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C M Woodard

Publications and source records attributed to C M Woodard.

4 recordsLinked to original sources
PubMed2001

Gender moderates the effects of exercise therapy on health-related quality of life among COPD patients.

STUDY OBJECTIVES: To determine whether long-term treatment with exercise therapy results in more favorable, disease-specific, health-related quality of life (HRQL) compared with short-term treatment with exercise therapy; and to determine whether there are gender differences in disease-specific HRQL among individuals randomized into the two treatment groups. DESIGN: Randomized clinical trial. SETTING: Center-based exercise therapy unit at a university. PARTICIPANTS: One hundred forty patients with COPD; 118 completed trial. INTERVENTIONS: Short-term exercise therapy (3 months); long-term exercise therapy (18 months). MEASUREMENTS: Chronic Disease Respiratory Questionnaire (CRQ). RESULTS: After 3 months of treatment, there were significant improvements in all CRQ scores for men and women (p < 0.01), and for the total sample (p < 0.01). At 18 months, individuals randomized into the long-term group had significantly more favorable scores than the short-term group for dyspnea (p = 0.03), fatigue (p < 0.01), emotional function (p = 0.04), and mastery (p = 0.04). However, these effects were moderated by gender. That is, men in the long-term group reported significantly more favorable scores than men in the short-term group for dyspnea (0.04), fatigue (p < 0.001), emotional function (p = 0.02), and mastery (p = 0.02). At the 18-month assessment, there were no differences between long-term and short-term exercise therapy for women on any of the subscales of the CRQ. CONCLUSIONS: Taken collectively, the CRQ data demonstrate that long-term exercise therapy has little added benefit for women over short-term exercise therapy; however, men derive significant benefits from extended training.

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PubMed1993

Effects of body mass on exercise efficiency and VO2 during steady-state cycling.

Oxygen uptake (VO2) and exercise efficiency during cycle ergometer exercise are considered to be independent of body mass. To determine the validity of this assumption, 50 females ranging in body mass from 41.5-98.9 kg exercised on a cycle ergometer with no load at 60 rpm and at 25, 50, 75, and 100 W at 60 and 90 rpm. Gross VO2 and efficiency, net VO2 and efficiency, work VO2 and efficiency, and delta efficiency were computed. Gross and net VO2 were significantly and positively correlated with body mass at all work rates and pedal frequencies. Gross efficiency was significantly and negatively correlated with body mass at all work rates and pedal frequencies. Work VO2 and body mass were not significantly correlated. The correlations between work and delta efficiency and body mass were not significant. Since body mass was found to be significantly correlated with gross VO2, the following equation was developed using stepwise multiple regression to predict gross VO2: VO2 (ml.min-1) = 10.9 (work rate, W) + 8.2 (pedal rate, rpm) + 8.3 (body mass, kg) - 559.6. These data suggest that body mass should be considered when estimating the oxygen uptake during cycle ergometer exercise.

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PubMedDate not supplied

Evaluating and understanding performance testing in COPD patients.

PURPOSE: There is increasing interest in the use of performance tests to assess physical function among patients with debilitating diseases. The purpose of this study was to describe the measurement properties of a performance test battery used in the Reconditioning Exercise and Chronic Obstructive Pulmonary Disease Trial and to explore how well-selected physiologic and psychosocial measures explained test performance. METHODS: To assess test-retest reliability of the performance tests, older patients with chronic obstructive pulmonary disease (n = 30) completed, on two different occasions, a 6-minute walk for distance, a timed stair climb, and a timed elevated-arm task. In addition, stepwise regression analyses were conducted on a larger sample (n = 209) to examine how effective conceptually relevant physiologic and psychosocial variables were at explaining variation in task performance. RESULTS: Results showed that all three performance tasks had good test-retest reliability (all coefficients > 0.80) and shared variance in expected directions with VO2peak, forced expiratory volume in 1 second (FEV1), and self-reported disability. Regression analyses suggest that VO2peak, FEV1, self-efficacy, and self-reported disability are important variables to consider in attempts to understand performance-related disability in patients with chronic obstructive pulmonary disease (COPD). CONCLUSIONS: The physical performance test battery appears to be a reliable means of assessing physical functioning in older patients with COPD. Furthermore, findings support the important role that VO2peak plays in task performance and suggest that patients' perceptions should be given careful consideration when attempting to understand physical decline in clinical settings.

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