Currie Sarah, Greenwood Krista, Weber Lara, Khakee Hussein, Legasto Michelle, Tullis Elizabeth, Wu Kenneth, Tsang Anna, Szego Erika, Mathur Sunita
Department of Physical Therapy, University of Toronto.
Department of Medicine, St. Michael's Hospital and University of Toronto.
Physiother Can. 2017;69(2):171-177. doi: 10.3138/ptc.2015-92EP.
The literature on physical activity (PA) in adults with cystic fibrosis, particularly in those with cystic fibrosis-related diabetes (CFRD), is limited. PA may be an important part of blood glucose management in CFRD. The purpose of this study was to describe PA levels in adults with CFRD and determine their adherence to the Canadian Diabetes Association (CDA) aerobic exercise training guidelines. Adults with CFRD were recruited from a hospital-based CF clinic. PA was measured using the Seven-Day Physical Activity Recall (telephone interview), adherence to CFRD management with the Self-Care Inventory-Revised (questionnaire), and blood glucose control from glycated hemoglobin levels documented in participants' medical chart within 3 months. Eighteen adults (mean age 41 [SD 9] y) with diagnosed CFRD participated in the study. They varied in volume of PA (range 13,080-17,362 metabolic equivalent min/wk). Of the study participants, 12 (67%) met the CDA guidelines of 150 minutes of moderate to vigorous PA per week with no more than 2 consecutive days without exercise. No differences were found in clinical factors between those who met the aerobic exercise guidelines and those who did not. The majority of individuals with CFRD are meeting the recommended amount of aerobic PA. The factors influencing PA and blood glucose control in adults with CFRD require further investigation.
关于成年囊性纤维化患者,尤其是患有囊性纤维化相关糖尿病(CFRD)患者的体育活动(PA)的文献有限。体育活动可能是CFRD患者血糖管理的重要组成部分。本研究的目的是描述患有CFRD的成年人的体育活动水平,并确定他们对加拿大糖尿病协会(CDA)有氧运动训练指南的遵守情况。患有CFRD的成年人是从一家医院的囊性纤维化诊所招募的。使用七日体育活动回忆法(电话访谈)测量体育活动,使用修订版自我护理量表(问卷调查)评估对CFRD管理的依从性,并根据参与者病历中记录的3个月内糖化血红蛋白水平来评估血糖控制情况。18名被诊断患有CFRD的成年人(平均年龄41岁[标准差9岁])参与了该研究。他们的体育活动量各不相同(范围为13,080 - 17,362代谢当量分钟/周)。在研究参与者中,12人(67%)达到了CDA每周进行150分钟中等至剧烈体育活动且连续不运动天数不超过2天的指南要求。达到有氧运动指南的人和未达到的人在临床因素方面没有发现差异。大多数患有CFRD的个体达到了推荐的有氧运动量。影响患有CFRD的成年人体育活动和血糖控制的因素需要进一步研究。