小儿烧伤后的身体活动与久坐行为——一项使用客观活动监测的初步调查
Physical activity and sedentary behavior following pediatric burns - a preliminary investigation using objective activity monitoring.
作者信息
Akkerman Moniek, Mouton Leonora J, Disseldorp Laurien M, Niemeijer Anuschka S, van Brussel Marco, van der Woude Lucas H V, Nieuwenhuis Marianne K
机构信息
1Association of Dutch Burn Centres, Burn Centre Martini Hospital, Groningen, The Netherlands.
University of Groningen, University Medical Center Groningen, Center for Human Movement Sciences, Groningen, The Netherlands.
出版信息
BMC Sports Sci Med Rehabil. 2018 Feb 9;10:4. doi: 10.1186/s13102-018-0093-5. eCollection 2018.
BACKGROUND
Adequate levels of regular physical activity (PA) are crucial for health and well-being. Pediatric burn injuries can have major physiological consequences in both the short and long term. The question is whether these consequences affect post burn PA levels. This study therefore aimed to describe PA and sedentary behavior (SB) in children and adolescents 1-5 years after burn injury.
METHODS
Daily PA and SB were monitored in 20 children and adolescents (12 boys and 8 girls, aged 6-17 years, with burns covering 10-37% of total body surface area, 1-5 years post burn) for 1 week using the ActiGraph GTX3+ accelerometer. Activity counts were categorized into SB, light PA, moderate PA, vigorous PA, moderate-to-vigorous PA (MVPA), and total PA. Outcomes were compared with non-burned reference values and PA levels recommended by the World Health Organization (WHO).
RESULTS
The participants spent about 5.1 h per day on total PA and 7.4 h on SB. Most of the active time (~ 83%) was categorized as light PA. Thirty-five percent of the group, especially the young boys, spent on average ≥ 60 min on MVPA per day. The boys, although with large interindividual differences, spent more time on MVPA than the girls ( < .005). Older age was associated with less PA time, while more time was spent sedentary. No trends were found indicating an effect of burn characteristics, time post burn, or length of hospital stay, and no differences were found with non-burned peers.
CONCLUSION
Duration and intensity of PA and SB in children and adolescents 1-5 years after burn injury were similar to non-burned peers. However, only 35% of the group met the WHO physical activity recommendation. Given the increased long term risk for physical conditions following pediatric burns, physical activity should be encouraged in this vulnerable population.
TRIAL REGISTRATION
The study is registered in the National Academic Research and Collaborations Information System of the Netherlands (OND1348800).
背景
充足的规律体育活动（PA）对健康和幸福至关重要。小儿烧伤在短期和长期都可能产生重大生理后果。问题在于这些后果是否会影响烧伤后的PA水平。因此，本研究旨在描述烧伤后1至5年儿童和青少年的PA及久坐行为（SB）情况。
方法
使用ActiGraph GTX3 +加速度计对20名儿童和青少年（12名男孩和8名女孩，年龄6至17岁，烧伤面积占全身表面积的10 - 37%，烧伤后1至5年）的每日PA和SB进行为期1周的监测。活动计数分为SB、轻度PA、中度PA、剧烈PA、中度至剧烈PA（MVPA）和总PA。将结果与未烧伤的参考值以及世界卫生组织（WHO）推荐的PA水平进行比较。
结果
参与者每天花在总PA上的时间约为5.1小时，花在SB上的时间为7.4小时。大部分活动时间（约83%）被归类为轻度PA。该组35%的人，尤其是年轻男孩，每天平均花在MVPA上的时间≥60分钟。男孩们虽然个体差异较大，但花在MVPA上的时间比女孩多（P <.005）。年龄较大与PA时间较少相关，而久坐时间较多。未发现烧伤特征、烧伤后时间或住院时间有影响的趋势，且与未烧伤的同龄人无差异。
结论
烧伤后1至5年儿童和青少年的PA和SB的持续时间及强度与未烧伤的同龄人相似。然而，该组中只有35%的人达到了WHO的体育活动建议。鉴于小儿烧伤后长期身体状况风险增加，应鼓励这一弱势群体进行体育活动。
试验注册
该研究已在荷兰国家学术研究与合作信息系统（OND1348800）注册。
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