WS16.6 Efficacy of an educational intervention of physical activity for children and adolescents with cystic fibrosis

Purpose: Physical activity is well known to improve or maintain exercise capacity and overall health in patients with cystic fibrosis (CF). However, many patients do not meet recommended guidelines for physical activity. The purpose of this study was to determine if individualized, targeted coaching could improve the levels of physical activity and quality of life in children and adolescents with CF. Subjects: Twelve children with CF, ages 7 to 17, participated in this study.Method: Each participant completed a physical activity questionnaire (PAQ) and a disease-specific quality of life questionnaire (CFQ) at baseline and three months later. The participants were given pedometers and a 10,000 step per day target. Participants also participated in discussions regarding ways to increase physical activity appropriate for their interest, abilities and age. Weekly follow-up phone calls were made to obtain pedometer counts and discuss physical activities performed. Results: Physical activity scores (PAQ) improved in 6 of 12 participants. Quality of life improved in many dimensions of the CFQ, particularly in vitality (3 of 5 improved); emotional (8 of 12 improved) and respiratory (7 of 12 improved). Conclusions: The results of this small pilot study suggest that an individualized coaching approach to physical activity in children and adolescents with CF may improve physical activity levels and improve important aspects of quality of life in some children with CF.

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AB017. Associations between physical activity and quality of life in children and adolescents with cystic fibrosis

Pediatric Medicine ◽

10.21037/pm.2018.ab017 ◽

2018 ◽

Vol 1 ◽

pp. AB017-AB017

Author(s):

Jorge Lizandra ◽

Alexandra Valencia-Peris ◽

Amparo Escribano ◽

Silvia Castillo ◽

Elena Lopez-Cañada ◽

...

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Cystic Fibrosis ◽

Children And Adolescents

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P293 Physical activity in children and adolescents with cystic fibrosis – do they move enough?

Journal of Cystic Fibrosis ◽

10.1016/s1569-1993(20)30622-6 ◽

2020 ◽

Vol 19 ◽

pp. S138

Author(s):

F. Junge ◽

T. Hellmuth ◽

L. Stein ◽

S. Junge

Keyword(s):

Physical Activity ◽

Cystic Fibrosis ◽

Children And Adolescents

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155 Physical activity levels of children and adolescents with cystic fibrosis in Wales

Journal of Cystic Fibrosis ◽

10.1016/s1569-1993(15)30332-5 ◽

2015 ◽

Vol 14 ◽

pp. S98

Author(s):

K.A. Mackintosh ◽

R.E. Evans ◽

M. Barry ◽

J. Clarke ◽

M.A. McNarry

Keyword(s):

Physical Activity ◽

Cystic Fibrosis ◽

Children And Adolescents ◽

Activity Levels ◽

Physical Activity Levels

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Heart rate variability, exercise capacity and levels of daily physical activity in children and adolescents with mild-to-moderate cystic fibrosis

Hong Kong Physiotherapy Journal ◽

10.1142/s1013702522500019 ◽

2021 ◽

pp. 1-10

Author(s):

Pitiguara de Freitas Coelho ◽

Roberta Ribeiro Batista Barbosa ◽

Rodrigo dos Santos Lugao ◽

Fernanda Mayrink Gonçalves Liberato ◽

Pâmela Reis Vidal ◽

...

Keyword(s):

