{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T20:35:29Z","timestamp":1792096529278,"version":"4.4.0"},"reference-count":32,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T00:00:00Z","timestamp":1757030400000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Pulmonology"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Exercise is an important part of a healthy lifestyle for people with cystic fibrosis (CF). Exercise testing is also recommended as part of a routine assessment to provide physical activity counseling\/exercise prescription. Body composition assessment is also an important assessment that can also guide dietary counseling. Prior studies have found that exercise testing and exercise training programs are underutilized in CF care centers, and no one has assessed the prevalence of body composition assessment. Thus, the purpose of this study was to develop and validate a survey to explore the barriers and facilitators that obstruct or promote the use of exercise and body composition testing in the CF care centers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Seventy\u2010nine individuals with expertise in exercise and CF were invited to participate in a Delphi study. They rated the importance and quality of a 106\u2010item survey on exercise and body composition testing and exercise training and shared their feedback.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thirteen subject matter experts agreed to participate in the study, which lasted three rounds, but only six of them were in the final round. Of the 106 original items, 46 were kept with revisions, 58 were revised, 2 items were dropped, and 8 items were added, resulting in a final survey of 114 items.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This Delphi study validated a survey to be used in CF care centers to provide valuable information about the benefits and barriers to exercise testing, exercise training, and body composition assessment in people with CF in the CFTR\u2010modulator era.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ppul.71262","type":"journal-article","created":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T15:12:58Z","timestamp":1757085178000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Survey Validation of Exercise and Body Composition Testing and Exercise Training Programs for People With Cystic Fibrosis: A Delphi Study"],"prefix":"10.1002","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-7257-3796","authenticated-orcid":false,"given":"Najlaa Z.","family":"Alotaibi","sequence":"first","affiliation":[{"name":"Rehabilitation Science PhD Program University of Alabama at Birmingham Birmingham Alabama USA"},{"name":"Department of Physiotherapy College of Applied Medical Sciences Taif University Taif Mecca Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9297-2760","authenticated-orcid":false,"given":"Donald H.","family":"Lein","sequence":"additional","affiliation":[{"name":"Rehabilitation Science PhD Program University of Alabama at Birmingham Birmingham Alabama USA"},{"name":"Department of Physical Therapy University of Alabama at Birmingham Birmingham Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5696-1845","authenticated-orcid":false,"given":"Hon K.","family":"Yuen","sequence":"additional","affiliation":[{"name":"Rehabilitation Science PhD Program University of Alabama at Birmingham Birmingham Alabama USA"},{"name":"Department of Occupational Therapy University of Alabama at Birmingham Birmingham Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8826-681X","authenticated-orcid":false,"given":"Ryan A.","family":"Harris","sequence":"additional","affiliation":[{"name":"Georgia Prevention Institute, Medical College of Georgia Augusta University Augusta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8284-6768","authenticated-orcid":false,"given":"Stefanie","family":"Krick","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Pulmonary, Allergy, and Critical Care Medicine Adult Cystic Fibrosis Clinic The University of Alabama at Birmingham Birmingham Alabama USA"},{"name":"Gregory Fleming James Cystic Fibrosis Research Center The University of Alabama at Birmingham Birmingham Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9621-6583","authenticated-orcid":false,"given":"Eric P.","family":"Plaisance","sequence":"additional","affiliation":[{"name":"Department of Nutrition Sciences University of Alabama at Birmingham Birmingham Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2717-6236","authenticated-orcid":false,"given":"John D.","family":"Lowman","sequence":"additional","affiliation":[{"name":"Rehabilitation Science PhD Program University of Alabama at Birmingham Birmingham Alabama USA"},{"name":"Department of Physical Therapy University of Alabama at Birmingham Birmingham Alabama USA"},{"name":"Department of Medicine, Division of Pulmonary, Allergy, and Critical Care Medicine Adult Cystic Fibrosis Clinic The University of Alabama at Birmingham Birmingham Alabama USA"},{"name":"Gregory Fleming James Cystic Fibrosis Research Center The University of Alabama at Birmingham Birmingham Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,5]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"About Cystic Fibrosis Cystic Fibrosis Foundation 2024 https:\/\/www.cff.org\/intro-cf\/about-cystic-fibrosis."},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/resp.12764"},{"key":"e_1_2_11_4_1","article-title":"Physical Activity and Exercise Training in Cystic Fibrosis","volume":"88","author":"Radtke T.","year":"2022","journal-title":"Cochrane Database of Systematic 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