Improvement of the cardiopulmonary capacity of patients with chronic obstructive pulmonary disease of Kinshasa by training of aerobic endurance and resistance

Authors : Mabele Godefroid KUSUAYİ, Ekisawa Constant NKİAMA, Ngasa Nicias KİANA, Nzeloka Jolie BONGO, Ntumba Jean Marie KAYEMBE

Pages : 149-154

Doi:10.31459/turkjkin.466236

View : 18 | Download : 6

Publication Date : 2018-12-30

Article Type : Research Paper

Abstract :The objective is to determine the effect of aerobic endurance training and resistance on cardiorespiratory fitness in patients with Chronic Obstructive Pulmonary Disease in Kinshasa, Democratic Republic of Congo. In a follow-up study with a duration of 36 weeks, between March and May 2018, 30 mismatched patients with a mean age of 49 ± 9.7 years followed after medical management at the Kinesiology Department`s medical fitness laboratory and functional exercises of University Clinics of Kinshasa, were subject to an aerobic endurance and resistance training program of 3 days per week, for one hour 30 minutes per day, three sets of 20 minutes of work and 10 minutes of rest, of moderate intensity including: treadmill walking, ergo-cycle exercises with progressive loading and respiratory gymnastics. The paired Student T test was used to compare the continuous variables before and after the program. A significant decrease in most of the parameters studied respectively: insert ignore into journalissuearticles values(- 23 bpm); p <0.0001 for resting heart rate; insert ignore into journalissuearticles values(- 26 bpm);; p <0.0001 for heart rate immediately after exercise insert ignore into journalissuearticles values(-10 mm Hg);; p <0.0001 for systolic blood pressure; insert ignore into journalissuearticles values(- 8 cycles per minute);; p <0.0001 for the respiratory rate; insert ignore into journalissuearticles values(- 20.7%);; p <0.0001 for workload insert ignore into journalissuearticles values(intensity of effort); and insert ignore into journalissuearticles values(- 10 minutes);; p <0.0001 for dyspnea on exertion. On the other hand, a significant increase of: insert ignore into journalissuearticles values(+ 2.6 liter per second);; p <0.0001 for Peak Expiratory Flow; insert ignore into journalissuearticles values(+ 19%);; p <0.0001 for the Tiffeneau index; insert ignore into journalissuearticles values(+ 51minutes);; p <0.0001 for the duration of sensation of fatigue during exercise; insert ignore into journalissuearticles values(+ 6%);, p <0.0001 for oxygen saturation in the open air and insert ignore into journalissuearticles values(+ 640 meters);; p <0.0001 for the walking area. A training program for aerobic endurance and resistance significantly improves the stress tolerance of patients with Chronic Obstructive Pulmonary Disease and can be considered as an effective non-pharmacological management for the improvement of physical capacity as well as the quality of life of these patients. 
Keywords : Aerobic endurance, cardiorespiratory capacity, MPCO, training