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Radtke, T; Kriemler, S; Stein, L; Karila, C; Urquhart, DS; Orenstein, DM; Lands, LC; Schindler, C; Eber, E; Haile, SR; Hebestreit, H, , ACTIVATE-CF, Study, Working, Group.
Cystic fibrosis related diabetes is not associated with maximal aerobic exercise capacity in cystic fibrosis: a cross-sectional analysis of an international multicenter trial.
J Cyst Fibros. 2023; 22(1):31-38 Doi: 10.1016/j.jcf.2022.06.012
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Co-Autor*innen der Med Uni Graz
Eber Ernst
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Abstract:
BACKGROUND: Previous studies have reported differences in aerobic exercise capacity, expressed as peak oxygen uptake (VO2peak), between people with and without cystic fibrosis (CF) related diabetes (CFRD). However, none of the studies controlled for the potential influence of physical activity on VO2peak. We investigated associations between CFRD and VO2peak following rigorous control for confounders including objectively measured physical activity. METHODS: Baseline data from the international multicenter trial ACTIVATE-CF with participants ≥12 years performing up to 4 h per week of vigorous physical activity were used for this project. Multivariable models were computed to study associations between CFRD and VO2peak (mL.min-1) adjusting for a set of pre-defined covariates: age, sex, weight, forced expiratory volume in 1 s (FEV1), breathing reserve index, Pseudomonas aeruginosa infection, and physical activity (aerobic step counts from pedometry). Variables were selected based on their potential confounding effect on the association between VO2peak and CFRD. RESULTS: Among 117 randomized individuals, 103 (52% female) had a maximal exercise test and were included in the analysis. Participants with (n = 19) and without (n = 84) CFRD did not differ in FEV1, physical activity, nutritional status, and other clinical characteristics. There were also no differences in VO2peak (mL.min-1 or mL.kg-1.min-1 or% predicted). In the final multivariable model, all pre-defined covariates were significant predictors of VO2peak (mL.min-1), however CFRD [coefficient 82.1, 95% CI -69.5 to 233.8, p = 0.28] was not. CONCLUSIONS: This study suggests no meaningful differences in VO2peak between people with and without CFRD given comparable levels of physical activity.
Find related publications in this database (using NLM MeSH Indexing)
Humans - administration & dosage
Female - administration & dosage
Male - administration & dosage
Cystic Fibrosis - complications
Cross-Sectional Studies - administration & dosage
Diabetes Mellitus - administration & dosage
Exercise Test - administration & dosage
Exercise - administration & dosage

Find related publications in this database (Keywords)
Peak oxygen uptake
Cystic fibrosis related diabetes
Physical activity
Dysglycaemia
Exercise capacity
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