Physical Activity ◽

Cystic Fibrosis ◽

Heart Rate ◽

Heart Rate Variability ◽

Lung Function ◽

Children And Adolescents ◽

Exercise Capacity ◽

Pancreatic Insufficiency ◽

Daily Physical Activity ◽

Rr Intervals

Background: Autonomic nervous system balance is altered in cystic fibrosis (CF), although its influence on physical fitness has been poorly explored. Objective: This study aimed to evaluate the association of heart rate variability (HRV) with exercise capacity and levels of daily physical activity in children and adolescents with mild-to-moderate CF. Methods: A cross-sectional study including individuals with CF aged 6–18 years, not under CFTR modulator therapy, was performed. Sociodemographic (age, sex) and clinical information (airway colonization, pancreatic insufficiency, and genotyping) were collected. In addition, exercise capacity (modified shuttle test — MST), lung function (spirometry), body composition (bioimpedance), levels of daily physical activity (5-day accelerometer), and HRV (both at rest and during the MST) were evaluated. Results: 30 individuals (20 females) aged [Formula: see text] years, mean FEV[Formula: see text]%, were included. A sympathovagal balance (LF/HF) increase ([Formula: see text]) during the MST was shown, indicating a predominance of sympathetic modulation. The standard deviation of all RR intervals (SDNN) and the high frequency (HF) index during exercise correlated significantly with FEV1 ([Formula: see text], [Formula: see text] and [Formula: see text], [Formula: see text]; respectively). MST distance also correlated positively and significantly with SDNN ([Formula: see text], [Formula: see text]), square root of the mean of the sums of squares of frequencies between RR intervals greater than 50[Formula: see text]ms — RMSSD ([Formula: see text], [Formula: see text]), low frequency — LF ([Formula: see text], [Formula: see text]), HF ([Formula: see text], [Formula: see text]), dispersion of points perpendicular to the short-term identity line — SD1 ([Formula: see text], [Formula: see text]) and negatively with LF/HF ([Formula: see text], [Formula: see text]). Regarding daily physical activity, SDNN at rest ([Formula: see text], [Formula: see text]) and exercise ([Formula: see text], [Formula: see text]) showed positive correlations with time in moderate-to-vigorous activities. When normalizing the SDNN and classifying individuals as normal or altered, those presenting altered SDNN showed poorest FEV1 ([Formula: see text]) and lower exercise capacity ([Formula: see text]). Conclusion: HRV correlates with lung function, exercise capacity and levels of daily physical activity in children and adolescents with CF. The study highlights the influence of CF on autonomic function and suggests HRV measurement as an easy tool to be used in clinical settings as an alternative marker to monitor CF individuals.

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Effect of an Educational Intervention on Healthy Lifestyle in Iranian Children and Adolescents: The Iran-ending Childhood Obesity (IRAN-ECHO) Program

Journal of Nutritional Sciences and Dietetics ◽

10.18502/jnsd.v5i1.5234 ◽

2021 ◽

Author(s):

Zahra Abdollahi ◽

Ali-Akbar Sayyari ◽

Beheshteh Olang ◽

Hassan Ziaodini ◽

Hossein Fallah ◽

...

Keyword(s):

Physical Activity ◽

Childhood Obesity ◽

Children And Adolescents ◽

Educational Intervention ◽

Professional Education ◽

Healthy Lifestyle ◽

Behavioral Therapy ◽

Sleep Time ◽

Overweight And Obesity ◽

The Mean

Background: This study aimed at examining the effect of an educational program on children’s and adolescents’ knowledge of, attitude toward, and practice of healthy lifestyle habits. Methods: This was a quasi-experimental nationwide intervention carried out as part of the Iran-Ending Childhood Obesity (IRAN-ECHO) program. Participants were selected from six cities of Iran. The sample size was calculated to be 1264 for each city. Knowledge of, attitude toward, and practice of healthy nutritional habits were measured at baseline and following the intervention. A physician and a dietitian provided recommendations on healthy diet, screen time, physical activity, and sleep time. Behavioral therapy was given when necessary. Results: The prevalence of overweight or obesity was 7.6%. The frequency of students with desirable knowledge was significantly greater after the intervention compared with baseline (32.5% vs 24.8%, p = 0.02). The mean score for attitude toward obesity complications significantly increased from 73.09 to 74.78 (p = 0.03). There was also a significant increase in the mean score for the practice of low consumption of unhealthy snacks after the intervention (difference = 1.63, p = 0.03). The mean score for participation in mild physical activity increased from 50.67 to 65 after the intervention (p < 0.001). However, there were no significant changes in the number of students with desirable attitude and practice following the intervention (p> 0.05). Conclusion: The study shows that an educational intervention based on WHO-ECHO recommendations can be useful for improving the knowledge of a healthy lifestyle in children and adolescents. Over time, it might lead to a positive attitude and behavior toward a healthier lifestyle. Continued professional education and implementation of guidelines for the prevention and management of early childhood overweight and obesity are suggested.

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