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Aljama C, Granados G, Ramon M, Barrecheguren M, Loeb E, Nuñez A, Pleguezuelos E, García-Río F, Miravitlles M. Motivation and confidence about physical activity in COPD patients: health benefits matter to patients. Respiration 2024:000539206. [PMID: 38735281 DOI: 10.1159/000539206] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2024] [Accepted: 05/01/2024] [Indexed: 05/14/2024] Open
Abstract
INTRODUCTION Physical activity (PA) has shown great benefits in patients with chronic obstructive pulmonary disease (COPD), however, their PA is below average. Motivational factors associated with PA in COPD have not been widely studied and could be a target for improving adherence to PA. The objective of our study was to identify and understand the different motivational and confidence factors related to low levels of PA in a COPD cohort. METHOD Observational, prospective, multicentre study of COPD patients. Sociodemographic data, respiratory symptoms, comorbidities, spirometry and exercise capacity were collected. PA was measured using the Dynaport accelerometer and patient motivation and confidence in PA were assessed by a questionnaire previously used in a COPD population in the United States. RESULTS Eighty-six COPD patients were included, 68.6% being male, with a mean (SD) age of 66.6 (8.5) years and a mean forced expiratory volume in the first second (%) of 50.9% (17.3%). The mean walking time was 82.8 (37.8) minutes/day. Questions related to health benefits and enjoying exercise were ranked highest in the motivation questionnaire and statistically significant differences were found in PA measures between patients with low and high motivation. A lack of confidence regarding hot weather and health-related issues significantly influenced PA levels. Advice from third parties, including healthcare providers, was not associated with higher PA levels. CONCLUSIONS Improving the health of COPD patients is their main motivation to perform PA. Lack of confidence when it is hot or when they fear for their health is related to low levels of PA. Advice from third parties, including healthcare professionals, is not associated with higher PA. These results are relevant for developing strategies to increase the adherence of COPD patients to PA programmes.
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Pleguezuelos E, Del Carmen A, Moreno E, Miravitlles M, Serra M, Garnacho-Castaño MV. Effects of a telerehabilitation program and detraining on cardiorespiratory fitness in patients with post-COVID-19 sequelae: A randomized controlled trial. Scand J Med Sci Sports 2024; 34:e14543. [PMID: 38009852 DOI: 10.1111/sms.14543] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2023] [Revised: 10/11/2023] [Accepted: 11/14/2023] [Indexed: 11/29/2023]
Abstract
BACKGROUND This study aimed to evaluate the effects of a 15-week telerehabilitation program and a detraining period on cardiorespiratory fitness and mechanical efficiency in patients with post-COVID-19 sequelae. METHODS 131 patients with post-COVID-19 sequelae were randomly assigned to one of two groups: patients who carried out the supervised telerehabilitation program (TRG, n = 66) and a control group (CG, n = 65). An incremental cardiopulmonary exercise testing (CPET) was performed on cycle ergometer to compare cardioventilatory responses between experimental groups. RESULTS A significant increase in the CPET duration, peak power output, and mechanical efficiency was observed in TRG compared to CG after the telerehabilitation program (p ≤ 0.001). A significant increase in the CPET duration, peak power output, and mechanical efficiency was verified at 3 months compared to the pretest and after detraining in TRG (p < 0.001). A significant increase in peak oxygen uptake (V̇O2peak ) was identified after the intervention and in the detraining period compared to the pretest in both experimental groups (p < 0.001). A higher ventilatory efficiency was observed after the telerehabilitation program (p = 0.021) than in pretest only in TRG. CONCLUSIONS A 15-week supervised home telerehabilitation program improved exercise capacity, power output, and mechanical efficiency in TRG compared to a CG. The telerehabilitation program was not more effective in improving V̇O2peak than the activities of the CG. However, ventilatory efficiency was improved only after the telerehabilitation program. The reported results after the detraining period highlight the need to maintain the rehabilitation program over time.
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Affiliation(s)
- Eulogio Pleguezuelos
- Physical Medicine and Rehabilitation Department, Hospital de Mataró, Barcelona, Spain
- Department of Experimental Science and Healthcare, Faculty of Health Sciences, Universitat Pompeu Fabra, Barcelona, Spain
| | - Amin Del Carmen
- Physical Medicine and Rehabilitation Department, Hospital de Mataró, Barcelona, Spain
| | - Eva Moreno
- Physical Medicine and Rehabilitation Department, Hospitalet General Hospital, Barcelona, Spain
| | - Marc Miravitlles
- Pneumology Department, Hospital Universitari Vall d'Hebron, Vall d'Hebron Institut de Recerca (VHIR), Barcelona Hospital Campus, CIBER de Enfermedades Respiratorias (CIBERES), Barcelona, Spain
| | - Mateu Serra
- Research Unit, Consorci Sanitari del Maresme, Barcelona, Spain
| | - Manuel V Garnacho-Castaño
- DAFNiS Research Group (Pain, Physical Activity, Nutrition and Health), Campus Docent Sant Joan de Déu, Universitat de Barcelona, Sant Boi de Llobregat, Barcelona, Spain
- Facultad de Ciencias de la Salud, Universidad Internacional de Valencia (VIU), Valencia, Spain
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Pleguezuelos E, Sánchez-Nuño S, Del Carmen A, Serra-Payá N, Moreno E, Molina-Raya L, Robleda G, Benet M, Santos-Ruiz S, Garrido AB, Jerez-Molina C, Miravitlles M, Serra-Prat M, Viñals X, Farrés MG, Carbonell T, Garnacho-Castaño MV. Effect of different types of supervised exercise programs on cardiorespiratory and muscular fitness, pain, fatigue, mental health and inflammatory and oxidative stress biomarkers in older patients with post-COVID-19 sequelae "EJerSA-COVID-19": a randomized controlled trial. BMC Geriatr 2023; 23:865. [PMID: 38102536 PMCID: PMC10724883 DOI: 10.1186/s12877-023-04544-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2023] [Accepted: 11/30/2023] [Indexed: 12/17/2023] Open
Abstract
BACKGROUND Many patients with COVID-19 present the so-called post-acute sequelae of COVID-19 such as fatigue, post-stress discomfort, dyspnea, headache, pain mental impairment, incapacity to perform daily physical tasks ant exercise intolerance. This study aims to investigate the effects of different exercise programs on physical and mental fitness, physical condition and biomarkers of the immune system and oxidative stress in older patients with post-COVID-19 sequelae. METHODS The sample will be made up of 120 eligible participants, over the age of 60 years who have had COVID-19 disease and are survivors and present persistent COVID-19 symptomatology diagnosed by the corresponding physician. The participants will be randomly assigned to the experimental groups: supervised endurance group (SEG, n = 30), supervised strength group (SSG, n = 30), supervised concurrent group (SCG, n = 30), which will perform the corresponding exercise program 3 days a week compared to the control group (CG, n = 30), which will not carry out a supervised exercise program. The design of this project will include measurements of four relevant dimensions; 1) Cardiorespiratory fitness; 2) Muscle fitness; 3) Pain and mental health; and 4) Biomarkers of inflammation and oxidative stress. CONCLUSIONS The results of this study will provide insights into the effects of different exercise programs on physical and mental fitness, physical condition and biomarkers of the immune system and oxidative stress in older patients with post-COVID-19 sequelae. These findings may be the basis for the formulation of health plans and rehabilitation programs that allow healthy aging and a reduction in the associated morbidity in patients with post-COVID-19 sequelae. TRIAL REGISTRATION NCT05848518. Registered on May 8, 2023.
