The Role of Body Mass Index on Physical Activity, Symptoms, and Related Outcomes Following Pediatric Concussion

IF 3.9 2区医学 Q1 PEDIATRICS

Journal of Pediatrics Pub Date : 2024-11-01 DOI:10.1016/j.jpeds.2024.114386

Shawn R. Eagle PhD, ATC , Aaron J. Zynda PhD , Lindsey Sandulli BSN, RN , Robert W. Hickey MD , Nathan E. Kegel PhD , Lindsay Nelson PhD , Michael McCrea PhD , Michael W. Collins PhD , David O. Okonkwo MD, PhD , Danny G. Thomas MD, MPH , Anthony P. Kontos PhD

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引用次数: 0

Abstract

Objective

To determine the step count and self-reported activity levels for obese and nonobese pediatric patients following concussion and predict self-reported symptoms, quality of life, and psychological health over time.

Study design

Participants completed the Post-Concussion Symptom Scale (PCSS), Pediatric Quality of Life (PedsQL), and Behavioral Symptom Inventory-18 (BSI-18) at an initial visit (<72 hours), 3-5 days postinjury, 10-18 days postinjury, and 1 and 2 months postinjury. Physical activity data (eg, step count) were collected via a commercial actigraph. Participants were categorized into obese and nonobese body mass index (BMI) groups based on age- and sex-adjusted growth standards. Mann-Whitney U tests compared groups while nonparametric series regression models examined the effect of obese BMI and average daily step count on PCSS, PedsQL, and BSI-18 outcomes at 1 and 2 months postinjury.

Results

One hundred ninety-four participants were included: 153 (78.9%; M = 14.6 ± 2.4 years; 50% female) in the nonobese group and 41 (21.1%; M = 14.2 ± 2.0 years; 44% female) in the obese group. The obese group had a 22.8% lower average daily step count in the week postinjury (P = .02). At 2 months, there was a significant association between obese BMI and worse PCSS total score (P = .042), PedsQL (P = .017), and BSI-18 anxiety (P = .046). Average daily step count in the first week postinjury was associated with a higher PCSS total score at 2 months (P = .031).

Conclusions

Pediatric patients following concussion with an obese BMI had a lower daily average step count in the week after injury and exhibited worse concussion symptoms, quality of life, and anxiety at 2 months compared with those with a nonobese BMI.

Trial registration

Active Injury Management (AIM) after Pediatric Concussion: NCT03869970

查看原文本刊更多论文

身体质量指数对小儿脑震荡后体育活动、症状和相关结果的作用。

研究目的确定肥胖和非肥胖儿科患者在脑震荡后的步数和自我报告的活动水平，并预测自我报告的症状、生活质量和心理健康随时间的变化：研究设计：参与者在初次就诊时填写脑震荡后症状量表（PCSS）、儿科生活质量量表（PedsQL）和行为症状量表-18（BSI-18）（结果：194 名参与者被纳入研究：共纳入 194 名参与者：非肥胖组 153 人（78.9%；男=14.6 ± 2.4 岁；50% 为女性），肥胖组 41 人（21.1%；男=14.2 ± 2.0 岁；44% 为女性）。肥胖组在受伤后一周内的日平均步数比非肥胖组低 22.8%（P=0.02）。两个月后，肥胖 BMI 与 PCSS 总分（p=0.042）、PedsQL（p=0.017）和 BSI-18 焦虑症（p=0.046）之间存在显著关联。受伤后第一周的日平均步数与两个月后较高的 PCSS 总分相关（p=0.031）：结论：肥胖体重指数（BMI）较高的小儿脑震荡患者在受伤后一周内的日平均步数较低，与非肥胖体重指数（BMI）的患者相比，他们在两个月后表现出的脑震荡症状、生活质量和焦虑更差。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Pediatrics 医学-小儿科

CiteScore

6.00

自引率

2.00%

发文量

696

审稿时长

31 days

期刊介绍： The Journal of Pediatrics is an international peer-reviewed journal that advances pediatric research and serves as a practical guide for pediatricians who manage health and diagnose and treat disorders in infants, children, and adolescents. The Journal publishes original work based on standards of excellence and expert review. The Journal seeks to publish high quality original articles that are immediately applicable to practice (basic science, translational research, evidence-based medicine), brief clinical and laboratory case reports, medical progress, expert commentary, grand rounds, insightful editorials, “classic” physical examinations, and novel insights into clinical and academic pediatric medicine related to every aspect of child health. Published monthly since 1932, The Journal of Pediatrics continues to promote the latest developments in pediatric medicine, child health, policy, and advocacy. Topics covered in The Journal of Pediatrics include, but are not limited to: General Pediatrics Pediatric Subspecialties Adolescent Medicine Allergy and Immunology Cardiology Critical Care Medicine Developmental-Behavioral Medicine Endocrinology Gastroenterology Hematology-Oncology Infectious Diseases Neonatal-Perinatal Medicine Nephrology Neurology Emergency Medicine Pulmonology Rheumatology Genetics Ethics Health Service Research Pediatric Hospitalist Medicine.