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The 2025 European Cystic Fibrosis Society position statement on physical activity assessment in cystic fibrosis

Craig A. Williams, Brenda Button, Tiffany J. Dwyer Orcid Logo, Elpis Hatziagorou, Kelly Mackintosh Orcid Logo, Melitta McNarry Orcid Logo, Dewi Paris, James Shelley, Helge Hebestreit Orcid Logo, Judy Bradley, Mayara Silveira Bianchim

European Respiratory Review, Volume: 34, Issue: 177, Start page: 240279

Swansea University Authors: Kelly Mackintosh Orcid Logo, Melitta McNarry Orcid Logo

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DOI (Published version): 10.1183/16000617.0279-2024

Abstract

Background: Recent advances in the measurement of physical activity have significantly enhanced the analyses and interpretation in relation to health and well-being. Thus, we sought to revise and expand the 2015 position statement on the measurement of physical activity and provide guidance to clini...

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Published in: European Respiratory Review
ISSN: 0905-9180 1600-0617
Published: European Respiratory Society (ERS) 2025
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URI: https://cronfa.swan.ac.uk/Record/cronfa69518
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Thus, we sought to revise and expand the 2015 position statement on the measurement of physical activity and provide guidance to clinicians and researchers for measuring physical activity in cystic fibrosis (CF) clinical practice and research. Methods: This study was registered with the International Prospective Register of Systematic Review (PROSPERO) database (CRD42022292165). Three databases (Medline, Embase and Cumulative Index to Nursing and Allied Health Literature) were searched for studies investigating the measurement of physical activity and sedentary time in people with CF irrespective of age or duration. The Quality Assessment for Diverse Studies was used to assess methodological concern. A mixed-methods framework synthesis was used to extract, map, chart, categorise and aggregate study findings. Results: In total, 7439 potentially relevant publications were identified. Following screening of titles and abstracts, 422 full texts were retrieved and assessed for eligibility, with 90 studies included. There was considerable variation in the methods of assessment, data processing and analytical interpretation of data. Conclusion: It is recommended that device-based physical activity metrics are presented as time spent in different intensity categories (e.g., light, moderate and vigorous) and to include sedentary and sleep time. For data analysis, the data resolution should be at least 1&#x2005;s (minimum 30&#x2005;Hz) to enable clinical teams to obtain representative categorisation of patients&#x2019; physical activity patterns. 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spelling 2025-07-18T12:29:26.4993910 v2 69518 2025-05-15 The 2025 European Cystic Fibrosis Society position statement on physical activity assessment in cystic fibrosis bdb20e3f31bcccf95c7bc116070c4214 0000-0003-0355-6357 Kelly Mackintosh Kelly Mackintosh true false 062f5697ff59f004bc8c713955988398 0000-0003-0813-7477 Melitta McNarry Melitta McNarry true false 2025-05-15 EAAS Background: Recent advances in the measurement of physical activity have significantly enhanced the analyses and interpretation in relation to health and well-being. Thus, we sought to revise and expand the 2015 position statement on the measurement of physical activity and provide guidance to clinicians and researchers for measuring physical activity in cystic fibrosis (CF) clinical practice and research. Methods: This study was registered with the International Prospective Register of Systematic Review (PROSPERO) database (CRD42022292165). Three databases (Medline, Embase and Cumulative Index to Nursing and Allied Health Literature) were searched for studies investigating the measurement of physical activity and sedentary time in people with CF irrespective of age or duration. The Quality Assessment for Diverse Studies was used to assess methodological concern. A mixed-methods framework synthesis was used to extract, map, chart, categorise and aggregate study findings. Results: In total, 7439 potentially relevant publications were identified. Following screening of titles and abstracts, 422 full texts were retrieved and assessed for eligibility, with 90 studies included. There was considerable variation in the methods of assessment, data processing and analytical interpretation of data. Conclusion: It is recommended that device-based physical activity metrics are presented as time spent in different intensity categories (e.g., light, moderate and vigorous) and to include sedentary and sleep time. For data analysis, the data resolution should be at least 1 s (minimum 30 Hz) to enable clinical teams to obtain representative categorisation of patients’ physical activity patterns. Validated questionnaires (e.g., the Habitual Activity Estimation Scale) offer additional opportunities to assess physical activity, whilst diaries can add