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Affiliation(s)
- Eulogio Pleguezuelos
- Departamento de Medicina Física y Rehabilitación, Hospital de Mataró, Barcelona, Spain
- Departamento de Ciencias Experimentales y Sanitarias. Facultad de Ciencias de la Salud, Universitat Pompeu Fabra, Barcelona, Spain
| | - Sergio Sánchez-Nuño
- Grupo de Investigación DAFNiS (Dolor, Actividad Física, Nutrición y Salud), Campus Docent Sant Joan de Déu, Universitat de Barcelona, C/ Sant, C. de Sta. Benito Menni, 18-20, Sant Boi de Llobregat, 08830, Barcelona, Spain
| | - Amin Del Carmen
- Departamento de Medicina Física y Rehabilitación, Hospital de Mataró, Barcelona, Spain
| | - Noemí Serra-Payá
- Grupo de Investigación DAFNiS (Dolor, Actividad Física, Nutrición y Salud), Campus Docent Sant Joan de Déu, Universitat de Barcelona, C/ Sant, C. de Sta. Benito Menni, 18-20, Sant Boi de Llobregat, 08830, Barcelona, Spain
| | - Eva Moreno
- Servicio de Medicina Física y Rehabilitación, Hospital General de Hospitalet, L´Hospitalet de Llobregat, Barcelona, Spain
| | - Lorena Molina-Raya
- Grupo de Investigación DAFNiS (Dolor, Actividad Física, Nutrición y Salud), Campus Docent Sant Joan de Déu, Universitat de Barcelona, C/ Sant, C. de Sta. Benito Menni, 18-20, Sant Boi de Llobregat, 08830, Barcelona, Spain
| | - Gemma Robleda
- Grupo de Investigación DAFNiS (Dolor, Actividad Física, Nutrición y Salud), Campus Docent Sant Joan de Déu, Universitat de Barcelona, C/ Sant, C. de Sta. Benito Menni, 18-20, Sant Boi de Llobregat, 08830, Barcelona, Spain
| | - Marta Benet
- Grupo de Investigación DAFNiS (Dolor, Actividad Física, Nutrición y Salud), Campus Docent Sant Joan de Déu, Universitat de Barcelona, C/ Sant, C. de Sta. Benito Menni, 18-20, Sant Boi de Llobregat, 08830, Barcelona, Spain
| | - Susana Santos-Ruiz
- Grupo de Investigación DAFNiS (Dolor, Actividad Física, Nutrición y Salud), Campus Docent Sant Joan de Déu, Universitat de Barcelona, C/ Sant, C. de Sta. Benito Menni, 18-20, Sant Boi de Llobregat, 08830, Barcelona, Spain
| | - Ainoa Biurrun Garrido
- Grupo de Investigación DAFNiS (Dolor, Actividad Física, Nutrición y Salud), Campus Docent Sant Joan de Déu, Universitat de Barcelona, C/ Sant, C. de Sta. Benito Menni, 18-20, Sant Boi de Llobregat, 08830, Barcelona, Spain
| | - Carmen Jerez-Molina
- Grupo de Investigación DAFNiS (Dolor, Actividad Física, Nutrición y Salud), Campus Docent Sant Joan de Déu, Universitat de Barcelona, C/ Sant, C. de Sta. Benito Menni, 18-20, Sant Boi de Llobregat, 08830, Barcelona, Spain
| | - Marc Miravitlles
- Servicio de Neumología. Hospital Universitari Vall d'HebronVall d'Hebron Institut de Recerca (VHIR), Campus Hospital Barcelona, CIBER de Enfermedades Respiratorias (CIBERES) Barcelona, Barcelona, Spain
| | - Mateu Serra-Prat
- Unidad de InvestigaciónConsorci Sanitari del Maresme, Mataró, Barcelona, Spain
| | - Xavier Viñals
- Grupo de Investigación DAFNiS (Dolor, Actividad Física, Nutrición y Salud), Campus Docent Sant Joan de Déu, Universitat de Barcelona, C/ Sant, C. de Sta. Benito Menni, 18-20, Sant Boi de Llobregat, 08830, Barcelona, Spain
| | - Montserrat Girabent Farrés
- Grupo de Investigación DAFNiS (Dolor, Actividad Física, Nutrición y Salud), Campus Docent Sant Joan de Déu, Universitat de Barcelona, C/ Sant, C. de Sta. Benito Menni, 18-20, Sant Boi de Llobregat, 08830, Barcelona, Spain
| | - Teresa Carbonell
- Departamento de Biología Celular, Fisiología e Inmunología, Universitat de Barcelona, Barcelona, Spain
| | - Manuel V Garnacho-Castaño
- Grupo de Investigación DAFNiS (Dolor, Actividad Física, Nutrición y Salud), Campus Docent Sant Joan de Déu, Universitat de Barcelona, C/ Sant, C. de Sta. Benito Menni, 18-20, Sant Boi de Llobregat, 08830, Barcelona, Spain.
- Facultad de Ciencias de la Salud, Universidad Internacional de Valencia (VIU), 46002, Valencia, Spain.
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Serra-Prat M, Lorenzo I, Martínez J, Palomera E, Pleguezuelos E, Ferrer P. Relationship between Hydration Status and Muscle Catabolism in the Aged Population: A Cross-Sectional Study. Nutrients 2023; 15:4718. [PMID: 38004111 PMCID: PMC10674909 DOI: 10.3390/nu15224718] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2023] [Revised: 11/02/2023] [Accepted: 11/06/2023] [Indexed: 11/26/2023] Open
Abstract
BACKGROUND The physiopathology of sarcopenia is still not completely understood. AIM To assess the relationship between dehydration and skeletal muscle catabolism, muscle mass, and sarcopenia in an aged population. METHODS Observational cross-sectional study of community-dwelling subjects aged 70 years and older. Dehydration was assessed by plasma osmolarity; bioimpedance analysis (BIA) was used to assess body composition and water content; sarcopenia was established according to the EWGSOP-2 criteria; and 3-methyl-histidine (3MH) was used as an indicator of muscle catabolism. RESULTS 190 participants were recruited (77.4 years; 51.6% women). In total, 22.6% and 20.5% presented plasma osmolarity of 295-300 mOsm/L and >300 mOsm/L, respectively. Age was correlated with plasma osmolarity (rs = 0.439; p < 0.001). Plasma osmolarity was correlated with 3MH (rs = 0.360; p < 0.001) and showed an effect on 3MH levels, with an adjusted (by age, sex, and number of medications) beta of 0.283 (p < 0.001). BIA water content indicators showed no correlation with 3MH. Lower in sarcopenic compared to non-sarcopenic subjects were the intracellular water percentage (60.3 vs. 61.2%; p = 0.004) and intracellular water/free-fat mass ratio (44.3 vs. 45.0; p = 0.004). CONCLUSIONS Dehydration is a highly prevalent clinical condition in aged populations, increases with age, and is associated with muscle catabolism but not sarcopenia.
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Affiliation(s)
- Mateu Serra-Prat
- Research Unit, Consorci Sanitari del Maresme, 08304 Mataró, Barcelona, Spain;
- Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), Instituto de Salud Carlos III, 28222 Majadahonda, Madrid, Spain
| | - Isabel Lorenzo
- Information Management Unit, Consorci Sanitari del Maresme, 08304 Mataró, Barcelona, Spain;
| | - Jessica Martínez
- Dietetics and Nutritional Unit, Consorci Sanitari del Maresme, 08304 Mataró, Barcelona, Spain;
| | - Elisabet Palomera
- Research Unit, Consorci Sanitari del Maresme, 08304 Mataró, Barcelona, Spain;
| | - Eulogio Pleguezuelos
- Rehabilitation Department, Hospital of Mataró, Consorci Sanitari del Maresme, 08304 Mataró, Barcelona, Spain;
| | - Pau Ferrer
- Tecnocampus Foundation, 08302 Mataró, Barcelona, Spain;
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Pleguezuelos E, Del Carmen A, Moreno E, Ortega P, Robles A, Serra-Prat M, Miravitlles M, Yebenes JC, Garnacho-Castaño MV. Impaired pulmonary and muscle function during moderate exercise in female patients recovered from SARS-CoV-2. Sci Rep 2022; 12:20943. [PMID: 36464697 PMCID: PMC9719894 DOI: 10.1038/s41598-022-24941-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2022] [Accepted: 11/22/2022] [Indexed: 12/05/2022] Open
Abstract
This study aimed to assess pulmonary and muscle dysfunction by analyzing the slow component of oxygen uptake (VO2SC), and mechanical and ventilatory efficiency in adult women recovered from the severe acute respiratory syndrome coronavirus type II (SARS-CoV-2) during a constant load test. 32 women (N = 17 patients with SARS-CoV-2; N = 15 control group) performed two cardiopulmonary exercise tests (CPX) on a cycle ergometer. In the first test, the participants performed incremental CPX until extenuation. In the second test the participants performed a 10-min CPX at a constant load intensity (watts) corresponding to the first ventilatory threshold. There was a 48-72 h rest period between the two tests. There was a significant increase in the VO2SC in the patients recovered from SARS-CoV-2 (160.4 ± 60 mL min-1) in comparison with the healthy participants (59.6 ± 65 mL min-1) (P < 0.001). Mechanical efficiency significantly decreased in patients recovered from SARS-CoV-2 compared to the control group (P = 0.04). Ventilatory inefficiency significantly increased in the patients recovered from SARS-CoV-2 compared with the control group (P < 0.001). Adult women recovered from SARS-CoV-2 infection have important pulmonary and muscular dysfunction and fatigue which contributes to increasing the VO2SC and reducing mechanical and ventilatory efficiency during mild-moderate exercise at a constant load.
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Affiliation(s)
- Eulogio Pleguezuelos
- Physical Medicine and Rehabilitation Department, Hospital de Mataró, Barcelona, Spain
- Department of Experimental Science and Healthcare, Faculty of Health Sciences, Universitat Pompeu Fabra, Barcelona, Spain
| | - Amin Del Carmen
- Physical Medicine and Rehabilitation Department, Hospital de Mataró, Barcelona, Spain
| | - Eva Moreno
- Physical Medicine and Rehabilitation Department, Hospitalet General Hospital, L'Hospitalet de Llobregat, Barcelona, Spain
| | - Pilar Ortega
- Pneumology Department, Hospital de Mataró, Barcelona, Spain
| | | | - Mateo Serra-Prat
- Research Unit, Consorci Sanitari del Maresme, Mataró, Barcelona, Spain
| | - Marc Miravitlles
- Pneumology Department, Hospital Universitari Vall d'Hebron, Vall d'Hebron Institut de Recerca (VHIR), Barcelona Hospital Campus, CIBER de Enfermedades Respiratorias (CIBERES), Barcelona, Spain
| | | | - Manuel V Garnacho-Castaño
- Campus Docent Sant Joan de Déu, Fundación Privada, Universitat de Barcelona, Carrer de Miret i Sans, 10, 08034, Barcelona, Spain.
