CFDB - Cystic Fibrosis DataBase

primary studies published RCT

Randomized trial of biofilm testing to select antibiotics for cystic fibrosis airway infection.

Study design (if review, criteria of inclusion for studies)

Randomized controlled trial

Participants

The study population comprised 7-20-y-old children and adolescents with CF. 2 groups: intervention (group 1), with 17 subjects; and control (group 2), also with 17 subjects.

Interventions

The intervention consisted of handing out a manual with guidelines for aerobic physical exercises and reinforcing recommendations in telephone calls every 2 weeks.

Outcome measures

Increase in physical exercise practice as reported by subjects after 3 months

Main results

Thirty-four subjects were included in the study, 20 of whom were boys (58.5%). The groups were similar at baseline. In group 1, 6 subjects (35.2%) reported practicing physical exercises regularly. The mean age was 13.4 +/- 2.8 y, the mean percent-of-predicted FEV1 was 95.5 +/- 17.9%, and the mean peak oxygen uptake (VO2 ) relative to body mass was 34.9 +/- 9.0 mL/kg/min. In group 2, 4 subjects (23.5%) reported practicing physical exercises regularly. The mean age was 12.7 +/- 3.3 y, the mean percent-of-predicted FEV1 was 100.1 +/- 21.2%, and the mean peak VO2 was 33.2 +/- 8.2 mL/kg/min. In group 1, there was a significant increase in physical exercise practice as reported by subjects after 3 months of intervention compared with group 2 (P = .01). No statistically significant differences were found for the other variables.

Authors' conclusions

Verbal and written guidelines for aerobic exercise, together with supervision over the telephone, had a positive impact on the self-reported regular physical exercise practice of children and adolescents. However, no improvement was found in lung function and maximum exercise capacity or domains of the quality of life questionnaire.

Keywords: Exercise; non pharmacological intervention - devices OR physiotherapy; Counseling; Psychoeducation; non pharmacological intervention - psyco-soc-edu-org; telemedicine; training;