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Janzen L, Toomey CM, Brunton LK, Condliffe EG, Esau S, Kirton A, Emery CA, Kuntze G. Physical Activity Levels and Adiposity in Ambulant Children and Adolescents With Cerebral Palsy Compared With Their Typically Developing Peers. Pediatr Exerc Sci 2023; 35:225-231. [PMID: 36944367 DOI: 10.1123/pes.2022-0064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/17/2022] [Revised: 11/25/2022] [Accepted: 12/07/2022] [Indexed: 03/23/2023]
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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Affiliation(s)
- Leticia Janzen
- Sport Injury Prevention Research Center, Faculty of Kinesiology, University of Calgary, Calgary, AB,Canada
- Vi Riddell Pediatric Rehabilitation Research Program, Alberta Children's Hospital Research Institute, Calgary, AB,Canada
| | - Clodagh M Toomey
- Sport Injury Prevention Research Center, Faculty of Kinesiology, University of Calgary, Calgary, AB,Canada
- School of Allied Health, Faculty of Education and Health Sciences, University of Limerick, Limerick,Ireland
| | - Laura K Brunton
- School of Physical Therapy, Western University, London, ON,Canada
| | - Elizabeth G Condliffe
- Vi Riddell Pediatric Rehabilitation Research Program, Alberta Children's Hospital Research Institute, Calgary, AB,Canada
- Departments of Clinical Neurosciences and Pediatrics, Cumming School of Medicine, University of Calgary, Calgary, AB,Canada
| | - Shane Esau
- Sport Injury Prevention Research Center, Faculty of Kinesiology, University of Calgary, Calgary, AB,Canada
- Vi Riddell Pediatric Rehabilitation Research Program, Alberta Children's Hospital Research Institute, Calgary, AB,Canada
| | - Adam Kirton
- Vi Riddell Pediatric Rehabilitation Research Program, Alberta Children's Hospital Research Institute, Calgary, AB,Canada
- Departments of Clinical Neurosciences and Pediatrics, Cumming School of Medicine, University of Calgary, Calgary, AB,Canada
| | - Carolyn A Emery
- Sport Injury Prevention Research Center, Faculty of Kinesiology, University of Calgary, Calgary, AB,Canada
- Vi Riddell Pediatric Rehabilitation Research Program, Alberta Children's Hospital Research Institute, Calgary, AB,Canada
- Pediatrics and Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB,Canada
| | - Gregor Kuntze
- Sport Injury Prevention Research Center, Faculty of Kinesiology, University of Calgary, Calgary, AB,Canada
- Vi Riddell Pediatric Rehabilitation Research Program, Alberta Children's Hospital Research Institute, Calgary, AB,Canada
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Ganz F, Hammam N, Pritchard L. Sedentary behavior and children with physical disabilities: a scoping review. Disabil Rehabil 2020; 43:2963-2975. [DOI: 10.1080/09638288.2020.1723720] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Affiliation(s)
- Felipe Ganz
- Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Canada
| | - Nevin Hammam
- Department of Physical Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Canada
- Department of Rheumatology and Rehabilitation, Faculty of Medicine, Assiut University, Assiut, Egypt
| | - Lesley Pritchard
- Department of Physical Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Canada
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Shkedy Rabani A, Harries N, Namoora I, Al-Jarrah MD, Karniel A, Bar-Haim S. Shkedy Rabani et al. reply. Dev Med Child Neurol 2014; 56:912. [PMID: 25041460 DOI: 10.1111/dmcn.12529] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 05/13/2014] [Indexed: 11/30/2022]
Affiliation(s)
- Anat Shkedy Rabani
- Department of Biomedical engineering, Ben-Gurion University of the Negev, Beer-Sheva, Israel
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