Exercise Training And Molecular Markers: New Perspectives In The Rehabilitation Of COPD

Abstract

Chronic Obstructive Pulmonary Disease (COPD), as defined in the recent revision of the Global Strategy for the Diagnosis (GOLD) guidelines, is a common, preventable and treatable disease characterized by persistent respiratory symptoms and airflow limitation, which is due to airway and alveolar abnormalities usually caused by significant exposure to harmful particles or gases. The chronic limitation to airflow characteristic of COPD is caused in part by changes in small airways (obstructive bronchiolitis) and in part by parenchymal destruction (emphysema). In addition to the clinical evaluation of the symptomatic picture and a careful history, for the diagnosis of COPD it is necessary to perform a spirometry. The presence of a post-bronchodilator FEV1/ FVC ratio <0.70 confirms the presence of persistent bronchial obstruction [1]. Dyspnea is certainly an element that we find in all patients with COPD to varying degrees, and this triggers a vicious circle that leads patients to reduce physical activity, causing an even more precocious appearance of dyspnea and muscle fatigue with reduced performance in Activity of Daily Living (ADL). The classic rehabilitation proposal includes an intervention focused on exercise training, although there is still a lot to do to clearly define the right amount of exercise that is safe and effective for each patient [2].

Authors and Affiliations

Garofano M, Ascoli MM, Aliberti M, Calabrese M, M Ciriello

Keywords

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  • EP ID EP587209
  • DOI 10.32474/DDIPIJ.2018.01.000119
  • Views 154
  • Downloads 0

How To Cite

Garofano M, Ascoli MM, Aliberti M, Calabrese M, M Ciriello (2018). Exercise Training And Molecular Markers: New Perspectives In The Rehabilitation Of COPD. Drug Designing & Intellectual Properties International Journal, 1(4), 121-123. https://europub.co.uk/articles/-A-587209