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Moreira-Reis A, Maté-Muñoz JL, Hernández-Lougedo J, García-Fernández P, Heredia-Elvar JR, Pleguezuelos E, Carbonell T, Alva N, Garnacho-Castaño MV. Similar Slow Component of Oxygen Uptake and Ventilatory Efficiency between an Aerobic Dance Session on an Air Dissipation Platform and a Constant-Load Treadmill Test in Healthy Women. Biology (Basel) 2022; 11:biology11111646. [PMID: 36358347 PMCID: PMC9687828 DOI: 10.3390/biology11111646] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/06/2022] [Revised: 10/29/2022] [Accepted: 10/30/2022] [Indexed: 11/12/2022]
Abstract
There is a lack of evidence about the slow component of oxygen consumption (V.O2sc) and ventilatory efficiency (slope VE·VCO2−1) during an aerobic dance (AD) session on an air dissipation platform (ADP) despite the key role played in endurance exercises. This research was designed to assess V.O2sc, ventilatory efficiency, and blood lactate concentration by comparing two exercise modes: AD session on an ADP versus treadmill test at a constant-load intensity of the first ventilatory threshold (VT1). In the first session, an incremental treadmill test was completed. In sessions 2 and 3, the participants were randomly assigned to the AD session on an ADP or to a treadmill constant-load test at VT1 intensity to determine their cardioventilatory responses. In addition, their blood lactate levels and ratings of perceived exertion (RPE, CR-10) were evaluated. No significant differences were found between the constant-load treadmill test and AD session on an ADP with respect to V.O2sc, VE VCO2−1 slope, and RPE (p > 0.05). Higher blood lactate concentrations were observed in an AD session on an ADP than in a constant-load treadmill test at 10 min (p = 0.003) and 20 min (p < 0.001). The two different exercise modalities showed similar V.O2sc and VE·VCO2−1 slope, even though the blood lactate concentrations were different.
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Affiliation(s)
- Alessandra Moreira-Reis
- Department of Cell Biology, Physiology and Immunology, Faculty of Biology, University of Barcelona, 08028 Barcelona, Spain
| | - José Luis Maté-Muñoz
- Department of Radiology, Rehabilitation and Physiotherapy, Complutense University of Madrid, 28040 Madrid, Spain
| | - Juan Hernández-Lougedo
- Department of Physiotherapy, Faculty of Health Sciences, Camilo José Cela University, 28692 Madrid, Spain
| | - Pablo García-Fernández
- Department of Radiology, Rehabilitation and Physiotherapy, Complutense University of Madrid, 28040 Madrid, Spain
- Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), 28040 Madrid, Spain
| | - Juan Ramón Heredia-Elvar
- Department of Physical Activity and Sports Science, Alfonso X El Sabio University, 28691 Madrid, Spain
| | - Eulogio Pleguezuelos
- Physical Medicine and Rehabilitation Department, Hospital de Mataró, 08304 Barcelona, Spain
| | - Teresa Carbonell
- Department of Cell Biology, Physiology and Immunology, Faculty of Biology, University of Barcelona, 08028 Barcelona, Spain
| | - Norma Alva
- Department of Cell Biology, Physiology and Immunology, Faculty of Biology, University of Barcelona, 08028 Barcelona, Spain
| | - Manuel Vicente Garnacho-Castaño
- Campus Docent Sant Joan de Déu, University of Barcelona, 08830 Sant Boi de Llobregat, Spain
- Correspondence: ; Tel.: +34-606-27-5392
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Moreira-Reis A, Maté-Muñoz JL, Hernández-Lougedo J, Vilches-Sáez S, Benet M, García-Fernández P, Pleguezuelos E, Carbonell T, Alva N, Garnacho-Castaño MV. Aerobic Dance on an Air Dissipation Platform Improves Cardiorespiratory, Muscular and Cellular Fitness in the Overweight and Obese Elderly. Biology (Basel) 2022; 11:biology11040579. [PMID: 35453778 PMCID: PMC9031850 DOI: 10.3390/biology11040579] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/13/2022] [Revised: 04/07/2022] [Accepted: 04/07/2022] [Indexed: 12/14/2022]
Abstract
Background: Obesity is a global health problem associated with a high number of comorbidities that decrease functional capacity, especially in elderly people. Aerobic dance is considered a viable strategy to prevent the effects of aging, mainly in obese and overweight elderly people. This study aimed to evaluate the effects of aerobic dance on an air dissipation platform (ADP) on body composition, oxidative stress and muscular and cardiorespiratory fitness in elderly people. Methods: In total, 32 elderly adults (67.1 ± 3.6) were divided into 3 groups based on body mass index: healthy (HG), overweight (OWG) and obese (OG). Training program of aerobic dance on an ADP was carried out twice a week for 12 weeks. Results: OWG (p = 0.016) and OG decreased their weight (p < 0.001). There was a significant decrease in malondialdehyde concentrations in all experimental groups (p < 0.05). OWG and OG significantly improved their peak oxygen uptake (p < 0.01). HG increased the vertical jump height (p < 0.05), and HG and OG improved the power output of the lower extremities (p < 0.05). Conclusions: The aerobic dance on an ADP may be an effective alternative to lose weight, prevent oxidative stress and improve cardiorespiratory fitness in obese and overweight elderly people.
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Affiliation(s)
- Alessandra Moreira-Reis
- Department of Cell Biology, Physiology and Immunology, Faculty of Biology, University of Barcelona, 08028 Barcelona, Spain; (A.M.-R.); (S.V.-S.); (T.C.); (N.A.)
| | - José Luis Maté-Muñoz
- Department of Radiology, Rehabilitation and Physiotherapy, Complutense University of Madrid, 28040 Madrid, Spain; (J.L.M.-M.); (P.G.-F.)
| | - Juan Hernández-Lougedo
- Laboratory of Biomechanics and Exercise Physiology, Department of Physical Activity and Sports Science, Alfonso X El Sabio University, 28691 Madrid, Spain;
| | - Sergio Vilches-Sáez
- Department of Cell Biology, Physiology and Immunology, Faculty of Biology, University of Barcelona, 08028 Barcelona, Spain; (A.M.-R.); (S.V.-S.); (T.C.); (N.A.)
| | - Marta Benet
- Campus Docent Sant Joan de Déu, University of Barcelona, 08034 Barcelona, Spain;
| | - Pablo García-Fernández
- Department of Radiology, Rehabilitation and Physiotherapy, Complutense University of Madrid, 28040 Madrid, Spain; (J.L.M.-M.); (P.G.-F.)
- IdISSC, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos, 28040 Madrid, Spain
| | - Eulogio Pleguezuelos
- Physical Medicine and Rehabilitation Department, Hospital de Mataró, 08304 Barcelona, Spain;
| | - Teresa Carbonell
- Department of Cell Biology, Physiology and Immunology, Faculty of Biology, University of Barcelona, 08028 Barcelona, Spain; (A.M.-R.); (S.V.-S.); (T.C.); (N.A.)
| | - Norma Alva
- Department of Cell Biology, Physiology and Immunology, Faculty of Biology, University of Barcelona, 08028 Barcelona, Spain; (A.M.-R.); (S.V.-S.); (T.C.); (N.A.)
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Cosío BG, Hernández C, Chiner E, Gimeno-Santos E, Pleguezuelos E, Seijas N, Rigau D, López-Campos JL, Soler-Cataluña JJ, Calle M, Miravitlles M, Casanova C. Spanish COPD Guidelines (GesEPOC 2021): Non-pharmacological Treatment Update. Arch Bronconeumol 2022; 58:345-351. [PMID: 35312554 DOI: 10.1016/j.arbres.2021.08.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2021] [Accepted: 08/19/2021] [Indexed: 11/02/2022]
Abstract
In addition to recommendations for pharmacological treatment stratified for risk and phenotype, the new 2021 edition of the Spanish COPD Guidelines (GesEPOC 2021) proposes a personalized approach to treatable traits, defined as a characteristic (clinical, physiological, or biological) that can be identified by diagnostic tests or biomarkers, for which a specific treatment is available. Some treatable traits, such as malnutrition, sedentarism, emphysema or respiratory failure, can be treated with non-pharmacological therapies, and this was not covered in detail in the guidelines. This section of GesEPOC 2021 includes a narrative update with recommendations on dietary treatment, physical activity, respiratory rehabilitation, oxygen therapy, non-invasive ventilation, volume reduction, and lung transplantation. A PICO question with recommendations on the use of supplemental oxygen during exercise in COPD patients without severe hypoxemia is also included.
