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Physical activity in adults with cystic fibrosis receiving intravenous antibiotics in hospital and in the community.

Khiroya, Heena and Pound, Rebecca and Qureshi, Ushna and Brown, Catherine and Barrett, Joanne and Rashid, Rifat and Whitehouse, Joanna L and Turner, Alice M and Nash, Edward F (2015) Physical activity in adults with cystic fibrosis receiving intravenous antibiotics in hospital and in the community. The open respiratory medicine journal, 9. pp. 15-21. ISSN 1874-3064. This article is accessible to all HEFT staff and students via NICE journals and databases http://www.nice.org.uk/about/what-we-do/evidence-services/journals-and-databases by using their HEFT Athens login IDs

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Official URL: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC434705...

Abstract

INTRODUCTION

Intravenous antibiotic therapy (IVAT) for CF acute pulmonary exacerbations (APE) can be delivered in hospital or in the community. This study aimed to compare physical activity in CF patients receiving hospital and community-delivered IVAT, as well as other health outcomes.

MATERIALS AND METHODS

This was a non-randomised parallel group prospective observational study. Hospitalised and community-treated CF adults receiving IVAT for APE were asked to wear ActiGraph® activity monitors, complete the habitual activity estimation scale (HAES), food diary, modified shuttle test (MST) and CFQ-R at the start and end of therapy. Nutritional and clinical outcomes were also compared between the cohorts. The primary outcomes was physical activity measured by the ActiGraph® activity monitors at the beginning and end of treatment in both cohorts.

RESULTS

Physical activity (measured and self-reported) was no different between the cohorts, with both hospitalised and community-treated subjects being generally sedentary. Body weight increased significantly in the hospitalised cohort, whereas no difference was seen in the community-treated cohort. FEV1 % predicted and FVC % predicted increased in community-treated subjects, whereas only FVC % predicted increased in hospitalised subjects. CFQ-R respiratory domain increased to a greater extent in community-treated subjects.

CONCLUSION

CF adults receiving IVAT for APE, both in hospital and in the community, are generally sedentary and we found no difference in physical activity between the two groups. These findings suggests the need to further promote physical activity in suitable patients during APE where considered appropriate.

Item Type: Article
Additional Information: This article is accessible to all HEFT staff and students via NICE journals and databases http://www.nice.org.uk/about/what-we-do/evidence-services/journals-and-databases by using their HEFT Athens login IDs
Subjects: WB Practice of medicine > WB450 Rehabilitation
WF Respiratory system. Respiratory medicine
Divisions: Planned IP Care > Respiratory Medicine
Related URLs:
Depositing User: Mrs Caroline Tranter
Date Deposited: 31 May 2015 07:19
Last Modified: 31 May 2015 07:19
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/936

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