Department of Pediatrics, McMaster University and McMaster Children's Hospital, Hamilton, Ontario, Canada.
Pediatr Neurol. 2013 Nov;49(5):370-3. doi: 10.1016/j.pediatrneurol.2013.06.002. Epub 2013 Aug 2.
Children and youth with epilepsy have lower rates of self-reported and parent-reported physical activity as well as quality of life when compared with their peers. Increased physical activity may be associated with improved health and quality of life in children and youth with epilepsy through biopsychosocial mechanisms; however, supportive evidence is lacking.
This pilot study aims to determine the feasibility of pedometer use-an objective method-to assess daily steps and ability to complete quality of life-related questionnaires in children and youth with epilepsy. Feasibility was determined by percentage of study completion and participant enjoyment of physical activity in the form of walking as determined by the Childhood Self Adequacy and Predilection in Physical Activity. Secondary measures included the KidScreen 27 Quality of Life questionnaire, Childhood Depression Index, Body Mass Index, Harter's Self Perception Scale, and Parental Stress Index.
Eight of 12 eligible participants completed the study. Step counts ranged from 266 to 17,220 steps per day. Seven participants found physical activity enjoyable regardless of step count, suggesting they would be amenable to participate in a future physical activity program.
与同龄人相比，患有癫痫的儿童和青少年自我报告和家长报告的身体活动水平以及生活质量较低。通过生物心理社会机制，增加身体活动可能与改善癫痫儿童和青少年的健康和生活质量相关；然而，缺乏支持性证据。
本试点研究旨在确定计步器使用的可行性-一种评估儿童和青少年日常步数并完成与生活质量相关问卷的客观方法。通过研究完成的百分比和参与者对步行的身体活动的享受程度（由儿童自我效能感和身体活动偏好量表确定）来确定可行性。次要措施包括儿童生活质量问卷 27 项、儿童抑郁指数、体重指数、哈特自我感知量表和父母压力指数。
12 名符合条件的参与者中有 8 人完成了研究。每天的步数从 266 步到 17220 步不等。无论步数多少，有 7 名参与者都觉得身体活动很愉快，这表明他们很愿意参加未来的身体活动计划。