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Affiliation(s)
- Borja G Cosío
- Servicio de Neumología, Hospital Universitario Son Espases-IdISBa, Palma de Mallorca, España; Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, España.
| | - Carme Hernández
- Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, España; Dispositivo Transversal de Hospitalización a Domicilio, Hospital Clinic de Barcelona, Barcelona, España
| | - Eusebi Chiner
- Servicio de Neumología, Hospital Universitario San Juan de Alicante, Alicante, España
| | - Elena Gimeno-Santos
- Servicio de Neumología, Hospital Clínico de Barcelona; Programa de enfermedades no transmisibles y medio ambiente, Instituto de Salud Global (ISGlobal) de Barcelona, Barcelona, España
| | - Eulogio Pleguezuelos
- Servicio de Medicina Física y Rehabilitación, Hospital de Mataró, Mataró (Barcelona), España
| | - Nuria Seijas
- Dispositivo Transversal de Hospitalización a Domicilio, Hospital Clinic de Barcelona, Barcelona, España
| | - David Rigau
- Centro Cochrane Iberoamericano, Barcelona, España
| | - José Luis López-Campos
- Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, España; Unidad Médico-Quirúrgica de Enfermedades Respiratorias, Instituto de Biomedicina de Sevilla (IBiS), Hospital Universitario Virgen del Rocío, Universidad de Sevilla, España
| | - Juan José Soler-Cataluña
- Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, España; Servicio de Neumología, Hospital Arnau de Vilanova, Valencia, España
| | - Myriam Calle
- Servicio de Neumología, Hospital Clínico San Carlos; Departamento de Medicina, Facultad de Medicina, Universidad Complutense de Madrid; Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, España
| | - Marc Miravitlles
- Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, España; Servicio de Neumología, Hospital Universitari Vall d'Hebron, Vall d'Hebron Institut de Recerca (VHIR), Barcelona, España
| | - Ciro Casanova
- Servicio de Neumología-Unidad de Investigación, Hospital Universitario de La Candelaria, Universidad de La Laguna, Tenerife, España
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9
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Cosío BG, Hernández C, Chiner E, Gimeno-Santos E, Pleguezuelos E, Seijas N, Rigau D, López-Campos JL, Soler-Cataluña JJ, Calle M, Miravitlles M, Casanova C. [Translated article] Spanish COPD Guidelines (GesEPOC 2021): Non-pharmacological Treatment Update. Archivos de Bronconeumología 2022. [DOI: 10.1016/j.arbres.2021.08.024] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
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10
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Pleguezuelos E, Del Carmen A, Llorensi G, Carcole J, Casarramona P, Moreno E, Ortega P, Serra-Prat M, Palomera E, Miravitlles MM, Yebenes JC, Boixeda R, Campins L, Villelabeitia-Jaureguizar K, Garnacho-Castaño MV. Severe loss of mechanical efficiency in COVID-19 patients. J Cachexia Sarcopenia Muscle 2021; 12:1056-1063. [PMID: 34102017 PMCID: PMC8242734 DOI: 10.1002/jcsm.12739] [Citation(s) in RCA: 25] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/24/2020] [Revised: 04/30/2021] [Accepted: 05/21/2021] [Indexed: 01/11/2023] Open
Abstract
BACKGROUND There is limited information about the impact of coronavirus disease (COVID-19) on the muscular dysfunction, despite the generalized weakness and fatigue that patients report after overcoming the acute phase of the infection. This study aimed to detect impaired muscle efficiency by evaluating delta efficiency (DE) in patients with COVID-19 compared with subjects with chronic obstructive pulmonary disease (COPD), ischaemic heart disease (IHD), and control group (CG). METHODS A total of 60 participants were assigned to four experimental groups: COVID-19, COPD, IHD, and CG (n = 15 each group). Incremental exercise tests in a cycle ergometer were performed to obtain peak oxygen uptake (VO2 peak). DE was obtained from the end of the first workload to the power output where the respiratory exchange ratio was 1. RESULTS A lower DE was detected in patients with COVID-19 and COPD compared with those in CG (P ≤ 0.033). However, no significant differences were observed among the experimental groups with diseases (P > 0.05). Lower VO2 peak, peak ventilation, peak power output, and total exercise time were observed in the groups with diseases than in the CG (P < 0.05). A higher VO2 , ventilation, and power output were detected in the CG compared with those in the groups with diseases at the first and second ventilatory threshold (P < 0.05). A higher power output was detected in the IHD group compared with those in the COVID-19 and COPD groups (P < 0.05) at the first and second ventilatory thresholds and when the respiratory exchange ratio was 1. A significant correlation (P < 0.001) was found between the VO2 peak and DE and between the peak power output and DE (P < 0.001). CONCLUSIONS Patients with COVID-19 showed marked mechanical inefficiency similar to that observed in COPD and IHD patients. Patients with COVID-19 and COPD showed a significant decrease in power output compared to IHD during pedalling despite having similar response in VO2 at each intensity. Resistance training should be considered during the early phase of rehabilitation.
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Affiliation(s)
- Eulogio Pleguezuelos
- Physical Medicine and Rehabilitation Department, Hospital de Mataró, Mataró, Spain.,Department of Experimental Science and Healthcare, Faculty of Health Sciences, Universitat Pompeu Fabra, Barcelona, Spain
| | - Amin Del Carmen
- Physical Medicine and Rehabilitation Department, Hospital de Mataró, Mataró, Spain
| | - Gemma Llorensi
- Physical Medicine and Rehabilitation Department, Hospital de Mataró, Mataró, Spain
| | - Jessica Carcole
- Physical Medicine and Rehabilitation Department, Hospital de Mataró, Mataró, Spain
| | - Paula Casarramona
- Physical Medicine and Rehabilitation Department, Hospital de Mataró, Mataró, Spain
| | - Eva Moreno
- Physical Medicine and Rehabilitation Department, Hospitalet General Hospital, L'Hospitalet de Llobregat, Spain
| | - Pilar Ortega
- Pneumology Department, Hospital de Mataró, Mataró, Spain
| | | | | | - Marc M Miravitlles
- Pneumology Department, Hospital Universitari Vall d'Hebron, Vall d'Hebron Institut de Recerca (VHIR), Vall d'Hebron Barcelona Hospital Campus, CIBER de Enfermedades Respiratorias (CIBERES), Barcelona, Spain
| | | | - Ramón Boixeda
- Department of Internal Medicine, Hospital de Mataró, CSDM, Mataró, Spain.,Grup d'Estudi al Maresme de la Pneumònia Adquirida en la Comunitat i la MPOC (GEMP@C), Mataró, Spain
| | - Lluis Campins
- Department of Pharmacy, Hospital de Mataró, CSdM, Mataró, Spain
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11
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Serra-Prat M, Terradellas M, Lorenzo I, Arús M, Burdoy E, Salietti A, Ramírez S, Palomera E, Papiol M, Pleguezuelos E. Effectiveness of a Weight-Loss Intervention in Preventing Frailty and Functional Decline in Community-Dwelling Obese Older People. A Randomized Controlled Trial. J Frailty Aging 2021; 11:91-99. [DOI: 10.14283/jfa.2021.38] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Background: Obesity is a risk factor for frailty and muscle weakness, so weight loss in obese older adults may prevent frailty and functional decline. Objective: To assess the safety and efficacy of a multimodal weight-loss intervention in improving functional performance and reducing frailty risk in obese older adults. Design: Randomized controlled trial with 2 parallel arms. Setting and participants: Community-dwelling obese adults aged 65-75 years with body mass index (BMI) 30-39 kg/m2. Intervention: 6-month multimodal intervention based on diet and a physical activity program. Control group: Usual care. Main and secondary outcome measures: Frailty (Fried criteria) rate and functional performance at 6, 12, and 24 months of follow-up, respectively. Intermediate outcome measures: Weight loss, body composition changes, and metabolic and inflammatory biomarker changes. Results: N=305. The study intervention increased gait speed at 12 and 24 months of follow-up, but had no significant effect on frailty prevention. It was effective in reducing weight, BMI, fat mass, interleukin 6, and insulin resistance and improving self-reported quality of life. Conclusions: The study intervention was not demonstrated to be effective in preventing frailty in obese people aged 65-75 years at 24 months of follow-up. However, it allowed weight loss and a reduction in inflammatory and insulin resistance markers, which could have a long-term effect on frailty that requires further research.
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12
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Pleguezuelos E, Del Carmen A, Moreno E, Ortega P, Vila X, Ovejero L, Serra-Prat M, Palomera E, Garnacho-Castaño MV, Loeb E, Farago G, Miravitlles M. The Experience of COPD Patients in Lockdown Due to the COVID-19 Pandemic. Int J Chron Obstruct Pulmon Dis 2020; 15:2621-2627. [PMID: 33122900 PMCID: PMC7591044 DOI: 10.2147/copd.s268421] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2020] [Accepted: 09/28/2020] [Indexed: 12/22/2022] Open
Abstract
Purpose On March 16, 2020, the Spanish government declared a state of alarm due to the rapid spread of coronavirus disease 2019 (COVID-19). Patients with chronic obstructive pulmonary disease (COPD) were restricted to remain confined at home, and medical visits were cancelled for 3 months. The impact of this lockdown on the manifestations of COPD and the quality-of-life of these patients has not been explored. Patients and Methods One hundred patients with COPD were interviewed by telephone from May 2–18, 2020. The interviews included questions about the lockdown, missed medical appointments, fears of the disease, possible COVID-19 infection, and exacerbations of COPD suffered during this period and their management. In addition, the COPD Assessment Test, the Hospital Anxiety and Depression, and the 5-Dimension Euro Quality-of-Life questionnaires were administered. Results Sixty-four (64%) patients claimed to have strictly complied with the lockdown, and only 42 (42%) stated they had left home at least once during lockdown. Only one patient (1%) was hospitalized due to COVID-19, and 13 (13%) patients presented an exacerbation of COPD self-managed at home with no admissions due to exacerbation of COPD during this period. A medical consultation or complementary test was cancelled in 90% of the patients, but 61% had a medical telephone visit with a high degree of satisfaction (mean 9.3/10). Most patients declared that their feeling regarding lung disease and general health was similar or even better during lockdown (82% and 81%, respectively). Conclusion Our results indicate that in general lockdown had a low impact on COPD patients. Only one patient was affected by COVID-19, but moderate exacerbations of COPD were not infrequent. Although many medical visits and test were cancelled, patients were very satisfied with the medical telephone visits.
