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Cochrane Database of Systematic Reviews

Intervenciones para la promoción de la actividad física en pacientes con fibrosis quística

Información

DOI:
https://doi.org/10.1002/14651858.CD009448.pub2Copiar DOI
Base de datos:
  1. Cochrane Database of Systematic Reviews
Versión publicada:
  1. 13 diciembre 2013see what's new
Tipo:
  1. Intervention
Etapa:
  1. Review
Grupo Editorial Cochrane:

  1. Grupo Cochrane de Fibrosis quística y enfermedades genéticas

Copyright:
  1. Copyright © 2022 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.

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Contraer

Autores

  • Narelle S Cox

    Correspondencia a: Allergy, Immunology and Respiratory Medicine, Monash University, Melbourne, Australia

    [email protected]

  • Jennifer A Alison

    Discipline of Physiotherapy, Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia

  • Anne E Holland

    Physiotherapy, Alfred Health, Melbourne, Australia

    Discipline of Physiotherapy, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia

  • Rachel Schembri

    Melbourne, Australia

Contributions of authors

NSC conducted the search for trials and selected included trials; assessed trial quality; extracted, entered and analysed data; interpreted results and wrote the review. AEH selected included trials; assessed trial quality; checked extracted and entered data; edited the draft review. JAA was consulted on trials for inclusion and edited the draft review. All authors conceived the review.

Sources of support

Internal sources

  • No sources of support provided

External sources

  • National Health and Medical Research Council (NHMRC), Australia

    PhD Scholarship

  • Cystic Fibrosis Australia Research Trust, Australia

    PhD Stipend

Declarations of interest

Narelle Cox has received a PhD stipend from the National Health and Medical Research Council (NH&MRC), Australia. This review forms a part of those PhD studies. The NH&MRC will not interfere with the independence of the authors in regard to the conduct of the review and will not delay or prevent publication of the review.

Acknowledgements

The authors would like to acknowledge the authors of included studies who responded to requests for additional information, and the valued assistance of Tracey Remmington.

Version history

Published

Title

Stage

Authors

Version

2013 Dec 13

Interventions for promoting physical activity in people with cystic fibrosis

Review

Narelle S Cox, Jennifer A Alison, Anne E Holland, Rachel Schembri

https://doi.org/10.1002/14651858.CD009448.pub2

2011 Dec 07

Interventions for promoting physical activity in people with cystic fibrosis

Protocol

Narelle S Cox, Jennifer A Alison, Anne E Holland

https://doi.org/10.1002/14651858.CD009448

Differences between protocol and review

Studies where the primary focus was not activity promotion, but rather the assessment of physiological outcomes as a response to a physical exercise intervention were not originally intended to be included in the review. Such studies were included where they incorporated assessment of physical activity participation.

Keywords

MeSH

Medical Subject Headings (MeSH) Keywords

Medical Subject Headings Check Words

Adult; Child; Humans;

PICO

Population
Intervention
Comparison
Outcome

El uso y la enseñanza del modelo PICO están muy extendidos en el ámbito de la atención sanitaria basada en la evidencia para formular preguntas y estrategias de búsqueda y para caracterizar estudios o metanálisis clínicos. PICO son las siglas en inglés de cuatro posibles componentes de una pregunta de investigación: paciente, población o problema; intervención; comparación; desenlace (outcome).

Para saber más sobre el uso del modelo PICO, puede consultar el Manual Cochrane.

Study flow diagram.

Figuras y tablas -
Figure 1

Study flow diagram.

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Risk of bias summary: review authors' judgements about each risk of bias item for each included study.

Figuras y tablas -
Figure 2

Risk of bias summary: review authors' judgements about each risk of bias item for each included study.

