Zurich University of Applied Sciences, School of Health Professions, Institute of Physiotherapy, Winterthur, Switzerland.
Division of Pulmonology, University Hospital Zurich, Zurich, Switzerland.
PLoS One. 2020 Feb 21;15(2):e0229296. doi: 10.1371/journal.pone.0229296. eCollection 2020.
Barriers and motives towards physical activity (PA) in lung transplant (LTx) recipients with cystic fibrosis (CF) are largely unknown. We aimed to explore perceptions towards PA in LTx recipients with CF to better understand individuals' needs and preferences.
Participants completed an online survey at two Swiss LTx and one follow-up shared care centre between June and December 2018.
One hundred and eleven individuals completed the survey (87.4% response rate). Overall, survey participants perceive PA as important for their daily life and health. Perceived motives of PA were improving muscle strength, endurance and quality of life (QoL), to feel better, fun, to achieve personal goals and having more energy for everyday life. Fatigue was the most common perceived barrier to PA and associated with poorer QoL (r = -0.43, p<0.001) and health status (r = -0.31, p = 0.001). Participants with lung allograft dysfunction (LAD, n = 20) reported lower habitual PA (p = 0.009) and health status (p = 0.011), and rated shortness of breath, bad weather and concerns regarding lung rejection higher than those without LAD (all p<0.05). When we asked how an optimal training programme should look like, the majority would prefer individual, non-supervised (60%), outdoor (77%), endurance training (90%), once or twice a week (47%) for 40-60 minutes (48%). Only a minority of patients (14%) would be willing to use exercise applications for their home-based training.
LTx recipients with CF value PA as important for their health. People with CF should be encouraged individually by their multidisciplinary transplant team to implement PA in their daily life, potential barriers should be identified and addressed. Overall, knowledge on perceived barriers and motives for PA should be considered in the development of future patient-centred PA programmes.
囊性纤维化（CF）肺移植（LTx）受者进行身体活动（PA）的障碍和动机在很大程度上尚不清楚。我们旨在探索 LTx 受者对 CF 进行 PA 的看法，以更好地了解个体的需求和偏好。
参与者于 2018 年 6 月至 12 月在瑞士的两家 LTx 医院和一家随访共享护理中心完成了在线调查。
共有 111 人完成了调查（87.4%的回复率）。总体而言，调查参与者认为 PA 对他们的日常生活和健康很重要。感知到的 PA 动机包括提高肌肉力量、耐力和生活质量（QoL）、感觉更好、有趣、实现个人目标以及获得更多日常生活所需的能量。疲劳是进行 PA 的最常见障碍，与较差的 QoL（r = -0.43，p<0.001）和健康状况（r = -0.31，p = 0.001）相关。有肺移植物功能障碍（LAD，n = 20）的参与者报告的习惯性 PA 较少（p = 0.009），健康状况较差（p = 0.011），并报告呼吸急促、恶劣天气和对肺排斥的担忧程度高于没有 LAD 的参与者（所有 p<0.05）。当我们问到理想的训练计划应该是什么样子时，大多数人会更喜欢非监督的个人训练（60%）、户外训练（77%）、耐力训练（90%）、每周一到两次（47%），每次训练 40-60 分钟（48%）。只有少数患者（14%）愿意使用运动应用程序进行家庭训练。
CF 肺移植受者认为 PA 对健康很重要。他们的多学科移植团队应单独鼓励他们在日常生活中进行 PA，应识别并解决潜在的障碍。总体而言，在制定以患者为中心的未来 PA 计划时，应考虑 PA 的感知障碍和动机。