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Affiliation(s)
- Eulogio Pleguezuelos
- Physical Medicine and Rehabilitation Department, Hospital de Mataró, Barcelona, Spain.,Department of Experimental Science and Healthcare, Faculty of Health Sciences, Universitat Pompeu Fabra, Barcelona, Spain
| | - Amin Del Carmen
- Physical Medicine and Rehabilitation Department, Hospital de Mataró, Barcelona, Spain
| | - Eva Moreno
- Physical Medicine and Rehabilitation Department, Hospitalet General Hospital, L´Hospitalet de Llobregat, Barcelona, Spain
| | - Pilar Ortega
- Pneumology Department, Hospital de Mataró Mataró, Barcelona, Spain
| | - Xavier Vila
- Pneumology Department, Hospital de Mataró Mataró, Barcelona, Spain
| | - Laura Ovejero
- Pneumology Department, Hospital de Mataró Mataró, Barcelona, Spain
| | | | | | - Manuel Vicente Garnacho-Castaño
- TGRI-AFIRS, Department of Physical Activity and Sports Science, School of Health Sciences, Tecno Campus, Universitat Pompeu Fabra, Barcelona, Spain
| | - Eduardo Loeb
- Pneumology Department, Hospital Universitari Vall d'Hebron, Vall d'Hebron Institut de Recerca (VHIR), Vall d'Hebron Barcelona Hospital Campus, CIBER de Enfermedades Respiratorias (CIBERES), Barcelona, Spain
| | - Georgina Farago
- Pneumology Department, Hospital Universitari Vall d'Hebron, Vall d'Hebron Institut de Recerca (VHIR), Vall d'Hebron Barcelona Hospital Campus, CIBER de Enfermedades Respiratorias (CIBERES), Barcelona, Spain
| | - Marc Miravitlles
- Pneumology Department, Hospital Universitari Vall d'Hebron, Vall d'Hebron Institut de Recerca (VHIR), Vall d'Hebron Barcelona Hospital Campus, CIBER de Enfermedades Respiratorias (CIBERES), Barcelona, Spain
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13
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Serra-Prat M, Lorenzo I, Papiol M, Palomera E, Bartolomé M, Pleguezuelos E, Burdoy E. Intracellular Water Content in Lean Mass as an Indicator of Muscle Quality in an Older Obese Population. J Clin Med 2020; 9:jcm9051580. [PMID: 32455974 PMCID: PMC7290582 DOI: 10.3390/jcm9051580] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2020] [Revised: 05/04/2020] [Accepted: 05/19/2020] [Indexed: 02/07/2023] Open
Abstract
Background: In aged populations, muscle strength depends more on muscle quality than on muscle quantity, while all three are criteria for the diagnosis of sarcopenia. Intracellular water content (ICW) in lean mass (LM) has been proposed as an indicator of muscle quality related to muscle strength in older people. Objectives: To evaluate the relationship between the ICW/LM ratio, muscle strength and indicators of functional performance in obese older adults, and to assess the value of the ICW/LM ratio as an indicator of muscle quality. Methodology: Design: cross-sectional study. Population: persons aged 65–75 years with a body mass index of 30–39 kg/m2. ICW and LM were estimated by bioelectrical impedance. Hand grip, gait speed, unipedal stance test, timed up-and-go (TUG) test, Barthel score and frailty (Fried criteria) were assessed. Sarcopenia was established according to EWGSOP2 criteria. Results: Recruited were 305 subjects (66% women), mean age 68 years. The ICW/LM ratio correlated with the TUG test, gait speed and grip strength, and was also associated with sex, the unipedal stance test and frailty. Independently of age, sex and muscle mass, the ICW/LM ratio was related with gait speed, the TUG test and unipedal stance capacity. One person (0.3%) had sarcopenia defined as low muscle strength and low muscle mass, while 25 people (8.2%) had sarcopenia defined as low muscle strength and poor muscle quality (ICW/LM). With this last definition, sarcopenia was related to frailty, gait speed and the TUG test. Conclusions: ICW content in LM could be a useful muscle quality indicator for defining sarcopenia. However, more studies are required to confirm our findings for other populations.
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Affiliation(s)
- Mateu Serra-Prat
- Research Unit, Consorci Sanitari del Maresme, Mataró, 08304 Barcelona, Spain; (I.L.); (E.P.)
- Institut de Recerca Germans Trias i Pujol (IGTP), Badalona, 08916 Barcelona, Spain
- Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), ISCIII, 08304 Barcelona, Spain
- Correspondence: ; Tel.: +34-(93)-741-7730
| | - Isabel Lorenzo
- Research Unit, Consorci Sanitari del Maresme, Mataró, 08304 Barcelona, Spain; (I.L.); (E.P.)
- Universitat de Vic-Universitat Central de Catalunya, 08500 Barcelona, Spain
| | - Mònica Papiol
- ABS Argentona, Consorci Sanitari del Maresme, Argentona, 08310 Barcelona, Spain; (M.P.); (E.B.)
| | - Elisabet Palomera
- Research Unit, Consorci Sanitari del Maresme, Mataró, 08304 Barcelona, Spain; (I.L.); (E.P.)
| | - Maria Bartolomé
- ABS Mataró Centre, Consorci Sanitari del Maresme, Mataró, 08304 Barcelona, Spain;
| | - Eulogio Pleguezuelos
- Rehabilitation Service, Hospital de Mataró, Consorci Sanitari del Maresme, Mataró, 08304 Barcelona, Spain;
| | - Emili Burdoy
- ABS Argentona, Consorci Sanitari del Maresme, Argentona, 08310 Barcelona, Spain; (M.P.); (E.B.)
- ABS Mataró Centre, Consorci Sanitari del Maresme, Mataró, 08304 Barcelona, Spain;
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14
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Pleguezuelos E, Casarramona P, Guirao L, Samitier B, Ortega P, Vila X, Carmen AD, Ovejero L, Moreno E, Serra N, Gomís M, Garnacho-Castaño MV, Miravitlles M. How whole-body vibration can help our COPD patients. Physiological changes at different vibration frequencies. Int J Chron Obstruct Pulmon Dis 2018; 13:3373-3380. [PMID: 30425467 PMCID: PMC6203116 DOI: 10.2147/copd.s165058] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Objective Evaluate cardiac, metabolic, and ventilatory changes during a training session with whole-body vibration training (WBVT) with 3 different frequencies in patients with chronic obstructive pulmonary disease (COPD). Methods This was a prospective, interventional trial in outpatients with severe COPD. Participants performed 3 vertical WBVT sessions once a week using frequencies of 35, 25 Hz and no vibration in squatting position (isometric). Cardiac, metabolic, and ventilator parameters were monitored during the sessions using an ergospirometer. Changes in oxygen pulse response (VO2/HR) at the different frequencies were the primary outcome of the study. Results Thirty-two male patients with a mean forced expiratory volume in 1 second of 39.7% completed the study. Compared to the reference of 35 Hz, VO2/HR at no vibration was 10.7% lower (P=0.005); however, no statistically significant differences were observed on comparing the frequencies of 35 and 25 Hz. The median oxygen uptake (VO2) at 25 Hz and no vibration was 9.43% and 13.9% lower, respectively, compared to that obtained at 35 Hz (both comparisons P<0.0001). The median expiratory volume without vibration was 9.43% lower than the VO2 at the end of the assessment at 35 Hz vibration (P=0.002). Conclusion Vertical WBVT training sessions show greater cardiac, metabolic, and respiratory responses compared with the squat position. On comparing the 2 frequencies used, we observed that the frequency of 35 Hz provides higher cardiorespiratory adaptation.
