PTOtherJournal of physical therapy science2017

Effects of high intensity aerobic exercise on treadmill on maximum-expiratory lung capacity of elderly women.

Joonsung Park, Dongwook Han

PMID 28878482

WHAT IT FOUND

In 22 elderly women, 12 weeks of treadmill aerobic exercise at 70% maximum heart rate significantly increased FVC from 2.1 to 2.3 liters and FEV1 from 1.7 to 1.8 liters; other airflow measures did not change significantly.

Key findings

01FVC increased significantly from 2.1 to 2.3 liters after the exercise program.

02FEV1 increased significantly from 1.7 to 1.8 liters after the exercise program.

03FEV1/FVC and maximal expiratory flow measures did not change significantly.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

Only 22 elderly women were included, and they were selected from welfare-center programs in one city. No control group, randomization, or blinding was reported, so it is not possible to know whether the changes would have occurred without the exercise. Participants were excluded if they had musculoskeletal disease, recent regular exercise, cardiovascular disease, or psychotic illness, so the results may not apply to people with those conditions. The paper does not state which pulmonary measure was the primary outcome, so the positive results for FVC and FEV1 are not enough to establish a clear primary benefit.

The easy way to misread this

Do not conclude that high-intensity treadmill exercise will improve lung function in every older adult. The study included only 22 elderly women, had no control group, and several lung-flow measures did not change significantly.

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