British Columbia Children's Hospital, Vancouver, British Columbia, Canada.
Phys Sportsmed. 2012 Sep;40(3):77-82. doi: 10.3810/psm.2012.09.1979.
Arthritis in childhood can be associated with low levels of physical activity and poor physical fitness. Children with arthritis may have decreased aerobic and anaerobic fitness, muscle weakness, low bone mass, and low bone strength. Suboptimal physical activity and exercise capacity may contribute to further deconditioning and disability, placing children with arthritis at risk for poor health outcomes. Recent studies suggest that exercise therapy is safe and does not worsen arthritis. Exercise therapy may improve function, quality of life, and physical fitness. However, little is known about the exercise prescription that is most effective to improve clinical outcomes in children with arthritis. This article reviews the current literature on physical activity, physical fitness, and exercise therapy in children with juvenile idiopathic arthritis.
儿童关节炎可与体力活动水平低和身体适应性差相关。患有关节炎的儿童可能有氧适能和无氧适能下降、肌肉无力、骨量低和骨强度低。体力活动和运动能力欠佳可能导致进一步的身体适应性下降和残疾，使关节炎患儿面临不良健康结局的风险。最近的研究表明，运动疗法是安全的，不会使关节炎恶化。运动疗法可能改善功能、生活质量和身体适应性。然而，对于最有效的运动处方以改善关节炎患儿的临床结局，我们知之甚少。本文综述了关于青少年特发性关节炎患儿的体力活动、身体适应性和运动疗法的现有文献。
