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Reduced physical activity level and cardiorespiratory fitness in children with chronic diseases

Maggio, Albane ; Hofer, Michaël ; Martin, Xavier ; Marchand, Laetitia ; Beghetti, Maurice ; Farpour-Lambert, Nathalie

In: European Journal of Pediatrics, 2010, vol. 169, no. 10, p. 1187-1193

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    Titre
    • Reduced physical activity level and cardiorespiratory fitness in children with chronic diseases
    Auteur
    • Maggio, Albane. Paediatric Cardiology Unit, Department of Child and Adolescent, University Hospitals of Geneva, 6, rue Willy-Donzé, 1211, Geneva 14, Switzerland
    • Hofer, Michaël. Multisite Centre for Paediatric Rheumatology, University Hospitals of Geneva, 1211, Geneva, Switzerland
    • Martin, Xavier. Paediatric Cardiology Unit, Department of Child and Adolescent, University Hospitals of Geneva, 6, rue Willy-Donzé, 1211, Geneva 14, Switzerland
    • Marchand, Laetitia. Paediatric Cardiology Unit, Department of Child and Adolescent, University Hospitals of Geneva, 6, rue Willy-Donzé, 1211, Geneva 14, Switzerland
    • Beghetti, Maurice. Paediatric Cardiology Unit, Department of Child and Adolescent, University Hospitals of Geneva, 6, rue Willy-Donzé, 1211, Geneva 14, Switzerland
    • Farpour-Lambert, Nathalie. Paediatric Cardiology Unit, Department of Child and Adolescent, University Hospitals of Geneva, 6, rue Willy-Donzé, 1211, Geneva 14, Switzerland
    Type de document
    • Postprint
    Langue
    • Anglais
    Publié dans
    • European Journal of Pediatrics, 2010, vol. 169, no. 10, p. 1187-1193. Springer-Verlag
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:314306
    Summary
    We aimed to compare physical activity level and cardiorespiratory fitness in children with different chronic diseases, such as type 1 diabetes mellitus (T1DM), obesity (OB) and juvenile idiopathic arthritis (JIA), with healthy controls (HC). We performed a cross-sectional study including 209 children: OB: n = 45, T1DM: n = 48, JIA: n = 31, and HC: n = 85. Physical activity level was assessed by accelerometer and cardiorespiratory fitness by a treadmill test. ANOVA, linear regressions and Pearson correlations were used. Children with chronic diseases had reduced total daily physical activity counts (T1DM 497 ± 54cpm, p = 0.003; JIA 518 ± 28, p < 0.001, OB 590 ± 25, p = 0.003) and cardiorespiratory fitness (JIA 39.3 ± 1.7, p = 0.001, OB 41.7 ± 1.2, p = 0.020) compared to HC (668 ± 35cpm; 45.3 ± 0.9mlkg−1 min−1, respectively). Only 60.4% of HC, 51.6% of OB, 38.1% of JIA and 38.5% of T1DM children met the recommended daily 60min of moderate-to-vigorous physical activity. Low cardiorespiratory fitness was associated with female gender and low daily PA. Conclusion: Children with chronic diseases had reduced physical activity and cardiorespiratory fitness. As the benefits of PA on health have been well demonstrated during growth, it should be encouraged in those children to prevent a reduction of cardiorespiratory fitness and the development of comorbidities