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01.12.2014 | Research | Ausgabe 1/2014 Open Access

Respiratory Research 1/2014

The short and long term effects of exercise training in non-cystic fibrosis bronchiectasis – a randomised controlled trial

Zeitschrift:
Respiratory Research > Ausgabe 1/2014
Autoren:
Annemarie L Lee, Catherine J Hill, Nola Cecins, Sue Jenkins, Christine F McDonald, Angela T Burge, Linda Rautela, Robert G Stirling, Philip J Thompson, Anne E Holland
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1465-9921-15-44) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

Conception and design: AL, CH, NC, SJ, CM, LR, PT, RS, AH. Acquisition of data: AL, CH, NC, SJ, AB. Analysis and interpretation: AL, CH, NC, SJ, CM, AH. Drafting the article for important intellectual content: AL, CH, NC, SJ, CM, AB, LR, PT, RS, AH. All authors contributed to the intellectual content of the manuscript and were consulted for final approval of the submitted version.

Abstract

Background

Exercise training is recommended for non-cystic fibrosis (CF) bronchiectasis, but the long-term effects are unclear. This randomised controlled trial aimed to determine the effects of exercise training and review of airway clearance therapy (ACT) on exercise capacity, health related quality of life (HRQOL) and the incidence of acute exacerbations in people with non-CF bronchiectasis.

Methods

Participants were randomly allocated to 8 weeks of supervised exercise training and review of ACT, or control. Primary outcomes of exercise capacity and HRQOL (Chronic respiratory disease questionnaire) and secondary outcomes of cough-related QOL (Leicester cough questionnaire) and psychological symptoms (Hospital anxiety and depression scale) were measured at baseline, following completion of the intervention period and at 6 and 12 months follow up. Secondary outcomes of the exacerbation rate and time to first exacerbation were analysed over 12 months.

Results

Eighty-five participants (mean FEV1 74% predicted; median Modified Medical Research Council Dyspnoea grade of 1 (IQR [1–3]) were included. Exercise training increased the incremental shuttle walk distance (mean difference to control 62 m, 95% CI 24 to 101 m) and the 6-minute walking distance (mean difference to control 41 m, 95% CI 19 to 63 m), but these improvements were not sustained at 6 or 12 months. Exercise training reduced dyspnoea (p = 0.009) and fatigue (p = 0.01) but did not impact on cough-related QOL or mood. Exercise training reduced the frequency of acute exacerbations (median 1[IQR 1–3]) compared to the control group (2[1–3]) over 12 months follow up (p = 0.012), with a longer time to first exacerbation with exercise training of 8 months (95% CI 7 to 9 months) compared to the control group (6 months [95% CI 5 to 7 months], p = 0.047).

Conclusions

Exercise training in bronchiectasis is associated with short term improvement in exercise capacity, dyspnoea and fatigue and fewer exacerbations over 12 months.

Trial registry

ClinicalTrials.gov (NCT00885521).
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