Exercise is commonly used as a substitute for traditional airway clearance techniques by adults with cystic fibrosis in Australia: a survey

Ward, Nathan; Stiller, Kathy; Holland, Anne E; Bingham, J. H. L.; Bishop, Jennifer; Button, Brenda; Chambers, Rebecca; Cobb, Robyn; Corda, Jennifer; Dentice, Ruth; Green, Margot; Hall, Kathleen; Hauser, Jenny; Morrow, Scott; Netluch, Rebecca; Nichols, Amanda; Rowe, Hilary; Shaw, Andrew; Shortall, D.; Smith, Tara P.; Wood, Jamie

doi:10.1016/j.jphys.2018.11.006

Cited by 29 publications

(28 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…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

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 99%

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

et al. 2021

View full text Add to dashboard Cite

show abstract

“…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

View full text Add to dashboard Cite

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.

show abstract

“…ACTs are a key part of daily CF management and are essential during PExs to clear infected sputum from the airways. With evidence growing that many adults replace ACT with exercise when well, 63 it is imperative that all pwCF are competent to complete ACTs during episodes of PExs when sputum load may be increased and energy to exercise lowered. There is no consensus of which of the many ACTs is the best for pwCF, 64 and there have been few studies investigating ACTs during PExs; however, it is recommended that usual ACT regimens are intensified, 28 and ACTs may need alterations or additional support during PExs.…”

Section: Airway Clearance Techniquesmentioning

confidence: 99%

Pulmonary Exacerbations in Adults With Cystic Fibrosis

Stanford

Dave

Simmonds

2021

Chest

View full text Add to dashboard Cite

Pulmonary exacerbations (PEx) are significant life events in people with cystic fibrosis (CF), associated with declining lung function, reduced quality of life (QoL), hospitalisations and decreased survival. The adult CF population is increasing worldwide, with many patients surviving prolonged periods with severe multi-morbid disease. In many countries the number of adults with CF exceeds the number of children, and PEx are particularly burdensome for adults as they tend to require longer courses and more intravenous treatment than children. The approach to managing PEx is multifactorial and needs to evolve to reflect this changing adult population. In this review, we discuss PEx definitions, precipitants, treatments and the wider implications to healthcare resources. We review current management strategies, their relevance in particular to adults with CF, and highlight some of the gaps in our knowledge. A number of studies are underway to try to answer some of the unmet needs, such as the optimal length of treatment and the use of non-antimicrobial agents alongside antibiotics. We provide an overview of these issues, concluding that with the changing landscape of adult CF care, the definitions and management of PEx may need to evolve to enable continued improvements in outcomes across the age spectrum of CF.

show abstract

Exercise is commonly used as a substitute for traditional airway clearance techniques by adults with cystic fibrosis in Australia: a survey

Cited by 29 publications

References 16 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

Pulmonary Exacerbations in Adults With Cystic Fibrosis

Contact Info

Product

Resources

About