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Comparison 1: Supervised exercise training compared to no intervention, Outcome 1: Participation in physical activity (MJ/day)

Figuras y tablas -
Analysis 1.1

Comparison 1: Supervised exercise training compared to no intervention, Outcome 1: Participation in physical activity (MJ/day)

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Comparison 1: Supervised exercise training compared to no intervention, Outcome 2: Change in quality of life

Figuras y tablas -
Analysis 1.2

Comparison 1: Supervised exercise training compared to no intervention, Outcome 2: Change in quality of life

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Comparison 1: Supervised exercise training compared to no intervention, Outcome 3: Change in exercise capacity (ml/kg/min)

Figuras y tablas -
Analysis 1.3

Comparison 1: Supervised exercise training compared to no intervention, Outcome 3: Change in exercise capacity (ml/kg/min)

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Comparison 1: Supervised exercise training compared to no intervention, Outcome 4: Change in FEV1 (% predicted)

Figuras y tablas -
Analysis 1.4

Comparison 1: Supervised exercise training compared to no intervention, Outcome 4: Change in FEV1 (% predicted)

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Comparison 1: Supervised exercise training compared to no intervention, Outcome 5: Change in FVC (% predicted)

Figuras y tablas -
Analysis 1.5

Comparison 1: Supervised exercise training compared to no intervention, Outcome 5: Change in FVC (% predicted)

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Comparison 1: Supervised exercise training compared to no intervention, Outcome 6: Change in fat‐free mass (kg)

Figuras y tablas -
Analysis 1.6

Comparison 1: Supervised exercise training compared to no intervention, Outcome 6: Change in fat‐free mass (kg)

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Comparison 2: Unsupervised exercise training compared to no intervention, Outcome 1: Annual rate of change in exercise capacity (ml/kg/min) (follow up > 6 months)

Figuras y tablas -
Analysis 2.1

Comparison 2: Unsupervised exercise training compared to no intervention, Outcome 1: Annual rate of change in exercise capacity (ml/kg/min) (follow up > 6 months)

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Comparison 2: Unsupervised exercise training compared to no intervention, Outcome 2: Annual rate of decline FEV1 (% predicted) (follow up > 6 months)

Figuras y tablas -
Analysis 2.2

Comparison 2: Unsupervised exercise training compared to no intervention, Outcome 2: Annual rate of decline FEV1 (% predicted) (follow up > 6 months)

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Comparison 2: Unsupervised exercise training compared to no intervention, Outcome 3: Change in FEV1 (% predicted)

Figuras y tablas -
Analysis 2.3

Comparison 2: Unsupervised exercise training compared to no intervention, Outcome 3: Change in FEV1 (% predicted)

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Comparison 2: Unsupervised exercise training compared to no intervention, Outcome 4: Annual rate of decline FVC (% predicted) (follow up > 6 months)

Figuras y tablas -
Analysis 2.4

Comparison 2: Unsupervised exercise training compared to no intervention, Outcome 4: Annual rate of decline FVC (% predicted) (follow up > 6 months)

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Comparison 2: Unsupervised exercise training compared to no intervention, Outcome 5: Annual rate of decline FEF25-75 (% predicted) (follow up > 6 months)

Figuras y tablas -
Analysis 2.5

Comparison 2: Unsupervised exercise training compared to no intervention, Outcome 5: Annual rate of decline FEF25-75 (% predicted) (follow up > 6 months)

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Comparison 2: Unsupervised exercise training compared to no intervention, Outcome 6: Change in lean body mass (kg)

Figuras y tablas -
Analysis 2.6

Comparison 2: Unsupervised exercise training compared to no intervention, Outcome 6: Change in lean body mass (kg)

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Comparison 2: Unsupervised exercise training compared to no intervention, Outcome 7: Change in skin fold measure (mm)

Figuras y tablas -
Analysis 2.7

Comparison 2: Unsupervised exercise training compared to no intervention, Outcome 7: Change in skin fold measure (mm)

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Comparison 1. Supervised exercise training compared to no intervention

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1.1 Participation in physical activity (MJ/day) Show forest plot

1

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

1.1.1 Predominantly aerobic training (short‐term follow up ≦ 1 month)

1

31

Mean Difference (IV, Fixed, 95% CI)

1.20 [‐0.47, 2.87]

