GENE POLYMORPHISMS AND INTERVENTIONS TO PREVENT DISABILITY IN COPD PATIENTS

这个子项目是许多研究子项目中利用 资源由NIH/NCRR资助的中心拨款提供。子项目和 调查员(PI)可能从NIH的另一个来源获得了主要资金， 并因此可以在其他清晰的条目中表示。列出的机构是 该中心不一定是调查人员的机构。 慢性阻塞性肺病是美国人死亡和残疾的主要原因。运动已被证明可以提高COPD患者的身体功能，尽管他们的肺功能没有改善。这些结果表明，对训练做出反应并导致改善的是其他器官系统，而不是肺。有证据表明，COPD患者的骨骼肌受到疾病的影响，而对运动训练有反应的是骨骼肌。最近的研究表明，COPD患者的这些肌肉异常可能与细胞因子水平升高有关。此外，细胞因子基因的变化已被证明调节炎症反应，并可能在向残疾的进展中发挥作用。这项研究的主要目的将是确定两种不同的运动干预对COPD患者的身体活动水平、身体功能、身体成分和细胞因子水平的影响。

This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. Chronic obstructive pulmonary disease is a major cause of death and disability in the United States. Exercise has been shown to increase physical function in patients with COPD despite a lack of improvement in their lung function. These results suggest that it is other organ systems, and not the lungs, that respond to training and result in the improvements. There is evidence to suggest that the skeletal muscle of COPD patients is affected by the disease, and it is the skeletal muscle that responds to the exercise training. Recent research indicates that these muscular abnormalities in COPD patients may be associated with elevated cytokine level. Additionally, changes in the cytokine genes have been shown to modulate the inflammatory response and may play a role in the progression towards disability. The primary purpose of this investigation will be to determine the effect of two different exercise interventions on physical activity levels, physical function, body composition, and cytokine levels in patients with COPD.