cfpdБюллетень физиологии и патологии дыханияBulletin Physiology and Pathology of Respiration1998-5029Дальневосточный научный центр физиологии и патологии дыхания10.36604/1998-5029-2024-91-134-148cfpd-1152Research ArticleОБЗОРЫREVIEWSРоль физической активности в улучшении состояния пациентов с ХОБЛ (обзор литературы)The role of physical activity in improving the condition of patients with COPD (review article)https://orcid.org/0000-0001-8982-5292ДемкоИ. В.DemkoI. V.

Ирина Владимировна Демко, д-р мед. наук, профессор, зав. кафедрой госпитальной терапии и иммунологии с курсом последипломного образования, 660022, г. Красноярск, ул. Партизана Железняка, 1;

зав. легочно-аллергологическим центром, 660022, г. Красноярск, ул. Партизана Железняка, 3

Irina V. Demko, MD, PhD, DSc (Med.), Professor, Head of Department of Hospital Therapy and Immunology with Postgraduate Education Course, 1 Partizana Zheleznyaka Str., Krasnoyarsk, 660022;

Head of Pulmonary Allergology Сenter, 3 Partizana Zheleznyaka Str., Krasnoyarsk, 660022

demko64@mail.ruhttps://orcid.org/0000-0003-4632-8960МамаеваМ. Г.MamaevaM. G.

Марина Геннадьевна Мамаева, канд. мед. наук, доцент кафедры госпитальной терапии и иммунологии с курсом последипломного образования, 660022, г. Красноярск, ул. Партизана Железняка, 1;

врач-пульмонолог отделения пульмонологии, 660022, г. Красноярск, ул. Партизана Железняка, 3

Marina G. Mamaeva, MD, PhD (Med.), Associate Professor of Department of Hospital Therapy and Immunology with Postgraduate Education Course, 1 Partizana Zheleznyaka Str., Krasnoyarsk, 660022;

Pulmonologist of Department of Pulmonology, 3 Partizana Zheleznyaka Str., Krasnoyarsk, 660022

marinamamaeva101@rambler.ruhttps://orcid.org/0000-0002-0586-8349ГордееваН. В.GordeevaN. V.

Наталья Владимировна Гордеева, канд. мед. наук, доцент, доцент кафедры госпитальной терапии и иммунологии с курсом последипломного образования, 660022, г. Красноярск, ул. Партизана Железняка, 1;

врач-пульмонолог отделения пульмонологии, 660022, г. Красноярск, ул. Партизана Железняка, 3

Natalya V. Gordeeva, MD, PhD (Med.), Associate Professor of Department of Hospital Therapy and Immunology with Postgraduate Education Course, 

1 Partizana Zheleznyaka Str., Krasnoyarsk, 660022;

Pulmonologist of Department of Pulmonology, 3 Partizana Zheleznyaka Str., Krasnoyarsk, 660022

natagorday@yandex.ruhttps://orcid.org/0009-0001-6637-0384АлексееваВ. С.AlekseevaV. S.

Алексеева Валерия Сергеевна, студентка 6 курса лечебного факультета, 

660022, г. Красноярск, ул. Партизана Железняка, 1

Valeriia S. Alekseeva, 6th year student of Medical Faculty, 

1 Partizana Zheleznyaka Str., Krasnoyarsk, 660022

Alekseevav8519@gmail.comФедеральное государственное бюджетное образовательное учреждение высшего образования «Красноярский государственный медицинский университет имени профессора В.Ф.Войно-Ясенецкого» Министерства здравоохранения Российской Федерации; Краевое государственное бюджетное учреждение здравоохранения «Краевая клиническая больница»Federal State Budgetary Educational Institution of Higher Education «Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University» of the Ministry of Healthcare of the Russian Federation; Regional State Budgetary Healthcare Institution «Regional Clinical Hospital»Федеральное государственное бюджетное образовательное учреждение высшего образования «Красноярский государственный медицинский университет имени профессора В.Ф.Войно-Ясенецкого» Министерства здравоохранения Российской ФедерацииFederal State Budgetary Educational Institution of Higher Education «Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University» of the Ministry of Healthcare of the Russian Federation202423032024091134148Copyright © Демко И.В., Мамаева М.Г., Гордеева Н.В., Алексеева В.С., 20242024Демко И.В., Мамаева М.Г., Гордеева Н.В., Алексеева В.С.Demko I.V., Mamaeva M.G., Gordeeva N.V., Alekseeva V.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://cfpd.elpub.ru/jour/article/view/1152

Хроническая обструктивная болезнь легких (ХОБЛ) является третьей ведущей причиной смерти, на долю которой приходится примерно 6% от общего числа смертей, что подтверждает ее актуальность и делает предметом пристального внимания со стороны мирового медицинского сообщества. Интеграция физической активности (ФА) в режим пациентов с ХОБЛ играет ключевую роль в поддержании их здоровья и улучшении качества жизни. Однако, несмотря на то, что её включение в программы легочной реабилитации уже стало рутинным методом, на сегодняшний день все еще остаются актуальными вопросы об установлении нескольких универсальных форматов реабилитационных мероприятий с одной стороны и персонализации – с другой. Настоящий обзор основан на анализе соответствующих публикаций, полученных в результате выборочного поиска литературы по следующим ключевым словам: ХОБЛ, качество жизни, физическая активность, легочная реабилитация. Рассмотрены статьи, указывающие на эффекты ФА, как одного из главных компонентов комплексной легочной реабилитации у пациентов с ХОБЛ. Обсуждены инструменты оценки ФА, её влияние на частоту обострений заболевания и смертность. Представлены результаты, подтверждающие важность и необходимость физических упражнений в составе легочной реабилитации, а также освещены современные проблемы, с которыми сталкиваются специалисты, проводя легочную реабилитацию, и их потенциальные решения.

Chronic obstructive pulmonary disease (COPD) is the third leading cause of death, accounting for approximately 6% of all deaths, confirming its relevance and making it a subject of close attention of the global medical community. The integration of physical activity (PA) into the regimen of patients with COPD plays a key role in maintaining their health and improving quality of life. However, despite the inclusion of PA in pulmonary rehabilitation programs having become a routine method, questions remain today about establishing several universal formats of rehabilitation measures on the one hand and personalization on the other. This review is based on the analysis of relevant publications obtained as a result of selective literature search using the following keywords: COPD, quality of life, physical activity, pulmonary rehabilitation. Articles indicating the effects of PA as one of the main components of comprehensive pulmonary rehabilitation in patients with COPD are considered. Tools for assessing PA, its impact on the frequency of disease exacerbations, and mortality are discussed. Results confirming the importance and necessity of physical exercises as part of pulmonary rehabilitation are presented, as well as modern problems faced by specialists conducting pulmonary rehabilitation and their potential solutions.

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The authors declare that there are no conflicts of interest present.