Physical Activity Levels and Adiposity in Ambulant Children and Adolescents With Cerebral Palsy Compared With Their Typically Developing Peers.

IF 1.4 4区医学 Q3 PEDIATRICS

Pediatric Exercise Science Pub Date : 2023-03-21 Print Date: 2023-11-01 DOI:10.1123/pes.2022-0064

Leticia Janzen, Clodagh M Toomey, Laura K Brunton, Elizabeth G Condliffe, Shane Esau, Adam Kirton, Carolyn A Emery, Gregor Kuntze

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引用次数: 0

Abstract

Purpose: This study assessed physical activity (PA) and body composition of ambulatory children and adolescents with cerebral palsy (CP) and their typically developing peers.

Methods: Participants included youth with CP (ages 8-18 y and Gross Motor Function Classification System [GMFCS] levels I-III) and their typically developing peers. Outcomes included PA (actigraphy) and fat/lean mass index (FMI/LMI; dual-energy X-ray absorptiometry). Statistical analyses included linear mixed effects models with Bonferroni adjustment. Fixed effects were study group (CP and typically developing); random effects were participant clusters (sex and age). Exploratory analyses included association of body composition and PA, GMFCS level, and CP involvement (unilateral and bilateral).

Results: Seventy-eight participants (CP: n = 40, girls: n = 29; GMFCS I: n = 20; GMFCS II: n = 14; GMFCS III: n = 6) met inclusion criteria. Individuals with CP had lower moderate to vigorous PA (MVPA; β = -12.5; 98.3% confidence interval, -22.6 to -2.5 min; P = .004) and lower LMI (β = -1.1; 97.5% confidence interval, -2.1 to -0.0 kg/m2; P = .020). Exploratory analyses indicated increased LMI with greater MVPA (P = .001), reduced MVPA for GMFCS II (P = .005) and III (P = .001), increased sedentary time for GMFCS III (P = .006), and greater fat mass index with unilateral motor impairment (P = .026).

Conclusions: The findings contribute to the knowledge base of increasing MVPA and LMI deficits with the greater functional impact of CP. Associations of increasing LMI with greater MVPA support efforts targeting enhanced PA participation to promote independent mobility.

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与典型发育中的同龄人相比，脑瘫患儿和青少年的体力活动水平和脂肪含量。

目的：本研究评估了脑瘫（CP）儿童和青少年及其典型发育中同龄人的体力活动（PA）和身体成分。方法：参与者包括患有慢性疲劳的青年（年龄8-18岁，毛运动功能分类系统（GMFCS]）I-III级）及其典型的发展中同龄人。结果包括PA（活动描记术）和脂肪/瘦质量指数（FMI/LMI；双能X射线吸收法）。统计分析包括带Bonferroni调整的线性混合效应模型。固定效应为研究组（CP和典型发展）；随机效应是参与者集群（性别和年龄）。探索性分析包括身体成分与PA、GMFCS水平和CP参与（单侧和双侧）的关系。结果：78名参与者（CP:40，女孩：n=29；GMFCS I:n=20；GMFCS II:n=14；GMFCS III:n=6）符合纳入标准。CP患者具有较低的中度至剧烈PA（MVPA；β=-12.5；98.3%置信区间，-22.6至-2.5分钟；P=.004）和较低的LMI（β=-1.1；97.5%置信区间，-2.1至-0.0 kg/m2；P=.020）。探索性分析表明，随着MVPA的增加，LMI增加（P=.001），GMFCS II和III的MVPA减少（P=.005），GMFCSII久坐时间增加（P=.006），和更大的脂肪质量指数与单侧运动损伤（P=.026）。结论：这些发现有助于增加MVPA和LMI缺陷的知识库，CP的功能影响更大。增加LMI与MVPA支持力度更大的关联，旨在增强PA参与以促进独立活动。

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

Pediatric Exercise Science 医学-生理学

CiteScore

2.80

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Pediatric Exercise Science is a journal committed to enriching the scientific knowledge of exercise during childhood and adolescence. To this end it publishes information that contributes to an understanding of (a) the unique aspects of the physiologic, physical, biochemical, and psychologic responses of children to exercise, (b) the role of exercise in the treatment of pediatric chronic diseases, (c) the importance of physical activity in the prevention of illness and preservation of wellness, and (d) the means by which participation in sports may be made safer and more enjoyable for children and youth. Consideration will be given for publication of work by various methodologies consistent with the scientific approach. Besides original research, the journal includes review articles, abstracts from other journals, book reviews, and editorial comments. Pediatric Exercise Science encourages the expression of conflicting opinions regarding children and exercise by providing a forum for alternative viewpoints. At the same time it serves as a means of accumulating a base of research information that will allow application of experimental data to clinical practice. The scientific disciplines contributing to this body of knowledge are diverse. Therefore it is the purpose of this journal to provide a common focus for disseminating advances in the science of exercise during childhood. In doing so, the journal allows the opportunity for cross-fertilization of ideas between disciplines that will potentiate the growth of knowledge in this field. Pediatric Exercise Science seeks to stimulate new ideas regarding exercise in children and to increase the awareness of scientists, health care providers, and physical educators of the importance of exercise during childhood.