与对照组相比，幼年特发性关节炎患儿及青少年的体力活动评估
Physical activity assessment in children and adolescents with juvenile idiopathic arthritis compared with controls.
作者信息
Fazaa Alia, Sellami Meriem, Ouenniche Kmar, Miladi Saousen, Kassab Selma, Chekili Selma, Ben Abdelghani Kaouther, Laatar Ahmed
机构信息
Rheumatology Department, Mongi Slim Hospital, 2046 La Marsa, Tunisia.
Rheumatology Department, Mongi Slim Hospital, 2046 La Marsa, Tunisia.
出版信息
Arch Pediatr. 2021 Jan;28(1):47-52. doi: 10.1016/j.arcped.2020.10.008. Epub 2020 Nov 26.
OBJECTIVE
We aimed to assess physical activity (PA) in children with juvenile idiopathic arthritis (JIA) compared with healthy peers and to determine factors influencing PA level.
METHODS
This was a cross-sectional study of the measured level of PA in children with JIA, compared with age- and gender-matched healthy schoolchildren. PA was estimated using a physical activity questionnaire for children and for adolescents (cPAQ/aPAQ). Disease activity was evaluated with the Juvenile Arthritis Disease Activity Score (JADAS). Functional ability was assessed with the Childhood Health Assessment Questionnaire (CHAQ).
RESULTS
A total of 55 children with JIA and 55 healthy control schoolchildren were included. Children with JIA had significantly lower levels of PA compared with their healthy peers as assessed with the cPAQ/aPAQ (P=0.0121). In total, 76% of the JIA group spent the day sleeping and sitting, which was significantly higher compared with the reference group (P=0.001 and P=0.055, respectively). Low PA level was associated with systemic JIA (P=0.002, OR=2.123), polyarticular JIA with positive rheumatoid factor (P=0.001, OR=2.014), JADAS-27≥6 (P=0.001, OR=2.524), patients undergoing treatment (P=0.001, OR=1.271), and higher CHAQ (P=0.002, OR=2.461).
CONCLUSION
Children with JIA were less physically active than their healthy peers and less active than recommended for general health.
目的
我们旨在评估幼年特发性关节炎（JIA）患儿与健康同龄人相比的身体活动（PA）情况，并确定影响PA水平的因素。
方法
这是一项横断面研究，对JIA患儿的PA测量水平与年龄和性别匹配的健康学童进行比较。使用儿童和青少年身体活动问卷（cPAQ/aPAQ）评估PA。用幼年关节炎疾病活动评分（JADAS）评估疾病活动度。用儿童健康评估问卷（CHAQ）评估功能能力。
结果
共纳入55例JIA患儿和55名健康对照学童。用cPAQ/aPAQ评估发现，JIA患儿的PA水平明显低于其健康同龄人（P = 0.0121）。总体而言，76%的JIA组患儿整天睡觉和坐着，这分别与参照组相比显著更高（P = 0.001和P = 0.055）。低PA水平与全身型JIA相关（P = 0.002，OR = 2.123）、类风湿因子阳性的多关节型JIA相关（P = 0.001，OR = 2.014）、JADAS - 27≥6相关（P = 0.001，OR = 2.524）、正在接受治疗的患者相关（P = 0.001，OR = 1.271）以及CHAQ评分较高相关（P = 0.002，OR = 2.461）。
结论
JIA患儿的身体活动比其健康同龄人少，且低于一般健康建议的活动量。
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