Determinants of physical activity level in children and adolescents with juvenile idiopathic arthritis; [Determinanten des körperlichen Aktivitätsniveaus bei Kindern und Jugendlichen mit juveniler idiopathischer Arthritis]

被引：0

作者：

Ozdemir B.C. ^{[1
]}

Savci S. ^{[2
]}

Tanriverdi A. ^{[1
,2
]}

Ozcan Kahraman B. ^{[2
]}

Isguder R. ^{[3
]}

Makay B. ^{[3
]}

Unsal E. ^{[3
]}

机构：

[1] Health Science Institute, Dokuz Eylul University, Izmir

[2] Faculty of Physical Therapy and Rehabilitation, Dokuz Eylul University, Izmir

[3] Division of Pediatric Rheumatology, Department of Pediatrics, Faculty of Medicine, Dokuz Eylul University, Izmir

来源：

Zeitschrift für Rheumatologie | 2024年 / 83卷 / Suppl 1期

关键词：

Functional Exercise Capacity; Gait; Juvenile idiopathic arthritis; Muscle Strength; Physical Activity;

D O I：

10.1007/s00393-023-01340-7

中图分类号：

学科分类号：

摘要：

Objective: One of the most frequently discussed physical parameters in juvenile idiopathic arthritis (JIA) is physical activity level. There is limited evidence about determinants of physical activity level in JIA. In this study, we aimed to investigate the determinants of physical activity level in children and adolescents with JIA. Materials and methods: Thirty-two JIA patients and 18 age- and sex-matched healthy individuals were included in the study. The age range was 8–18 years. Sociodemographic and clinical data of the participants were recorded. In both groups, anthropometry, fatigue, pain, knee extension muscle strength, gait variables, functional exercise capacity assessed by six-minute walk test (6MWT), and arterial stiffness were evaluated. Physical activity level was assessed by an accelerometer. Results: The disease activity level of the patients was low. Pain and fatigue scores were significantly higher in the JIA group compared to healthy controls (p < 0.05). Walking speed, physical activity level, time spent in low-intensity physical activity, time spent in moderate-to-vigorous-intensity physical activity, and 6MWT distance were significantly lower than in healthy controls (p < 0.05). Quadriceps muscle strength and arterial stiffness assessment results were similar in both groups (p > 0.05). In the JIA group, there was a positive correlation between physical activity and age, height, fat-free body mass, quadriceps muscle strength, and 6MWT distance (p < 0.05). Also, there was a negative correlation between physical activity and pain, fatigue, and cadence. Physical activity level was independently associated with 6MWT distance (42.9% of the variability). Conclusion: In mildly affected JIA patients, gait speed, functional exercise capacity, and physical activity level are affected. Functional exercise capacity is a determinant of physical activity level in JIA. © The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2023.

引用

页码：71 / 77

页数：6

共 35 条

[1]

Petty R.E., Southwood T.R., Manners P., Baum J., Glass D.N., Goldenberg J., Et al., International League of Associations for Rheumatology classification of juvenile idiopathic arthritis: second revision, Edmonton, 2001, J Rheumatol, 31, 2, pp. 390-392, (2004)

[2]

Norgaard M., Lomholt J.J., Thastum M., Herlin M., Twilt M., Herlin T., Accelerometer-assessed daily physical activity in relation to pain cognition in juvenile idiopathic arthritis, Scand J Rheumatol, 46, 1, pp. 22-26, (2017)

[3]

Bohr A.-H., Nielsen S., Muller K., Pedersen F.K., Andersen L.B., Reduced physical activity in children and adolescents with juvenile idiopathic arthritis despite satisfactory control of inflammation, Pediatr Rheumatol Online J, 13, 1, pp. 1-9, (2015)

[4]

Sozeri B., Atikan B.Y., Ozdemir K., Mir S., Assessment of vascular function in systemic onset juvenile idiopathic arthritis, Clin Rheumatol, 35, 7, pp. 1699-1703, (2016)

[5]

Bos G.J.F.J., Lelieveld O.T.H.M., Armbrust W., Sauer P.J.J., Geertzen J.H.B., Dijkstra P.U., Physical activity in children with juvenile idiopathic arthritis compared to controls, Pediatr Rheumatol Online J, 14, 1, pp. 1-8, (2016)

[6]

Limenis E., Grosbein H.A., Feldman B.M., The relationship between physical activity levels and pain in children with juvenile idiopathic arthritis, J Rheumatol, 41, 2, pp. 345-351, (2014)

[7]

Armbrust W., Lelieveld O.H.T.M., Tuinstra J., Wulffraat N.M., Bos G.J.F.J., Cappon J., Et al., Fatigue in patients with juvenile idiopathic arthritis: relationship to perceived health, physical health, self-efficacy, and participation, Pediatr Rheumatol Online J, 14, 1, pp. 1-9, (2016)

[8]

Rostron Z.P., Green R.A., Kingsley M., Zacharias A., Associations between measures of physical activity and muscle size and strength: a systematic review, Arch Rehabil Res Clin Transl, 3, 2, (2021)

[9]

Norgaard M., Twilt M., Twilt M., Andersen L.B., Herlin T., Accelerometry-based monitoring of daily physical activity in children with juvenile idiopathic arthritis, Scand J Rheumatol, 45, 3, pp. 179-187, (2016)

[10]

Risum K., Edvardsen E., Godang K., Selvaag A.M., Hansen B.H., Molberg O., Et al., Physical fitness in patients with oligoarticular and Polyarticular juvenile idiopathic arthritis diagnosed in the era of biologics: a controlled cross-sectional study, Arthritis Care Res, 71, 12, pp. 1611-1620, (2019)

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