Observation on the application effect of elastic band resistance training combined with dietary adjustments in elderly patients with chronic obstructive pulmonary disease

YIN Hui; MA Ying

doi:10.3969/j.issn.1674-3806.2025.01.18

Abstract：Objective To observe the application effect of elastic band resistance training combined with dietary adjustments in elderly patients with chronic obstructive pulmonary disease(COPD).Methods A total of 120 elderly patients with COPD who were admitted to Beijing Friendship Hospital,Capital Medical University from May 2023 to May 2024 were recruited.The patients were randomly divided into observation group and control group by using random number table method,with 60 cases in each group.The control group received routine nursing care,while the observation group received elastic band resistance training combined with dietary adjustments.The patients'pulmonary function indicators,muscle mass,muscle strength,physical function,mental state,exercise endurance,and physical condition were evaluated before intervention and after 12 weeks of the intervention.Results Forced vital capacity(FVC),forced expiratory volume in 1 second(FEV1),FEV1 to predicted value ratio(FEV1％pred),partial pressure of oxygen(PaO2)and appendicular skeletal muscle index(ASMI)in both groups after 12 weeks of intervention were higher than those before intervention,and these indicators in the observation group were higher than those in the control group.Partial pressure of carbon dioxide(PaCO2),Self-Rating Anxiety Scale(SAS)scores,Self-Rating Depression Scale(SDS)scores,the COPD Assessment Test(CAT)scores and modified Medical Research Council(mMRC)dyspnoea scale scores in both groups after 12 weeks of intervention were lower than those before intervention,and these indicators in the observation group were lower than those in the control group.The levels of gripping power in both groups after 12 weeks of intervention were higher than those before intervention,and the levels in the observation group were higher than those in the control group.The time for five-time chair stand in both groups after 12 weeks of intervention was shorter than that before intervention,and the time in the observation group was shorter than that in the control group.The distance of 6-minute walk in both groups after 12 weeks of intervention was longer than that before intervention,and the distance in the observation group was longer than that in the control group.The above differences were significant between the two groups(P＜0.05).Conclusion Elastic band resistance training combined with dietary adjustments can improve lung function and physical condition in elderly patients with COPD,enhance their muscle strength and exercise endurance,alleviate their negative emotion,and is worth promoting and applying in the nursing care for COPD patients in clinical practice.