Physical activity in children and adolescents with cystic fibrosis: A systematic review and meta-analysis

被引:15
作者
Puppo, Homero [1 ,2 ]
Torres-Castro, Rodrigo [1 ,2 ]
Vasconcello-Castillo, Luis [1 ,2 ]
Acosta-Dighero, Roberto [1 ]
Sepulveda-Caceres, Nicolas [1 ]
Quiroga-Maraboli, Pablo [1 ]
Romero, Juan Eduardo [1 ]
Vilaro, Jordi [2 ,3 ]
机构
[1] Univ Chile, Dept Phys Therapy, Independencia 1027, Santiago 8380453, Chile
[2] Int Physiotherapy Res Network PhysioEvidence, Santiago, Chile
[3] Univ Ramon Llull, Blanquerna Sch Hlth Sci, Global Res Wellbeing GRoW, Barcelona, Spain
关键词
adolescents; children; cystic fibrosis; physical activity; systematic review; HABITUAL ACTIVITY; EXERCISE TOLERANCE; ENERGY-EXPENDITURE; SPANISH CHILDREN; SEDENTARY TIME; LUNG-FUNCTION; BONE HEALTH; PREVENTION; CAPACITY; QUALITY;
D O I
10.1002/ppul.25038
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Background Exercise and physical activity (PA) are essential components of the care of cystic fibrosis (CF) patients. Lower PA levels have been associated with worse pulmonary function, aerobic fitness, glycemic control, and bone mineral density. Most people with CF do not engage in the recommended amounts of PA. Objective To determine the level of PA in children and adolescents with CF. Methods A systematic review with meta-analysis was conducted without language restrictions in five databases. Were included studies that analyzed PA measured by objective and subjective instruments in children and adolescents with CF. Two independent reviewers analyzed the studies, extracted the data, and assessed the quality of evidence. The risk of bias of the included studies was assessed with the National Heart, Lung, and Blood Institute's risk-of-bias tool. Results Of the 1535 reports returned by the initial search, 20 articles reporting on 785 patients were included in the data synthesis. The forest plot showed that the CF group had a similar moderate-to-vigorous PA (MVPA) (mean difference, -7.79; 95% CI, -15.65 to 0.08 min/d;P = .05) and sedentary time (mean difference, -50.81; 95%CI, -109.96 to 8.35 min/d;P = .09) to the control group. Conclusion Children and adolescents with CF have a similar MVPA and sedentary time compared to controls. There are many options, subjective and objective, for assessing PA in this population. Optimal tool selection should guarantee more valid results.
引用
收藏
页码:2863 / 2876
页数:14
相关论文
共 60 条
[1]  
[Anonymous], QUAL ASS TOOL OBS CO
[2]   Levels of moderate-vigorous physical activity are low in Spanish children with cystic fibrosis: A comparison with healthy controls [J].
Aznar, Susana ;
Gallardo, Cristian ;
Fiuza-Luces, Carmen ;
Santana-Sosa, Elena ;
Lopez-Mojares, Luis M. ;
Santalla, Alfredo ;
Rodriguez-Romo, Gabriel ;
Perez, Margarita ;
Garatachea, Nuria ;
Lucia, Alejandro .
JOURNAL OF CYSTIC FIBROSIS, 2014, 13 (03) :335-340
[3]  
Baker Carol F, 2006, J Pediatr Nurs, V21, P197, DOI 10.1016/j.pedn.2005.07.011
[4]   Combined Exercise Training Improves Glycemic Control in Adult with Cystic Fibrosis [J].
Beaudoin, Nadia ;
Bouvet, Guillaume F. ;
Coriati, Adele ;
Rabasa-Lhoret, Remi ;
Berthiaume, Yves .
MEDICINE & SCIENCE IN SPORTS & EXERCISE, 2017, 49 (02) :231-237
[5]   Waging war on modern chronic diseases: primary prevention through exercise biology [J].
Booth, FW ;
Gordon, SE ;
Carlson, CJ ;
Hamilton, MT .
JOURNAL OF APPLIED PHYSIOLOGY, 2000, 88 (02) :774-787
[6]   Activity levels and the relationship to lung function and nutritional status in children with cystic fibrosis [J].
Boucher, GP ;
Lands, LC ;
Hay, JA ;
Hornby, L .
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION, 1997, 76 (04) :311-315
[7]  
Bradley Judy, 2015, J Cyst Fibros, V14, pe25, DOI 10.1016/j.jcf.2015.05.011
[8]  
CASPERSEN CJ, 1985, PUBLIC HEALTH REP, V0100
[9]  
Deeks J., 2019, Cochrane Handb Syst Rev Interv, DOI [10.1002/9780470712184.ch9, DOI 10.1002/9781119536604, DOI 10.1002/9781119536604.CH10]
[10]   Diagnosis of Cystic Fibrosis: Consensus Guidelines from the Cystic Fibrosis Foundation [J].
Farrell, Philip M. ;
White, Terry B. ;
Ren, Clement L. ;
Hempstead, Sarah E. ;
Accurso, Frank ;
Derichs, Nico ;
Howenstine, Michelle ;
McColley, Susanna A. ;
Rock, Michael ;
Rosenfeld, Margaret ;
Sermet-Gaudelus, Isabelle ;
Southern, Kevin W. ;
Marshall, Bruce C. ;
Sosnay, Patrick R. .
JOURNAL OF PEDIATRICS, 2017, 181 :S4-S15