Functional capacity and quality of life improvement in stable chronic obstructive pulmonary disease (COPD) patients following physical exercise and chicken egg white supplementation

Narra J Pub Date : 2023-11-13 DOI:10.52225/narra.v3i3.404

Benny Sihombing, A. P. Tarigan, P. Pandia, F. Zaluchu, B. Y. Sinaga, Nanda S. Monica, Ella Rhinsilva, Zulkarnain Zulkarnain

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Abstract

The pillars of comprehensive pulmonary rehabilitation program for chronic obstructive pulmonary disease (COPD) patients include physical exercise and good nutrition. The aim of this study was to evaluate the efficacy of pulmonary rehabilitation, which included physical exercise and chicken egg white supplementation, on the quality of life (QoL) and functional capacity among patients with stable COPD. The COPD patients were enrolled prospectively in this quasi-experimental study and completed a 12-week smartphone-guided home-based physical exercise program that comprised strength and resistance training three times per week for 30 minutes each session. Participants were divided into two groups: the control group who underwent physical exercise only, and the intervention group who had physical exercise and chicken egg white supplementation as a protein source. Patient characteristics including sex, age, nutritional status, comorbidities, smoking status, and obstruction severity, were evaluated. The COPD assessment test (CAT) score and six-minute walk test (6MWT) were used as the parameters to evaluate QoL and functional capacity, respectively. Of the total 50 patients included in the study, 12 were excluded due to follow-up and adherence problems. Our data indicated there were significant CAT score reduction and 6MWT improvement in both control and intervention groups after 12 weeks compared to baseline data. However, reduction of mean CAT score was higher in intervention compared to control group (-13.47±6.49 vs -5.42±5.07, p<0.001). In addition, the improvement of 6MWT was also higher in intervention group compared to control group (145.47±69.2 vs 32.42±17.3 meters, p<0.001). In conclusion, chicken egg white supplement to male patients with stable COPD who exercise with resistance and strength training could improve the QoL and functional capacity.

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稳定期慢性阻塞性肺病（COPD）患者通过体育锻炼和补充鸡蛋白提高功能能力和生活质量

慢性阻塞性肺病（COPD）患者综合肺康复计划的支柱包括体育锻炼和良好的营养。本研究旨在评估包括体育锻炼和补充鸡蛋白在内的肺康复对稳定期慢性阻塞性肺病患者的生活质量（QoL）和功能能力的影响。慢性阻塞性肺病患者前瞻性地参与了这项准实验研究，并完成了为期 12 周的智能手机指导的家庭体育锻炼计划，该计划包括力量和阻力训练，每周三次，每次 30 分钟。参与者被分为两组：对照组只进行体育锻炼，干预组在进行体育锻炼的同时补充鸡蛋白作为蛋白质来源。对患者的性别、年龄、营养状况、合并症、吸烟状况和阻塞严重程度等特征进行了评估。慢性阻塞性肺病评估测试（CAT）评分和六分钟步行测试（6MWT）分别作为评估患者生活质量和功能能力的参数。在纳入研究的 50 名患者中，有 12 人因随访和坚持治疗问题被排除在外。我们的数据显示，与基线数据相比，对照组和干预组的 CAT 评分在 12 周后均有明显降低，6MWT 也有明显改善。然而，与对照组相比，干预组的CAT平均得分降低幅度更大（-13.47±6.49 vs -5.42±5.07，P<0.001）。此外，与对照组相比，干预组 6MWT 的改善程度也更高（145.47±69.2 vs 32.42±17.3米，P<0.001）。总之，给进行阻力和力量训练的男性慢性阻塞性肺病稳定期患者补充鸡蛋白可改善其生活质量和功能能力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Narra J

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