The impact of pulmonary rehabilitation on physical activity and physical fitness levels in lung transplant candidates; preliminary study results

Abstract

Backround: Lung transplantation is the final treatment option in the end stage of certain lung diseases, once all possible conservative treatments have been exhausted. These patients9 physical activity levels and exercise capacities are low. In our study we aimed to investigate the effect of the Pulmonary Rehabilitation (PR) on physical activity and physical fitness levels . Material-Method: Twenty-one patients who were on the waiting list for lung transplantation and who did not have any disease that prevented them from exercising were included in the study. PR was administered 8 week, 2 times a week at the hospital, 3 times at home without supervision. Baseline and after rehabilitation; The 6-min walk test distance (6MWD), 10-meter walking time, 5-times sit-up test time, and the International Physical Activity Questionnaire Short Form (IPAQ-SF) scores were compared. Results: 11 male and 10 female patients were included in the study (age 36 (15-68), BMI: 19 (12,70-33,20)). According to pre and post PR values, there was a statistically significant increase in 10-meter walking time (p = 0,000), 5-time sitting time (p = 0,000) and 6MWD (p = 0,002). And also, there was a statistically significant increase in all IPAQ-SF subcategories (except the severe physical activity) and total score. Conclusion: Pulmonary rehabilitation increases exercise capacities, physical fitness and physical activity levels in lung transplantation candidates. Any eligible pulmonary transplant candidates should be directed to Pulmonary Rehabilitation regardless of the diagnosis and level of physical activity level.