1.1.2 Predominantly resistance training (short‐term follow up ≦ 1 month)

1

34

Mean Difference (IV, Fixed, 95% CI)

0.65 [‐0.86, 2.16]

1.2 Change in quality of life Show forest plot

1

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

1.2.1 Predominantly aerobic training (short‐term follow up ≦ 1 month)

1

44

Mean Difference (IV, Fixed, 95% CI)

0.10 [0.03, 0.17]

1.2.2 Predominantly resistance training (short‐term follow up ≦ 1 month)

1

44

Mean Difference (IV, Fixed, 95% CI)

0.03 [‐0.04, 0.10]

1.3 Change in exercise capacity (ml/kg/min) Show forest plot

2

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

1.3.1 Predominantly aerobic training (short term; end of intervention)

1

44

Mean Difference (IV, Fixed, 95% CI)

8.53 [4.85, 12.21]

1.3.2 Predominantly aerobic training (short‐term follow up ≦ 1 month)

1

44

Mean Difference (IV, Fixed, 95% CI)

4.91 [1.13, 8.69]

1.3.3 Predominantly anaerobic training (short‐term follow up; end of intervention)

1

20

Mean Difference (IV, Fixed, 95% CI)

2.10 [0.12, 4.08]

1.3.4 Predominantly resistance training (short‐term follow up; end of intervention)

1

44

Mean Difference (IV, Fixed, 95% CI)

1.95 [‐1.61, 5.51]

1.3.5 Predominantly resistance training (short‐term follow up ≦ 1 month)

1

44

Mean Difference (IV, Fixed, 95% CI)

‐0.40 [‐4.03, 3.23]

1.4 Change in FEV1 (% predicted) Show forest plot

1

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

1.4.1 Predominantly aerobic training (short‐term follow up; end of intervention)

1

44

Mean Difference (IV, Fixed, 95% CI)

2.03 [‐2.31, 6.37]

1.4.2 Predominatly aerobic training (short‐term follow up ≦ 1 month)

1

44

Mean Difference (IV, Fixed, 95% CI)

1.53 [‐2.93, 5.99]

1.4.3 Predominantly resistance training (short‐term follow up; end of intervention)

1

44

Mean Difference (IV, Fixed, 95% CI)

5.58 [1.34, 9.82]

1.4.4 Predominantly resistance training (short‐term follow up ≦ 1 month)

1

44

Mean Difference (IV, Fixed, 95% CI)

5.08 [0.66, 9.50]

1.5 Change in FVC (% predicted) Show forest plot

1

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

1.5.1 Predominantly aerobic training (short‐term follow up; end of intervention)

1

44

Mean Difference (IV, Fixed, 95% CI)

0.06 [‐2.55, 2.67]

1.5.2 Predominantly aerobic training (short‐term follow up ≦ 1 month)

1

44

Mean Difference (IV, Fixed, 95% CI)

‐0.11 [‐2.64, 2.42]

1.5.3 Predominantly resistance training (short‐term follow up; end of intervention)

1

44

Mean Difference (IV, Fixed, 95% CI)

0.17 [‐2.31, 2.65]

1.5.4 Predominantly resistance training (short‐term follow up ≦ 1 month)

1

44

Mean Difference (IV, Fixed, 95% CI)

0.06 [‐2.42, 2.54]

1.6 Change in fat‐free mass (kg) Show forest plot

2

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

1.6.1 Predominantly aerobic training (short‐term follow up; end of intervention)

1

44

Mean Difference (IV, Fixed, 95% CI)

0.01 [‐0.19, 0.21]

1.6.2 Predominantly aerobic training (short‐term follow up ≦ 1 month)

1

44

Mean Difference (IV, Fixed, 95% CI)

0.04 [‐0.19, 0.27]

1.6.3 Anaerobic training (short‐term follow up; end of intervention)

1

20

Mean Difference (IV, Fixed, 95% CI)

‐0.40 [‐1.14, 0.34]

1.6.4 Anaerobic training (follow up between 1 and 6 months)

1

20

Mean Difference (IV, Fixed, 95% CI)

