Children Treated for Severe Acute Malnutrition Experience a Rapid Increase in Physical Activity a Few Days after Admission.

Objective: To assess physical activity at admission and during recovery from severe acute malnutrition. Study design: Ethiopian children who were admitted with severe acute malnutrition received a clinical examination each week to monitor their recovery during rehabilitation. Using accelerometry (24 h/d for 5 consecutive days) at admission and again after 10 days of rehabilitation, we assessed the level and changes of physical activity. Results: Among 13 children included, the mean (SD) age was 31.1 months (15.5). At baseline, the day-night activity difference was relatively small, whereas the level of activity had substantially increased at follow-up. The diurnal mean acceleration level was significantly greater at follow-up for wrist (1158.8 vs 541.4 counts per minute, P = .003) but not hip movements (204.1 vs 141.5, P = .261). During daytime (6 a.m. to 10 p.m.), hip activity increased by 38% from baseline to follow-up (e^B 1.38, 95% CI 1.17-1.62), and wrist activity more than doubled (e^B 2.50, 95% CI 2.17-2.87). Conclusion: The level of physical activity among children with severe acute malnutrition is very low but increases rapidly during recovery. Accelerometry may be a useful approach in the recovery phase as an indicator of early improvement. [Copyright &y& Elsevier]