Physical Exercise for Patients with Cystic Fibrosis: A Review

Jk, Stanghelle

doi:10.1055/s-2007-1025056

Cited by 20 publications

(10 citation statements)

References 60 publications

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“…Nutritional status and exercise tolerance in CF patients are associated with prognosis and survival [1,2], and their preservation is thus important [3]. Exercise programmes have been shown to improve exercise tolerance in children and adults with CF [4][5][6][7][8][9][10][11][12].…”

mentioning

confidence: 99%

Maximal work capacity in relation to nutritional status in children with cystic fibrosis

Gulmans¹,

Meer²,

Brackel³

et al. 1997

Eur Respir J

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In children with cystic fibrosis, objective parameters of exercise tolerance are needed which are easy to measure in nonspecialized centres. We investigated maximal workload (W 'max) in children with cystic fibrosis in relation to body weight and fat-free mass, and compared this with results for maximal oxygen consumption (V 'O 2 ,max).Fourteen patients with cystic fibrosis performed an incremental maximal exercise test on a bicycle ergometer. W 'max, V 'O 2 ,max, body weight and fat-free mass were measured.W 'max and V 'O 2 ,max were significantly correlated (r=0.91; p<0.001). Using standard deviation scores in relation to reference values, W 'max and V 'O 2 ,max per kilogram body weight were significantly higher than uncorrected W 'max and V 'O 2 ,max (mean difference (95% CI) 0.63 (0.24-1.01) and 0.91 (0.32-1.49) SD units, respectively). There was no such difference after correction for fat-free mass. Standardized V 'O 2 ,max was significantly higher than standardized W 'max (mean difference (95% CI): 1.59 (1.14-2.04)), also after correction for body weight and fat-free mass.In children with mild-to-moderate cystic fibrosis, maximal workload per kilogram fat-free mass, but not per kilogram body weight, is a useful parameter to correct for diminished nutritional status. In these patients, maximal workload is consistently lower than maximal oxygen consumption. Taking into account this difference, maximal workload and maximal workload per kilogram fat-free mass can be used for follow-up of paediatric patients with cystic fibrosis in nonspecialized settings.

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mentioning

confidence: 99%

Maximal work capacity in relation to nutritional status in children with cystic fibrosis

Gulmans¹,

Meer²,

Brackel³

et al. 1997

Eur Respir J

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“…In young people, strength training must be properly performed, planned and not over-strenuous, as growing bones are sensitive to stress (especially repetitive loading) and the epiphysial plate is susceptible to injury before full growth is complete (Behm et al, 2008). To further minimize these risks it is important to provide a variety of activities to ensure joints are not subjected to repetitive stress (Stanghelle, 1988). Therefore, exercise programs for young people with CF should be specifically designed for this age group, and not just based on those designed for adults.…”

Section: Recommendations For Exercise Programs For Young People With mentioning

confidence: 99%

“…Further, improving a child's activity and participation are recognized as important goals of exercise intervention for this population, to maintain fitness and thus curtail the cycle of deconditioning associated with this health condition (Stanghelle, 1988;Stevens and Williams, 2007). Importantly, participation in regular physical activity is associated with many holistic benefits, such as improved quality of life and wellbeing (Boas, Danduran, & McColley, 1999;Orenstein, Nixon, Ross, & Kaplan, 1989;Selvadurai et al, 2002).…”

Section: Benefits Of Exercise For People With Cystic Fibrosismentioning

confidence: 99%

“…In consequence, it is clear that physiotherapy exercise programs must be adaptable to the limited space at the hospital bedside for performance by individuals in isolation who cannot participate in group exercise sessions or share exercise equipment in the gym. Development of tailored programs which provide a variety of physical activities has been identified as an important aspect to enhance adherence to exercise in this population (Holzer et al, 1984;Blomquist et al, 1986;Stanghelle, 1988;Salh et al, 1989;Abbott et al, 1996;Britto et al, 2000;Schneiderman-Walker et al, 2000;Moorcroft et al, 2004;Turchetta et al, 2004), and such programs must be evidence-based to target issues characteristic of young people with CF.…”

Section: Providing Exercise Opportunities Across Inpatient and Outpatmentioning

confidence: 99%

“…Specifically, exercise for young people with CF should be viewed as fun as well as therapy and its role should be regarded equally from the young person's point of view as well as a clinical mandate from the multidisciplinary team (Webb & Dodd, 1999). Exercises must be stimulating, age-appropriate and enjoyable, and varied to avoid monotony as well as to avoid overuse injuries (Stanghelle, 1988). Further, prescription of exercise programs should be timely, and appropriate for different settings including within the hospital and the home (Lannefors, 2004).…”

Section: Recommendations For Exercise Programs For Young People With mentioning

confidence: 99%

See 2 more Smart Citations

The Physiotherapist's Use of Exercise in the Management of Young People with Cystic Fibrosis

Mandrusiak¹,

Watter²

2012

Cystic Fibrosis - Renewed Hopes Through Research

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Three‐minute step test to assess exercise capacity in children with cystic fibrosis with mild lung disease

Narang

Pike

Rosenthal

et al. 2003

Pediatric Pulmonology

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The information obtained from a simple submaximal test (the 3-min step test) was compared with that from a maximal cycle ergometry study, in a group of children with CF with relatively mild abnormalities of lung function (FEV(1) > 50% predicted). Nineteen subjects with CF undertook both exercise tests on the same day. Measurements included heart rate (HR), oxygen saturations (SaO(2)), visual analogue score of perceived breathlessness (VAS), 15-count breathlessness score (15c), and peak oxygen consumption (VO(2)). There were significant differences in the median changes in HR and VAS during the cycle test compared to the step test, 78 vs. 46 beats per minute (P < 0.05) and 51 mm vs. 42 mm (P < 0.05), respectively. There were no differences between median changes in 15c and SaO(2), but 3 subjects had significant desaturations (>4%) during the cycle test only. Significant exercise desaturations may occur in mild CF lung disease and will not be detected by a 3-min step test. The 15c did not discriminate between a maximal and a submaximal test, and was less useful than VAS. Important information may be missed by the step test which is detected by more complex exercise tests.

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Physical Exercise for Patients with Cystic Fibrosis: A Review

Cited by 20 publications

References 60 publications

Maximal work capacity in relation to nutritional status in children with cystic fibrosis

Maximal work capacity in relation to nutritional status in children with cystic fibrosis

The Physiotherapist's Use of Exercise in the Management of Young People with Cystic Fibrosis

Three‐minute step test to assess exercise capacity in children with cystic fibrosis with mild lung disease

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