青少年慢性病或身体残疾者的运动参与、身体活动与健康相关体能：适应青少年体育研究中的健康问题。
Sports Participation, Physical Activity, and Health-Related Fitness in Youth With Chronic Diseases or Physical Disabilities: The Health in Adapted Youth Sports Study.
机构信息
Research Group Lifestyle and Health, Institute of Human Movement Studies, University of Applied Sciences, Utrecht, the Netherlands.
Department of Rehabilitation, Physical Therapy Science and Sports, Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, the Netherlands.
出版信息
J Strength Cond Res. 2021 Aug 1;35(8):2327-2337. doi: 10.1519/JSC.0000000000003098.
Lankhorst, K, Takken, T, Zwinkels, M, van Gaalen, L, Velde, St, Backx, F, Verschuren, O, Wittink, H, and de Groot, J. Sports participation, physical activity, and health-related fitness in youth with chronic diseases or physical disabilities: the health in adapted youth sports study. J Strength Cond Res 35(8): 2327-2337, 2021-Youth with chronic diseases or physical disabilities (CDPD) often show reduced fitness and physical activity (PA) levels and participate less in organized sports compared with healthy peers. The purpose of this study was to examine the associations between participation in sports and health-related fitness and PA in youth with CDPD. A total of 163 subjects (mean age 14 years; range 8-19 years) with CDPD were included in this cross-sectional study, with 81 participating in organized sports and 82 not. Subjects were recruited between October 2014 and November 2016. Aerobic and anaerobic fitness, agility, and muscle strength were assessed in the laboratory, whereas PA was monitored in daily life using accelerometry during 1 week. Linear regression analyses were used to assess the associations of sports participation (independent variable) with health-related fitness and PA (dependent variables). Results show that youth with CDPD participating in organized sports 2 times a week performed better on all outcome measures. They reached a higher peak oxygen uptake (difference of 4.9 ml O2·kg-1·min-1, P = 0.001) compared with their peers not participating in sports. Also, anaerobic fitness, agility, muscle strength, and PA were all positively associated with sports participation. Moreover, the association between sports participation and aerobic fitness was mediated by PA for 31% (P = 0.045). In conclusion, participation in sports is associated with both higher levels of PA and health-related fitness in youth with CDPD. Promotion and stimulation of participation in sports seems a good way to promote health-related fitness as well as a healthy active lifestyle in youth with CDPD.
兰霍斯特、K、塔肯、T、兹温克斯、M、范加伦、L、费尔德、St、巴克克斯、F、弗瑟伦、O、维廷克、H 和德格鲁特、J. 患有慢性疾病或身体残疾的青年参与运动、身体活动和与健康相关的体能：适应青年运动研究中的健康。J 力量与调节研究 35(8)：2327-2337，2021 年-患有慢性疾病或身体残疾 (CDPD) 的年轻人通常表现出体能和身体活动 (PA) 水平降低，与健康同龄人相比，他们参与组织运动的程度较低。本研究的目的是研究患有 CPDP 的年轻人参与运动与与健康相关的体能和 PA 之间的关联。共有 163 名 CPDP 受试者（平均年龄 14 岁；范围 8-19 岁）参与了这项横断面研究，其中 81 人参加了有组织的运动，82 人没有参加。受试者于 2014 年 10 月至 2016 年 11 月期间招募。在实验室中评估有氧和无氧体能、敏捷性和肌肉力量，而在日常生活中使用加速度计监测 1 周的 PA。线性回归分析用于评估运动参与（自变量）与与健康相关的体能和 PA（因变量）的关联。结果表明，每周参加 2 次有组织运动的 CPDP 青少年在所有结果测量中表现更好。与不参加运动的同龄人相比，他们的峰值摄氧量更高（差值为 4.9 ml O2·kg-1·min-1，P = 0.001）。此外，无氧体能、敏捷性、肌肉力量和 PA 均与运动参与呈正相关。此外，运动参与与有氧体能之间的关联被 PA 部分介导（P = 0.045）。结论是，参与运动与 CPDP 青少年的 PA 和与健康相关的体能均呈正相关。促进和鼓励参与运动似乎是促进 CPDP 青少年与健康相关的体能以及健康积极生活方式的好方法。
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