The effect of mawangdui exercise on the pulmonary function, physical fitness and quality of life in chronic obstructive pulmonary disease (COPD) patients
Physical exercise is an important component of pulmonary rehabilitation for chronic obstructive pulmonary disease (COPD) patients. However, certain physical therapy may be restrictive to COPD patients, as it induces fatigue and shortness of breath, thus reducing quality of life. Mawangdui exercise,...
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| Format: | Thesis |
| Language: | English |
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2024
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| Online Access: | http://eprints.usm.my/62011/ http://eprints.usm.my/62011/1/ZHU%20ZHENGGANG-TESIS%20P-SKD003120-E.pdf |
| _version_ | 1848884865992228864 |
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| author | Zhenggang, Zhu |
| author_facet | Zhenggang, Zhu |
| author_sort | Zhenggang, Zhu |
| building | USM Institutional Repository |
| collection | Online Access |
| description | Physical exercise is an important component of pulmonary rehabilitation for chronic obstructive pulmonary disease (COPD) patients. However, certain physical therapy may be restrictive to COPD patients, as it induces fatigue and shortness of breath, thus reducing quality of life. Mawangdui exercise, a type of low-to-medium-intensity aerobic exercise, has been gaining popularity in China as adjuvant physical therapy, particularly for patients with contraindications to exercise. This study aims to: (1) understand the characteristics and risk factors of patients with COPD (age, sex, cigarette smoking, smoking cessation, COPD grade, average length of hospital stay, and comorbidities); (2) investigate the effects of Mawangdui exercise on pulmonary function (FEV1, FVC, FEV 1 %pred), exercise capacity (6MWT, Borg CR-10, and SpO2), physical fitness (back-leg-chest muscle strength and sit-and-reach flexibility), dyspnoea symptoms (CAT, mMRC), and quality of life (SGRQ) in patients with COPD. Two studies were conducted. Study 1 is a retrospective, cross-sectional investigation of the COPD patients’ clinical records conducted in Changde First Hospital of Traditional Chinese Medicine in China and Hospital Universiti Sains Malaysia (HUSM), Kota Bharu, in Malaysia; In study 2, 45 COPD patients in stable stage (mean age: 65.2 years) underwent 12 weeks sessions in communities. Intervention group (n=22) practised Mawangdui exercise for 60 minutes per session, 5 times per week, while the control group (n=23) maintained daily activities without additional exercise. The outcomes were assessed at baseline, 24 hours, 6 weeks, and 12 weeks post-intervention. Analysis of study 1 revealed that COPD was prevalent in male patients, both in China and Malaysia. Cigarette smoking was prevalent in COPD patients, with men smoking more than women. The number of smoking cessation in COPD patients was less than 50% in both hospitals. COPD patients in Changde hospital have higher severity and longer hospital stays than HUSM. However, there are more comorbidities in COPD patients from HUSM than in Changde hospital. As for study 2, at 12 weeks post intervention, Mawangdui exercise showed improvement in dyspnoea symptoms (CAT, mMRC), exercise capacity (6MWT, Borg CR-10, and SpO2), back-leg-chest muscle strength, sit-and-reach flexibility, BMI, body fat%, fat mass and quality of life (SGRQ). In conclusion, COPD patients living in different climates have similar smoking habits and comorbidities, and they should improve their healthy lifestyles. Mawangdui exercise improved exercise capacity, dyspnoea symptoms, physical fitness, and quality of life in stable mild and moderate COPD patients. Mawangdui exercise can be recommended as part of pulmonary rehabilitation for COPD patients in the mild and moderate stages of the disease. |
| first_indexed | 2025-11-15T19:13:30Z |
| format | Thesis |
| id | usm-62011 |
| institution | Universiti Sains Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T19:13:30Z |
