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Physical Activity Levels and Adiposity in Ambulant Children and Adolescents With Cerebral Palsy Compared With Their Typically Developing Peers.
- Source :
- Pediatric Exercise Science; Nov2023, Vol. 35 Issue 4, p225-231, 7p
- Publication Year :
- 2023
-
Abstract
- Purpose: This study assessed physical activity (PA) and body composition of ambulatory children and adolescents with cerebral palsy (CP) and their typically developing peers. Methods: Participants included youth with CP (ages 8–18 y and Gross Motor Function Classification System [GMFCS] levels I–III) and their typically developing peers. Outcomes included PA (actigraphy) and fat/lean mass index (FMI/LMI; dual-energy X-ray absorptiometry). Statistical analyses included linear mixed effects models with Bonferroni adjustment. Fixed effects were study group (CP and typically developing); random effects were participant clusters (sex and age). Exploratory analyses included association of body composition and PA, GMFCS level, and CP involvement (unilateral and bilateral). Results: Seventy-eight participants (CP: n = 40, girls: n = 29; GMFCS I: n = 20; GMFCS II: n = 14; GMFCS III: n = 6) met inclusion criteria. Individuals with CP had lower moderate to vigorous PA (MVPA; β = −12.5; 98.3% confidence interval, −22.6 to −2.5 min; P =.004) and lower LMI (β = −1.1; 97.5% confidence interval, −2.1 to −0.0 kg/m<superscript>2</superscript>; P =.020). Exploratory analyses indicated increased LMI with greater MVPA (P =.001), reduced MVPA for GMFCS II (P =.005) and III (P =.001), increased sedentary time for GMFCS III (P =.006), and greater fat mass index with unilateral motor impairment (P =.026). Conclusions: The findings contribute to the knowledge base of increasing MVPA and LMI deficits with the greater functional impact of CP. Associations of increasing LMI with greater MVPA support efforts targeting enhanced PA participation to promote independent mobility. [ABSTRACT FROM AUTHOR]
- Subjects :
- STATISTICS
SEDENTARY lifestyles
PHOTON absorptiometry
CONFIDENCE intervals
CROSS-sectional method
LEAN body mass
CHILDREN with cerebral palsy
ACTIGRAPHY
CHILDREN with disabilities
PHYSICAL activity
COMPARATIVE studies
WALKING
DESCRIPTIVE statistics
RESEARCH funding
CEREBRAL palsy
STATISTICAL models
DATA analysis
ADIPOSE tissues
MOTOR ability
Subjects
Details
- Language :
- English
- ISSN :
- 08998493
- Volume :
- 35
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- Pediatric Exercise Science
- Publication Type :
- Academic Journal
- Accession number :
- 173231048
- Full Text :
- https://doi.org/10.1123/pes.2022-0064