Login | Register

Effects of exercise training on cognition in chronic obstructive pulmonary disease: A systematic review

Title:

Effects of exercise training on cognition in chronic obstructive pulmonary disease: A systematic review

Desveaux, Laura, Harrison, Samantha L., Gagnon, Jean-François, Goldstein, Roger S., Brooks, Dina and Pepin, Véronique (2018) Effects of exercise training on cognition in chronic obstructive pulmonary disease: A systematic review. Respiratory Medicine, 139 . pp. 110-116. ISSN 09546111

[thumbnail of Accepted manuscript]
Preview
Text (Accepted manuscript) (application/pdf)
pepin 2018.pdf - Accepted Version
Available under License Spectrum Terms of Access.
432kB

Official URL: http://dx.doi.org/10.1016/j.rmed.2018.05.006

Abstract

Background

As exercise may mitigate cognitive decline in individuals with chronic obstructive pulmonary disease (COPD), its effect has been evaluated in a number of clinical trials. The objective of the present systematic review was to describe the impact of exercise training on cognition in COPD.

Methods

Electronic searches of four databases were performed from inception until March 24, 2015 and last updated 23rd October 2017. Included studies reported on at least one cognitive outcome before and after a formal exercise-training program in individuals with COPD. Two reviewers independently rated study quality using the Downs and Black checklist. The protocol was registered on PROSPERO (CRD42015017884).

Results

Seven articles, representing six exercise interventions in 293 individuals with COPD (55% males, mean age 67 ± 2 year) were included. Although each study documented a significant pre-post training improvement in at least one cognitive domain, the heterogeneity in study design, exercise intervention and cognitive outcome measures among studies precluded a meta-analysis. The only randomized controlled trial available reported an improvement on a letter verbal fluency task in the exercise group only.

Conclusions

Exercise training may positively impact cognition in COPD patients, but current evidence is limited by the heterogeneity of study design, exercise intervention and cognitive outcome measures. Future studies should emphasize comprehensive reporting of intervention parameters, including program length, type(s) of exercise, and duration of individual sessions, in order to facilitate applied insights to inform replication and/or program development.

Divisions:Concordia University > Faculty of Arts and Science > Exercise Science
Item Type:Article
Refereed:Yes
Authors:Desveaux, Laura and Harrison, Samantha L. and Gagnon, Jean-François and Goldstein, Roger S. and Brooks, Dina and Pepin, Véronique
Journal or Publication:Respiratory Medicine
Date:2018
Digital Object Identifier (DOI):10.1016/j.rmed.2018.05.006
ID Code:983885
Deposited By: Monique Lane
Deposited On:17 May 2018 17:03
Last Modified:01 Jul 2019 00:00

References:

J.W. Dodd Lung disease as a determinant of cognitive decline and dementia Alzheimer's Res. Ther., 7 (1) (2015), p. 32

S. Villeneuve, V. Pepin, S. Rahayel, et al .Mild cognitive impairment in moderate to severe COPD: a preliminary study Chest, 142 (6) (2012), pp. 1516-1523

F.A. Cleutjens, D.J. Janssen, R.W. Ponds, J.B. Dijkstra, E.F. Wouters COgnitive-pulmonary disease BioMed Res. Int., 2014 (2014), p. 697825

C.A. Campman, M.M. SitskoornBetter care for patients with COPD and cognitive impairment The Lancet. Respiratory Medicine., 1 (7) (2013), pp. 504-506

A.M. Yohannes, W. Chen, A.M. Moga, I. Leroi, M.J. Connolly Cognitive impairment in chronic obstructive pulmonary disease and chronic Heart failure: a systematic review and meta-analysis of observational studies J. Am. Med. Dir. Assoc., 18 (5) (2017), p. 451
e451-451 e411

I. Grant, G.P. Prigatano, R.K. Heaton, A.J. McSweeny, E.C. Wright, K.M. Adams Progressive neuropsychologic impairment and hypoxemia. Relationship in chronic obstructive pulmonary disease Arch. Gen. Psychiatr., 44 (11) (1987), pp. 999-1006

F.A. Cleutjens, M.A. Spruit, R.W. Ponds, et al. Cognitive functioning in obstructive lung disease: results from the United Kingdom biobank J. Am. Med. Dir. Assoc., 15 (3) (2014), pp. 214-219

S. Gauthier, B. Reisberg, M. Zaudig, et al. Mild cognitive impairment Lancet, 367 (9518) (2006), pp. 1262-1270

S.C. Lareau, R. Hodder Teaching inhaler use in chronic obstructive pulmonary disease patients J. Am. Acad. Nurse Pract., 24 (2) (2012), pp. 113-120

S.S. Chang, S. Chen, G.J. McAvay, M.E. Tinetti Effect of coexisting chronic obstructive pulmonary disease and cognitive impairment on health outcomes in older adults J. Am. Geriatr. Soc., 60 (10) (2012), pp. 1839-1846

R.W. Dal Negro, L. Bonadiman, F.P. Bricolo, S. Tognella, P. Turco Cognitive dysfunction in severe chronic obstructive pulmonary disease (COPD) with or without Long-Term Oxygen Therapy (LTOT) Multidiscip Respir Med., 10 (1) (2015), p. 17

H. Karamanli, F. Ilik, F. Kayhan, A.C. Pazarli Assessment of cognitive impairment in long-term oxygen therapy-dependent COPD patients Int. J. Chronic Obstr. Pulm. Dis., 10 (2015), pp. 2087-2094

F. Gomez-Pinilla, C. Hillman The influence of exercise on cognitive abilities Comprehensive Physiology., 3 (1) (2013), pp. 403-428

