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Sleep, Sedentary Time and Physical Activity Levels in Children with Cystic Fibrosis

May Silveira Bianchim, Melitta McNarry Orcid Logo, Alan R. Barker Orcid Logo, Craig A. Williams Orcid Logo, Sarah Denford, Anne E. Holland, Narelle S. Cox, Julianna Dreger, Rachel Evans, Lena Thia, Kelly Mackintosh Orcid Logo

International Journal of Environmental Research and Public Health, Volume: 19, Issue: 12, Start page: 7133

Swansea University Authors: May Silveira Bianchim, Melitta McNarry Orcid Logo, Kelly Mackintosh Orcid Logo

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DOI (Published version): 10.3390/ijerph19127133

Abstract

The aim of this study was to compare the use of generic and cystic fibrosis (CF)-specific cut-points to assess movement behaviours in children and adolescents with CF. Physical activity (PA) was assessed for seven consecutive days using a non-dominant wrist-worn ActiGraph GT9X in 71 children and ado...

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Published in: International Journal of Environmental Research and Public Health
ISSN: 1660-4601
Published: MDPI AG 2022
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URI: https://cronfa.swan.ac.uk/Record/cronfa60175
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Physical activity (PA) was assessed for seven consecutive days using a non-dominant wrist-worn ActiGraph GT9X in 71 children and adolescents (36 girls; 13.5 &#xB1; 2.9 years) with mild CF. CF-specific and generic Euclidean norm minus one (ENMO) cut-points were used to determine sedentary time (SED), sleep, light physical activity (LPA), moderate physical activity and vigorous physical activity. The effect of using a CF-specific or generic cut-point on the relationship between PA intensities and lung function was determined. Movement behaviours differed significantly according to the cut-point used, with the CF-specific cut-points resulting in less time asleep (&#x2212;31.4 min; p &lt; 0.01) and in LPA (&#x2212;195.1 min; p &lt; 0.001), and more SED and moderate-to-vigorous PA (159.3 and 67.1 min, respec-tively; both p &lt; 0.0001) than the generic thresholds. Lung function was significantly associated with LPA according to the CF-specific cut-points (r = 0.52; p = 0.04). Thresholds developed for healthy populations misclassified PA levels, sleep and SED in children and adolescents with CF. This discrepancy affected the relationship between lung function and PA, which was only apparent when using the CF-specific cut-points. Promoting LPA seems a promising strategy to enhance lung function in children and adolescents with CF.</abstract><type>Journal Article</type><journal>International Journal of Environmental Research and Public Health</journal><volume>19</volume><journalNumber>12</journalNumber><paginationStart>7133</paginationStart><paginationEnd/><publisher>MDPI AG</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint/><issnElectronic>1660-4601</issnElectronic><keywords>Threshold; MVPA; accelerometry; lung function; clinical; ENMO</keywords><publishedDay>10</publishedDay><publishedMonth>6</publishedMonth><publishedYear>2022</publishedYear><publishedDate>2022-06-10</publishedDate><doi>10.3390/ijerph19127133</doi><url/><notes>Data are not publicly available due to CGPR regulations and to protect individual privacy but are available from the corresponding author on reasonable request.</notes><college>COLLEGE NANME</college><department>Medicine, Health and Life Science - Faculty</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>FGMHL</DepartmentCode><institution>Swansea University</institution><apcterm/><lastEdited>2022-07-05T15:56:44.8455663</lastEdited><Created>2022-06-10T11:57:01.8092927</Created><path><level id="1">Faculty of Science and Engineering</level><level id="2">School of Aerospace, Civil, Electrical, General and Mechanical Engineering - Sport and Exercise Sciences</level></path><authors><author><firstname>May</firstname><surname>Silveira Bianchim</surname><order>1</order></author><author><firstname>Melitta</firstname><surname>McNarry</surname><orcid>0000-0003-0813-7477</orcid><order>2</order></author><author><firstname>Alan R.