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Health-related fitness and trainability in children with cystic fibrosis.

Abstract

The objective of this study was to examine the effects of a supervised exercise training program performed during an in patient rehabilitation course on various attributes of health-related fitness, e.g., flexibility, balance and coordination. 286 patients with CF, age range 6-18 years (11.8 +/- 3.4 years), mean forced expiratory volume in 1 sec (FEV1 82.7 +/- 22.3% predicted) were included. Patients performed the modified Munich fitness test (mMFT) to assess flexibility, balance, strength and coordination. To assess aerobic capacity a 6-min walk-test (6MWT) was performed. In addition, some of the patients performed an incremental exercise test on a bicycle ergometer using the Godfrey protocol before and after the exercise training program. The supervised training program consisted of 4-6 weeks of different sports activities 5 times per week. After training, pulmonary function showed a significant (P < 0.05) increase. All test items of the mMFT improved significantly (P < 0.05). Compared to healthy children test scores achieved from children with CF in the mMFT were lower but within a normal range. Our children with CF had a lower walk distance in 6MWT (P < 0.05) compared to healthy. Our findings clearly demonstrated benefits of a systematic exercise training program on components of physical fitness in patients with CF, with improvements of test-tasks to predicted normal in some cases. The results from our study suggested that an exercise training program in CF should be focused on several aspects of physical fitness including all components of physical fitness, e.g. aerobic endurance, flexibility, balance and motor skills.

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  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Clinic Sattelduene for Children and Adolescents, Amrum, Germany. gruber-wolfgang@t-online.de

    , ,

    Source

    Pediatric pulmonology 43:10 2008 Oct pg 953-64

    MeSH

    Adolescent
    Child
    Cystic Fibrosis
    Exercise Therapy
    Exercise Tolerance
    Female
    Humans
    Male
    Physical Fitness

    Pub Type(s)

    Comparative Study
    Journal Article

    Language

    eng

    PubMed ID

    18781654

    Citation

    Gruber, W, et al. "Health-related Fitness and Trainability in Children With Cystic Fibrosis." Pediatric Pulmonology, vol. 43, no. 10, 2008, pp. 953-64.
    Gruber W, Orenstein DM, Braumann KM, et al. Health-related fitness and trainability in children with cystic fibrosis. Pediatr Pulmonol. 2008;43(10):953-64.
    Gruber, W., Orenstein, D. M., Braumann, K. M., & Hüls, G. (2008). Health-related fitness and trainability in children with cystic fibrosis. Pediatric Pulmonology, 43(10), pp. 953-64. doi:10.1002/ppul.20881.
    Gruber W, et al. Health-related Fitness and Trainability in Children With Cystic Fibrosis. Pediatr Pulmonol. 2008;43(10):953-64. PubMed PMID: 18781654.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Health-related fitness and trainability in children with cystic fibrosis. AU - Gruber,W, AU - Orenstein,D M, AU - Braumann,K M, AU - Hüls,G, PY - 2008/9/11/pubmed PY - 2009/2/3/medline PY - 2008/9/11/entrez SP - 953 EP - 64 JF - Pediatric pulmonology JO - Pediatr. Pulmonol. VL - 43 IS - 10 N2 - The objective of this study was to examine the effects of a supervised exercise training program performed during an in patient rehabilitation course on various attributes of health-related fitness, e.g., flexibility, balance and coordination. 286 patients with CF, age range 6-18 years (11.8 +/- 3.4 years), mean forced expiratory volume in 1 sec (FEV1 82.7 +/- 22.3% predicted) were included. Patients performed the modified Munich fitness test (mMFT) to assess flexibility, balance, strength and coordination. To assess aerobic capacity a 6-min walk-test (6MWT) was performed. In addition, some of the patients performed an incremental exercise test on a bicycle ergometer using the Godfrey protocol before and after the exercise training program. The supervised training program consisted of 4-6 weeks of different sports activities 5 times per week. After training, pulmonary function showed a significant (P < 0.05) increase. All test items of the mMFT improved significantly (P < 0.05). Compared to healthy children test scores achieved from children with CF in the mMFT were lower but within a normal range. Our children with CF had a lower walk distance in 6MWT (P < 0.05) compared to healthy. Our findings clearly demonstrated benefits of a systematic exercise training program on components of physical fitness in patients with CF, with improvements of test-tasks to predicted normal in some cases. The results from our study suggested that an exercise training program in CF should be focused on several aspects of physical fitness including all components of physical fitness, e.g. aerobic endurance, flexibility, balance and motor skills. SN - 1099-0496 UR - https://www.unboundmedicine.com/medline/citation/18781654/Health_related_fitness_and_trainability_in_children_with_cystic_fibrosis_ L2 - https://doi.org/10.1002/ppul.20881 DB - PRIME DP - Unbound Medicine ER -