Stanghelle J K
National Institute of Occupational Health, Department of Physiology, Oslo, Norway.
Int J Sports Med. 1988 Feb;9 Suppl 1:6-18. doi: 10.1055/s-2007-1025056.
Cystic fibrosis (CF) is an inherited, chronic disease which mainly affects the lungs and the nutrition. Intensive treatment has gradually improved the outcome for the patients. Exercise therapy has been increasingly advocated to be included in the CF regimen. Our own studies indicate that both short-term and long-term training ameliorate the physical conditions for CF patients, that there is no danger for well-trained CF patients--both boys and girls--to take part even in vigorous, prolonged exercises, and that CF patients might have a positive attitude toward physical activities. Of course, all physical activities have to be individually designed. A review of the literature is also given: The specific ventilatory factors in CF, the limitations of exercise, the problem with exercise-induced asthma, the training effect on lung drainage, on lung function, on infections, on biochemical and hormonal variables, on nutrition and the gastrointestinal tract, on the musculoskeletal apparatus, and on the mind. Nearly all these reports are favorable for a carefully monitored, high activity in CF patients. Practical considerations for activities are given.
囊性纤维化（CF）是一种遗传性慢性疾病，主要影响肺部和营养状况。强化治疗已逐渐改善了患者的预后。运动疗法越来越多地被提倡纳入CF治疗方案。我们自己的研究表明，短期和长期训练都能改善CF患者的身体状况，训练有素的CF患者——无论男孩还是女孩——即使参加剧烈、持久的运动也没有危险，而且CF患者可能对体育活动持积极态度。当然，所有体育活动都必须量身定制。本文还对相关文献进行了综述：CF中的特定通气因素、运动的局限性、运动诱发哮喘的问题、训练对肺引流、肺功能、感染、生化和激素变量、营养和胃肠道、肌肉骨骼系统以及心理的影响。几乎所有这些报告都支持在密切监测下让CF患者进行高强度活动。文中还给出了活动的实际注意事项。
