Cochrane · systematic review · CD008290

Water‐based exercise training for chronic obstructive pulmonary disease

McNamara, RJ, McKeough, ZJ, McKenzie, DK, et al. · Cochrane Database of Systematic Reviews · 2013 · Cochrane Library

AirwaysAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
9
current version
GRADE rated
9
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 3 · 33.3%Moderate 4 · 44.4%High 2 · 22.2%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Summary of findings (water exercise vs no exercise)

Population: people with COPD
4 questions
OutcomeEffectEvidenceStatus / GRADE
Exercise capacity ‐ functional Six‐minute walk test (mean distance change in metres)
Summary of findings (water exercise vs no exercise)
no estimate extracted99 participantsModerate
Downgraded: risk of bias
Exercise capacity ‐ peak Incremental shuttle walk test (mean distance change in metres)
Summary of findings (water exercise vs no exercise)
no estimate extracted30 participantsHigh
Exercise capacity ‐ endurance Endurance shuttle walk test (mean distance change in metres)
Summary of findings (water exercise vs no exercise)
no estimate extracted30 participantsHigh
Quality of life St George's Respiratory Questionnaire (total score) Lower value post intervention is favourable, indicating improvement in QoL
Summary of findings (water exercise vs no exercise)
no estimate extracted19 participantsLow
Downgraded: risk of bias

Summary of findings (water exercise vs land exercise)

Population: people with COPD
5 questions
OutcomeEffectEvidenceStatus / GRADE
Exercise capacity ‐ functional Six‐minute walk test (mean distance change in metres)
Summary of findings (water exercise vs land exercise)
no estimate extracted62 participantsModerate
Downgraded: risk of bias, imprecision
Exercise capacity ‐ peak Incremental shuttle walk test (mean distance change in metres)
Summary of findings (water exercise vs land exercise)
no estimate extracted59 participantsLow
Downgraded: risk of bias, imprecision
Exercise capacity ‐ endurance Endurance shuttle walk test (mean distance change in metres)
Summary of findings (water exercise vs land exercise)
no estimate extracted59 participantsModerate
Downgraded: risk of bias, imprecision
Quality of life St George's Respiratory Questionnaire (SGRQ; total score) Lower value post intervention is favourable, indicating improvement in QoL
Summary of findings (water exercise vs land exercise)
no estimate extracted60 participantsLow
Downgraded: risk of bias, imprecision
Body composition Weight (mean change in kilograms)
Summary of findings (water exercise vs land exercise)
no estimate extracted59 participantsModerate
Downgraded: risk of bias, imprecision