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Affiliation(s)
- Eulogio Pleguezuelos
- Physical Medicine and Rehabilitation Department, Mataró Hospital, Barcelona, Spain, .,Department of Experimental Science and Healthcare, Faculty of Health Sciences, Universitat Pompeu Fabra, Barcelona, Spain, .,School of Sciences, Tecnocampus-School of Health Sciencies, Pompeu Fabra University, Mataro, Barcelona, Spain,
| | - Paula Casarramona
- Physical Medicine and Rehabilitation Department, Mataró Hospital, Barcelona, Spain,
| | - Lluis Guirao
- Physical Medicine and Rehabilitation Department, Mataró Hospital, Barcelona, Spain, .,School of Sciences, Tecnocampus-School of Health Sciencies, Pompeu Fabra University, Mataro, Barcelona, Spain,
| | - Beatriz Samitier
- Physical Medicine and Rehabilitation Department, Mataró Hospital, Barcelona, Spain,
| | - Pilar Ortega
- Pneumology Department, Mataró Hospital, Barcelona, Spain
| | - Xavier Vila
- Pneumology Department, Mataró Hospital, Barcelona, Spain
| | - Amin Del Carmen
- Physical Medicine and Rehabilitation Department, Mataró Hospital, Barcelona, Spain,
| | - Laura Ovejero
- Pneumology Department, Mataró Hospital, Barcelona, Spain
| | - Eva Moreno
- Physical Medicine and Rehabilitation Department, Hospitalet General Hospital, L'Hospitalet de Llobregat, Barcelona, Spain
| | - Noemi Serra
- Physical Medicine and Rehabilitation Department, Hospitalet General Hospital, L'Hospitalet de Llobregat, Barcelona, Spain
| | - Manuel Gomís
- School of Sciences, Tecnocampus-School of Health Sciencies, Pompeu Fabra University, Mataro, Barcelona, Spain,
| | - Manuel V Garnacho-Castaño
- School of Sciences, Tecnocampus-School of Health Sciencies, Pompeu Fabra University, Mataro, Barcelona, Spain,
| | - Marc Miravitlles
- Pneumology Department, Hospital Universitari Vall d'Hebron, Ciber de Enfermedades Respiratorias (CIBERES), Barcelona, Spain
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15
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Pleguezuelos E, Gimeno-Santos E, Hernández C, Mata MDC, Palacios L, Piñera P, Molina J, Chiner E, Miravitlles M. Recommendations on Non-Pharmacological Treatment in Chronic Obstructive Pulmonary Disease From the Spanish COPD Guidelines (GesEPOC 2017). ACTA ACUST UNITED AC 2018. [DOI: 10.1016/j.arbr.2018.06.011] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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16
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Guirao L, Samitier B, Tibau R, Alós J, Monago M, Morales-Suarez-Varela M, Pleguezuelos E. Distance and speed of walking in individuals with trans-femoral amputation fitted with a distal weight-bearing implant. Orthop Traumatol Surg Res 2018; 104:929-933. [PMID: 29864519 DOI: 10.1016/j.otsr.2018.04.011] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/14/2017] [Revised: 02/01/2018] [Accepted: 04/30/2018] [Indexed: 02/02/2023]
Abstract
INTRODUCTION Preservation of femoral condyles in patients with knee disarticulation amputation (KDA) facilitates distal support inside the socket, compared to trans-femoral amputation (TFA), and allows the direct transfer of weight-bearing loads toward residual limbs. HYPOTHESIS The hypothesis was that the gait distance and speed of TFA patients after a surgical femoral implant that allowed the distal support of the residuum would improve. MATERIAL AND METHODS Twenty-three TFA patients received a titanium implant that allowed the distal weight bearing of the residuum inside the socket. The post-intervention follow-up period lasted 14 months. Gait distance and speed were assessed with the 2-minute walk test (2MWT). RESULTS The amputation etiology was trauma in 11 patients (48%), peripheral vascular disease in nine (39%) and oncologic disease in three (13%). The mean 2MWT distance was 103.6±34.7m prior to femoral implant and 128±38.9m at 14 months, which implies an improvement of 24% (p<0.001). The mean gait speed was 0.86±0.29m/s prior to femoral implant and 1.06±0.32m/s at 14 months (p<0.001). DISCUSSION After implant placement, distance covered increased by 24%. This value is higher than those described by other groups, such as Rau (12.6%) and Darter (19.2%), who assessed improvement in distance covered with the 2MWT in a younger population and after completing different physiotherapy programs. Our results showed improved distance walked and gait speed as well as in the physical functioning score in TFA patients 14 months after receiving a femoral implant that permitted distal residuum loading. TYPE OF STUDY An experimental prospective study. LEVEL OF PROOF III, case-control study.
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Affiliation(s)
- Lluis Guirao
- Department of physical and rehabilitation medicine, hospital de Mataró, Barcelona, Spain.
| | - Beatriz Samitier
- Department of physical and rehabilitation medicine, hospital de Mataró, Barcelona, Spain
| | - Rafael Tibau
- Department of orthopedics, hospital de Mataró, Barcelona, Spain
| | - Jesús Alós
- Department of vascular surgery, hospital de Mataró, Barcelona, Spain
| | - Mireia Monago
- Department of physical and rehabilitation medicine, hospital de Mataró, Barcelona, Spain
| | - Maria Morales-Suarez-Varela
- Unit of public health and environmental care, department of preventive medicine, CIBER Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III, university of Valencia, Madrid, Spain
| | - Eulogio Pleguezuelos
- Department of physical and rehabilitation medicine, hospital de Mataró, Barcelona, Spain
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Pleguezuelos E, Guirao L, Moreno E, Samitier B, Ortega P, Vila X, Garnacho-Castaño MV, Majó M, Ovejero L, Miravitlles M. Ischiocrural Strength May Be a Better Prognostic Marker Than Quadriceps Strength in COPD. Lung 2018; 196:665-668. [PMID: 30242510 DOI: 10.1007/s00408-018-0164-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2018] [Accepted: 09/16/2018] [Indexed: 11/30/2022]
Abstract
It is well known that chronic obstructive pulmonary disease (COPD) patients present with muscle dysfunction that may not correlate with the degree of severity of airflow obstruction. Historically, the strength deficit of the knee extensor musculature (quadriceps) has been described as an independent factor of mortality in COPD. We present the results of a retrospective study with longitudinal follow-up of 60 patients with severe COPD followed for 7 years. During follow-up 22 patients died, mainly of respiratory cause. We have observed that the strength of knee flexor muscles (ischiocrural) and dominant handgrip were independent predictors of mortality in severe COPD patients. However, knee extensor strength (quadriceps) was not an independent predictor of mortality. This is the first study which highlights the importance of knee flexor musculature as a prognostic factor in COPD.
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Affiliation(s)
- Eulogio Pleguezuelos
- Physical Medicine and Rehabilitation Department, Hospital Mataró, Mataró, Barcelona, Spain.,Department of Experimental Science and Healthcare, Faculty of Health Sciences, Universitat Pompeu Fabra, Barcelona, Spain.,Tecnocampus-School of Health Sciencies, Pompeu Fabra University, Mataro, Barcelona, Spain
| | - Lluis Guirao
- Physical Medicine and Rehabilitation Department, Hospital Mataró, Mataró, Barcelona, Spain.,Tecnocampus-School of Health Sciencies, Pompeu Fabra University, Mataro, Barcelona, Spain
| | - Eva Moreno
- Physical Medicine and Rehabilitation Department, Hospitalet General Hospital, L´Hospitalet de Llobregat, Barcelona, Spain
| | - Beatriz Samitier
- Physical Medicine and Rehabilitation Department, Hospital Mataró, Mataró, Barcelona, Spain.,Tecnocampus-School of Health Sciencies, Pompeu Fabra University, Mataro, Barcelona, Spain
| | - Pilar Ortega
- Pneumology Department, Hospital Mataró, Mataró, Barcelona, Spain
| | - Xavier Vila
- Pneumology Department, Hospital Mataró, Mataró, Barcelona, Spain
| | | | - María Majó
- Physical Medicine and Rehabilitation Department, Hospital Mataró, Mataró, Barcelona, Spain
| | - Laura Ovejero
- Pneumology Department, Hospital Mataró, Mataró, Barcelona, Spain
| | - Marc Miravitlles
- Pneumology Department, Hospital Universitari Vall d'Hebron, Ciber de Enfermedades Respiratorias (CIBERES), P. Vall d'Hebron 119-129, 08035, Barcelona, Spain.
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18
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Pleguezuelos E, Guirao L, Moreno E, Samitier B, Ortega P, Vila X, Majó M, González MV, Ovejero L, Juanola J, Gómez A, Miravitlles M. Safety of Rehabilitation Program for COPD Patients. Arch Bronconeumol 2018; 54:111-112. [DOI: 10.1016/j.arbres.2017.06.012] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2017] [Revised: 06/18/2017] [Accepted: 06/19/2017] [Indexed: 10/19/2022]
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19
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Ramon MA, Esquinas C, Barrecheguren M, Pleguezuelos E, Molina J, Quintano JA, Roman-Rodríguez M, Naberan K, Llor C, Roncero C, Miravitlles M. Self-reported daily walking time in COPD: relationship with relevant clinical and functional characteristics. Int J Chron Obstruct Pulmon Dis 2017; 12:1173-1181. [PMID: 28458527 PMCID: PMC5402919 DOI: 10.2147/copd.s128234] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Background Quantifying physical activity in chronic obstructive pulmonary disease (COPD) is important as physical inactivity is related to poor health outcomes. This study analyzed the relationship between patients’ self-reported daily walking time and relevant characteristics related to COPD severity. Methods Pooled analysis was performed on data from four observational studies on which daily walking time was gathered from a personal interview. Patients were classified as physically inactive if walking time was <30 min/day. Walking times were described and compared according to several markers of disease severity. Results The mean daily walking time of 5,969 patients was 66 (standard deviation [SD] 47) min/day; 893 (15%) patients were inactive. A linear dose–response relationship was observed between walking time and the modified Medical Research Council (mMRC) dyspnea score, admissions, COPD assessment test (CAT), body mass index, airway obstruction, dyspnea, exacerbation (BODEx) index, and Charlson index (P<0.001). Daily walking times were lower in patients classified as Global Initiative for Chronic Obstructive Lung Disease (GOLD) B and D (P<0.001). Often, inactive patients had mMRC or Charlson index >3, post-bronchodilator forced expiratory volume in the first second <30% predicted, at least one hospitalization for COPD, classified as GOLD B or D, BODEx >4, and CAT score >30. Conclusion Lower self-reported walking times are related to worse markers of disease severity in COPD.
