Effects of Lower Limb Endurance Training on Maximal Oxygen Uptake (VO2 max) in Chronic Obstructive Pulmonary Disease

Andika Pradana, Amira P Tarigan, Tari Mediyanti, Erna Mutiara, Pandiaman Pandia

Abstract


Background: Patients with COPD exhibit muscle atrophy and dysfunction which lead into decondition state. This will in turn decrease maximal oxygen uptake (VO2 max) in tissues. Considered as the best predictor of cardiorespiratory endurance and survival, VO2max can be attenuated by aerobic training. This study aimed to assess the effects of lower-limb endurance training on VO2 max in COPD patient.
Methods: An experimental study was conducted on 20 COPD patients in group C and D in June–July 2017 at USU Hospital. Patients were prescribed lower-limb exercise by stationary cycling with individualized dose, twice a week for 4 weeks, ranging from 5-20 minutes/session. VO2 max measurement was calculated pre-and post-intervention using Nury’s Formula specifically designed for Indonesian (r=0,68; P<0,005), which converts the distance of 6-minute walk test.
Results: There was significant increase of VO2 max value (P<0,001) of all COPD subjects from 25,8±6,5 (baseline) to 28,3±6,9 mL/kg/menit. The increase in group C patients was slightly higher than group D although statistically not significant (3,36vs2,03 mL/kg/menit; P=0,36). The VO2 max increase was observed in all patients regardless their severity of obstruction (P=0,44). There was no exacerbation found during rehabilitation program.
Conclusion: Four weeks of lower-limb endurance training effectively increased VO2 max of COPD patients. (J Respir Indo. 2017; 37(4): 283-7)

Keywords


COPD, VO2max, lower-limb endurance training, Nury’s Formula

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References


World health organization. WHO report on global tobacco epidemic. The MPOWER package. [Internet] Available from: http://www.who.int/tobacco/mpower/2008/en/index.html. Diakses pada 10 Desember 2012.

Tobacco control support centre-Ikatan Ahli Kesehatan Masyarakat Indonesia.Industri rokok di Indonesia: Fact Sheet. [Internet] Available from: http://tcsc-indonesia.org/wp-content/uploads/2010. Diakses pada 12 Desember 2012.

Dorotheo U. Cigarette tax and price: affordability and impacts on consumption and revenue. South East Asia Initiative on Tobacco Tax. [Internet] Available from: http://seatca.org/dmdocuments/SITT/Indonesia/Affordability. Diakses pada 14 Desember 2012.

Badan Penelitian dan Pengembangan Kesehatan. Laporan Nasional Riset Kesehatan Dasar 2007. Jakarta: Kementerian Kesehatan Republik Indonesia, 2007. p.17-176.

Heatherton TF, Kozlowski LT, Frecker RC, Fagerstrӧm KO. The Fagerström Test for Nicotine Dependence: a revision of the Fagerström Tolerance Questionnaire. Br J Addict. 1991;86(9):1119-27.

Pérez-Ríos M, Santiago-Pérez MI, Alonso B, Malvar A, Hervada X, de Leon J. Fagerstrom test for nicotine dependence vs heavy smoking index in a general population survey. BMC Public Health. 2009;9:493.

Aditama YT. 2006. Indonesia-Jakarta and Bekasi GYTS Survey Report. [Internet] Available from http://www.searo.who.int/LinkFiles/GYTS_Indonesia_repeatsurvey.pdf. Diakses pada 4 Desember 2012.

Shan M, Jump Z, Lancet E. Urban rural disparities in tobacco use. National Conference on Health Statistics August 8th 2012

Wu J, Yang T, Rockett I, Rockett IRH, Xing R, Karalic S, et al. Nicotine dependence among rural-urban migrants in China. BMC Public Health.2011;11:296.

Lutfiyya MN, Shah KK, Johnson M, Bales RW, Cha I, et al. Adolescent daily cigarette smoking: is rural residency a risk factor?. Rural Remote Health. 2008;8(1):875.

Picco L, Subramaniam M, Abdin E, Vaingankar JA, Chong SA. Smoking and nicotine dependence in Singapore: findings from a cross-sectional epidemiological study. Ann Acad Med Singapore. 2012;41(8):325-34.

Barraclough S. Women and tobacco in Indonesia. Tob Control. 1999;8(3):327–32.

Selya SA, Dierker LC, Rose JS, Hedeker D, Mermelstein RJ. Risk factors for adolescent smoking: parental smoking and the mediating role of nicotine dependence. Drug Alcohol Depend. 2012;124(3):311-8.

Ramroth H, Dietz A, Becher H. Intensity and inhalation of smoking in the aetiology of laryngeal cancer. Int J Environ Res Public Health. 2011;8(4):976-84.

Caraballo RS, Giovino GA, Pechacek FT, Mowery PD, Richter PA, et al. Racial and ethnic difference in serum cotinine levels of cigarettes smokers: Third National Health and Nutrition Examination Survey, 1988-1991. JAMA. 1998;280(2):135-9.

Breslau N, Fenn N, Peterson EL. Early smoking initiation and nicotine dependence in a cohorts of young adults. Drug Alcohol Depend.1993;3(2):129-37.

Artana IB, Ngurah Rai IB. Tingkatan ketergantungan nikotin dan faktor-faktor yang berhubungan pada perokokdi desa Penglipuran. [Tesis] Denpasar: Universitas Udayana, 2009. p.1-9.

Kim DK, Hersh CP, Washko GR, Hokanson JE, Lynch DA, et al. Epidemiology, radiology, and genetics of nicotine dependence in COPD. Respir Res. 2011;12:9.

Nagano T, Shimizu M, Kiyotani K, Kamataki T, Takano R, et al. Biomonitoring of urinary cotinine concentrations associated with plasma levels of nicotine metabolites after daily cigarette smoking in a male Japanese population. Int J Environ Res Public Health. 2010;7(7):2953-64.

Guan NC, Ann AY. Exhaled carbon monoxide among Malaysian male smoker with nicotine dependence. Southeast Asian J Trop Med Public Health. 2012;43(1):212-8.

Chabrol H, Faury R, Mullet E, Callahan S, Weigelt A, et al. Study of nicotine dependence among 342 adolescents smoker. Arch Pediatr. 2000;7(10):1064-71.




DOI: https://doi.org/10.36497/jri.v37i4.82

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