No substitute for hard work: Creatine supplementation does not improve exercise outcom...(wed a greater but non-significant percen...),Health

"The most likely explanation is that any benefits of creatine have been submerged by the large training effect of physical training alone," wrote Dr. Deacon.

This study, therefore, further validates that there is no substitute for the old-fashioned hard work that is an essential element of pulmonary rehabilitation. "Those of us interested in pulmonary rehabilitation are happy to see confirmation of the beneficial effects of exercise training. This information indicates that creatine supplementation not be viewed as a good substitute for exercise traininggood news for adepts of pulmonary rehabilitation," wrote Francoise Maltais, M.D., Didier Saey, Ph.D., and Richard Debigare, Ph.D., all of the Centre de Recherche de l'Hospital Laval Quebec in Canada.

"Without minimizing the importance of the quest to optimize the results of pulmonary rehabilitation, we had to appreciate that only a small portion of patients with COPD actually engage in pulmonary rehabilitation.so improved [access] is important for PR to achieve its full potential from a public health perspective."

Dr. John Heffner, past president of the ATS, commented that "these and other studies are finally gaining recognition that pulmonary rehabilitation is an essential element of comprehensive care for patients with COPD. The weight of the evidence has succeeded in gaining Medicare payment for rehabilitation services, which has been one of our major hurdles to access."

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