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Pediatric Rheumatology
Published in: Pediatric Rheumatology 1/2016

Open Access 01-12-2016 | Research article

Physical activity in children with Juvenile Idiopathic Arthritis compared to controls

Authors: G. J. F. Joyce Bos, Otto T. H. M. Lelieveld, Wineke Armbrust, Pieter J. J. Sauer, Jan H. B. Geertzen, Pieter U. Dijkstra

Published in: Pediatric Rheumatology | Issue 1/2016

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Abstract

Background

To compare physical activity (PA) in children with juvenile idiopathic arthritis (JIA) with controls and to analyse the effect of disease specific factors on PA in children with JIA treated according to current treatment regimes.

Methods

PA was measured with a 7-day activity diary and expressed as physical activity level (PAL). Moderate to vigorous physical activity (MVPA) (hours/day) and sedentary time (hours/day) was determined. In children with JIA, medication, the number of swollen and/or painful joints, disease activity, functional ability, pain and well-being was determined. Multivariate regression analysis was performed to analyze differences in PA between JIA and controls, adjusted for influences of age, gender, season, Body Mass Index (BMI) and to analyze predictors of PA in JIA patients.

Results

Seventy-six children with JIA (26 boys and 50 girls, mean ± SD age 10.0 ± 1.4 years) and 131 controls (49 boys and 82 girls, mean ± SD age 10.4 ± 1.2 years) participated in this study. Children with JIA had a significantly lower PAL (0.10, p = 0.01) corrected for age, BMI, gender and season. They spent less time in MVPA (0.41 h/day, p = 0.06) and had a significantly higher mean time spent in sedentary activities (0.59 h/day, p 0.02) compared to controls. The activity level of children with JIA was related to age, gender, season, feeling of well-being and pain.

Conclusion

Children with JIA have a lower PAL, spent less time in MVPA and spent more time on sedentary activities compared to controls despite current medical treatment and PA encouragement.

Trial registration

Data of the children with JIA are from the Rheumates@work study ISRCTN92733069.
Appendix
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Metadata
Title
Physical activity in children with Juvenile Idiopathic Arthritis compared to controls
Authors
G. J. F. Joyce Bos
Otto T. H. M. Lelieveld
Wineke Armbrust
Pieter J. J. Sauer
Jan H. B. Geertzen
Pieter U. Dijkstra
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Pediatric Rheumatology / Issue 1/2016
Electronic ISSN: 1546-0096
DOI
https://doi.org/10.1186/s12969-016-0102-8

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