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Outpatient exercise training in children with cystic fibrosis: physiological effects, perceived competence, and acceptability.

Abstract

Exercise training is currently advocated as part of the treatment of patients with cystic fibrosis (CF). However, data are few that document physiologic benefits or changes in patients' perceptions of long-term training programs in children with CF. The aim of this study was to investigate the effects and acceptability of a home cycling program in children with CF. Fourteen patients (9 boys, 5 girls) with CF, mean (SD) age 14.1 (2.0) years, with mild to moderate impairment of lung function (forced expiratory volume in 1 s, mean (SD) 58.3 (16.3)% of predicted) were studied for 1 year. The first half of the study year was used to obtain baseline values at 0 and 6 months. During the second half of the year, a cycle program was carried out 5 times a week, for 20 min each day at a level of work that resulted in a heart rate of 140-160 beats/min. Once a week the cycle program was supervised by a physiotherapist. Measurements were repeated at 12 months. Effects of the exercise program were measured in terms of lung function, nutritional status, growth, muscle strength, exercise performance, perceived competence, and attitude towards the training program. Differences between the changes during the 6-month training period as compared to the 6-month control period were analyzed by multivariate statistics and nonparametric tests. Statistically significant differences (P < 0.05) between the two periods were found with respect to muscle strength of knee extensors and ankle dorsiflexors, and with respect to maximal oxygen consumption per kg body weight as well as per kg fat free mass. All changes were positive. No adverse effects were found. Perceived competence showed significant positive changes in feelings about physical appearance, general self-worth, and Total Perceived Competence Score. Scores concerning perceived acceptability of the program were significantly lower at the end of the training period; however, patients reported that they did want to continue with other sorts of training. We conclude that an exercise training program in the home can produce beneficial effects on oxygen consumption, muscle force, and perceived competence in children with CF. However, acceptability of the program was low, suggesting that long-term adherence would be poor, and hence, other sorts of training need to be identified.

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  • Authors+Show Affiliations

    ,

    Department of Pediatric Physiotherapy, Wilhelmina Children's Hospital, University Hospital for Children and Youth, Utrecht, The Netherlands. v.gulmans@wkz.azu.nl

    , , , ,

    Source

    Pediatric pulmonology 28:1 1999 Jul pg 39-46

    MeSH

    Adolescent
    Child
    Cystic Fibrosis
    Exercise
    Exercise Test
    Female
    Follow-Up Studies
    Humans
    Male
    Multivariate Analysis
    Outpatients
    Patient Compliance
    Physical Education and Training
    Physical Fitness
    Quality of Life
    Respiratory Function Tests
    Self Concept
    Software
    Statistics, Nonparametric

    Pub Type(s)

    Clinical Trial
    Journal Article
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    10406049

    Citation

    Gulmans, V A., et al. "Outpatient Exercise Training in Children With Cystic Fibrosis: Physiological Effects, Perceived Competence, and Acceptability." Pediatric Pulmonology, vol. 28, no. 1, 1999, pp. 39-46.
    Gulmans VA, de Meer K, Brackel HJ, et al. Outpatient exercise training in children with cystic fibrosis: physiological effects, perceived competence, and acceptability. Pediatr Pulmonol. 1999;28(1):39-46.
    Gulmans, V. A., de Meer, K., Brackel, H. J., Faber, J. A., Berger, R., & Helders, P. J. (1999). Outpatient exercise training in children with cystic fibrosis: physiological effects, perceived competence, and acceptability. Pediatric Pulmonology, 28(1), pp. 39-46.
    Gulmans VA, et al. Outpatient Exercise Training in Children With Cystic Fibrosis: Physiological Effects, Perceived Competence, and Acceptability. Pediatr Pulmonol. 1999;28(1):39-46. PubMed PMID: 10406049.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Outpatient exercise training in children with cystic fibrosis: physiological effects, perceived competence, and acceptability. AU - Gulmans,V A, AU - de Meer,K, AU - Brackel,H J, AU - Faber,J A, AU - Berger,R, AU - Helders,P J, PY - 1999/7/16/pubmed PY - 2000/6/22/medline PY - 1999/7/16/entrez SP - 39 EP - 46 JF - Pediatric pulmonology JO - Pediatr. Pulmonol. VL - 28 IS - 1 N2 - Exercise training is currently advocated as part of the treatment of patients with cystic fibrosis (CF). However, data are few that document physiologic benefits or changes in patients' perceptions of long-term training programs in children with CF. The aim of this study was to investigate the effects and acceptability of a home cycling program in children with CF. Fourteen patients (9 boys, 5 girls) with CF, mean (SD) age 14.1 (2.0) years, with mild to moderate impairment of lung function (forced expiratory volume in 1 s, mean (SD) 58.3 (16.3)% of predicted) were studied for 1 year. The first half of the study year was used to obtain baseline values at 0 and 6 months. During the second half of the year, a cycle program was carried out 5 times a week, for 20 min each day at a level of work that resulted in a heart rate of 140-160 beats/min. Once a week the cycle program was supervised by a physiotherapist. Measurements were repeated at 12 months. Effects of the exercise program were measured in terms of lung function, nutritional status, growth, muscle strength, exercise performance, perceived competence, and attitude towards the training program. Differences between the changes during the 6-month training period as compared to the 6-month control period were analyzed by multivariate statistics and nonparametric tests. Statistically significant differences (P < 0.05) between the two periods were found with respect to muscle strength of knee extensors and ankle dorsiflexors, and with respect to maximal oxygen consumption per kg body weight as well as per kg fat free mass. All changes were positive. No adverse effects were found. Perceived competence showed significant positive changes in feelings about physical appearance, general self-worth, and Total Perceived Competence Score. Scores concerning perceived acceptability of the program were significantly lower at the end of the training period; however, patients reported that they did want to continue with other sorts of training. We conclude that an exercise training program in the home can produce beneficial effects on oxygen consumption, muscle force, and perceived competence in children with CF. However, acceptability of the program was low, suggesting that long-term adherence would be poor, and hence, other sorts of training need to be identified. SN - 8755-6863 UR - https://www.unboundmedicine.com/medline/citation/10406049/Outpatient_exercise_training_in_children_with_cystic_fibrosis:_physiological_effects_perceived_competence_and_acceptability_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&amp;sid=nlm:pubmed&amp;issn=8755-6863&amp;date=1999&amp;volume=28&amp;issue=1&amp;spage=39 DB - PRIME DP - Unbound Medicine ER -