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COVID-19 pandemic restrictions continuously impact on physical activity in adults with cystic fibrosis

BACKGROUND: We have recently reported reduced physical activity (PA) in people with cystic fibrosis (pwCF) with and without lung transplantation (LTX) during a 6-week stringent lockdown in Switzerland. This follow-up study explores the impact of coronavirus-2019 disease (COVID-19) related pandemic r...

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Autores principales: Radtke, Thomas, Haile, Sarah R., Dressel, Holger, Benden, Christian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8460042/
https://www.ncbi.nlm.nih.gov/pubmed/34555108
http://dx.doi.org/10.1371/journal.pone.0257852
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author Radtke, Thomas
Haile, Sarah R.
Dressel, Holger
Benden, Christian
author_facet Radtke, Thomas
Haile, Sarah R.
Dressel, Holger
Benden, Christian
author_sort Radtke, Thomas
collection PubMed
description BACKGROUND: We have recently reported reduced physical activity (PA) in people with cystic fibrosis (pwCF) with and without lung transplantation (LTX) during a 6-week stringent lockdown in Switzerland. This follow-up study explores the impact of coronavirus-2019 disease (COVID-19) related pandemic restrictions on individuals’ therapy regimens and health-related aspects in pwCF. METHODS: We conducted a cross-sectional web-based national survey in Spring 2021. The survey included questions on daily PA, airway clearance and inhalation therapy, questions on COVID-19-compatible symptoms, diagnostic tests and vaccination status, and enquired health-related aspects covering the pandemic period between March 2020 to April 2021. RESULTS: 193 individuals with CF (53% female; 25% LTX recipients) participated. Among pwCF, 10 reported COVID-19 (n = 2 LTX recipients), two subjects were hospitalized, no invasive ventilation required, no deaths. The clinical course was generally mild. Overall, 46% reported less PA during the pandemic, mostly due to closed fitness facilities (85%), lack of motivation (34%), and changes in daily structures (21%). In contrast, 32/193 (17%) pwCF were able to increase their PA levels: 12 (38%) and 11 (34%) reported undertaking home-based training and outdoor activities more frequently; 6 (19%) reported an increase in routine PA, and another 3 (9%) started new activities. Among pwCF without LTX, 5% and 4% reported to undertake less airway clearance and inhalation therapy, respectively. CONCLUSIONS: Our study reveals unfavorable consequences of COVID-19 pandemic restrictions on PA of pwCF with unknown long-term consequences for their overall physical fitness and lung health. Strategies to overcome this undesirable situation are needed; increased uptake of telehealth PA programs and virtual exercise classes to promote PA participation might be one promising approach along with vaccination of pwCF and their close contacts.
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spelling pubmed-84600422021-09-24 COVID-19 pandemic restrictions continuously impact on physical activity in adults with cystic fibrosis Radtke, Thomas Haile, Sarah R. Dressel, Holger Benden, Christian PLoS One Research Article BACKGROUND: We have recently reported reduced physical activity (PA) in people with cystic fibrosis (pwCF) with and without lung transplantation (LTX) during a 6-week stringent lockdown in Switzerland. This follow-up study explores the impact of coronavirus-2019 disease (COVID-19) related pandemic restrictions on individuals’ therapy regimens and health-related aspects in pwCF. METHODS: We conducted a cross-sectional web-based national survey in Spring 2021. The survey included questions on daily PA, airway clearance and inhalation therapy, questions on COVID-19-compatible symptoms, diagnostic tests and vaccination status, and enquired health-related aspects covering the pandemic period between March 2020 to April 2021. RESULTS: 193 individuals with CF (53% female; 25% LTX recipients) participated. Among pwCF, 10 reported COVID-19 (n = 2 LTX recipients), two subjects were hospitalized, no invasive ventilation required, no deaths. The clinical course was generally mild. Overall, 46% reported less PA during the pandemic, mostly due to closed fitness facilities (85%), lack of motivation (34%), and changes in daily structures (21%). In contrast, 32/193 (17%) pwCF were able to increase their PA levels: 12 (38%) and 11 (34%) reported undertaking home-based training and outdoor activities more frequently; 6 (19%) reported an increase in routine PA, and another 3 (9%) started new activities. Among pwCF without LTX, 5% and 4% reported to undertake less airway clearance and inhalation therapy, respectively. CONCLUSIONS: Our study reveals unfavorable consequences of COVID-19 pandemic restrictions on PA of pwCF with unknown long-term consequences for their overall physical fitness and lung health. Strategies to overcome this undesirable situation are needed; increased uptake of telehealth PA programs and virtual exercise classes to promote PA participation might be one promising approach along with vaccination of pwCF and their close contacts. Public Library of Science 2021-09-23 /pmc/articles/PMC8460042/ /pubmed/34555108 http://dx.doi.org/10.1371/journal.pone.0257852 Text en © 2021 Radtke et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Radtke, Thomas
Haile, Sarah R.
Dressel, Holger
Benden, Christian
COVID-19 pandemic restrictions continuously impact on physical activity in adults with cystic fibrosis
title COVID-19 pandemic restrictions continuously impact on physical activity in adults with cystic fibrosis
title_full COVID-19 pandemic restrictions continuously impact on physical activity in adults with cystic fibrosis
title_fullStr COVID-19 pandemic restrictions continuously impact on physical activity in adults with cystic fibrosis
title_full_unstemmed COVID-19 pandemic restrictions continuously impact on physical activity in adults with cystic fibrosis
title_short COVID-19 pandemic restrictions continuously impact on physical activity in adults with cystic fibrosis
title_sort covid-19 pandemic restrictions continuously impact on physical activity in adults with cystic fibrosis
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8460042/
https://www.ncbi.nlm.nih.gov/pubmed/34555108
http://dx.doi.org/10.1371/journal.pone.0257852
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