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Affiliation(s)
- Maria A Ramon
- Department of Pneumology, Vall d'Hebron University Hospital.,Faculty of Medicine, Autonomous University of Barcelona.,Biomedical Research Networking Center Consortium of Respiratory Diseases (CIBERES)
| | | | | | - Eulogio Pleguezuelos
- Physical Medicine and Rehabilitation Department, Mataró Hospital.,TecnoCampus, College of Health Sciences, University of Pompeu Fabra, Mataró-Maresme, Barcelona
| | - Jesús Molina
- Francia Health Center, Dirección Asistencial Oeste, Madrid
| | | | | | | | | | - Carlos Roncero
- Addiction and Dual Diagnosis Unit, Psychiatry Service, Vall d'Hebron University Hospital.,Barcelona Public Health Agency (ASPB), Barcelona.,Biomedical Research Networking Center Consortium of Mental Health (CIBERSAM), Madrid.,Department of Psychiatry, Autonomous University of Barcelona, Barcelona, Spain
| | - Marc Miravitlles
- Department of Pneumology, Vall d'Hebron University Hospital.,Biomedical Research Networking Center Consortium of Respiratory Diseases (CIBERES)
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Guirao L, Samitier CB, Costea M, Camos JM, Majo M, Pleguezuelos E. Improvement in walking abilities in transfemoral amputees with a distal weight bearing implant. Prosthet Orthot Int 2017; 41:26-32. [PMID: 27052274 DOI: 10.1177/0309364616633920] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
BACKGROUND The ability to walk with a prosthesis is the main objective of rehabilitation following amputation, and distance and speed of walking achieved are considered determining factors in amputees' perception of quality-of-life. OBJECTIVES To assess walking abilities and improvement in gait distance and speed parameters in patients undergoing transfemoral amputation with a femoral implant that allows distal support of the residuum. STUDY DESIGN Experimental before-and-after study. METHODS Ten transfemoral amputation patients received a titanium implant that allowed distal weight bearing of the residuum within the socket. The post-intervention follow-up period was 14 months. We evaluated the functionality using a 2-min walk test and the physiological cost index. RESULTS The etiology of amputation was traumatic in six patients (60%). The mean 2-min walk test score was 98.4 ± 19.5 m prior to the femoral implant and 122.5 ± 26.1 m at 14 months ( p < 0.008), representing an improvement of 24.5%. The mean gait speed prior to the femoral implant was 0.82 ± 0.16 and 1.02 ± 0.21 m/s at 14 months ( p < 0.008). The physiological cost index showed no differences ( p < 0.55). CONCLUSION The results of this study show an improvement in the distance walked and gait speed in amputees 14 months after having received a femoral implant. Clinical relevance This article provides additional insight into the use of a femoral implant that allows distal support of the residuum to improve walking abilities and gait distance and speed parameters in patients undergoing transfemoral amputation, mainly those of vascular origin.
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Affiliation(s)
| | | | | | | | - Maria Majo
- 1 Hospital de Mataro, Mataro, Barcelona, Spain
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21
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Samitier CB, Guirao L, Costea M, Camós JM, Pleguezuelos E. Reply to: Comments regarding: The benefits of using a vacuum-assisted socket system to improve balance and gait in elderly transtibial amputees by Samitier et al. Prosthet Orthot Int 2016; 40:768. [PMID: 27488861 DOI: 10.1177/0309364616658380] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
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Campins L, Camps M, Riera A, Pleguezuelos E, Yebenes JC, Serra-Prat M. Oral Drugs Related with Muscle Wasting and Sarcopenia. A Review. Pharmacology 2016; 99:1-8. [PMID: 27578190 DOI: 10.1159/000448247] [Citation(s) in RCA: 62] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2016] [Accepted: 07/07/2016] [Indexed: 11/19/2022]
Abstract
Sarcopenia is a geriatric syndrome characterized by progressive and generalized loss of skeletal muscle mass and function. Reported prevalence of this geriatric syndrome, differs depending on the definition, the population and the method used to identify sarcopenia. The causes of sarcopenia are multifactorial, and can include genetic influence, immobility or disuse, endocrine factors, inflammation and nutritional deficiencies. These disorders involve an imbalance between anabolic and catabolic pathways that rules muscle mass. Many drugs taken regularly for common conditions may interact with some mechanisms that can alter the balance between protein synthesis and degradation. This may lead to a harmful or a beneficial effect on muscle mass and strength. Widely prescribed drugs could play an important role during the time of onset and development of sarcopenia. In this paper, we reviewed the current understanding of how can drugs contribute positively or negatively on sarcopenia and muscle wasting. We decided to focus this review on oral common drugs, which are usually prescribed in older adults, leaving aside other drugs as hormone therapy.
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Affiliation(s)
- Lluis Campins
- Department of Pharmacy, Hospital de Mataró, Consorci Sanitari del Maresme, Mataró, Barcelona, Spain
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Samitier CB, Guirao L, Costea M, Camós JM, Pleguezuelos E. The benefits of using a vacuum-assisted socket system to improve balance and gait in elderly transtibial amputees. Prosthet Orthot Int 2016; 40:83-8. [PMID: 25261489 DOI: 10.1177/0309364614546927] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/04/2014] [Accepted: 07/15/2014] [Indexed: 02/03/2023]
Abstract
BACKGROUND Lower limb amputation leads to impaired balance, ambulation, and transfers. Proper fit of the prosthesis is a determining factor for successful ambulation. Vacuum-assisted socket systems extract air from the socket, which decreases pistoning and probability of soft-tissue injuries and increases proprioception and socket comfort. OBJECTIVES To investigate the effect of vacuum-assisted socket system on transtibial amputees' performance-based and perceived balance, transfers, and gait. STUDY DESIGN Quasi-experimental before-and-after study. METHODS Subjects were initially assessed using their prosthesis with the regular socket and re-evaluated 4 weeks after fitting including the vacuum-assisted socket system. We evaluated the mobility grade using Medicare Functional Classification Level, Berg Balance Scale, Four Square Step Test, Timed Up and Go Test, the 6-Min Walk Test, the Locomotor Capabilities Index, Satisfaction with Prosthesis (SAT-PRO questionnaire), and Houghton Scale. RESULTS A total of 16 unilateral transtibial dysvascular amputees, mean age 65.12 (standard deviation = 10.15) years. Using the vacuum-assisted socket system, the patients significantly improved in balance, gait, and transfers: scores of the Berg Balance Scale increased from 45.75 (standard deviation = 6.91) to 49.06 (standard deviation = 5.62) (p < 0.01), Four Square Step Test decreased from 18.18 (standard deviation = 3.84) s to 14.97 (3.9) s (p < 0.01), Timed Up and Go Test decreased from 14.3 (standard deviation = 3.29) s to 11.56 (2.46) s (p < 0.01). The distance walked in the 6-Min Walk Test increased from 288.53 (standard deviation = 59.57) m to 321.38 (standard deviation = 72.81) m (p < 0.01). CONCLUSION Vacuum-assisted socket systems are useful for improving balance, gait, and transfers in over-50-year-old dysvascular transtibial amputees. CLINICAL RELEVANCE This study gives more insight into the use of vacuum-assisted socket systems to improve elderly transtibial dysvascular amputees' functionality and decrease their risk of falls. The use of an additional distal valve in the socket should be considered in patients with a lower activity level.