</firstname><surname>Barker</surname><orcid>0000-0001-8610-5417</orcid><order>3</order></author><author><firstname>Craig A.</firstname><surname>Williams</surname><orcid>0000-0002-1740-6248</orcid><order>4</order></author><author><firstname>Sarah</firstname><surname>Denford</surname><order>5</order></author><author><firstname>Anne E.</firstname><surname>Holland</surname><order>6</order></author><author><firstname>Narelle S.</firstname><surname>Cox</surname><order>7</order></author><author><firstname>Julianna</firstname><surname>Dreger</surname><order>8</order></author><author><firstname>Rachel</firstname><surname>Evans</surname><order>9</order></author><author><firstname>Lena</firstname><surname>Thia</surname><order>10</order></author><author><firstname>Kelly</firstname><surname>Mackintosh</surname><orcid>0000-0003-0355-6357</orcid><order>11</order></author></authors><documents><document><filename>60175__24455__87e9d5cb1c314f8e87e34419800fa4e0.pdf</filename><originalFilename>60175_VoR.pdf</originalFilename><uploaded>2022-07-05T15:53:55.7518022</uploaded><type>Output</type><contentLength>365267</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><documentNotes>Copyright: &#xA9; 2022 by the authors. 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spelling 2022-07-05T15:56:44.8455663 v2 60175 2022-06-10 Sleep, Sedentary Time and Physical Activity Levels in Children with Cystic Fibrosis 6cbc0de5f493128b9938a8cbc1d71a0f May Silveira Bianchim May Silveira Bianchim true false 062f5697ff59f004bc8c713955988398 0000-0003-0813-7477 Melitta McNarry Melitta McNarry true false bdb20e3f31bcccf95c7bc116070c4214 0000-0003-0355-6357 Kelly Mackintosh Kelly Mackintosh true false 2022-06-10 FGMHL The aim of this study was to compare the use of generic and cystic fibrosis (CF)-specific cut-points to assess movement behaviours in children and adolescents with CF. Physical activity (PA) was assessed for seven consecutive days using a non-dominant wrist-worn ActiGraph GT9X in 71 children and adolescents (36 girls; 13.5 ± 2.9 years) with mild CF. CF-specific and generic Euclidean norm minus one (ENMO) cut-points were used to determine sedentary time (SED), sleep, light physical activity (LPA), moderate physical activity and vigorous physical activity. The effect of using a CF-specific or generic cut-point on the relationship between PA intensities and lung function was determined. Movement behaviours differed significantly according to the cut-point used, with the CF-specific cut-points resulting in less time asleep (−31.4 min; p < 0.01) and in LPA (−195.1 min; p < 0.001), and more SED and moderate-to-vigorous PA (159.3 and 67.1 min, respec-tively; both p < 0.0001) than the generic thresholds. Lung function was significantly associated with LPA according to the CF-specific cut-points (r = 0.52; p = 0.04). Thresholds developed for healthy populations misclassified PA levels, sleep and SED in children and adolescents with CF. This discrepancy affected the relationship between lung function and PA, which was only apparent when using the CF-specific cut-points. Promoting LPA seems a promising strategy to enhance lung function in children and adolescents with CF. Journal Article International Journal of Environmental Research and Public Health 19 12 7133 MDPI AG 1660-4601 Threshold; MVPA; accelerometry; lung function; clinical; ENMO 10 6 2022 2022-06-10 10.3390/ijerph19127133 Data are not publicly available due to CGPR regulations and to protect individual privacy but are available from the corresponding author on reasonable request. COLLEGE NANME Medicine, Health and Life Science - Faculty COLLEGE CODE FGMHL Swansea University 2022-07-05T15:56:44.8455663 2022-06-10T11:57:01.8092927 Faculty of Science and Engineering School of Aerospace, Civil, Electrical, General and Mechanical Engineering - Sport and Exercise Sciences May Silveira Bianchim 1 Melitta McNarry 0000-0003-0813-7477 2 Alan R. Barker 0000-0001-8610-5417 3 Craig A. Williams 0000-0002-1740-6248 4 Sarah Denford 5 Anne E. Holland 6 Narelle S. Cox 7 Julianna Dreger 8 Rachel Evans 9 Lena Thia 10 Kelly Mackintosh 0000-0003-0355-6357 11 60175__24455__87e9d5cb1c314f8e87e34419800fa4e0.pdf 60175_VoR.pdf 2022-07-05T15:53:55.7518022 Output 365267 application/pdf Version of Record true Copyright: © 2022 by the authors. This is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license true eng https://creativecommons.org/licenses/by/4.0/
