BACKGROUND: The roles of physical activity (PA) and exercise within the management of cystic fibrosis (CF) are recognised by their inclusion in numerous standards of care and treatment guidelines. However, information is brief, and both PA and exercise as multi-faceted behaviours require extensive stakeholder input when developing and promoting such guidelines. METHOD: On 30th June and 1st July 2021, 39 stakeholders from 11 countries, including researchers, healthcare professionals and patients participated in a virtual conference to agree an evidence-based and informed expert consensus about PA and exercise for people with CF. This consensus presents the agreement across six themes: (i) patient and system centred outcomes, (ii) health benefits, iii) measurement, (iv) prescription, (v) clinical considerations, and (vi) future directions. The consensus was achieved by a stepwise process, involving: (i) written evidence-based synopses; (ii) peer critique of synopses; (iii) oral presentation to consensus group and peer challenge of revised synopses; and (iv) anonymous voting on final proposed synopses for adoption to the consensus statement. RESULTS: The final consensus document includes 24 statements which surpassed the consensus threshold (>80% agreement) out of 30 proposed statements. CONCLUSION: This consensus can be used to support health promotion by relevant stakeholders for people with CF.

Original languageEnglish
Pages (from-to)1-11
JournalChronic Respiratory Disease
Early online date6 Sept 2022
Publication statusPublished - 31 Dec 2022

Bibliographical note

Funding Information:
This work is part of the ‘Youth Activity Unlimited’ Strategic Research Centre, funded by the Cystic Fibrosis Trust (SRC#008). The funder had no role in the design of the consensus, literature synthesis nor drafting of preliminary statements. Jacqueline Ali, as a representative of the Cystic Fibrosis Trust, participated in the 2-day meeting, but did not have voting rights.

Publisher Copyright:
© The Author(s) 2022.


  • clinical practice
  • health
  • lifestyle
  • respiratory disease

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine


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