| publishDate | 2024 |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | usm-620112025-05-25T00:40:44Z http://eprints.usm.my/62011/ The effect of mawangdui exercise on the pulmonary function, physical fitness and quality of life in chronic obstructive pulmonary disease (COPD) patients Zhenggang, Zhu R Medicine RA440-440.87 Study and teaching. Research Physical exercise is an important component of pulmonary rehabilitation for chronic obstructive pulmonary disease (COPD) patients. However, certain physical therapy may be restrictive to COPD patients, as it induces fatigue and shortness of breath, thus reducing quality of life. Mawangdui exercise, a type of low-to-medium-intensity aerobic exercise, has been gaining popularity in China as adjuvant physical therapy, particularly for patients with contraindications to exercise. This study aims to: (1) understand the characteristics and risk factors of patients with COPD (age, sex, cigarette smoking, smoking cessation, COPD grade, average length of hospital stay, and comorbidities); (2) investigate the effects of Mawangdui exercise on pulmonary function (FEV1, FVC, FEV 1 %pred), exercise capacity (6MWT, Borg CR-10, and SpO2), physical fitness (back-leg-chest muscle strength and sit-and-reach flexibility), dyspnoea symptoms (CAT, mMRC), and quality of life (SGRQ) in patients with COPD. Two studies were conducted. Study 1 is a retrospective, cross-sectional investigation of the COPD patients’ clinical records conducted in Changde First Hospital of Traditional Chinese Medicine in China and Hospital Universiti Sains Malaysia (HUSM), Kota Bharu, in Malaysia; In study 2, 45 COPD patients in stable stage (mean age: 65.2 years) underwent 12 weeks sessions in communities. Intervention group (n=22) practised Mawangdui exercise for 60 minutes per session, 5 times per week, while the control group (n=23) maintained daily activities without additional exercise. The outcomes were assessed at baseline, 24 hours, 6 weeks, and 12 weeks post-intervention. Analysis of study 1 revealed that COPD was prevalent in male patients, both in China and Malaysia. Cigarette smoking was prevalent in COPD patients, with men smoking more than women. The number of smoking cessation in COPD patients was less than 50% in both hospitals. COPD patients in Changde hospital have higher severity and longer hospital stays than HUSM. However, there are more comorbidities in COPD patients from HUSM than in Changde hospital. As for study 2, at 12 weeks post intervention, Mawangdui exercise showed improvement in dyspnoea symptoms (CAT, mMRC), exercise capacity (6MWT, Borg CR-10, and SpO2), back-leg-chest muscle strength, sit-and-reach flexibility, BMI, body fat%, fat mass and quality of life (SGRQ). In conclusion, COPD patients living in different climates have similar smoking habits and comorbidities, and they should improve their healthy lifestyles. Mawangdui exercise improved exercise capacity, dyspnoea symptoms, physical fitness, and quality of life in stable mild and moderate COPD patients. Mawangdui exercise can be recommended as part of pulmonary rehabilitation for COPD patients in the mild and moderate stages of the disease. 2024-08 Thesis NonPeerReviewed application/pdf en http://eprints.usm.my/62011/1/ZHU%20ZHENGGANG-TESIS%20P-SKD003120-E.pdf Zhenggang, Zhu (2024) The effect of mawangdui exercise on the pulmonary function, physical fitness and quality of life in chronic obstructive pulmonary disease (COPD) patients. PhD thesis, Universiti Sains Malaysia. |
| spellingShingle | R Medicine RA440-440.87 Study and teaching. Research Zhenggang, Zhu The effect of mawangdui exercise on the pulmonary function, physical fitness and quality of life in chronic obstructive pulmonary disease (COPD) patients |
| title | The effect of mawangdui exercise on the pulmonary function, physical fitness and quality of life in chronic obstructive pulmonary disease (COPD) patients |
| title_full | The effect of mawangdui exercise on the pulmonary function, physical fitness and quality of life in chronic obstructive pulmonary disease (COPD) patients |
| title_fullStr | The effect of mawangdui exercise on the pulmonary function, physical fitness and quality of life in chronic obstructive pulmonary disease (COPD) patients |
| title_full_unstemmed | The effect of mawangdui exercise on the pulmonary function, physical fitness and quality of life in chronic obstructive pulmonary disease (COPD) patients |
| title_short | The effect of mawangdui exercise on the pulmonary function, physical fitness and quality of life in chronic obstructive pulmonary disease (COPD) patients |
| title_sort | effect of mawangdui exercise on the pulmonary function, physical fitness and quality of life in chronic obstructive pulmonary disease (copd) patients |
| topic | R Medicine RA440-440.87 Study and teaching. Research |
| url | http://eprints.usm.my/62011/ http://eprints.usm.my/62011/1/ZHU%20ZHENGGANG-TESIS%20P-SKD003120-E.pdf |