context but should be viewed as secondary outcome measurements. Journal Article European Respiratory Review 34 177 240279 European Respiratory Society (ERS) 0905-9180 1600-0617 9 7 2025 2025-07-09 10.1183/16000617.0279-2024 Review COLLEGE NANME Engineering and Applied Sciences School COLLEGE CODE EAAS Swansea University Another institution paid the OA fee This paper is an output of the ECFS Exercise Working Group, which was funded by the ECFS. 2025-07-18T12:29:26.4993910 2025-05-15T10:50:33.5555274 Faculty of Science and Engineering School of Engineering and Applied Sciences - Sport and Exercise Sciences Craig A. Williams 1 Brenda Button 2 Tiffany J. Dwyer 0000-0001-6403-2894 3 Elpis Hatziagorou 4 Kelly Mackintosh 0000-0003-0355-6357 5 Melitta McNarry 0000-0003-0813-7477 6 Dewi Paris 7 James Shelley 8 Helge Hebestreit 0000-0002-9266-7149 9 Judy Bradley 10 Mayara Silveira Bianchim 11 69518__34801__4e6e43b53d3046a385ddcf70f56a486f.pdf 69518.VOR.pdf 2025-07-18T12:20:00.7600728 Output 836734 application/pdf Version of Record true © The authors 2025. This version is distributed under the terms of the Creative Commons Attribution Licence 4.0 (CC BY 4.0). true eng https://creativecommons.org/licenses/by/4.0/
title The 2025 European Cystic Fibrosis Society position statement on physical activity assessment in cystic fibrosis
spellingShingle The 2025 European Cystic Fibrosis Society position statement on physical activity assessment in cystic fibrosis
Kelly Mackintosh
Melitta McNarry
title_short The 2025 European Cystic Fibrosis Society position statement on physical activity assessment in cystic fibrosis
title_full The 2025 European Cystic Fibrosis Society position statement on physical activity assessment in cystic fibrosis
title_fullStr The 2025 European Cystic Fibrosis Society position statement on physical activity assessment in cystic fibrosis
title_full_unstemmed The 2025 European Cystic Fibrosis Society position statement on physical activity assessment in cystic fibrosis
title_sort The 2025 European Cystic Fibrosis Society position statement on physical activity assessment in cystic fibrosis
author_id_str_mv bdb20e3f31bcccf95c7bc116070c4214
062f5697ff59f004bc8c713955988398
author_id_fullname_str_mv bdb20e3f31bcccf95c7bc116070c4214_***_Kelly Mackintosh
062f5697ff59f004bc8c713955988398_***_Melitta McNarry
author Kelly Mackintosh
Melitta McNarry
author2 Craig A. Williams
Brenda Button
Tiffany J. Dwyer
Elpis Hatziagorou
Kelly Mackintosh
Melitta McNarry
Dewi Paris
James Shelley
Helge Hebestreit
Judy Bradley
Mayara Silveira Bianchim
format Journal article
container_title European Respiratory Review
container_volume 34
container_issue 177
container_start_page 240279
publishDate 2025
institution Swansea University
issn 0905-9180
1600-0617
doi_str_mv 10.1183/16000617.0279-2024
publisher European Respiratory Society (ERS)
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 Engineering and Applied Sciences - Sport and Exercise Sciences{{{_:::_}}}Faculty of Science and Engineering{{{_:::_}}}School of Engineering and Applied Sciences - Sport and Exercise Sciences
document_store_str 1
active_str 0
description Background: Recent advances in the measurement of physical activity have significantly enhanced the analyses and interpretation in relation to health and well-being. Thus, we sought to revise and expand the 2015 position statement on the measurement of physical activity and provide guidance to clinicians and researchers for measuring physical activity in cystic fibrosis (CF) clinical practice and research. Methods: This study was registered with the International Prospective Register of Systematic Review (PROSPERO) database (CRD42022292165). Three databases (Medline, Embase and Cumulative Index to Nursing and Allied Health Literature) were searched for studies investigating the measurement of physical activity and sedentary time in people with CF irrespective of age or duration. The Quality Assessment for Diverse Studies was used to assess methodological concern. A mixed-methods framework synthesis was used to extract, map, chart, categorise and aggregate study findings. Results: In total, 7439 potentially relevant publications were identified. Following screening of titles and abstracts, 422 full texts were retrieved and assessed for eligibility, with 90 studies included. There was considerable variation in the methods of assessment, data processing and analytical interpretation of data. Conclusion: It is recommended that device-based physical activity metrics are presented as time spent in different intensity categories (e.g., light, moderate and vigorous) and to include sedentary and sleep time. For data analysis, the data resolution should be at least 1 s (minimum 30 Hz) to enable clinical teams to obtain representative categorisation of patients’ physical activity patterns. Validated questionnaires (e.g., the Habitual Activity Estimation Scale) offer additional opportunities to assess physical activity, whilst diaries can add context but should be viewed as secondary outcome measurements.
published_date 2025-07-09T05:30:18Z
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