Giannakoulakos Stavros, Gioulvanidou Maria, Kouidi Evangelia, Peftoulidou Pauline, Kyrvasili Syrmo Styliani, Savvidou Parthena, Deligiannis Asterios, Tsanakas John, Hatziagorou Elpis
Sports Medicine Laboratory, Aristotle University of Thessaloniki, 57001 Thermi, Greece.
Pediatric Respiratory Unit, 3rd Paediatric Clinic, Aristotle University of Thessaloniki, Hippokration General Hospital of Thessaloniki, 54642 Thessaloniki, Greece.
Children (Basel). 2022 Oct 31;9(11):1665. doi: 10.3390/children9111665.
Physical activity (PA) improves exercise capacity, slows the decline in lung function, and enhances Quality of Life (QoL) in patients with cystic fibrosis (pwCF).
The study aimed to evaluate PA and QoL among children with CF compared to healthy controls; the secondary aim was to assess the correlation between PA, QoL, and lung function (FEV1).
Forty-five children and adolescents with CF and 45 age-matched controls completed two self-administered validated questionnaires: The Godin Leisure-Time Exercise Questionnaire (GLTEQ) and the DISABKIDS for QoL. Moreover, pwCF performed spirometry and multiple breath washout tests (MBW). In addition, weight, height, and BMI were recorded. The Godin Leisure-Time Exercise Questionnaire was used to evaluate physical activity; QOL was assessed using the DISABKIDS Questionnaire. The correlation of PA with QOL was assessed as well.
Mean age of the CF population was 13.22 (±4.6) years, mean BMI 19.58 (±4.1) kg/m, mean FEV1% 91.15 ± 20.46%, and mean LCI 10.68 ± 4.08. 68% of the CF group were active, 27% were medium active, 5% were sedentary, while 83% of the control group were active and 17% were medium active. PwCF with higher PA scores showed significantly higher emotional health (r: 0.414, : 0.006) and total QOL score (r: 0.372; : 0.014). The PA score showed no significant correlation with FEV1% or LCI.
The children with CF showed satisfactory PA levels, which positively correlated to their QoL. More research is needed on the effect of increased levels of habitual physical activity to establish the decline in pulmonary function among pwCF.
体育活动(PA)可提高运动能力,减缓囊性纤维化患者(pwCF)肺功能的下降,并提高其生活质量(QoL)。
本研究旨在评估与健康对照相比,CF儿童的PA和QoL;次要目的是评估PA、QoL和肺功能(FEV1)之间的相关性。
45名患有CF的儿童和青少年以及45名年龄匹配的对照完成了两份自我管理的有效问卷:戈丁休闲时间运动问卷(GLTEQ)和用于QoL的残疾儿童问卷。此外,pwCF进行了肺活量测定和多次呼气冲洗试验(MBW)。另外,记录了体重、身高和BMI。戈丁休闲时间运动问卷用于评估体育活动;使用残疾儿童问卷评估QOL。还评估了PA与QOL的相关性。
CF人群的平均年龄为13.22(±4.6)岁,平均BMI为19.58(±4.1)kg/m,平均FEV1%为91.15±20.46%,平均LCI为10.68±4.08。CF组中68%为活跃,27%为中等活跃,5%为久坐不动,而对照组中83%为活跃,17%为中等活跃。PA得分较高的pwCF显示出明显更高的情绪健康(r:0.414,P:0.006)和总QOL得分(r:0.372;P:0.014)。PA得分与FEV1%或LCI无显著相关性。
CF儿童的PA水平令人满意,与他们的QoL呈正相关。需要更多关于增加习惯性体育活动水平对pwCF肺功能下降影响的研究。