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Affiliation(s)
| | | | | | | | - Eulogio Pleguezuelos
- Hospital de Mataró, Mataró, Barcelona, Spain Department of Experimental Science and Healthcare, Faculty of Health Sciences Universitat Pompeu Fabra, Barcelona, Spain Faculty of Health Sciences Blanquerna, Universitat Ramón Llull, Barcelona, Spain
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Pleguezuelos E, Esquinas C, Moreno E, Guirao L, Ortiz J, Garcia-Alsina J, Merí A, Miravitlles M. Muscular Dysfunction in COPD: Systemic Effect or Deconditioning? Lung 2016; 194:249-57. [DOI: 10.1007/s00408-015-9838-z] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2015] [Accepted: 12/26/2015] [Indexed: 12/21/2022]
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Pleguezuelos E, Pérez ME, Guirao L, Samitier B, Costea M, Ortega P, González MV, Del Carmen VA, Ovejero L, Moreno E, Miravitlles M. Effects of whole body vibration training in patients with severe chronic obstructive pulmonary disease. Respirology 2014; 18:1028-34. [PMID: 23692550 DOI: 10.1111/resp.12122] [Citation(s) in RCA: 42] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2012] [Revised: 12/20/2012] [Accepted: 02/06/2013] [Indexed: 11/28/2022]
Abstract
BACKGROUND AND OBJECTIVE To determine if whole body vibration training (WBVT) improves muscular force and modifies functional capacity parameters in patients with severe chronic obstructive pulmonary disease (COPD). METHODS We performed a randomized controlled trial in the outpatient Physical Medicine and Rehabilitation Department of a general hospital. Sixty stable male patients with COPD and mean forced expiratory volume in 1 s (FEV1) 34.3% (predicted) were enrolled with 51 patients completing the study. Participants were randomized into two groups: Whole Body Vibration Training Group (WBVTG), (n = 26) undergoing three sessions per week for a total of 6 weeks and a Control Group (CG) (n = 25) without intervention. The main outcome measures were isokinetic knee flexor and extensor testing in a concentric-concentric regime and exercise capacity measured by the 6-min walking test (6MWT). Secondary outcomes were pulmonary muscular assessment with maximum inspiratory pressure (MIP) and maximum expiratory pressure (MEP). RESULTS No significant differences were observed between groups in maximum moment of isokinetic knee flexor/extensor testing force in a concentric-concentric regime. In contrast, WBVTG patients showed a significant increase in the 6MWT (81.2 ± 9.2) meters; mean ± SD; P < 0.001). There was also a significant decrease in maximum oxygen desaturation in the 6MWT after 6 weeks of training (3.1 ± 1.1; P = 0.01). There were significant differences between groups in MIP and MEP at the end of the study in favour of the WBVTG. CONCLUSIONS WBVT provided significant improvements in functional capacity in severe COPD patients without changes in muscular force.
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Affiliation(s)
- Eulogio Pleguezuelos
- Physical Medicine and Rehabilitation Department, Mataró Hospital, Mataró, Spain.
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Pleguezuelos E, Pérez ME, Guirao L, Samitier B, Ortega P, Vila X, Solans M, Riera A, Moreno E, Merí A, Miravitlles M. Improving physical activity in patients with COPD with urban walking circuits. Respir Med 2013; 107:1948-56. [PMID: 23890958 DOI: 10.1016/j.rmed.2013.07.008] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/04/2013] [Revised: 06/04/2013] [Accepted: 07/08/2013] [Indexed: 10/26/2022]
Abstract
BACKGROUND Even after a rehabilitation program, levels of physical activity in COPD progressively decrease unless strategies to encourage activity are implemented. We analyzed the effects of the implementation of urban walking circuits on levels of physical activity and exercise capacity of patients with severe and very severe COPD after a rehabilitation program. METHOD A total of 83 patients were randomized to either urban circuits group (UCG) or usual care in the non-circuit group (NCG), after completing a 2-week rehabilitation program. Results were evaluated 9 months after completion of the rehabilitation program and were compared with a control group of 54 patients not enrolled in the rehabilitation program. RESULTS At the end of follow-up, UCG patients increased their physical activity by a mean of 32.4 (SE = 5.9) min per day and 1.09 (SE = 0.22) days walked per week; 33.9 (SE = 5.6) min per day and 1.12 (SE = 0.24) days per week more compared to the NCG (p < 0.001). There was a significant positive correlation between the results of the 6-min walking test and minutes walked per day in the UCG (r(2) = 0.52, p < 0.05) but not in the NCG (r(2) = 0.094, p > 0.05). Controls showed a significant decrease in exercise capacity and physical activity over the follow-up. CONCLUSIONS Urban circuits are an easy, inexpensive strategy, which demonstrated to be useful to stimulate physical activity in our population of severe and very severe COPD patients and resulted in increased exercise capacity even 9 months after completion of a rehabilitation program.
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Affiliation(s)
- Eulogio Pleguezuelos
- Physical Medicine and Rehabilitation Department, Hospital de Mataró, C/ Cirera s/n 08302, Mataró, Barcelona, Spain; Department of Experimental Science and Healthcare, Faculty of Health Sciences, Universitat Pompeu Fabra, Barcelona, Spain; Faculty of Health Sciences Blanquerna, Universitat Pompeu Fabra, Barcelona, Spain.
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Malagelada F, Coll Rivas M, Jiménez Obach A, Auleda J, Guirao L, Pleguezuelos E. Total hip replacement in an ipsilateral above-the-knee amputation: surgical technique, rehabilitation, and review of the literature. INT J LOW EXTR WOUND 2013; 12:39-43. [PMID: 23446373 DOI: 10.1177/1534734613479380] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
In this article, we present a case report of a 62-year-old patient who previously underwent an above-the-knee amputation for vascular disease and we performed a total hip replacement on him because of hip osteoarthritis. As the only postoperative complication, the patient developed a methicillin-resistant Staphylococcus aureus surgical site infection, which was successfully treated. The surgical technique and the postoperative rehabilitation program are described in detail in an attempt to detect and face the challenges that patients with major lower limb amputations may present. The literature is reviewed and all known cases of hip replacements in amputees are presented.
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Samitier B, Barrio M, Guirao L, Pleguezuelos E, Pérez M. Poster 492 Measurement of Muscle Gastrocnemius Thickness in Adults With Hemiparesis and With Equino or Equinovarus Foot After Stroke: Implications for Botulinum Toxin Treatment. PM R 2011. [DOI: 10.1016/j.pmrj.2011.08.521] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Perez M, Costea M, DelCarmen VA, Guirao L, Llorensi G, Moreno E, Pleguezuelos E, Samitier B. Poster 42 Prognosis Factors Related to Whiplash: A Case Series. PM R 2011. [DOI: 10.1016/j.pmrj.2011.08.098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Pleguezuelos E, Bobadilla M, Costea M, Guirao L, Llorensi G, Perez ME, Samitier B. Poster 32 Is It Important to Stretch Accessory Inspiratory Muscles? A Case Series. PM R 2011. [DOI: 10.1016/j.pmrj.2011.08.087] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Pleguezuelos E, Costea M, Guirao L, Moreno E, Palomera E, Pérez M, Samitier B. Poster 67: What Factors Have Influence on Persistence of Neck Pain After a Whiplash? A Case Series. PM R 2010. [DOI: 10.1016/j.pmrj.2010.07.098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Pleguezuelos E, Guirao L, Matarrubia C, Moreno E, Palomera E, Pérez ME, Reveron G, Samitier B. Poster 156: Related Prognosis Factors in Whiplash. Arch Phys Med Rehabil 2008. [DOI: 10.1016/j.apmr.2008.09.206] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Pleguezuelos E, Engracia Pérez M, Guirao L, Palomera E, Moreno E, Samitier B. Factores relacionados con la evolución clínica del síndrome del latigazo cervical. Med Clin (Barc) 2008; 131:211-5. [DOI: 10.1157/13124610] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Martín-Badosa E, Montes-Usategui M, Carnicer A, Andilla J, Pleguezuelos E, Juvells I. Design strategies for optimizing holographic optical tweezers set-ups. ACTA ACUST UNITED AC 2007. [DOI: 10.1088/1464-4258/9/8/s22] [Citation(s) in RCA: 50] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Pereira JA, Pleguezuelos E, Merí A, Molina-Ros A, Molina-Tomás MC, Masdeu C. Effectiveness of using blended learning strategies for teaching and learning human anatomy. Med Educ 2007; 41:189-95. [PMID: 17269953 DOI: 10.1111/j.1365-2929.2006.02672.x] [Citation(s) in RCA: 101] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
Abstract
OBJECTIVES This study aimed to implement innovative teaching methods--blended learning strategies--that include the use of new information technologies in the teaching of human anatomy and to analyse both the impact of these strategies on academic performance, and the degree of user satisfaction. METHODS The study was carried out among students in Year 1 of the biology degree curriculum (human biology profile) at Pompeu Fabra University, Barcelona. Two groups of students were tested on knowledge of the anatomy of the locomotor system and results compared between groups. Blended learning strategies were employed in 1 group (BL group, n = 69); the other (TT group; n = 65) received traditional teaching aided by complementary material that could be accessed on the Internet. Both groups were evaluated using the same types of examination. RESULTS The average marks presented statistically significant differences (BL 6.3 versus TT 5.0; P < 0.0001). The percentage pass rate for the subject in the first call was higher in the BL group (87.9% versus 71.4%; P = 0.02), reflecting a lower incidence of students who failed to sit the examination (BL 4.3% versus TT 13.8%; P = 0.05). There were no differences regarding overall satisfaction with the teaching received. CONCLUSIONS Blended learning was more effective than traditional teaching for teaching human anatomy.
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Affiliation(s)
- José A Pereira
- Department of Experimental Health Sciences, Pompeu Fabra University, Barcelona, Spain.
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Pallarés M, Pallarés E, Pleguezuelos E. Hipertensión arterial y astenia marcada. Semergen 2000. [DOI: 10.1016/s1138-3593(00)73625-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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