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Healthcare
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Exercise as Medicine in Chronic Conditions
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Exercise as Medicine in Chronic Conditions

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Chronic Care".

Deadline for manuscript submissions: closed (31 August 2023) | Viewed by 3397

Special Issue Editor

Dr. Francisco Javier Domínguez Muñoz

E-Mail Website
Guest Editor
Faculty of Sport Science, University of Extremadura, 10003 Cáceres, Spain
Interests: chronic pain; health-related quality of life; health education; education and innovation; physical and sports activities as a strategy to promote a healthy society; physical activity interventions; exercise training; physical exercise; diabetes mellitus; fibromyalgia

Special Issue Information

Dear Colleagues,

Physical exercise is essential to improve both physical fitness and health-related quality of life. This type of therapy has been shown to have a multitude of benefits in many diseases and plays a key role in today's society due to the awareness and demonstration of the positive aspects that physical exercise provides.Traditionally, physical exercise was associated with people improving their physical appearance or was related to military aspects. However, over time, the advantages and benefits of physical exercise programs have been proven; they are considered therapies, benefitting aspects that are affected by different chronic diseases. We invite authors to submit papers on these topics for publication in this Special Issue, especially those that combine a high academic level with a practical approach to provide papers related to physical exercise in chronic diseases and their benefits in terms of physical condition and health-related quality of life. The following formats are accepted: study protocols, longitudinal studies, cross-sectional studies, case reports, qualitative studies, and all types of reviews (narrative reviews, bibliometric reviews, systematic reviews, and meta-analyses).

Dr. Francisco Javier Domínguez Muñoz
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • physical exercise
  • health-related quality of life
  • chronic diseases
  • sport sciences and exercise
  • exercise as medicine

Published Papers (2 papers)

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Research

17 pages, 1602 KiB  
Article
The Effectiveness of Home-Based Inspiratory Muscle Training on Small Airway Function and Disease-Associated Symptoms in Patients with Chronic Obstructive Pulmonary Disease
by Wen Chang, Horng-Chyuan Lin, Hsueh-Erh Liu, Chin-Yen Han and Po-Jui Chang
Healthcare 2023, 11(16), 2310; https://doi.org/10.3390/healthcare11162310 - 16 Aug 2023
Viewed by 1778
Abstract
Chronic obstructive pulmonary disease (COPD) is characterized by persistent airflow limitations, occurring mainly in the small airways. Weakness in the respiratory muscles contributes to dyspnea and a decreased exercise capacity in COPD patients. This study aimed to investigate the effectiveness of home-based inspiratory [...] Read more.
Chronic obstructive pulmonary disease (COPD) is characterized by persistent airflow limitations, occurring mainly in the small airways. Weakness in the respiratory muscles contributes to dyspnea and a decreased exercise capacity in COPD patients. This study aimed to investigate the effectiveness of home-based inspiratory muscle training (IMT) on small airway function and symptoms in COPD patients. This research adopted a non-randomized controlled-study quasi-experimental design. The IMT program consisted of two 15 min sessions·d−1, 5 d·wk−1, with 40% of the maximal inspiratory pressure (PImax) on each participant’s assessment results and lasted for 12 weeks. Small airway function was assessed using plethysmography at baseline and after 12 weeks. The modified British Medical Research Council (mMRC), COPD assessment test (CAT), PImax, and 6 min walking distance (6MWD) were recorded at baseline as well as four, eight, and twelve weeks. Twenty-three participants with at least moderate COPD were enrolled in IMT (n = 16) or in the control group (n = 7) in this study. The study participants were mostly male (82.6%), and the average age was 68.29 ± 10.87 years, with a mean body mass index (BMI) of 23.54 ± 4.79. After 12 weeks, the ratios of the first second of forced expiration to the forced vital capacity (FEV1/FVC%) (B coefficient [95% Wald confidence interval] of 5.21 [0.46 to 9.96], p = 0.032), forced expiratory flow (FEF25–75%) (0.20 [0.04 to 0.35] L/s, p = 0.012), and FEF50% (0.26 [0.08 to 0.43] L/s, p = 0.004) in the IMT group were significantly better than in the control group. The IMT group showed significantly lower CAT scores at week 8 (−5.50 [−10.31 to −0.695] scores, p = 0.025) than the control group. The mMRC grade, CAT score, PImax, and 6MWD were significantly improved compared to their values at baseline in the IMT group. Home-based IMT effectively improved post-bronchodilator small airway function and disease-associated symptoms in COPD patients. Full article
(This article belongs to the Special Issue Exercise as Medicine in Chronic Conditions)
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18 pages, 2236 KiB  
Article
Effects of Physical Activity Program on Body Composition, Physical Performance, and Neuromuscular Strategies during Walking in Older Adults with Sarcopenic Obesity: Randomized Controlled Trial
by Hamza Ferhi, Sabri Gaied Chortane, Sylvain Durand, Bruno Beaune, Sébastien Boyas and Wael Maktouf
Healthcare 2023, 11(16), 2294; https://doi.org/10.3390/healthcare11162294 - 14 Aug 2023
Cited by 3 | Viewed by 1308
Abstract
The potential impact of a specific physical activity program on biomechanical gait parameters and neuromuscular strategies around the ankle joint in older adults with sarcopenic obesity (SO) remains largely unexplored. The objective of this study was to investigate the effectiveness of a 24-week [...] Read more.
The potential impact of a specific physical activity program on biomechanical gait parameters and neuromuscular strategies around the ankle joint in older adults with sarcopenic obesity (SO) remains largely unexplored. The objective of this study was to investigate the effectiveness of a 24-week posture, strengthening, and motricity (PSM) program on improving neuromuscular strategies and biomechanical gait parameters in older adults with SO. 40 participants were randomly assigned to either the trained group (TG) and the control group (CG). Only the TG received the PSM program. Standardized evaluations were performed before and after the intervention, including walking tests on an instrumented gait analysis treadmill to evaluate biomechanical gait parameters and EMG activity of ankle muscles. After the PSM program, TG exhibited an increase in comfortable walking speed (+80%, p < 0.001) and step length (+38%, p < 0.05). Moreover, TG demonstrated a reduction in CoP velocity (−26%, p < 0.01). These gait modifications were associated with decreased muscle activity during the different gait phases (p < 0.05). The PSM program effectively improved gait and neuromuscular capacities in older adults with SO. Notably, these results shed light on the remarkable trainability of neuromuscular capacities in older adults with SO, despite the adverse effects of aging and obesity. Full article
(This article belongs to the Special Issue Exercise as Medicine in Chronic Conditions)
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