{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T20:21:58Z","timestamp":1778185318017,"version":"3.51.4"},"reference-count":46,"publisher":"European Respiratory Society (ERS)","issue":"4","license":[{"start":{"date-parts":[[2025,1,16]],"date-time":"2025-01-16T00:00:00Z","timestamp":1736985600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["publications.ersnet.org"],"crossmark-restriction":true},"short-container-title":["ERJ Open Res"],"accepted":{"date-parts":[[2025,1,2]]},"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Utilising information and communication technologies through eHealth in exercise programmes could support their delivery and improve clinical outcomes in children and adolescents with chronic suppurative lung diseases (CSLDs). This study aimed to systematically investigate the effects of eHealth exercise programmes on clinical outcomes for this population.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Five databases were searched from inception to 12 April 2024. Two researchers independently screened the retrieved results and rated the methodological quality of the included studies using the revised Cochrane Risk of Bias (RoB2) tool for randomised trials and the Risk Of Bias In Non-randomised Studies \u2013 of Interventions (ROBINS-I) tool. The quality of evidence was graded using the GRADE approach. A narrative synthesis of findings was performed, and a meta-analysis was conducted to evaluate the effects of eHealth exercise programmes on clinical outcomes that had data from at least two studies.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Seven studies used eHealth exercise programmes through active video games (n=3), videoconferencing (n=3) and a digital spirometer (n=1) lasting from 3 to 12\u2005weeks. Five studies had participants with cystic fibrosis (CF). Results showed a greater improvement in the 6-min walk test following the intervention compared to the control group (pooled estimate mean difference 37.2\u2005m, 95% CI 7.91\u201366.48\u2009m; p=0.013). Pulmonary function, exercise capacity, balance, peripheral and respiratory muscle strength, and health-related quality of life were also improved. Still, most studies involved a considerable risk of bias.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>eHealth exercise programmes can improve clinical outcomes in children and adolescents with CF. Further research is needed for other paediatric populations with CSLDs and also for comparisons with conventional exercise programmes.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1183\/23120541.00977-2024","type":"journal-article","created":{"date-parts":[[2025,1,16]],"date-time":"2025-01-16T12:00:20Z","timestamp":1737028820000},"page":"00977-2024","update-policy":"https:\/\/doi.org\/10.1183\/ers-crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Effects of eHealth exercise on paediatric suppurative lung diseases: a systematic review and meta-analysis"],"prefix":"10.1183","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-7108-7352","authenticated-orcid":false,"given":"Aspasia","family":"Mavronasou","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2214-5545","authenticated-orcid":false,"given":"Eleni A.","family":"Kortianou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vaia","family":"Sapouna","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7632-1159","authenticated-orcid":false,"given":"Konstantinos","family":"Douros","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3442-4739","authenticated-orcid":false,"given":"Arietta","family":"Spinou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"81","published-online":{"date-parts":[[2025,1,16]]},"reference":[{"key":"2025082603500949000_11.4.00977-2024.1","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1016\/j.ccm.2021.11.006","article-title":"Bronchiectasis in childhood","volume":"43","author":"Goyal","year":"2022","journal-title":"Clin Chest Med"},{"key":"2025082603500949000_11.4.00977-2024.2","doi-asserted-by":"publisher","DOI":"10.1183\/23120541.00063-2019"},{"key":"2025082603500949000_11.4.00977-2024.3","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1159\/000360297","article-title":"Quality of life in children with non-cystic-fibrosis bronchiectasis","volume":"88","author":"Gokdemir","year":"2014","journal-title":"Respiration"},{"key":"2025082603500949000_11.4.00977-2024.4","doi-asserted-by":"publisher","DOI":"10.1136\/thoraxjnl-2015-207315"},{"key":"2025082603500949000_11.4.00977-2024.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2023.107503"},{"key":"2025082603500949000_11.4.00977-2024.6","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1002\/ppul.26158","article-title":"Aerobic exercise capacity, cough strength, posture, and depression in primary ciliary dyskinesia","volume":"58","author":"Firat","year":"2023","journal-title":"Pediatr Pulmonol"},{"key":"2025082603500949000_11.4.00977-2024.7","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2010.142778"},{"key":"2025082603500949000_11.4.00977-2024.8","doi-asserted-by":"crossref","first-page":"e0217491","DOI":"10.1371\/journal.pone.0217491","article-title":"Exercise capacity in patients with cystic fibrosis vs. non-cystic fibrosis bronchiectasis","volume":"14","author":"Bar-Yoseph","year":"2019","journal-title":"PLoS One"},{"key":"2025082603500949000_11.4.00977-2024.9","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1590\/1809-2950\/20023328022021","article-title":"Exercise capacity and daily physical activity levels in children and adolescents with cystic fibrosis: association with nutritional status, lung function, hospitalization and antibiotic use","volume":"28","author":"Silva","year":"2021","journal-title":"Fisioter Pesqui"},{"key":"2025082603500949000_11.4.00977-2024.10","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsem-2018-000409"},{"key":"2025082603500949000_11.4.00977-2024.11","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1016\/j.pedneo.2019.09.013","article-title":"Non-cystic fibrosis bronchiectasis in children and adolescents: neglected and emerging issues","volume":"61","author":"Poeta","year":"2020","journal-title":"Pediatr Neonatol"},{"key":"2025082603500949000_11.4.00977-2024.12","unstructured":"World Health Organization Eastern Mediterranean Region (WHO EMRO). eHealth. 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