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The Exeter Activity Unlimited statement on physical activity and exercise for cystic fibrosis: methodology and results of an international, multidisciplinary, evidence-driven expert consensus
Chronic Respiratory Disease, Volume: 19, Start page: 147997312211216
Swansea University Authors: Kelly Mackintosh , Melitta McNarry
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DOI (Published version): 10.1177/14799731221121670
Background: The roles of physical activity (PA) and exercise within the management of cystic fibrosis (CF) are recognised by their inclusion in numerous standards of care and treatment guidelines. However, information is brief, and both PA and exercise as multi-faceted behaviours require extensive s...
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Background: The roles of physical activity (PA) and exercise within the management of cystic fibrosis (CF) are recognised by their inclusion in numerous standards of care and treatment guidelines. However, information is brief, and both PA and exercise as multi-faceted behaviours require extensive stakeholder input when developing and promoting such guidelines. Method: On 30th June and 1st July 2021, 39 stakeholders from 11 countries, including researchers, healthcare professionals and patients participated in a virtual conference to agree an evidence-based and informed expert consensus about PA and exercise for people with CF. This consensus presents the agreement across six themes: i) patient and system centred outcomes, ii) health benefits, iii) measurement, iv) prescription, v) clinical considerations, and vi) future directions. The consensus was achieved by a stepwise process, involving: i) written evidence-based synopses; ii) peer critique of synopses; iii) oral presentation to consensus group and peer challenge of revised synopses; and iv) anonymous voting on final proposed synopses for adoption to the consensus statement. Results: The final consensus document includes 24 statements which surpassed the consensus threshold (>80% agreement) out of 30 proposed statements. Conclusion: This consensus can be used to support health promotion by relevant stakeholders for people with CF.
Respiratory disease, lifestyle, health, clinical practice
Faculty of Science and Engineering
This work is part of the ‘Youth Activity Unlimited’ Strategic Research Centre, funded by the Cystic Fibrosis Trust (SRC#008).