0.30 [‐1.27, 1.87]

1.6.5 Predominantly resistance training (short‐term follow up; end of intervention)

1

44

Mean Difference (IV, Fixed, 95% CI)

1.80 [1.57, 2.03]

1.6.6 Predominantly resistance training (short‐term follow up ≦ 1 month)

1

44

Mean Difference (IV, Fixed, 95% CI)

1.71 [1.46, 1.96]
Figuras y tablas -
Comparison 1. Supervised exercise training compared to no intervention
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Comparison 2. Unsupervised exercise training compared to no intervention

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

2.1 Annual rate of change in exercise capacity (ml/kg/min) (follow up > 6 months) Show forest plot

1

Mean Difference (IV, Fixed, 95% CI)

Totals not selected

2.2 Annual rate of decline FEV1 (% predicted) (follow up > 6 months) Show forest plot

1

65

Mean Difference (IV, Fixed, 95% CI)

2.01 [‐0.06, 4.08]

2.3 Change in FEV1 (% predicted) Show forest plot

1

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

2.3.1 At 3‐month follow up

1

35

Mean Difference (IV, Fixed, 95% CI)

‐0.75 [‐6.10, 4.60]

2.3.2 At 6‐month follow up

1

35

Mean Difference (IV, Fixed, 95% CI)

2.42 [‐5.42, 10.26]

2.3.3 At 12‐months follow up

1

31

Mean Difference (IV, Fixed, 95% CI)

‐0.36 [‐8.02, 7.30]

2.3.4 At 18‐months follow up

1

33

Mean Difference (IV, Fixed, 95% CI)

5.66 [‐2.88, 14.20]

2.3.5 At 24‐months follow up

1

28

Mean Difference (IV, Fixed, 95% CI)

‐1.72 [‐10.62, 7.18]

2.4 Annual rate of decline FVC (% predicted) (follow up > 6 months) Show forest plot

1

65

Mean Difference (IV, Fixed, 95% CI)

2.17 [0.47, 3.87]

2.5 Annual rate of decline FEF25-75 (% predicted) (follow up > 6 months) Show forest plot

1

65

Mean Difference (IV, Fixed, 95% CI)

0.80 [‐2.20, 3.80]

2.6 Change in lean body mass (kg) Show forest plot

1

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

2.6.1 At 3‐months follow up

1

35

Mean Difference (IV, Fixed, 95% CI)

1.76 [0.97, 2.55]

2.6.2 At 6‐months follow up

1

35

Mean Difference (IV, Fixed, 95% CI)

2.16 [0.55, 3.77]

2.6.3 At 12‐months follow up

1

30

Mean Difference (IV, Fixed, 95% CI)

1.88 [‐0.13, 3.89]

2.6.4 At 18‐months follow up

1

31

Mean Difference (IV, Fixed, 95% CI)

1.77 [‐0.80, 4.34]

2.6.5 At 24‐months follow up

1

28

Mean Difference (IV, Fixed, 95% CI)

1.82 [‐1.43, 5.07]

2.7 Change in skin fold measure (mm) Show forest plot

1

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

2.7.1 At 3‐months follow up

1

35

Mean Difference (IV, Fixed, 95% CI)

‐0.47 [‐4.42, 3.48]

2.7.2 At 6‐months follow up

1

35

Mean Difference (IV, Fixed, 95% CI)

‐2.54 [‐6.70, 1.62]

2.7.3 At 12‐months follow up

1

30

Mean Difference (IV, Fixed, 95% CI)

‐5.54 [‐10.86, ‐0.22]

2.7.4 At 18‐months follow up

1

31

Mean Difference (IV, Fixed, 95% CI)

‐5.03 [‐10.74, 0.68]

2.7.5 At 24‐months follow up

1

28

Mean Difference (IV, Fixed, 95% CI)

‐6.94 [‐14.02, 0.14]
Figuras y tablas -
Comparison 2. Unsupervised exercise training compared to no intervention
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