title Sleep, Sedentary Time and Physical Activity Levels in Children with Cystic Fibrosis
spellingShingle Sleep, Sedentary Time and Physical Activity Levels in Children with Cystic Fibrosis
May Silveira Bianchim
Melitta McNarry
Kelly Mackintosh
title_short Sleep, Sedentary Time and Physical Activity Levels in Children with Cystic Fibrosis
title_full Sleep, Sedentary Time and Physical Activity Levels in Children with Cystic Fibrosis
title_fullStr Sleep, Sedentary Time and Physical Activity Levels in Children with Cystic Fibrosis
title_full_unstemmed Sleep, Sedentary Time and Physical Activity Levels in Children with Cystic Fibrosis
title_sort Sleep, Sedentary Time and Physical Activity Levels in Children with Cystic Fibrosis
author_id_str_mv 6cbc0de5f493128b9938a8cbc1d71a0f
062f5697ff59f004bc8c713955988398
bdb20e3f31bcccf95c7bc116070c4214
author_id_fullname_str_mv 6cbc0de5f493128b9938a8cbc1d71a0f_***_May Silveira Bianchim
062f5697ff59f004bc8c713955988398_***_Melitta McNarry
bdb20e3f31bcccf95c7bc116070c4214_***_Kelly Mackintosh
author May Silveira Bianchim
Melitta McNarry
Kelly Mackintosh
author2 May Silveira Bianchim
Melitta McNarry
Alan R. Barker
Craig A. Williams
Sarah Denford
Anne E. Holland
Narelle S. Cox
Julianna Dreger
Rachel Evans
Lena Thia
Kelly Mackintosh
format Journal article
container_title International Journal of Environmental Research and Public Health
container_volume 19
container_issue 12
container_start_page 7133
publishDate 2022
institution Swansea University
issn 1660-4601
doi_str_mv 10.3390/ijerph19127133
publisher MDPI AG
college_str Faculty of Science and Engineering
hierarchytype
hierarchy_top_id facultyofscienceandengineering
hierarchy_top_title Faculty of Science and Engineering
hierarchy_parent_id facultyofscienceandengineering
hierarchy_parent_title Faculty of Science and Engineering
department_str School of Aerospace, Civil, Electrical, General and Mechanical Engineering - Sport and Exercise Sciences{{{_:::_}}}Faculty of Science and Engineering{{{_:::_}}}School of Aerospace, Civil, Electrical, General and Mechanical Engineering - Sport and Exercise Sciences
document_store_str 1
active_str 0
description The aim of this study was to compare the use of generic and cystic fibrosis (CF)-specific cut-points to assess movement behaviours in children and adolescents with CF. Physical activity (PA) was assessed for seven consecutive days using a non-dominant wrist-worn ActiGraph GT9X in 71 children and adolescents (36 girls; 13.5 ± 2.9 years) with mild CF. CF-specific and generic Euclidean norm minus one (ENMO) cut-points were used to determine sedentary time (SED), sleep, light physical activity (LPA), moderate physical activity and vigorous physical activity. The effect of using a CF-specific or generic cut-point on the relationship between PA intensities and lung function was determined. Movement behaviours differed significantly according to the cut-point used, with the CF-specific cut-points resulting in less time asleep (−31.4 min; p < 0.01) and in LPA (−195.1 min; p < 0.001), and more SED and moderate-to-vigorous PA (159.3 and 67.1 min, respec-tively; both p < 0.0001) than the generic thresholds. Lung function was significantly associated with LPA according to the CF-specific cut-points (r = 0.52; p = 0.04). Thresholds developed for healthy populations misclassified PA levels, sleep and SED in children and adolescents with CF. This discrepancy affected the relationship between lung function and PA, which was only apparent when using the CF-specific cut-points. Promoting LPA seems a promising strategy to enhance lung function in children and adolescents with CF.
published_date 2022-06-10T04:18:04Z
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