Trainability of Health-Related and Motor Performance Fitness in Adults with Cystic Fibrosis within a 12-Month Partially Supervised Exercise Program

Background. Regular physical activity plays an important role in the treatment of patients with cystic fibrosis (CF). This study is aimed at investigating the effects of a 12-month partially supervised exercise program on attributes of health-related and motor performance fitness, lung function (ppF...

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Main Authors: Matthias Welsner, Wolfgang Gruber, Uwe Mellies, Margarete Olivier, Sivagurunathan Sutharsan, Christian Taube, Stefanie Dillenhoefer, Cordula Koerner-Rettberg, Florian Stehling
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Pulmonary Medicine
Online Access:http://dx.doi.org/10.1155/2021/5581812
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author Matthias Welsner
Wolfgang Gruber
Uwe Mellies
Margarete Olivier
Sivagurunathan Sutharsan
Christian Taube
Stefanie Dillenhoefer
Cordula Koerner-Rettberg
Florian Stehling
author_facet Matthias Welsner
Wolfgang Gruber
Uwe Mellies
Margarete Olivier
Sivagurunathan Sutharsan
Christian Taube
Stefanie Dillenhoefer
Cordula Koerner-Rettberg
Florian Stehling
author_sort Matthias Welsner
collection DOAJ
description Background. Regular physical activity plays an important role in the treatment of patients with cystic fibrosis (CF). This study is aimed at investigating the effects of a 12-month partially supervised exercise program on attributes of health-related and motor performance fitness, lung function (ppFEV1), BMI, and habitual physical activity (HPA, steps/day) in adults with CF. Methods. Attributes of health-related and motor performance fitness were examined at the beginning (T0), after 6 (T1), and 12 months (T2) on the basis of five test items: forward bend (FB), bent knee hip extension (HE), plank leg raise (PLR), standing long jump (SLJ), and standing on one leg (OLS). Additionally, we recorded HPA by accelerometry, peak exercise performance (Wpeak) by an incremental cycle test, ppFEV1, and BMI. During the first six months, there was close supervision by an experienced sport therapist. Results. 26 CF patients (8 female, mean age 26.5±7.9 years; ppFEV1 53.7±21.0) completed the exercise program. Significant improvements were recorded from T0 to T1 (FB: p≤0.05; PLR, OLS: p≤0.01) and from T0 to T2 (FB, PLR: p≤0.01 and HE, OLS: p≤0.05). Wpeak, ppFEV1, BMI, and HPA showed no significant improvement between the single test points and over the entire study period (all p>0.05). Conclusion. Our results show trainability of adults with CF in aspects of health-related and motor performance fitness during a partially supervised exercise program. Close supervision positively influences the results. Using a simple test setup seems to be a promising tool for evaluating the effects of exercise programs in CF and could serve as an additional outcome parameter in future clinical trials. Trial registration: ClinicalTrials.gov (retrospectively registered May 8, 2018).
