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Strength and Chronic Obstructive
Pedro Victor Nogueira de Souza and Alexandre Lima de Araújo Ribeiro*
Faculty of Physical Education, University of Brasilia, Brazil
Submission: January 11, 2020; Published: January 22, 2020
*Corresponding author: Alexandre Lima de Araújo Ribeiro, Professor in Faculty of Physical Education, University of Brasilia, Brasília, Brazil
How to cite this article: Pedro Victor Nogueira de Souza, Alexandre Lima de Araújo Ribeiro. Strength and Chronic Obstructive Pulmonary Disease. Int J Pul & Res Sci. 2020; 4(3): 555640. DOI: 10.19080/IJOPRS.2020.04.555640
Muscle strength is a physical capacity that is associated
with good health and consequently better quality of life, mental
health, among other benefits. Therefore, muscle strength has been
indicated as an important marker of mortality Cooper, Kuh, Hardy,
& Mortality Review Group . A way to maintain and increase
muscle strength is Resistance Training (RT), which can be
performed with machines, dumbbells, free weights, elastic bands,
among other specific materials for muscle overload Ratamess .
The RT (or strength training) can improve fitness and physical
performance Ratamess . In addition, the RT can decrease the
risk of mortality from various causes Kim ; Saeidifard .
However, to reach the expected goal with RT there are variables
to be manipulated and health conditions to be taken into account
Fleck & Kraemer .
Some diseases can alter the individual’s physical capacities,
such as Chronic Obstructive Pulmonary Disease (COPD) affects
the muscles, thus affecting strength. The muscle dysfunction
caused by COPD includes peripheral and respiratory muscles.
The peripheral muscle dysfunction is associated with fitness
and physical performance in physical activities usually resulting
in reduction muscle strength, quality of life, what consequently
with elevated health-care use and mortality risk Maltais .
Already the respiratory muscle dysfunction limits the skeletal
muscle performance in physical exercise by metabolic and
cardiorespiratory factors during physical exercises, and normally
the dyspnea is one of the main causes of these limitations
Stendardi, Binazzi, & Scano, . Therefore, the treatment of the
dyspnea can be one form of COPD combat or delay. And one form
of treatment of the dyspnea is strength training. As already show
in several studies upper and lower limb muscle strength and
endurance to decrease in patients with COPD as the obstruction
level increases. However, the strength training can be improving
not only peripheral muscle strength and activities daily living
performance but decreases dyspnea during exercises and
activities of daily living Calik-Kutukcu ; Kaymaz ; Miranda,
Malaguti, & Corso, . Liao  in your systematic review
with meta-analysis showed that dyspnea scale scores, skeletal
muscle strength, and lung function improved following resistance
training. Thus, incorporate the upper limb strength training in
pulmonary rehabilitation is recommended to reduce dyspnea
Kruapanich . So as shown increasing of the muscle strength
is effective strategy not only to reduce all-cause mortality risk but
also is a reliable and feasible treatment for COPD patients.
Calik-Kutukcu E, Arikan H, Saglam M, Vardar-Yagli N, Oksuz C (2017) Arm strength training improves activities of daily living and occupational performance in patients with COPD. Clin Respir J 11(6): 820-832.