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Exercise in patients with chronic respiratory diseases

...are cardiovascular comorbidities and outcomes taken into account?

Despite the large number of studies exploring the effects of exercise programmes in patients with chronic respiratory diseases, the majority does not include patients suffering from cardiovascular comorbidities, and the ones who do, do not report any specific exercise tailoring to these conditions.

Patients with chronic obstructive pulmonary disease (COPD), asthma and interstitial lung diseases (ILD) frequently suffer from cardiovascular comorbidities, which further impair their functional status and health-related quality of life and increase mortality risk. Exercise training has been identified as a cornerstone intervention for the management of these conditions, but recommendations on how to tailor exercise programmes to patients suffering from respiratory diseases and cardiovascular comorbidities are still limited.

Although there is a large number of studies exploring the effects of exercise training in patients with chronic respiratory diseases, only a few have included patients with cardiovascular comorbidities. Limited effects of the exercise programmes were found on cardiovascular outcome measures, possibly due to the lack of tailoring of the exercise prescription and comprehensiveness of the cardiovascular outcome measures used. Future studies should try to bridge the gap in the literature by exploring the effect of specifically tailored exercise programmes on relevant outcome measures in patients with respiratory disease and cardiovascular comorbidities. 

> From: Machado, J Clin Med 8 (2019) 1458 . All rights reserved to The Author(s). Click here for the online summary.

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