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A Compositional Analysis of Physical Activity, Sedentary Time, and Sleep and Associated Health Outcomes in Children and Adults with Cystic Fibrosis

Author

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  • Mayara S. Bianchim

    (Applied Sports, Technology, Exercise and Medicine Research Centre, Swansea University Bay Campus, Swansea SA1 8EN, UK
    Nursing, Midwifery and Allied Health Professions Research Unit, University of Stirling, Stirling FK9 4LA, UK)

  • Melitta A. McNarry

    (Applied Sports, Technology, Exercise and Medicine Research Centre, Swansea University Bay Campus, Swansea SA1 8EN, UK)

  • Anne Holland

    (Department of Allergy, Immunology and Respiratory Medicine, Monash University, Melbourne 3004, Australia
    Alfred Health, Australia Institute for Breathing and Sleep, Melbourne 3004, Australia
    Alfred Health, Physiotherapy Department, Melbourne 3004, Australia)

  • Narelle S. Cox

    (Department of Allergy, Immunology and Respiratory Medicine, Monash University, Melbourne 3004, Australia
    Alfred Health, Australia Institute for Breathing and Sleep, Melbourne 3004, Australia)

  • Julianna Dreger

    (Department of Allergy, Immunology and Respiratory Medicine, Monash University, Melbourne 3004, Australia
    Alfred Health, Physiotherapy Department, Melbourne 3004, Australia)

  • Alan R. Barker

    (Children’s Health and Exercise Research Centre, University of Exeter, Exeter EX1 2LU, UK)

  • Craig A. Williams

    (Children’s Health and Exercise Research Centre, University of Exeter, Exeter EX1 2LU, UK)

  • Sarah Denford

    (Children’s Health and Exercise Research Centre, University of Exeter, Exeter EX1 2LU, UK
    Population Health Sciences, Bristol Medical School, University of Bristol, Bristol BS8 1UD, UK)

  • Kelly A. Mackintosh

    (Applied Sports, Technology, Exercise and Medicine Research Centre, Swansea University Bay Campus, Swansea SA1 8EN, UK)

Abstract

This study sought to investigate the association of light physical activity (LPA), moderate-to-vigorous physical activity (MVPA), sedentary time (SED), and sleep with lung function in children and adults with CF. In total, 86 children (41 females; 13.6 ± 2.8 years; FEV 1 % predicted : 86 ± 1%) and 43 adults (21 females; 24.6 ± 4.7 years; FEV 1 % predicted : 63 ± 21%) with CF participated in this study. Wrist-worn accelerometery was used to assess PA, SED and sleep. Compositional linear regression models were conducted following normalisation via isometric log-ratio transformations. Sequential binary partitioning was applied to investigate the impact of reallocating 10 to 30 min between each behaviour on FEV 1 % predicted . A decline in FEV 1 % predicted was predicted with the reallocation of 30 min from MVPA to SED or LPA or sleep to any other behaviour in children (−3.04–−0.005%) and adults (−3.58–−0.005%). Conversely, improvements in FEV 1 % predicted were predicted when 30 min was reallocated to MVPA from LPA or SED in children (0.12–1.59%) and adults (0.77–2.10%), or when 30 min was reallocated to sleep from any other behaviour in both children (0.23–2.56%) and adults (1.08–3.58%). This study supports the importance of MVPA and sleep for maintaining and promoting lung function in people with CF.

Suggested Citation

  • Mayara S. Bianchim & Melitta A. McNarry & Anne Holland & Narelle S. Cox & Julianna Dreger & Alan R. Barker & Craig A. Williams & Sarah Denford & Kelly A. Mackintosh, 2022. "A Compositional Analysis of Physical Activity, Sedentary Time, and Sleep and Associated Health Outcomes in Children and Adults with Cystic Fibrosis," IJERPH, MDPI, vol. 19(9), pages 1-15, April.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:9:p:5155-:d:800733
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    References listed on IDEAS

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    1. Gregory J. H. Biddle & Charlotte L. Edwardson & Joseph Henson & Melanie J. Davies & Kamlesh Khunti & Alex V. Rowlands & Thomas Yates, 2018. "Associations of Physical Behaviours and Behavioural Reallocations with Markers of Metabolic Health: A Compositional Data Analysis," IJERPH, MDPI, vol. 15(10), pages 1-14, October.
    2. Nikola Štefelová & Jan Dygrýn & Karel Hron & Aleš Gába & Lukáš Rubín & Javier Palarea-Albaladejo, 2018. "Robust Compositional Analysis of Physical Activity and Sedentary Behaviour Data," IJERPH, MDPI, vol. 15(10), pages 1-18, October.
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    Cited by:

    1. Mayara S. Bianchim & Melitta A. McNarry & Alan R. Barker & Craig A. Williams & Sarah Denford & Anne E. Holland & Narelle S. Cox & Julianna Dreger & Rachel Evans & Lena Thia & Kelly A. Mackintosh, 2022. "Sleep, Sedentary Time and Physical Activity Levels in Children with Cystic Fibrosis," IJERPH, MDPI, vol. 19(12), pages 1-10, June.
    2. Meiyuan Chen & Terence Chua & Zhi Shen & Lee Yong Tay & Xiaozan Wang & Michael Chia, 2022. "The Associations between 24-Hour Movement Behaviours and Quality of Life in Preschoolers: A Compositional Analysis of Cross-Sectional Data from 2018–2021," IJERPH, MDPI, vol. 19(22), pages 1-19, November.

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