Exercise and Cystic Fibrosis

Ding, Shengguang; Zhong, Chongjun

doi:10.1007/978-981-15-1792-1_26

Cited by 8 publications

(8 citation statements)

References 142 publications

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“…Although impact scores were not elevated, individuals were more sedentary and engaged in less exercise. It is well‐known that exercise is beneficial to aerobic capacity and lung health, and can be used as an airway clearance technique, facilitating the removal of mucus from the airways 26 . Despite expectations that this group was particularly vulnerable to COVID‐19, their depression and anxiety scores differed only slightly from those obtained pre‐COVID in a large‐scale mental health screening study conducted in the same CF Centre before the pandemic 2 .…”

Section: Discussionmentioning

confidence: 91%

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Stress and mental health in adolescents and young adults with cystic fibrosis 1 year after the COVID pandemic: Findings from an Italian sample

Graziano

Boldrini

Quittner

et al. 2022

Pediatric Pulmonology

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Background: The spread of COVID-19 was associated with increased stress and new mental health concerns for people with cystic fibrosis (pwCF), already at increased risk for depression and anxiety. This study assessed stress and mental health in adolescents and young adults with CF 1 year from when the pandemic began.Methods: Sixty-six pwCF (mean age = 24; range 14-36) completed a new measure of the impact of COVID-19 (COVID-19 Exposure and Family Impact Scale-Adolescence and Young Adult; CEFIS-AYA); the Patient Health Questionnaire-9, and the Generalized Anxiety Disorder-7. The Italian translation of the CEFIS-AYA was performed.Results: On the CEFIS-AYA, the mean Exposure score was 5.2 (SD = 2.6) out of 28. The mean Impact score was 1.8 (SD = 0.7; negative valence > 2.5). Individuals were more sedentary and undertaking less exercise. Average stress rating was 5.9 (SD = 2), indicating moderate stress. No significant differences were found between those who did (N = 12) and who did not have a COVID infection (N = 54). A high percentage of participants scored above the clinical cut-off for depression (45%) and anxiety (41%), with a low proportion reporting moderatesevere symptomatology. Conclusion:After 1 year, the pandemic was having a less significant impact on patients' daily lives. Sedentary activity and reduced exercise were common. Despite expectations that this group was particularly vulnerable, depression and anxiety scores were similar to the rates described for this population before the pandemic.Overall, these results suggested that pwCF are highly resilient and nearly 1 year after the onset of COVID-19, have returned to similar daily activities and emotional health.

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Section: Discussionmentioning

confidence: 91%

“…Although impact scores were not elevated, individuals were more sedentary and engaged in less exercise. It is well-known that exercise is beneficial to aerobic capacity and lung health, and can be used as an airway clearance technique, facilitating the removal of mucus from the airways 26.…”

mentioning

confidence: 99%

Stress and mental health in adolescents and young adults with cystic fibrosis 1 year after the COVID pandemic: Findings from an Italian sample

Graziano

Boldrini

Quittner

et al. 2022

Pediatric Pulmonology

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“…Regular exercise is beneficial to aerobic capacity and lung health. Exercise alone can be used as an ACT (airway clearance technique), which promotes the removal of mucosal cilia [10]. The benefits from including physical exercise training in an individual's regular care may be influenced by the type and duration of the training programme.…”

Section: Discussionmentioning

confidence: 99%

Cystic Fibrosis - Related Diabetes

Makuch

2021

J Educ Health Sport

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Cystic fibrosis (CF) is life-shortening autosomal recessive disease, caused by mutations in the cystic fibrosis transmembrane conductance regulator protein. The most common of CF complications is cystic fibrosis-related diabetes (CFRD). The pathophysiology of CFRD is complex. The best test for screening and diagnosis of CFRD is the oral glucose tolerance test (OGTT). Insulin therapy is a treatment of choice in CFDR pharmacotherapy. An inseparable element of CFRD therapy is also physical activity and diet.

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“…In the CF population, physical activity, particularly strength training, is an important component of exercise plans in order to promote preservation and accrual of lean body mass [ 94 ], which is associated with improved pulmonary function in this population. Additionally, exercise in CF also provides additional benefits beyond weight management, including increased aerobic and pulmonary capacity and airway clearance [ 95 ]. Further, exercise can provide mental health benefits that could combat anxiety and depression associated with overweight and obesity [ 96 ].…”

Section: Treatment Strategiesmentioning

confidence: 99%

The Changing Landscape of Nutrition in Cystic Fibrosis: The Emergence of Overweight and Obesity

2022

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Cystic fibrosis has historically been characterized by malnutrition, and nutrition strategies have placed emphasis on weight gain due to its association with better pulmonary outcomes. As treatment for this disease has significantly improved, longevity has increased and overweight and obesity have emerged issues in this population. The effect of excess weight and adiposity on CF clinical outcomes is unknown but may produce similar health consequences and obesity-related diseases as those observed in the general population. This review examines the prevalence of overweight and obesity in CF, the medical and psychological impact, as well as the existing evidence for treatment in the general population and how this may be applied to people with CF. Clinicians should partner with individuals with CF and their families to provide a personalized, interdisciplinary approach that includes dietary modification, physical activity, and behavioral intervention. Additional research is needed to identify the optimal strategies for preventing and addressing overweight and obesity in CF.

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Exercise and Cystic Fibrosis

Cited by 8 publications

References 142 publications

Stress and mental health in adolescents and young adults with cystic fibrosis 1 year after the COVID pandemic: Findings from an Italian sample

Stress and mental health in adolescents and young adults with cystic fibrosis 1 year after the COVID pandemic: Findings from an Italian sample

Cystic Fibrosis - Related Diabetes

The Changing Landscape of Nutrition in Cystic Fibrosis: The Emergence of Overweight and Obesity

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