M. Angevaren, G. Aufdemkampe, H.J. Verhaar, A. Aleman, L. Vanhees Physical activity and enhanced fitness to improve cognitive function in older people without known cognitive impairment Cochrane Database Syst. Rev., 2 (2008) CD005381

J. Etnier, R. Johnston, D. Dagenbach, R.J. Pollard, W.J. Rejeski, M. Berry The relationships among pulmonary function, aerobic fitness, and cognitive functioning in older COPD patients Chest, 116 (4) (1999), pp. 953-960

C.F. Emery, V.J. Honn, D.J. Frid, K.R. Lebowitz, P.T. Diaz Acute effects of exercise on cognition in patients with chronic obstructive pulmonary disease Am. J. Respir. Crit. Care Med., 164 (9) (2001), pp. 1624-1627

C.F. Emery, N.E. Leatherman, E.J. Burker, N.R. MacIntyre Psychological outcomes of a pulmonary rehabilitation program Chest, 100 (3) (1991), pp. 613-617

C.F. Emery Effects of age on physiological and psychological functioning among COPD patients in an exercise program J. Aging Health, 6 (1) (1994), pp. 3-16

C.F. Emery, R.L. Schein, E.R. Hauck, N.R. MacIntyre Psychological and cognitive outcomes of a randomized trial of exercise among patients with chronic obstructive pulmonary disease Health Psychol., 17 (3) (1998), pp. 232-240

J.L. Etnier, M. Berry Fluid intelligence in an older COPD sample after short- or long-term exercise Med. Sci. Sports Exerc., 33 (10) (2001), pp. 1620-1628

E. Kozora, Z.V. Tran, B. Make Neurobehavioral improvement after brief rehabilitation in patients with chronic obstructive pulmonary disease J Cardiopulm Rehabil., 22 (6) (2002), pp. 426-430

E.D. Pereira, C.S. Viana, T.C. Taunay, P.U. Sales, J.W. Lima, M.A. Holanda Improvement of cognitive function after a three-month pulmonary rehabilitation program for COPD patients Lung, 189 (4) (2011), pp. 279-285

G. Aquino, E. Iuliano, A. di Cagno, et al.Effects of combined training vs aerobic training on cognitive functions in COPD: a randomized controlled trial Int. J. Chronic Obstr. Pulm. Dis., 11 (2016), pp. 711-718

A.Liberati, D.G. Altman, J. Tetzlaff, et al.The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration BMJ, 339 (2009) b2700

D. Moher, A. Liberati, J. Tetzlaff, D.G. Altman, P. GroupPreferred reporting items for systematic reviews and meta-analyses: the PRISMA statement PLoS Med., 6 (7) (2009), p. e1000097

S.H. Downs, N. Black The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions J. Epidemiol. Community, 52 (6) (1998), pp. 377-384

L.M. Willems, J.E. Vriezekolk, A.A. Schouffoer, et al. Effectiveness of nonpharmacologic interventions in systemic sclerosis: a systematic review Arthritis Care Res., 67 (10) (2015), pp. 1426-1439

J. Bean Rey auditory verbal learning test, Rey AVLT .S. Kreutzer, J. DeLuca, B. Caplan (Eds.), Encyclopedia of Clinical Neuropsychology, Springer New York, New York, NY (2011), pp. 2174-2175

H. Abikoff, J. Alvir, G. Hong, et al.Logical memory subtest of the wechsler memory scale: age and education norms and alternate-form reliability of two scoring systems J. Clin. Exp. Neuropsychol., 9 (4) (1987), pp. 435-448

T.E. Goldberg, P.D. Harvey, K.A. Wesnes, P.J. Snyder, L.S. Schneider Practice effects due to serial cognitive assessment: implications for preclinical Alzheimer's disease randomized controlled trials Alzheimers Dement (Amst)., 1 (1) (2015), pp. 103-111

J. Marmeleira An examination of the mechanisms underlying the effects of physical activity on brain and cognition European Review of Aging and Physical Activity., 10 (2) (2013), pp. 83-94

M.A. Spruit, S.J. Singh, C. Garvey, et al.An official American Thoracic Society/European Respiratory Society statement: key concepts and advances in pulmonary rehabilitation Am. J. Respir. Crit. Care Med., 188 (8) (2013), pp. e13-64

F. Cleutjens, M.A. Spruit, R. Ponds, et al.The impact of cognitive impairment on efficacy of pulmonary rehabilitation in patients with COPD J. Am. Med. Dir. Assoc., 18 (5) (2017), pp. 420-426

T.L. Griffiths, M.L. Burr, I.A. Campbell, et al.Results at 1 year of outpatient multidisciplinary pulmonary rehabilitation: a randomised controlled trial Lancet, 355 (9201) (2000), pp. 362-368

A.L. Ries, R.M. Kaplan, T.M. Limberg, L.M. Prewitt Effects of pulmonary rehabilitation on physiologic and psychosocial outcomes in patients with chronic obstructive pulmonary disease Ann. Intern. Med., 122 (11) (1995), pp. 823-832

D. Brooks, B. Krip, S. Mangovski-Alzamora, R.S. Goldstein The effect of postrehabilitation programmes among individuals with chronic obstructive pulmonary disease Eur. Respir. J., 20 (1) (2002), pp. 20-29

C.F. Emery, R.L. Shermer, E.R. Hauck, E.T. Hsiao, N.R. MacIntyre Cognitive and psychological outcomes of exercise in a 1-year follow-up study of patients with chronic obstructive pulmonary disease Health Psychol., 22 (6) (2003), pp. 598-604
All items in Spectrum are protected by copyright, with all rights reserved. The use of items is governed by Spectrum's terms of access.

Repository Staff Only: item control page

Downloads per month over past year

Research related to the current document (at the CORE website)
- Research related to the current document (at the CORE website)
Back to top Back to top