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一项针对囊性纤维化儿童的量身定制的居家锻炼计划“儿童运动”的效果:一项准实验研究。

Effects of a Tailored Home-Based Exercise Program, "KidMove", on Children with Cystic Fibrosis: A Quasi-Experimental Study.

作者信息

Gagulic Sandra, Bártolo Ana, Marques Alda

机构信息

Research Center on Physical Activity, Health and Leisure (CIAFEL), Faculty of Sport, University of Porto, 4200-465 Porto, Portugal.

Insight: Piaget Research Center for Ecological Human Development, Instituto Piaget-ESS/Piaget, 3515-776 Viseu, Portugal.

出版信息

Healthcare (Basel). 2024 Dec 24;13(1):4. doi: 10.3390/healthcare13010004.

Abstract

Exercise for children with cystic fibrosis leads to well-known health benefits. However, maintaining regular activity is challenging due to the daily demands of academics, clinical care, and family tasks. Home-based exercise programs offer a more adaptable alternative, fitting into family schedules. This study evaluated the effectiveness of the "KidMove" program, a parent-supervised, tailored, home exercise regimen. A quasi-experimental study was conducted with an intervention group (IG) and a wait-list control group (CG). The "KidMove" program lasted 12 weeks and included 35 exercises targeting endurance, resistance, flexibility, and neuromotor training. The primary outcome, endurance, was measured with the Modified Shuttle Walking Test, while secondary outcomes included body composition, resistance, flexibility, postural control, respiratory function, and health-related quality of life. Data were collected at baseline and post-intervention. A per-protocol analysis was conducted with generalized estimating equations (GEEs). Forty-six children aged 10 ± 4 years (6 to 18 years), mostly male (n = 24; 52.2%), participated. Significant improvements were observed in the Modified Shuttle Walking Test [Wald χ = 14.24, < 0.001], postural control [Wald χ = 3.89, = 0.048], knee flexibility [Wald χ = 5.58, = 0.018], and emotional functioning [Wald χ = 9.34, = 0.002] categories. The "KidMove" program offers a practical, family friendly alternative to center-based exercise by empowering parents to support their children's physical activity at home, endurance, flexibility, and emotional well-being, while reducing the logistical challenges.

摘要

对患有囊性纤维化的儿童来说,锻炼会带来诸多众所周知的健康益处。然而,由于学业、临床护理和家庭事务的日常需求,保持规律运动颇具挑战。居家锻炼计划提供了一种更具适应性的选择,能融入家庭日程安排。本研究评估了“儿童运动”计划的有效性,这是一项由家长监督、量身定制的居家锻炼方案。研究采用了准实验设计,设有干预组(IG)和等待名单对照组(CG)。“儿童运动”计划为期12周,包括35项针对耐力、阻力、灵活性和神经运动训练的练习。主要结果指标——耐力,通过改良往返步行测试来衡量,次要结果指标包括身体成分、阻力、灵活性、姿势控制、呼吸功能以及与健康相关的生活质量。在基线和干预后收集数据。使用广义估计方程(GEEs)进行符合方案分析。46名年龄为10±4岁(6至18岁)的儿童参与了研究,其中大多数为男性(n = 24;52.2%)。在改良往返步行测试[Wald χ = 14.24,P < 0.001]、姿势控制[Wald χ = 3.89,P = 0.048]、膝关节灵活性[Wald χ = 5.58,P = 0.018]和情绪功能[Wald χ = 9.34,P = 0.002]等方面观察到了显著改善。“儿童运动”计划提供了一种实用、家庭友好型的替代方案,以取代基于中心的锻炼方式,它使家长有能力在家中支持孩子的体育活动,提升耐力、灵活性和情绪健康,同时减少了后勤方面的挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3295/11719582/829fcaa14f14/healthcare-13-00004-g001.jpg

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