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Physical training for cystic fibrosis.

Abstract

BACKGROUND

Physical training may form an important part of the care package for people with cystic fibrosis.

OBJECTIVES

To determine whether a prescribed regimen of physical training produces improvement or prevents deterioration in physiological and clinical outcomes in cystic fibrosis compared to no training.

SEARCH STRATEGY

We searched the Cochrane Cystic Fibrosis and Genetic Disorders Group Trials Register which comprises references identified from comprehensive electronic database searches and handsearches of relevant journals and abstract books of conference proceedings. Date of the most recent search: September 2007.

SELECTION CRITERIA

All randomised and quasi-randomised controlled clinical trials in which a prescribed regimen of physical training is compared to no physical training in people with cystic fibrosis.

DATA COLLECTION AND ANALYSIS

Two authors independently selected studies for inclusion, assessed methodological quality and extracted data.

MAIN RESULTS

Of the 26 studies identified, seven studies which included 231 participants, met the inclusion criteria. This review does provide some limited evidence from both short- and long-term studies that aerobic or anaerobic physical training has a positive effect on primary outcomes (exercise capacity, strength and lung function) but improvements are not consistent between studies.

AUTHORS' CONCLUSIONS

Conclusions about the efficacy of physical training in cystic fibrosis are limited by the small size, short duration and incomplete reporting of most of the studies included in this review. Physical training is already part of the care package offered to most people with cystic fibrosis and there is a lack of evidence to actively discourage this. The benefits obtained from including physical training in a package of care may be influenced by the type of training programme. Further research is needed to assess comprehensively the benefits of exercise programmes in people with cystic fibrosis and the relative benefits of the addition of aerobic versus anaerobic versus a combination of both types of physical training to the care of people with cystic fibrosis.

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  • Authors+Show Affiliations

    ,

    University of Ulster and Belfast City Hospital,Rehabilitation Sciences Research Institute School,University of Ulster,Shore Road,Newtownabbey,Northern Ireland, UK BT37 0QB. jm.bradley@ulster.ac.uk

    Source

    MeSH

    Cystic Fibrosis
    Exercise Therapy
    Exercise Tolerance
    Humans
    Randomized Controlled Trials as Topic

    Pub Type(s)

    Journal Article
    Meta-Analysis
    Review
    Systematic Review

    Language

    eng

    PubMed ID

    18254007

    Citation

    Bradley, J, and F Moran. "Physical Training for Cystic Fibrosis." The Cochrane Database of Systematic Reviews, 2008, p. CD002768.
    Bradley J, Moran F. Physical training for cystic fibrosis. Cochrane Database Syst Rev. 2008.
    Bradley, J., & Moran, F. (2008). Physical training for cystic fibrosis. The Cochrane Database of Systematic Reviews, (1), p. CD002768. doi:10.1002/14651858.CD002768.pub2.
    Bradley J, Moran F. Physical Training for Cystic Fibrosis. Cochrane Database Syst Rev. 2008 Jan 23;(1)CD002768. PubMed PMID: 18254007.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Physical training for cystic fibrosis. AU - Bradley,J, AU - Moran,F, Y1 - 2008/01/23/ PY - 2008/2/7/pubmed PY - 2008/4/15/medline PY - 2008/2/7/entrez SP - CD002768 EP - CD002768 JF - The Cochrane database of systematic reviews JO - Cochrane Database Syst Rev IS - 1 N2 - BACKGROUND: Physical training may form an important part of the care package for people with cystic fibrosis. OBJECTIVES: To determine whether a prescribed regimen of physical training produces improvement or prevents deterioration in physiological and clinical outcomes in cystic fibrosis compared to no training. SEARCH STRATEGY: We searched the Cochrane Cystic Fibrosis and Genetic Disorders Group Trials Register which comprises references identified from comprehensive electronic database searches and handsearches of relevant journals and abstract books of conference proceedings. Date of the most recent search: September 2007. SELECTION CRITERIA: All randomised and quasi-randomised controlled clinical trials in which a prescribed regimen of physical training is compared to no physical training in people with cystic fibrosis. DATA COLLECTION AND ANALYSIS: Two authors independently selected studies for inclusion, assessed methodological quality and extracted data. MAIN RESULTS: Of the 26 studies identified, seven studies which included 231 participants, met the inclusion criteria. This review does provide some limited evidence from both short- and long-term studies that aerobic or anaerobic physical training has a positive effect on primary outcomes (exercise capacity, strength and lung function) but improvements are not consistent between studies. AUTHORS' CONCLUSIONS: Conclusions about the efficacy of physical training in cystic fibrosis are limited by the small size, short duration and incomplete reporting of most of the studies included in this review. Physical training is already part of the care package offered to most people with cystic fibrosis and there is a lack of evidence to actively discourage this. The benefits obtained from including physical training in a package of care may be influenced by the type of training programme. Further research is needed to assess comprehensively the benefits of exercise programmes in people with cystic fibrosis and the relative benefits of the addition of aerobic versus anaerobic versus a combination of both types of physical training to the care of people with cystic fibrosis. SN - 1469-493X UR - https://www.unboundmedicine.com/medline/citation/18254007/Physical_training_for_cystic_fibrosis_ L2 - https://doi.org/10.1002/14651858.CD002768.pub2 DB - PRIME DP - Unbound Medicine ER -