Perceptions towards physical activity in adult lung transplant recipients with cystic fibrosis

Wietlisbach, Martina; Benden, Christian; Koutsokera, Angela; Jahn, Kathleen; Soccal, Paola M.; Radtke, Thomas

doi:10.1371/journal.pone.0229296

Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-26026

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	Perceptions towards physical activity in adult lung transplant recipients with cystic fibrosis
Authors:	Wietlisbach, Martina Benden, Christian Koutsokera, Angela Jahn, Kathleen Soccal, Paola M. Radtke, Thomas
et. al:	No
DOI:	10.1371/journal.pone.0229296 10.21256/zhaw-26026
Published in:	PLOS ONE
Volume(Issue):	15
Issue:	2
Page(s):	e0229296
Issue Date:	2020
Publisher / Ed. Institution:	Public Library of Science
ISSN:	1932-6203
Language:	English
Subjects:	Physical activity; Cystic fibrosis; Exercise; Lung transplantation; Survey; Questionnaire; Fatigue; Physical fitness
Subject (DDC):	615.82: Physical therapy 616: Internal medicine and diseases
Abstract:	Background: Barriers and motives towards physical activity (PA) in lung transplant (LTx) recipients with cystic fibrosis (CF) are largely unknown. We aimed to explore perceptions towards PA in LTx recipients with CF to better understand individuals’ needs and preferences. Methods: Participants completed an online survey at two Swiss LTx and one follow-up shared care centre between June and December 2018. Results: One hundred and eleven individuals completed the survey (87.4% response rate). Overall, survey participants perceive PA as important for their daily life and health. Perceived motives of PA were improving muscle strength, endurance and quality of life (QoL), to feel better, fun, to achieve personal goals and having more energy for everyday life. Fatigue was the most common perceived barrier to PA and associated with poorer QoL (r = -0.43, p<0.001) and health status (r = -0.31, p = 0.001). Participants with lung allograft dysfunction (LAD, n = 20) reported lower habitual PA (p = 0.009) and health status (p = 0.011), and rated shortness of breath, bad weather and concerns regarding lung rejection higher than those without LAD (all p<0.05). When we asked how an optimal training programme should look like, the majority would prefer individual, non-supervised (60%), outdoor (77%), endurance training (90%), once or twice a week (47%) for 40–60 minutes (48%). Only a minority of patients (14%) would be willing to use exercise applications for their home-based training. Conclusions: LTx recipients with CF value PA as important for their health. People with CF should be encouraged individually by their multidisciplinary transplant team to implement PA in their daily life, potential barriers should be identified and addressed. Overall, knowledge on perceived barriers and motives for PA should be considered in the development of future patient-centred PA programmes.
URI:	https://digitalcollection.zhaw.ch/handle/11475/26026
Fulltext version:	Published version
License (according to publishing contract):	CC BY 4.0: Attribution 4.0 International
Departement:	School of Health Sciences
Organisational Unit:	Institute of Physiotherapy (IPT)
Appears in collections:	Publikationen Gesundheit

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Wietlisbach, M., Benden, C., Koutsokera, A., Jahn, K., Soccal, P. M., & Radtke, T. (2020). Perceptions towards physical activity in adult lung transplant recipients with cystic fibrosis. Plos One, 15(2), e0229296. https://doi.org/10.1371/journal.pone.0229296

Wietlisbach, M. et al. (2020) ‘Perceptions towards physical activity in adult lung transplant recipients with cystic fibrosis’, PLOS ONE, 15(2), p. e0229296. Available at: https://doi.org/10.1371/journal.pone.0229296.

M. Wietlisbach, C. Benden, A. Koutsokera, K. Jahn, P. M. Soccal, and T. Radtke, “Perceptions towards physical activity in adult lung transplant recipients with cystic fibrosis,” PLOS ONE, vol. 15, no. 2, p. e0229296, 2020, doi: 10.1371/journal.pone.0229296.

WIETLISBACH, Martina, Christian BENDEN, Angela KOUTSOKERA, Kathleen JAHN, Paola M. SOCCAL und Thomas RADTKE, 2020. Perceptions towards physical activity in adult lung transplant recipients with cystic fibrosis. PLOS ONE. 2020. Bd. 15, Nr. 2, S. e0229296. DOI 10.1371/journal.pone.0229296

Wietlisbach, Martina, Christian Benden, Angela Koutsokera, Kathleen Jahn, Paola M. Soccal, and Thomas Radtke. 2020. “Perceptions towards Physical Activity in Adult Lung Transplant Recipients with Cystic Fibrosis.” Plos One 15 (2): e0229296. https://doi.org/10.1371/journal.pone.0229296.

Wietlisbach, Martina, et al. “Perceptions towards Physical Activity in Adult Lung Transplant Recipients with Cystic Fibrosis.” Plos One, vol. 15, no. 2, 2020, p. e0229296, https://doi.org/10.1371/journal.pone.0229296.