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language English
publishDate 2021-01-01
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series Pulmonary Medicine
spelling doaj-art-029f72c1cbc94d57862d11abfaefb7ba2025-08-20T03:54:15ZengWileyPulmonary Medicine2090-18362090-18442021-01-01202110.1155/2021/55818125581812Trainability of Health-Related and Motor Performance Fitness in Adults with Cystic Fibrosis within a 12-Month Partially Supervised Exercise ProgramMatthias Welsner0Wolfgang Gruber1Uwe Mellies2Margarete Olivier3Sivagurunathan Sutharsan4Christian Taube5Stefanie Dillenhoefer6Cordula Koerner-Rettberg7Florian Stehling8Department of Pulmonary Medicine, University Hospital Essen-Ruhrlandklinik, Adult Cystic Fibrosis Center, University of Duisburg-Essen, Essen, GermanyPediatric Pulmonology and Sleep Medicine, Cystic Fibrosis Center, Children’s Hospital, University of Duisburg-Essen, Essen, GermanyPediatric Pulmonology and Sleep Medicine, Cystic Fibrosis Center, Children’s Hospital, University of Duisburg-Essen, Essen, GermanyPediatric Pulmonology and Sleep Medicine, Cystic Fibrosis Center, Children’s Hospital, University of Duisburg-Essen, Essen, GermanyDepartment of Pulmonary Medicine, University Hospital Essen-Ruhrlandklinik, Adult Cystic Fibrosis Center, University of Duisburg-Essen, Essen, GermanyDepartment of Pulmonary Medicine, University Hospital Essen-Ruhrlandklinik, Adult Cystic Fibrosis Center, University of Duisburg-Essen, Essen, GermanyDepartment of Pediatric Pneumology, University Children’s Hospital, Ruhr University, Bochum, GermanyDepartment of Pediatric Pneumology, University Children’s Hospital, Ruhr University, Bochum, GermanyPediatric Pulmonology and Sleep Medicine, Cystic Fibrosis Center, Children’s Hospital, University of Duisburg-Essen, Essen, GermanyBackground. Regular physical activity plays an important role in the treatment of patients with cystic fibrosis (CF). This study is aimed at investigating the effects of a 12-month partially supervised exercise program on attributes of health-related and motor performance fitness, lung function (ppFEV1), BMI, and habitual physical activity (HPA, steps/day) in adults with CF. Methods. Attributes of health-related and motor performance fitness were examined at the beginning (T0), after 6 (T1), and 12 months (T2) on the basis of five test items: forward bend (FB), bent knee hip extension (HE), plank leg raise (PLR), standing long jump (SLJ), and standing on one leg (OLS). Additionally, we recorded HPA by accelerometry, peak exercise performance (Wpeak) by an incremental cycle test, ppFEV1, and BMI. During the first six months, there was close supervision by an experienced sport therapist. Results. 26 CF patients (8 female, mean age 26.5±7.9 years; ppFEV1 53.7±21.0) completed the exercise program. Significant improvements were recorded from T0 to T1 (FB: p≤0.05; PLR, OLS: p≤0.01) and from T0 to T2 (FB, PLR: p≤0.01 and HE, OLS: p≤0.05). Wpeak, ppFEV1, BMI, and HPA showed no significant improvement between the single test points and over the entire study period (all p>0.05). Conclusion. Our results show trainability of adults with CF in aspects of health-related and motor performance fitness during a partially supervised exercise program. Close supervision positively influences the results. Using a simple test setup seems to be a promising tool for evaluating the effects of exercise programs in CF and could serve as an additional outcome parameter in future clinical trials. Trial registration: ClinicalTrials.gov (retrospectively registered May 8, 2018).http://dx.doi.org/10.1155/2021/5581812
spellingShingle Matthias Welsner
Wolfgang Gruber
Uwe Mellies
Margarete Olivier
Sivagurunathan Sutharsan
Christian Taube
Stefanie Dillenhoefer
Cordula Koerner-Rettberg
Florian Stehling
Trainability of Health-Related and Motor Performance Fitness in Adults with Cystic Fibrosis within a 12-Month Partially Supervised Exercise Program
Pulmonary Medicine
title Trainability of Health-Related and Motor Performance Fitness in Adults with Cystic Fibrosis within a 12-Month Partially Supervised Exercise Program
title_full Trainability of Health-Related and Motor Performance Fitness in Adults with Cystic Fibrosis within a 12-Month Partially Supervised Exercise Program
title_fullStr Trainability of Health-Related and Motor Performance Fitness in Adults with Cystic Fibrosis within a 12-Month Partially Supervised Exercise Program
title_full_unstemmed Trainability of Health-Related and Motor Performance Fitness in Adults with Cystic Fibrosis within a 12-Month Partially Supervised Exercise Program
title_short Trainability of Health-Related and Motor Performance Fitness in Adults with Cystic Fibrosis within a 12-Month Partially Supervised Exercise Program
title_sort trainability of health related and motor performance fitness in adults with cystic fibrosis within a 12 month partially supervised exercise program
url http://dx.doi.org/10.1155/2021/5581812
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