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脑瘫学龄儿童身体活动随年龄下降情况:一项单中心横断面观察性研究

The Decline of Physical Activity with Age in School-Aged Children with Cerebral Palsy: A Single-Center Cross-Sectional Observational Study.

作者信息

Lee Jinuk, Suk Min-Hwa, Yoo Soojin, Kwon Jeong-Yi

机构信息

Department of Physical & Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Republic of Korea.

Department of Physical Education, Hanyang University, Seoul 04763, Republic of Korea.

出版信息

J Clin Med. 2023 Jul 7;12(13):4548. doi: 10.3390/jcm12134548.

Abstract

Maintaining physical activity is important for children with cerebral palsy (CP). This study examined whether age predicted habitual physical activity (HPA) or cardiorespiratory fitness (CRF) in school-aged children with CP and clarified the relationship between HPA and CRF. We utilized cross-sectional data from 39 children with CP (18 girls and 21 boys; mean age 7.44 years; mean body weight 24.76 kg; mean body mass index 15.97 kg/m; hemiplegic or diplegic CP). The participants wore an accelerometer (ActiGraph) for five days to measure HPA, physical activity energy expenditure (kcal/kg/d), sedentary physical activity (%SPA), light physical activity, moderate-to-vigorous physical activity (%MVPA), and activity counts (counts/min). Participants underwent cardiopulmonary exercise tests on a treadmill using a modified Naughton protocol. Linear regression and correlation analyses were performed. -value (two-tailed) < 0.05 was considered statistically significant. Age was positively associated with SPA. MVPA negatively correlated with resting heart rate (HR), and activity counts were negatively correlated with resting HR. In conclusion, our study found strong evidence of a negative association between HPA and age in school-aged children with CP. It highlights the importance of creating and improving recreational opportunities that promote physical activity in all children with CP, regardless of whether they are considered therapeutic.

摘要

保持身体活动对脑瘫(CP)儿童很重要。本研究调查了年龄是否可预测学龄期脑瘫儿童的习惯性身体活动(HPA)或心肺适能(CRF),并阐明了HPA与CRF之间的关系。我们使用了39名脑瘫儿童(18名女孩和21名男孩;平均年龄7.44岁;平均体重24.76千克;平均体重指数15.97千克/米²;偏瘫或双瘫型脑瘫)的横断面数据。参与者佩戴加速度计(ActiGraph)五天,以测量HPA、身体活动能量消耗(千卡/千克/天)、久坐身体活动(%SPA)、轻度身体活动、中度至剧烈身体活动(%MVPA)和活动计数(计数/分钟)。参与者使用改良的诺顿方案在跑步机上进行心肺运动测试。进行了线性回归和相关性分析。P值(双侧)<0.05被认为具有统计学意义。年龄与SPA呈正相关。MVPA与静息心率(HR)呈负相关,活动计数与静息HR呈负相关。总之,我们的研究发现有力证据表明,学龄期脑瘫儿童的HPA与年龄之间存在负相关。它强调了为所有脑瘫儿童创造和改善促进身体活动的娱乐机会的重要性,无论这些活动是否被视为治疗性活动。

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