Physical activity in children with Juvenile Idiopathic Arthritis compared to controls
Physical activity in children with Juvenile Idiopathic Arthritis compared to controls
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DOI：
10.1186/s12969-016-0102-8
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发表时间：
2016-07-07
影响因子：
2.5
通讯作者：
Dijkstra, Pieter U.
中科院分区：
文献类型：
--
作者：
Bos, G. J. F. Joyce;Lelieveld, Otto T. H. M.;Dijkstra, Pieter U.
背景资料：比较幼年特发性关节炎（JIA）患儿与对照组的体力活动（PA），分析疾病特异性因素对JIA患儿PA的影响。测定中度至剧烈体力活动（MVPA）（小时/天）和久坐时间（小时/天）。在JIA儿童中，确定了药物治疗、肿胀和/或疼痛关节的数量、疾病活动度、功能能力、疼痛和健康状况。进行多变量回归分析以分析JIA和对照组之间PA的差异，调整年龄，性别，季节，体重指数（BMI）的影响，并分析JIA患者PA的预测因素。76例JIA患儿（26名男孩和50名女孩，平均+/- SD年龄10.0 +/- 1.4岁）和131名对照（49名男孩和82名女孩，平均+/- SD年龄10.4 +/- 1.2岁）参与了本研究。经年龄、BMI、性别和季节校正后，JIA儿童的PAL显著较低（0.10，p = 0.01）。与对照组相比，他们在MVPA中花费的时间更少（0.41小时/天，p = 0.06），并且在久坐活动中花费的平均时间显著更长（0.59小时/天，p 0.02）。儿童JIA的活动水平与年龄，性别，季节，感觉幸福和pain.Conclusion：儿童JIA有一个较低的PAL，花更少的时间在MVPA和花更多的时间在久坐不动的活动相比，尽管目前的医疗和PA的鼓励。
Background: To compare physical activity (PA) in children with juvenile idiopathic arthritis (JIA) with controls and to analyse the effect of disease specific factors on PA in children with JIA treated according to current treatment regimes.Methods: PA was measured with a 7-day activity diary and expressed as physical activity level (PAL). Moderate to vigorous physical activity (MVPA) (hours/day) and sedentary time (hours/day) was determined. In children with JIA, medication, the number of swollen and/or painful joints, disease activity, functional ability, pain and well-being was determined. Multivariate regression analysis was performed to analyze differences in PA between JIA and controls, adjusted for influences of age, gender, season, Body Mass Index (BMI) and to analyze predictors of PA in JIA patients.Results: Seventy-six children with JIA (26 boys and 50 girls, mean +/- SD age 10.0 +/- 1.4 years) and 131 controls (49 boys and 82 girls, mean +/- SD age 10.4 +/- 1.2 years) participated in this study. Children with JIA had a significantly lower PAL (0.10, p = 0.01) corrected for age, BMI, gender and season. They spent less time in MVPA (0.41 h/day, p = 0.06) and had a significantly higher mean time spent in sedentary activities (0.59 h/day, p 0.02) compared to controls. The activity level of children with JIA was related to age, gender, season, feeling of well-being and pain.Conclusion: Children with JIA have a lower PAL, spent less time in MVPA and spent more time on sedentary activities compared to controls despite current medical treatment and PA encouragement.