Pulmonary rehabilitation programmes including aerobic training improve cardiorespiratory fitness in patients with COPD, but the optimal programme design is unclear. We used random effects additive component network meta-analysis to investigate the relative effectiveness of different programme components on fitness measured by V̇O2peak in COPD. The included 59 studies involving 2191 participants demonstrated that V̇O2peak increased after aerobic training of at least moderate intensity with the greatest improvement seen following high intensity training. Lower limb aerobic training (SMD 0.56 95% CI 0.32;0.81, intervention arms=86) and the addition of non-invasive ventilation (SMD 0.55 95% CI 0.04;1.06, intervention arms=4) appeared to offer additional benefit but there was limited evidence for effectiveness of other exercise and non-exercise components.

中文翻译：

---

了解不同运动训练计划设计对 COPD 患者 V̇O2peak 的有效性：组件网络荟萃分析

包括有氧训练在内的肺部康复计划可以改善慢性阻塞性肺病患者的心肺健康，但最佳的计划设计尚不清楚。我们使用随机效应加性成分网络荟萃分析来研究不同计划成分对慢性阻塞性肺病 (COPD) 中通过 V̇O2peak 测量的健康状况的相对有效性。纳入的 59 项研究涉及 2191 名参与者，表明在至少中等强度的有氧训练后，V̇O2peak 有所增加，在高强度训练后改善最大。下肢有氧训练（SMD 0.56 95% CI 0.32;0.81，干预组=86）和添加无创通气（SMD 0.55 95% CI 0.04;1.06，干预组=4）似乎提供了额外的益处，但存在其他运动和非运动成分有效性的证据有限。