Bone Health in Children and Adolescents With Juvenile Idiopathic Arthritis and the Influence of Short-term Physical Exercise

被引:37
作者
Sandstedt, Eva [1 ]
Fasth, Anders [2 ]
Fors, Hans [1 ,4 ]
Beckung, Eva [3 ]
机构
[1] Sahlgrens Univ Hosp, Queen Silvia Childrens Hosp, Dept Pediat, Gothenburg, Sweden
[2] Univ Gothenburg, Dept Pediat, Inst Clin Sci, Gothenburg, Sweden
[3] Univ Gothenburg, Dept Neurosci & Physiotherapy, Sahlgrenska Acad, Gothenburg, Sweden
[4] No Alvsborg Hosp, Trollhattan, Sweden
关键词
adolescent; arthritis; biological markers/analysis; bone density; child; child development; exercise; female; humans; male; juvenile rheumatoid/physiopathology; motor activity; physical therapy modalities; randomized control trial; strength training; weight-bearing; MINERAL DENSITY; MASS;
D O I
10.1097/PEP.0b013e31824cce6e
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Purpose: To study bone mineral density (BMD) in 54 children and adolescents with juvenile idiopathic arthritis before and after a short-term exercise program. Methods: Fifty-four children, 41 girls and 13 boys, median age 13.9 years, participated in a 12-week exercise program, with 33 children in an exercise group. The program consisted of one hundred 2-footed jumps with a rope and standardized muscle strength exercise. Both BMD and bone mineral content were assessed with dual-energy x-ray absorptiometry (DXA) and DXA Laser Calscan for the heel at the start and after 3 and 6 months. Results: The study group had BMD measurements within the reference range compared with normative data with Z score at start. Bone mineral density values in total body, but not Z score, increased significantly (P = .012) in the exercise group. Conclusions: The study group had BMD measurements within the reference range. Twelve weeks of exercise increases BMD in children with juvenile idiopathic arthritis. (Pediatr Phys Ther 2012;24:155-162)
引用
收藏
页码:155 / 161
页数:7
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