| Cost-saving effect of supervised exercise associated to COPD self-management education program. | |
| | |
MedLine Citation:
|
PMID: 21036024 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
BACKGROUND: Although the benefits of comprehensive pulmonary rehabilitation have been demonstrated in patients with COPD, the effects of exercise sessions within self-management programs remain unclear. We hypothesized that 8 supervised exercise sessions incorporated in a 1-month self-management education program in COPD patients would be effective to improve health outcomes and to reduce direct medical costs after one year, compared to usual care. METHODS: In this randomized controlled trial, 38 moderate-to-severe COPD patients were assigned either to an intervention group or to a usual care group. The hospital-based intervention program provided a combination of 8 sessions of supervised exercise with 8 self-management education sessions over a 1-month period. The primary end-point was the 6-min walking distance (6MWD), with secondary outcomes being health-related quality of life (HRQoL) - using the St. George's Respiratory Questionnaire (SGRQ) and Nottingham Health Profile (NHP), maximal exercise capacity and healthcare utilization. Data were collected before and one year after the program. RESULTS: After 12 months, we found statistically significant between-group differences in favor of the intervention group in 6MWD (+50.5 m (95%CI, 2 to 99), in two domains of NHP (energy, -19.8 (-38 to -1); emotional reaction, -10.4 (-20 to 0)); in SGRQ-symptoms (-14.0 (-23 to -5)), and in cost of COPD medication (-480.7 € (CI, -891 to -70) per patient per year). CONCLUSION: The present hospital-based intervention combining supervised exercise with self-management education provides significant improvements in patient's exercise tolerance and HRQoL, and significant decrease of COPD medication costs, compared to usual care. |
| | |
Authors:
|
G Ninot; G Moullec; M C Picot; A Jaussent; M Hayot; M Desplan; J F Brun; J Mercier; C Prefaut |
Related Documents
:
|
15994254 - Exercise training and inspiratory muscle training in patients with bronchiectasis. 11341634 - Comparison of functional state between bilateral lung volume reduction surgery and pulm... 14985554 - Regional chest wall volumes during exercise in chronic obstructive pulmonary disease. 17875054 - Changes in circulating thrombomodulin levels with exercise in patients with chronic obs... 17645914 - Neuropsychological determinants of exercise tolerance in the heat. 1437584 - Instrument development: cardiac diet and exercise self-efficacy. |
Publication Detail:
|
Type: Journal Article Date: 2010-10-29 |
Journal Detail:
|
Title: Respiratory medicine Volume: 105 ISSN: 1532-3064 ISO Abbreviation: Respir Med Publication Date: 2011 Mar |
Date Detail:
|
Created Date: 2011-01-25 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8908438 Medline TA: Respir Med Country: England |
Other Details:
|
Languages: eng Pagination: 377-85 Citation Subset: IM |
Copyright Information:
|
Copyright © 2010 Elsevier Ltd. All rights reserved. |
Affiliation:
|
University Montpellier 1, Laboratory Epsylon, EA-4206 Addictive, Performance and Health Behaviors, 4 Boulevard Henri IV, Montpellier F-34000, France. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Ganoderic acid Mf and S induce mitochondria mediated apoptosis in human cervical carcinoma HeLa cell...
Next Document: "We don't have no drugs education": The myth of universal drugs education in English secondary schoo...