title: Changes in structural and metabolic muscle characteristics following exercise-based interventions in patients with COPD: a systematic review.
abstract: Patients with COPD suffer from lower-limb muscle dysfunction characterized by lower muscle oxidative capacity and muscle mass. Exercise-based training is expected to attenuate lower-limb intramuscular characteristics, but a detailed systematic approach to review the available evidence has not been performed yet. PUBMED and PEDro databases were searched. Twenty-five studies that implemented an exercise-based training program (aerobic and/or resistance training, high intensity interval training, electrical or magnetic stimulation) and reported muscle biopsy data of patients with COPD were critically appraised. The coverage of results includes changes in muscle structure, muscle protein turnover regulation, mitochondrial enzyme activity, oxidative and nitrosative stress, and inflammation after exercise-based training interventions. Study design and training modalities varied among studies, which partly explains the observed heterogeneous response in muscle characteristics. Gaps in the current knowledge are identified and recommendations for future research are made to enhance our knowledge on exercise training effects in patients with COPD.
authors.affiliation: a REVAL - Rehabilitation Research Center, BIOMED - Biomedical Research Institute, Faculty of Medicine and Life Sciences , Hasselt University , Diepenbeek , Belgium.
authors.forename: Jana
authors.initials: J
authors.lastname: De Brandt
authors.affiliation: a REVAL - Rehabilitation Research Center, BIOMED - Biomedical Research Institute, Faculty of Medicine and Life Sciences , Hasselt University , Diepenbeek , Belgium.|b Department of Research and Education , CIRO, Center of Expertise for Chronic Organ Failure , Horn , The Netherlands.
authors.forename: Martijn A
authors.initials: MA
authors.lastname: Spruit
authors.affiliation: c Department of Movement and Sports Sciences , Ghent University , Ghent , Belgium.
authors.forename: Wim
authors.initials: W
authors.lastname: Derave
authors.affiliation: a REVAL - Rehabilitation Research Center, BIOMED - Biomedical Research Institute, Faculty of Medicine and Life Sciences , Hasselt University , Diepenbeek , Belgium.
authors.forename: Dominique
authors.initials: D
authors.lastname: Hansen
authors.affiliation: b Department of Research and Education , CIRO, Center of Expertise for Chronic Organ Failure , Horn , The Netherlands.
authors.forename: Lowie E G W
authors.initials: LE
authors.lastname: Vanfleteren
authors.affiliation: a REVAL - Rehabilitation Research Center, BIOMED - Biomedical Research Institute, Faculty of Medicine and Life Sciences , Hasselt University , Diepenbeek , Belgium.
authors.forename: Chris
authors.initials: C
authors.lastname: Burtin
mesh_terms: D005081:Exercise Therapy / Q000379:methods*; D006801:Humans; D009124:Muscle Proteins / Q000378:metabolism; D018482:Muscle, Skeletal / Q000378:metabolism / Q000473:pathology*; D018384:Oxidative Stress / Q000502:physiology; D029424:Pulmonary Disease, Chronic Obstructive / Q000378:metabolism / Q000473:pathology / Q000628:therapy*; D016896:Treatment Outcome
chemical_list: D009124:Muscle Proteins
keywords: COPD; exercise training; muscle biopsy; muscle morphology; pulmonary rehabilitation; quadriceps muscle; skeletal muscle; vastus lateralis