Evidence map›Paper›PMID 42403863›Full record

ReviewCureus2026

Impact of Exercise-Based Pulmonary Rehabilitation on Systemic Inflammation in Chronic Obstructive Pulmonary Disease (COPD): A Narrative Review on Evidence and Insights.

Shivam Varfa, Astha Jindal, Priti Kochar, Anissa A Mirza, K Ankush Patil, Upendra Panday, Pranjal Jain

Abstract readReview
In one paragraph

Review in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Shivam VarfaPulmonary Medicine, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.
Astha JindalPhysiology, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.
Priti KocharPharmacology, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.
Anissa A MirzaBiochemistry, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.
K Ankush PatilPhysiology, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.
Upendra PandayPulmonary Medicine, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.
Pranjal JainPsychology, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionChronic obstructive pulmonary disease (COPD) is characterized by persistent airway inflammation, progressive airflow limitation, and frequent exacerbations that adversely affect functional capacity and clinical outcomes. Pulmonary rehabilitation (PR) is an established non-pharmacological intervention that improves exercise tolerance, symptom burden, and quality of life. However, its effects on systemic inflammation remain unclear.

methodsThis narrative review aimed to synthesize current evidence on the impact of exercise-based PR on systemic inflammatory markers in COPD. The review further outlines pulmonary rehabilitation and explores the mechanisms and clinical significance of systemic inflammation in COPD, including its impact on exacerbations, prognosis, and comorbidities, as well as PR's influence on inflammatory pathways. A comprehensive literature search was conducted using PubMed, Scopus, and EMBASE databases. Studies published in English over the past 15 years involving human participants were considered. Included studies were randomized controlled trials and clinical studies evaluating the effect of PR or exercise-based interventions on systemic inflammatory biomarkers.

resultsPR programs were predominantly multicomponent, combining aerobic and resistance training with breathing exercises and education, typically delivered over 8-12 weeks. Evidence regarding their impact on systemic inflammation was inconsistent despite improvements in physiological and functional outcomes, along with exercise capacity, symptom control, and quality of life. Pulmonary rehabilitation may modulate systemic inflammation in COPD, but effects are variable and not consistently demonstrated. Its clinical benefits are more reliably reflected in functional and symptomatic improvements rather than biomarker changes. Further standardized, high-quality studies are needed to clarify the long-term anti-inflammatory potential of PR.

Indexed as

copdc-reactive proteincytokinesexercise therapyinflammatory biomarkersinterleukin-6 (il-6)pulmonary rehabilitationsystemic inflammationtumor necrosis factor-alpha (tnf-α)

Identifiers

PMID42403863
PMCPMC13332355

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.