Research News

　
Chronic obstructive pulmonary disease (COPD) is closely related to skeletal muscle dysfunction, and the evaluation of respiratory muscle function has recently been recommended. An Osaka Metropolitan University medical research team aimed to investigate the effects of respiratory muscle dysfunction on clinical outcomes.

We retrospectively reviewed the medical records of patients with COPD whose respiratory muscle strength was measured between June 2015 and December 2021. We then analyzed the effects of respiratory muscle strength on moderate-to-severe exacerbations after adjusting for confounding factors, including sex, age, forced expiratory volume in 1-s percent predicted, hand grip strength, and skeletal muscle mass index. We also compared the temporal relationship between respiratory and systemic skeletal muscle dysfunctions.

Respiratory muscle weakness (RMW) was observed in 48.1% (100) of the 208 patients. Low percent predicted maximal inspiratory pressure was an independent risk factor for moderate-to-severe exacerbations within 1 year in the Cox regression analysis (adjusted hazard ratio per 1 standard deviation increase, 0.521; 95% confidence interval, 0.317–0.856). Approximately half of the patients already exhibited RMW at the mild systemic skeletal muscle dysfunction, while those with sarcopenia had higher RMW rates. More patients with RMW experienced progressive systemic skeletal muscle dysfunction within 1 year compared to those without RMW.

Lower respiratory muscle strength is associated with an increased risk of exacerbation. Respiratory muscle function could serve as a marker of disease status and early prognosis in COPD.

Paper information

Journal: Respirology
Title: Respiratory Muscle Strength as a Predictor of Exacerbations in Patients With Chronic Obstructive Pulmonary Disease
DOI: 10.1111/resp.70003
Authors:Yuichiro Furukawa, Atsushi Miyamoto, Kazuhisa Asai, Masaya Tsutsumi, Kaho Hirai, Takahiro Ueda, Erika Toyokura, Misako Nishimura, Kanako Sato, Kazuhiro Yamada, Tetsuya Watanabe, Tomoya Kawaguchi
Published:  26 February 2025
URL: https://doi.org/10.1111/resp.70003

Contact

Kazuhisa Asai
Graduate School of Medicine
Email: kazuasai[at]omu.ac.jp

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