Evidence map›Paper›PMID 41970597›Full record

ArticleFrontiers in sports and active living2026

Mediating effects of physical activity enjoyment on physical activity levels in adults with cystic fibrosis.

Matthias Welsner, Jin-Sun Schermaul, Jose Guillermo Ortiz, Liron Lechtenberg, Christian Taube, Florian Stehling, Wolfgang Gruber

Abstract read
In one paragraph

Article in Frontiers in sports and active living, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Matthias WelsnerDepartment of Pulmonary Medicine, University Hospital Essen - Ruhrlandklinik, Adult Cystic Fibrosis Center, University of Duisburg-Essen, Essen, Germany.
Jin-Sun SchermaulDepartment of Pulmonary Medicine, University Hospital Essen - Ruhrlandklinik, Adult Cystic Fibrosis Center, University of Duisburg-Essen, Essen, Germany.
Jose Guillermo OrtizDepartment of Pulmonary Medicine, University Hospital Essen - Ruhrlandklinik, Adult Cystic Fibrosis Center, University of Duisburg-Essen, Essen, Germany.
Liron LechtenbergDepartment of Pulmonary Medicine, University Hospital Essen - Ruhrlandklinik, Adult Cystic Fibrosis Center, University of Duisburg-Essen, Essen, Germany.
Christian TaubeDepartment of Pulmonary Medicine, University Hospital Essen - Ruhrlandklinik, Adult Cystic Fibrosis Center, University of Duisburg-Essen, Essen, Germany.
Florian StehlingPediatric Pulmonology and Sleep Medicine, Cystic Fibrosis Center, Childreńs Hospital, University of Duisburg-Essen, Essen, Germany.
Wolfgang GruberPediatric Pulmonology and Sleep Medicine, Cystic Fibrosis Center, Childreńs Hospital, University of Duisburg-Essen, Essen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: This study aimed to investigate the mediating effect of physical activity enjoyment (PAE) on various physical activity (PA) levels in adult people with cystic fibrosis (pwCF) concerning disease-specific and non-disease-specific factors. Methods: A total of 168 adult pwCF (39.3% females; mean age 36.7 ± 11.9 years) completed questionnaires assessing PAE (Physical Activity Enjoyment Scale, PACES) and PA levels (7-day Physical Activity Recall, PAR). Participants' demographics (age, sex) and clinical characteristics [ppFEV1; percent predicted forced expiratory volume in 1 s, and BMI; body mass index (kg/m2)]) were extracted from medical records. Mediation analysis was used to examine the direct and indirect effects of disease-specific and non-disease-specific factors on PA, considering PAE as a potential mediator. Results: Correlation analyses indicated a weak but statistically significant association between ppFEV1 and very vigorous physical activity (VVPA) (r = 0.177; Conclusions: Our findings underscore the importance of both physiological and psychological factors in shaping PA among adults with CF. Beyond traditional clinical management, strategies that enhance PAE may be crucial for promoting sustained PA engagement. Future research should examine additional psychological and environmental factors influencing PAE and develop comprehensive approaches to support active lifestyles in this population.

Indexed as

adultscystic fibrosismediation analysisphysical activityphysical activity enjoyment

Identifiers

PMID41970597
PMCPMC13066178

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.