Table 2

Supervised exercise training programme for IPF patients

PhaseFrequencyTypeTimeIntensityConsiderations
Initial (0–6 weeks)2–3 times a weekAerobic20–40 min50–60% of peak work rate 70–80% of average walking speed on 6MWT Borg scale 3–5Adjust workloads to be tolerable by the patient Oxygen supplementation for desaturated patients (SpO2 85–88%) Use interval training modality emphasising that rest periods between exercise bouts allow for resaturation Consider reassessment of patients at the end of 6 weeks
Resistance10–20 min
Flexibility10–15 min
Breathing5 min
Improvement (6 weeks to 6 months)2–4 times a weekAerobic20–50 min60–85% of peak work rate 80–100% of average walking speed on 6MWT Borg scale 4–7Gradually increase time and intensity with patient tolerance Oxygen supplementation for desaturated patients (SpO2 85–88%) Use interval training modality emphasising that rest periods between exercise bouts allow for resaturation Consider reassessment of patients at the end of 3 and 6 months
Resistance20–30 min
Flexibility10–15 min
Breathing5 min
Maintenance (≥6 months)3–4 times a weekAerobic20–50 min70–85% of peak work rate 85–100% of average walking speed on 6MWT Borg scale 5–7Maintain the exercise intensity where possible Oxygen supplementation for desaturated patients (SpO2 85–88%) Use interval modality emphasising that rest periods between exercise bouts allow for resaturation Consider reassessment of patients at 12 months and every 6 months
Resistance20–30 min
Flexibility10–15 min
Breathing5 min
  • 6MWT: 6 min walking test; SpO2: arterial oxygen saturation measured by pulse oximetry.