Can exercise replace airway clearance techniques in cystic fibrosis? A survey of patients and healthcare professionals

Rowbotham, Nicola J.; Smith, Sherie; Davies, Gwyneth; Daniels, T.; Elliott, Z.C.; Gathercole, Katie; Rayner, Oli; Smyth, Alan

doi:10.1016/j.jcf.2019.10.026

Cited by 21 publications

(38 citation statements)

References 9 publications

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“…The beneficial effects of regular physical activity are well reported in pwCF without LTX, showing that physically active individuals–compared to less active individuals–have a slower rate of lung function decline, and reduced hospital admissions [ 23 – 25 ]. This is even more important in the era of modern CF therapy with a substantial proportion of pwCF using physical activity and exercise (i.e., structured physical activity) as a stand-alone therapy for airway clearance [ 26 , 27 ]. It is important to note that Switzerland is among the European countries that experienced one of the highest second waves during the SARS-CoV-2 pandemic in Autumn 2020, but public restrictions were comparably modest.…”

Section: Discussionmentioning

confidence: 99%

COVID-19 pandemic restrictions continuously impact on physical activity in adults with cystic fibrosis

et al. 2021

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Background We have recently reported reduced physical activity (PA) in people with cystic fibrosis (pwCF) with and without lung transplantation (LTX) during a 6-week stringent lockdown in Switzerland. This follow-up study explores the impact of coronavirus-2019 disease (COVID-19) related pandemic restrictions on individuals’ therapy regimens and health-related aspects in pwCF. Methods We conducted a cross-sectional web-based national survey in Spring 2021. The survey included questions on daily PA, airway clearance and inhalation therapy, questions on COVID-19-compatible symptoms, diagnostic tests and vaccination status, and enquired health-related aspects covering the pandemic period between March 2020 to April 2021. Results 193 individuals with CF (53% female; 25% LTX recipients) participated. Among pwCF, 10 reported COVID-19 (n = 2 LTX recipients), two subjects were hospitalized, no invasive ventilation required, no deaths. The clinical course was generally mild. Overall, 46% reported less PA during the pandemic, mostly due to closed fitness facilities (85%), lack of motivation (34%), and changes in daily structures (21%). In contrast, 32/193 (17%) pwCF were able to increase their PA levels: 12 (38%) and 11 (34%) reported undertaking home-based training and outdoor activities more frequently; 6 (19%) reported an increase in routine PA, and another 3 (9%) started new activities. Among pwCF without LTX, 5% and 4% reported to undertake less airway clearance and inhalation therapy, respectively. Conclusions Our study reveals unfavorable consequences of COVID-19 pandemic restrictions on PA of pwCF with unknown long-term consequences for their overall physical fitness and lung health. Strategies to overcome this undesirable situation are needed; increased uptake of telehealth PA programs and virtual exercise classes to promote PA participation might be one promising approach along with vaccination of pwCF and their close contacts.

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Section: Discussionmentioning

confidence: 99%

COVID-19 pandemic restrictions continuously impact on physical activity in adults with cystic fibrosis

et al. 2021

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“…It is well described that many individuals with CF value physical activity as important for their (lung) health, overall well-being, and daily life [28] . Moreover, many people with CF incorporate physical activity and exercise into their airway clearance regimen and – according to recent surveys among individuals within the CF community – almost half of individuals have used exercise as substitute for traditional airway clearance techniques [ 29 , 30 ]. Given the fact that gym facilities and physiotherapy centers were closed during lockdown, it appears that some individuals “replaced” their physical activity by increased airway clearance therapy.…”

Section: Discussionmentioning

confidence: 99%

Recommended shielding against COVID-19 impacts physical activity levels in adults with cystic fibrosis

Radtke

Haile²,

Dressel³

et al. 2020

Journal of Cystic Fibrosis

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Highlights Results of a survey of 327 individuals with CF during the SARS-CoV-2 pandemic. The Swiss national study cohort included 25% lung transplant recipients. The impact of SARS-CoV-2 on clinical outcomes was overall mild. Subjects were more distressed by strict lockdown measures impacting their daily lives. The recommended protective measures impacted profoundly on subjects’ physical activity.

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“…20 This study has highlighted that although technology is being used by a group within the CF community to aid treatment management; it is promoted more by HCPs than used in practice by the majority of pwCF at present. 21 In addition, the types of technologies preferred by pwCF can be different to what is recommended by their HCPs. In particular the use of Apps provided interesting data.…”

Section: Discussionmentioning

confidence: 99%

The Impact of the China-Pakistan Economic Corridor on Pakistan’s Federal System

Boni

Adeney

2020

Asian Survey

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The China-Pakistan Economic Corridor is often portrayed as the flagship project of the Belt and Road Initiative. While much attention has been devoted to its geopolitical repercussions, its impacts on Pakistan’s federal system and interprovincial relations have not yet been explored. Organized around interviews conducted in 2015, 2018, and 2019, this article demonstrates that the construction of the economic corridor is acting as a centripetal force in Pakistan’s federal structure, despite the potential for such a large external investment to redress the disparities between provinces.

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Can exercise replace airway clearance techniques in cystic fibrosis? A survey of patients and healthcare professionals

Abstract: This is a repository copy of Can exercise replace airway clearance techniques in cystic fibrosis? A survey of patients and healthcare professionals.

Cited by 21 publications

References 9 publications

COVID-19 pandemic restrictions continuously impact on physical activity in adults with cystic fibrosis

COVID-19 pandemic restrictions continuously impact on physical activity in adults with cystic fibrosis

Recommended shielding against COVID-19 impacts physical activity levels in adults with cystic fibrosis

The Impact of the China-Pakistan Economic Corridor on Pakistan’s Federal System

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