Differential Pulmonary Rehabilitation Outcomes in Patients with and Without COPD: ROLE of GENDER

Lam Phuong Nguyen, Emily Beck, Katherine Cayetano, Chin Shang Li, Kimberly Hardin

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Purpose: Individuals with all forms of pulmonary disease are referred for pulmonary rehabilitation. This study examines pulmonary rehabilitation outcomes between individuals with chronic obstructive lung disease (COPD) and non-COPD disease and the impact of gender. Methods: This is a retrospective study at a tertiary center. The primary endpoint was the difference in 6-min walk test distance. Secondary measurements included treadmill and NuStep minutes; biceps curls and front arm raises load; quality of life measured by the St George's Respiratory Questionnaire; and University of California San Diego-Shortness of Breath Questionnaire (UCSD-SOBQ) scores. Results: Eighty patients were included: 38 men (23 COPD, 15 non-COPD) and 42 women (31 COPD, 11 non-COPD). There was a statistically significant improvement in 6-min walk test distances pre- to post-pulmonary rehabilitation for all participants, P =.0003. Although both the COPD and non-COPD groups demonstrated overall improvement (P <.0004 and P =.02, respectively), subgroup analysis showed no statistically significant change in the non-COPD group when divided by gender. There was a significant statistical improvement in lower and upper extremity strength in all participants. Only women with COPD showed a statistically significant improvement with respect to overall quality of life as measured by St. George's Respiratory Questionnaire (P =.01). Women showed significant improvement in their depression score, as well as a trend toward improvement in the University of California San Diego-Shortness of Breath Questionnaire, while only men with COPD showed any improvement in their sleep quality measured by the Pittsburgh Sleep Quality Index. Conclusions: Pulmonary rehabilitation results in different but improved outcomes regardless of gender or disease state.

Original languageEnglish (US)
Pages (from-to)350-355
Number of pages6
JournalJournal of Cardiopulmonary Rehabilitation and Prevention
Volume37
Issue number5
DOIs
StatePublished - Sep 1 2017

Keywords

  • chronic obstructive pulmonary disease
  • non-COPD pulmonary disease
  • pulmonary rehabilitation
  • quality of life
  • role of gender

ASJC Scopus subject areas

  • Rehabilitation
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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