Cochrane · systematic review · CD012307
Exercise training for adult lung transplant recipients
Gutierrez-Arias, R, Martinez-Zapata, MJ, Gaete-Mahn, MC, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library
Kidney and TransplantAMSTAR 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
28
current version
GRADE rated
20
No studies
8
Included studies
NR
No studies 8 · 28.6%Ungraded 0 · 0%Very low 20 · 71.4%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
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
Resistance (anaerobic) exercise training versus usual care or no exercise training
Population: adult lung transplant recipients
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Maximal and functional exercise capacity Resistance (anaerobic) exercise training vs usual care or no exercise training | no estimate extracted | NR | No studies |
HRQoL Resistance (anaerobic) exercise training vs usual care or no exercise training | no estimate extracted | NR | No studies |
Adverse eventsAssessed rejection episodes of lung transplant Resistance (anaerobic) exercise training vs usual care or no exercise training | no estimate extracted | 2 studies · 32 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Pulmonary function Resistance (anaerobic) exercise training vs usual care or no exercise training | no estimate extracted | NR | No studies |
Muscular strength1 Assessed lumbar strength at seven testing positions Resistance (anaerobic) exercise training vs usual care or no exercise training | no estimate extracted | 2 studies · 32 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Pathological bone fractures Estimated indirectly through BMD Resistance (anaerobic) exercise training vs usual care or no exercise training | no estimate extracted | 2 studies · 32 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Death (any cause) Resistance (anaerobic) exercise training vs usual care or no exercise training | no estimate extracted | NR | No studies |
Resistance (anaerobic) exercise training versus another form of resistance (anaerobic) exercise training
Population: adult lung transplant recipients
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Maximal and functional exercise capacity Assessed metres walked in 6MWT Resistance (anaerobic) exercise training vs another form of resistance (anaerobic) exercise training | no estimate extracted | 3 studies · 214 participants | Very low Downgraded: risk of bias, imprecision |
HRQoL Assessed by different questionnaires (CRQ and SF‐36) Resistance (anaerobic) exercise training vs another form of resistance (anaerobic) exercise training | no estimate extracted | 3 studies · 215 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Adverse events Assessed indirectly related to the exercise Resistance (anaerobic) exercise training vs another form of resistance (anaerobic) exercise training | no estimate extracted | 2 studies · 162 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Pulmonary function Resistance (anaerobic) exercise training vs another form of resistance (anaerobic) exercise training | no estimate extracted | NR | No studies |
Muscular strength Assessed upper and lower limb muscle strength Resistance (anaerobic) exercise training vs another form of resistance (anaerobic) exercise training | no estimate extracted | 3 studies · 245 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Pathological bone fractures Resistance (anaerobic) exercise training vs another form of resistance (anaerobic) exercise training | no estimate extracted | NR | No studies |
Death (any cause) Resistance (anaerobic) exercise training vs another form of resistance (anaerobic) exercise training | no estimate extracted | 1 study · 83 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Multimodal exercise training versus usual care or no exercise training
Population: adult lung transplant recipients
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Maximal and functional exercise capacity Multimodal exercise training vs usual care or no exercise training | no estimate extracted | 2 studies · 80 participants | Very low Downgraded: risk of bias, imprecision |
HRQoL Assessed by different domains of the SF‐36 questionnaire Multimodal exercise training vs usual care or no exercise training | no estimate extracted | 2 studies · 80 participants | Very low Downgraded: risk of bias, imprecision |
Adverse events Assessed the severe medical complications and exercise‐related musculoskeletal pain Multimodal exercise training vs usual care or no exercise training | no estimate extracted | 2 studies · 80 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Pulmonary function Assessed by FEV1 (absolute value and percentage of predicted value) Multimodal exercise training vs usual care or no exercise training | no estimate extracted | 2 studies · 80 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Muscular strength Assessed hand grip, upper and lower limb muscle strength Multimodal exercise training vs usual care or no exercise training | no estimate extracted | 2 studies · 80 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Pathological bone fractures Multimodal exercise training vs usual care or no exercise training | no estimate extracted | NR | No studies |
Death (any cause) Multimodal exercise training vs usual care or no exercise training | no estimate extracted | 1 study · 40 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Fourteen‐weeks versus 7‐weeks multimodal exercise training
Population: adult lung transplant recipients
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Maximal and functional exercise capacity Assessed metres walked in 6MWT Fourteen‐weeks vs 7‐weeks multimodal exercise training | no estimate extracted | 1 study · 61 participants | Very low Downgraded: risk of bias, imprecision |
HRQoL Assessed by different questionnaires (SF‐36 and AQoL) Fourteen‐weeks vs 7‐weeks multimodal exercise training | no estimate extracted | 1 study · 59 participants | Very low Downgraded: risk of bias, imprecision |
Adverse events Fourteen‐weeks vs 7‐weeks multimodal exercise training | no estimate extracted | 1 study · 66 participants | Very low Downgraded: risk of bias, imprecision |
Pulmonary function Assessed by FEV1 and FVC Fourteen‐weeks vs 7‐weeks multimodal exercise training | no estimate extracted | 1 study · 66 participants | Very low Downgraded: risk of bias, imprecision |
Muscular strength Assessed by peak quadriceps muscle strength Fourteen‐weeks vs 7‐weeks multimodal exercise training | no estimate extracted | 1 study · 59 participants | Very low Downgraded: risk of bias, imprecision |
Pathological bone fractures Fourteen‐weeks vs 7‐weeks multimodal exercise training | no estimate extracted | NR | No studies |
Death (any cause) Fourteen‐weeks vs 7‐weeks multimodal exercise training | no estimate extracted | 1 study · 66 participants | Very low Downgraded: risk of bias, imprecision |