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Individualised unsupervised exercise training in adults with cystic fibrosis: a 1 year randomised controlled trial.
Thorax 2004; 59(12):1074-80T

Abstract

BACKGROUND

Short term studies of exercise training have shown benefits in cystic fibrosis. Transferring exercise programmes to the community and sustaining them long term is a challenge for the patient. The effectiveness of an individualised unsupervised home based exercise programme was examined in adults with cystic fibrosis over a 1 year period.

METHODS

Subjects were randomised to undertake three sessions per week of upper and lower body exercise based on individualised preferences (n = 30) or to a control group (n = 18). They were evaluated at baseline and at 12 months. The primary outcome measure was improved fitness as assessed by change in blood lactate concentration at the end of an identical constant work rate for both arm and leg ergometric testing. Secondary outcome measurements were heart rate and pulmonary function.

RESULTS

For leg exercise, significant differences were seen at 12 months between the active and control groups in the mean (SE) change in blood lactate levels (-0.38 (0.23) mmol/l v 0.45 (0.25) mmol/l, p<0.05) and heart rate (-4.8 (2.5) bpm v 3.4 (2.5) bpm, p<0.05), confirming a training effect. For arm ergometry there was no change in lactate levels at 12 months but there was a significant difference in forced vital capacity (46 (72) ml v -167 (68) ml, p<0.05).

CONCLUSIONS

A training effect, as measured by a reduction in lactate levels and heart rate, can be achieved with unsupervised individualised home exercise in adults with cystic fibrosis. A benefit to pulmonary function was observed and together these findings suggest that exercise programmes should be encouraged as an important component of care in cystic fibrosis.

Authors+Show Affiliations

The Royal Shrewsbury Hospital, Shrewsbury SY3 8XQ, UK.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

15563708

Citation

Moorcroft, A J., et al. "Individualised Unsupervised Exercise Training in Adults With Cystic Fibrosis: a 1 Year Randomised Controlled Trial." Thorax, vol. 59, no. 12, 2004, pp. 1074-80.
Moorcroft AJ, Dodd ME, Morris J, et al. Individualised unsupervised exercise training in adults with cystic fibrosis: a 1 year randomised controlled trial. Thorax. 2004;59(12):1074-80.
Moorcroft, A. J., Dodd, M. E., Morris, J., & Webb, A. K. (2004). Individualised unsupervised exercise training in adults with cystic fibrosis: a 1 year randomised controlled trial. Thorax, 59(12), pp. 1074-80.
Moorcroft AJ, et al. Individualised Unsupervised Exercise Training in Adults With Cystic Fibrosis: a 1 Year Randomised Controlled Trial. Thorax. 2004;59(12):1074-80. PubMed PMID: 15563708.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Individualised unsupervised exercise training in adults with cystic fibrosis: a 1 year randomised controlled trial. AU - Moorcroft,A J, AU - Dodd,M E, AU - Morris,J, AU - Webb,A K, PY - 2004/11/26/pubmed PY - 2004/12/22/medline PY - 2004/11/26/entrez SP - 1074 EP - 80 JF - Thorax JO - Thorax VL - 59 IS - 12 N2 - BACKGROUND: Short term studies of exercise training have shown benefits in cystic fibrosis. Transferring exercise programmes to the community and sustaining them long term is a challenge for the patient. The effectiveness of an individualised unsupervised home based exercise programme was examined in adults with cystic fibrosis over a 1 year period. METHODS: Subjects were randomised to undertake three sessions per week of upper and lower body exercise based on individualised preferences (n = 30) or to a control group (n = 18). They were evaluated at baseline and at 12 months. The primary outcome measure was improved fitness as assessed by change in blood lactate concentration at the end of an identical constant work rate for both arm and leg ergometric testing. Secondary outcome measurements were heart rate and pulmonary function. RESULTS: For leg exercise, significant differences were seen at 12 months between the active and control groups in the mean (SE) change in blood lactate levels (-0.38 (0.23) mmol/l v 0.45 (0.25) mmol/l, p<0.05) and heart rate (-4.8 (2.5) bpm v 3.4 (2.5) bpm, p<0.05), confirming a training effect. For arm ergometry there was no change in lactate levels at 12 months but there was a significant difference in forced vital capacity (46 (72) ml v -167 (68) ml, p<0.05). CONCLUSIONS: A training effect, as measured by a reduction in lactate levels and heart rate, can be achieved with unsupervised individualised home exercise in adults with cystic fibrosis. A benefit to pulmonary function was observed and together these findings suggest that exercise programmes should be encouraged as an important component of care in cystic fibrosis. SN - 0040-6376 UR - https://www.unboundmedicine.com/medline/citation/15563708/Individualised_unsupervised_exercise_training_in_adults_with_cystic_fibrosis:_a_1_year_randomised_controlled_trial_ L2 - http://thorax.bmj.com/cgi/pmidlookup?view=long&amp;pmid=15563708 DB - PRIME DP - Unbound Medicine ER -