Mean difference (95% CI) | p Value | ||||||
---|---|---|---|---|---|---|---|
Asbestosis n=22 | IPF n=61 | CTD-ILD n=23 | Group | Time | Subgroup | Group×Subgroup×Time | |
6MWD (m) | |||||||
9 weeks | 68 (10 to 124) | 31 (−5 to 66) | 3 (−53 to 60) | 0.006 | 0.008 | 0.73 | 0.18 |
6 months | 92 (36 to 148) | 0.9 (−36 to 38) | 21 (−35 to 77) | ||||
CRDQ Dyspnoea | |||||||
9 weeks | 1.5 (−3.1 to 6.2) | 3.1 (0.1 to 6.0) | 2.8 (−2.0 to 7.5) | 0.05 | 0.59 | 0.27 | 0.61 |
6 months | −0.2 (−4.9 to 4.5) | 1.5 (−1.5 to 4.6) | 3.6 (−1.1 to 8.2) | ||||
CRDQ Fatigue | |||||||
9 weeks | 4.1 (0.4 to 7.7) | 2.0 (−0.3 to 4.3) | −0.4 (−4.1 to 3.4) | 0.05 | 0.46 | 0.99 | 0.17 |
6 months | 1.4 (−2.2 to 5.1) | 1.1 (−1.3 to 3.5) | 1.8 (−1.9 to 5.4) | ||||
CRDQ Emotion function | |||||||
9 weeks | 5.3 (−0.5 to 11.0) | 3.0 (−0.7 to 6.6) | −0.8 (−6.7 to 5.1) | 0.05 | 0.79 | 0.88 | 0.18* |
6 months | 4.6 (−1.1 to 10.4) | 1.2 (−2.6 to5.0) | 1.9 (−3.9 to 7.7) | ||||
CRDQ Mastery | |||||||
9 weeks | 4.9 (0.4–9.5) | 3.7 (0.8 to 6.5) | −2.0 (−6.8 to 2.6) | 0.07 | 0.05 | 0.99 | 0.005* |
6 months | 2.2 (−2.4 to 6.8) | −0.7 (−3.7 to 2.3) | 3.1 (−1.5 to 7.7) | ||||
SGRQ-I Symptoms | |||||||
9 weeks | −19.8 (−37.3 to −3.4) | −3.9 (−13.4 to 5.6) | −9.9 (−25.4 to 5.6) | <0.001 | 0.67 | 0.03 | 0.50 |
6 months | −19.9 (−37.5 to −3.2) | −4.7 (−14.8 to 5.4) | −9.9 (−25.1 to 5.3) | ||||
SGRQ-I Activity | |||||||
9 weeks | −14.6 (−30 to −0.9) | −7.2 (−15.6 to 1.1) | 0.1 (−13.6 to 13.8) | 0.03 | 0.29 | 0.42 | 0.65 |
6 months | −8.0 (−21.4 to 5.4) | −3.0 (−11.8 to 5.8) | −8.2 (−21.6 to 5.2) | ||||
SGRQ-I Impact | |||||||
9 weeks | −7.4 (−18.4 to 3.7) | −6.4 (−13.3 to0.5) | −2.0 (−13.2 to 9.3) | 0.22 | 0.72 | 0.003 | 0.50 |
6 months | 0.1 (−11.1 to 10.9) | 0.8 (−6.5 to 8.1) | −2.7 (−13.7 to 8.4) | ||||
SGRQ-I Total | |||||||
9 weeks | −9.6 (−18.3 to −0.4) | −5.7 (−11.1 to 0.3) | −2.8 (−11.6 to 6.0) | 0.01 | 0.78 | 0.004 | 0.56 |
6 months | −5.0 (−13.6 to 3.7) | −0.8 (−6.5 to 5.0) | −4.6 (−13.3 to 4.1) | ||||
MMRC Dyspnoea scale | |||||||
9 weeks | −1.0 (−1.7 to −0.3) | 0.009 (−0.4 to 0.5) | −0.1 (−0.8 to 0.6) | 0.03 | 0.81 | 0.31 | 0.36 |
6 months | −0.7 (−1.4 to −0.005) | −0.3 (−0.8 to 0.1) | −0.06 (−0.8 to 0.7) | ||||
UCSD SOBQ | |||||||
9 weeks | −13.5 (−27.9 to 0.9) | 6.5 (−2.5 to 15.6) | 13.5 (−1.2 to 28.2) | 0.94 | 0.23 | 0.31 | 0.13 |
6 months | −7.5 (−21.8 to 6.9) | −0.2 (−9.7 to 9.2) | −0.4 (−14.9 to 14.2) | ||||
Knee extensor strength (kg) | |||||||
9 weeks | −0.6 (−4.1 to 2.8) | 2.0 (−0.1 to 4.2) | 0.7 (−2.7 to 4.2) | 0.46 | 0.99 | 0.73 | 0.5 |
6 months | −1.8 (−5.2 to 1.5) | 1.0 (−1.3 to 3.3) | 2.1 (−1.3 to 5.5) | ||||
Elbow flexor strength (kg) | |||||||
9 weeks | −1.8 (−4.1 to 0.6) | 1.0 (−0.5 to 2.5) | 0.04 (−2.3 to 2.4) | 0.62 | 0.03 | 0.52 | 0.37 |
6 months | −0.2 (−2.5 to 2.2) | −0.3 (−1.8 to 1.3) | −0.5 (−2.8 to 1.9) |
Data are estimated marginal means for exercise group – control group derived from linear mixed models. p Values are for group effect (between-group difference independent of time), time effect (change over time independent of group), subgroup (differences in subgroups independent of time and group) and subgroup×group×time interaction. p Values <0.05 were considered statistically significant.
*p<0.05 subgroup×time. There were no significant group×time or group×subgroup interactions. Positive increase represents improvement except for MMRC, UCSD SOBQ and SGRQ-I.
6MWD, six-minute walk distance; CRDQ, Chronic Respiratory Disease Questionnaire; CTD, connective tissue disease; ILD, interstitial lung disease; IPF, idiopathic pulmonary fibrosis; MMRC, Modified Medical Research Council; SGRQ-I, St George Respiratory Questionnaire IPF-specific version; UCSD SOBQ, University College of San Diego Shortness of Breath Questionnaire.