exercise and high-intensity respiratory muscle training in patients surgically treated for non-small cell lung cancer: a pilot randomized clinical trial
dc.contributor.author | Messaggi-Sartor, Monique | |
dc.contributor.author | Marco, Ester | |
dc.contributor.author | Martínez-Téllez, Elisabeth | |
dc.contributor.author | Rodriguez-Fuster, Alberto | |
dc.contributor.author | Palomares, Carolina | |
dc.contributor.author | Chiarella, Sandra | |
dc.contributor.author | Muniesa, Josep M. | |
dc.contributor.author | Orozco-Levi, Mauricio | |
dc.contributor.author | Barreiro, Esther | |
dc.contributor.author | Güell, Maria R | |
dc.date.accessioned | 2024-01-26T12:22:34Z | |
dc.date.available | 2024-01-26T12:22:34Z | |
dc.date.issued | 2019 | |
dc.identifier.citation | Messaggi-Sartor, Monique; Marco, Ester; Martínez-Téllez, Elisabeth [et al.]. Combined aerobic exercise and high-intensity respiratory muscle training in patients surgically treated for non-small cell lung cancer: a pilot randomized clinical trial. European Journal of Physical and Rehabilitation Medicine, 2018, 55(1), p. 113-122. Disponible en: <https://www.minervamedica.it/en/journals/europa-medicophysica/article.php?cod=R33Y2019N01A0113>. Fecha de acceso: 26 ene. 2024. DOI: 10.23736/S1973-9087.18.05156-0 | ca |
dc.identifier.issn | 1973-9087 | ca |
dc.identifier.uri | http://hdl.handle.net/20.500.12328/3986 | |
dc.description.abstract | BACKGROUND: Lung resection surgery further decreases exercise capacity and negatively affects respiratory muscle function in patients with non-small cell lung cancer (NSCLC). The best design for exercise interventions in these patients has not been determined yet. AIM: To assess the impact of aerobic exercise and high-intensity respiratory muscle training on patient outcomes following lung cancer resection surgery. DESIGN: Prospective, single-blind, pilot randomized controlled trial. SETTING: Outpatient cardiopulmonary rehabilitation unit of two university hospitals. POPULATION: Thirty-seven patients with NSCLC after tumor resection. METHODS: Patients were randomly assigned to exercise training or usual post-operative care. The training program consisted of aerobic exercises and high-intensity respiratory muscle training (24 supervised sessions, 3 per week, 8 weeks). Primary outcome was exercise capacity assessed with peak oxygen uptake (VO2peak) during cardiopulmonary exercise test. Secondary outcomes included changes in respiratory muscle strength, levels of serum insulin growth factor I (IGF-I) and IGF binding protein 3 (IGFBP-3), and quality of life assessed with the European Organization for Research and Treatment of Cancer (EORTC QLQ-C30) questionnaire. RESULTS: The 8-week training program was associated with significant improvement in VO2peak (2.13 mL/Kg/min [95%CI 0.06 to 4.20]), maximal inspiratory and expiratory pressures (18.96 cmH2O [95% CI 2.7 to 24.1] and 18.58 cmH2O [95% CI 4.0 to 33.1], respectively) and IGFBP-3 (0.61 µg/mL [%95 CI 0.1 to 1.12]). No significant differences were observed in the EORTC QLQ-C30. CONCLUSIONS: An 8-week exercise program consisting of aerobic exercise and high-intensity respiratory muscle training improved exercise capacity, respiratory muscle strength, and serum IGFBP-3 levels in NSCLC patients after lung resection. There was no impact on the other outcomes assessed. CLINICAL REHABILITATION IMPACT: A combination of aerobic exercise and respiratory muscle training could be included in the rehabilitation program of deconditioned patients with NSCLC after lung resection surgery. | ca |
dc.format.extent | 10 | ca |
dc.language.iso | eng | ca |
dc.publisher | Edizioni Minerva Medica | ca |
dc.relation.ispartof | European Journal of Physical and Rehabilitation Medicine | ca |
dc.relation.ispartofseries | 55;1 | |
dc.rights | © 2024 Edizioni Minerva Medica | ca |
dc.subject.other | Neoplàsies pulmonars | ca |
dc.subject.other | Aptitud cardiorespiratòria | ca |
dc.subject.other | Exercicis de respiració | ca |
dc.subject.other | Rehabilitació | ca |
dc.subject.other | Neoplasias pulmonares | ca |
dc.subject.other | Fitness cardiorrespiratorio | ca |
dc.subject.other | Ejercicios de respiración | ca |
dc.subject.other | Rehabilitación | ca |
dc.subject.other | Lung neoplasms | ca |
dc.subject.other | Cardiorespiratory fitness | ca |
dc.subject.other | Breathing exercises | ca |
dc.subject.other | Rehabilitation | ca |
dc.title | Combined aerobic exercise and high-intensity respiratory muscle training in patients surgically treated for non-small cell lung cancer: a pilot randomized clinical trial | ca |
dc.type | info:eu-repo/semantics/article | ca |
dc.description.version | info:eu-repo/semantics/publishedVersion | ca |
dc.rights.accessLevel | info:eu-repo/semantics/openAccess | |
dc.embargo.terms | cap | ca |
dc.identifier.doi | https://dx.doi.org/10.23736/s1973-9087.18.05156-0 | ca |
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