Hung Stanley H, Rankin Anne, Virji-Babul Naznin, Pritchard Sheila, Fryer Christopher, Campbell Kristin L
Department of Physical Therapy, University of British Columbia.
British Columbia Children's Hospital, Vancouver.
Physiother Can. 2017;69(1):57-64. doi: 10.3138/ptc.2015-67LHC.
This cross-sectional, observational study investigated whether physical activity (PA) levels are associated with motor performance and physical function in children after treatment for acute lymphoblastic leukemia (ALL). Participants aged 8-13 years who had completed treatment for ALL (3-36 months post-treatment) were tested at their oncology long-term follow-up appointment at the British Columbia Children's Hospital. PA level was measured using the Physical Activity Questionnaire for Older Children (PAQ-C). Motor performance was measured using the Bruininks-Oseretsky Test of Motor Proficiency, Second Edition, Short Form (BOT-2 SF), and physical function was measured using the 6-minute walk test (6MWT). Thirteen children completed testing. PAQ-C scores were not associated with BOT-2 SF or 6MWT performance. Eleven children (85%) performed below the norm for the 6MWT. Children with elevated body mass index had poorer 6MWT but similar PAQ-C scores. PA was not found to be associated with motor performance and physical function. Participants who were overweight or obese had poorer 6MWT performance, which may indicate the need for closer monitoring of post-treatment weight status and physical function in the oncology follow-up setting.
这项横断面观察性研究调查了急性淋巴细胞白血病(ALL)患儿治疗后身体活动(PA)水平是否与运动表现及身体功能相关。在英属哥伦比亚儿童医院接受肿瘤长期随访预约时,对8至13岁且已完成ALL治疗(治疗后3至36个月)的参与者进行了测试。使用《大龄儿童身体活动问卷》(PAQ-C)测量PA水平。使用布鲁因inks-奥塞雷茨基运动熟练度测试第二版简版(BOT-2 SF)测量运动表现,使用6分钟步行试验(6MWT)测量身体功能。13名儿童完成了测试。PAQ-C得分与BOT-2 SF或6MWT表现无关。11名儿童(85%)的6MWT表现低于正常水平。体重指数升高的儿童6MWT表现较差,但PAQ-C得分相似。未发现PA与运动表现及身体功能相关。超重或肥胖的参与者6MWT表现较差,这可能表明在肿瘤随访环境中需要更密切地监测治疗后的体重状况和身体功能。