<?xml version="1.0" encoding="UTF-8"?><?xml-stylesheet type="text/xsl" href="static/style.xsl"?><OAI-PMH xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/ http://www.openarchives.org/OAI/2.0/OAI-PMH.xsd"><responseDate>2026-09-19T09:38:32Z</responseDate><request verb="GetRecord" identifier="oai:wakespace.lib.wfu.edu:10339/82209" metadataPrefix="dim">https://wakespace.lib.wfu.edu/server/oai/request</request><GetRecord><record><header><identifier>oai:null:10339/82209</identifier><datestamp>2026-09-02T11:39:58Z</datestamp><setSpec>com_10339_14934</setSpec><setSpec>col_10339_38132</setSpec></header><metadata><dim:dim xmlns:dim="http://www.dspace.org/xmlns/dspace/dim" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:doc="http://www.lyncode.com/xoai" xsi:schemaLocation="http://www.dspace.org/xmlns/dspace/dim http://www.dspace.org/schema/dim.xsd">
   <dim:field mdschema="dc" element="contributor" qualifier="author" lang="en_US">Shields, Katherine Lori</dim:field>
   <dim:field mdschema="dc" element="date" qualifier="accessioned">2017-06-15T08:36:01Z</dim:field>
   <dim:field mdschema="dc" element="date" qualifier="available">2022-06-01T08:30:13Z</dim:field>
   <dim:field mdschema="dc" element="date" qualifier="issued" lang="en_US">2017</dim:field>
   <dim:field mdschema="dc" element="identifier" qualifier="uri">https://wakespace.lib.wfu.edu/handle/10339/82209</dim:field>
   <dim:field mdschema="dc" element="description" qualifier="abstract" lang="en_US">Endurance and strength training may both lead to improvements in physical function and health-related quality of life (HRQL) in chronic obstructive pulmonary disease (COPD) patients. The few studies that have compared endurance training (ET) to strength training (ST) have produced conflicting results. PURPOSE: To compare changes in physical function, HRQL, and lean mass in COPD patients completing both an ET and ST program. METHODS: Eleven mildly diseased patients completed an ET program, and subsequently, a ST program. RESULTS: Pulmonary function remained stable over the five year period. ET and ST increased six-minute walk distance. ET, but not ST, increased self-reported physical function, chair rise time, SF-36 physical component score, and Chronic Respiratory Disease Questionnaire (CRDQ) fatigue score. ST, but not ET, increased stair climb time. ET and ST failed to change SF-36 mental component score; CRDQ dyspnea, emotion, or mastery scores; and arm or leg lean mass. CONCLUSION: Both training methods will improve objective measures of physical function. However, an ET program results in significant improvements in self-reported physical function and HRQL, whereas ST does not.</dim:field>
   <dim:field mdschema="dc" element="language" qualifier="iso" lang="en_US">en</dim:field>
   <dim:field mdschema="dc" element="publisher" lang="en_US">Wake Forest University</dim:field>
   <dim:field mdschema="dc" element="subject" lang="en_US">chronic obstructive pulmonary disease</dim:field>
   <dim:field mdschema="dc" element="subject" lang="en_US">endurance training</dim:field>
   <dim:field mdschema="dc" element="subject" lang="en_US">health-related quality of life</dim:field>
   <dim:field mdschema="dc" element="subject" lang="en_US">lean mass</dim:field>
   <dim:field mdschema="dc" element="subject" lang="en_US">physical function</dim:field>
   <dim:field mdschema="dc" element="subject" lang="en_US">strength training</dim:field>
   <dim:field mdschema="dc" element="title" lang="en_US">Outcomes in COPD Patients Completing Both an Endurance Training Program and a Strength Training Program</dim:field>
   <dim:field mdschema="dc" element="type" lang="en_US">Thesis</dim:field>
   <dim:field mdschema="thesis" element="contributor" qualifier="committeeChair" lang="en_US">Berry, Michael J</dim:field>
   <dim:field mdschema="thesis" element="contributor" qualifier="committeeMember" lang="en_US">Brubaker, Peter H</dim:field>
   <dim:field mdschema="thesis" element="contributor" qualifier="committeeMember" lang="en_US">Mihalko, Shannon L</dim:field>
   <dim:field mdschema="thesis" element="degree" qualifier="discipline" lang="en_US">Health and Exercise Science</dim:field>
   <dim:field mdschema="thesis" element="embargo" qualifier="terms" lang="en_US">2022-06-01</dim:field>
   <dim:field mdschema="others" element="access-status">open.access</dim:field>
</dim:dim>
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