Daily physical activity of schoolchildren with spastic diplegia and of healthy control subjects

Berg-Emons, H.J.G. van den; Saris, Wim H. M.; Barbanson, D.C. de; Westerterp, K.R.; Huson, A.; Baak, Marleen A. van

doi:10.1016/s0022-3476(95)70115-x

Cited by 133 publications

(79 citation statements)

References 22 publications

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“…Studies in humans, including children of patients with type II diabetes and animal models selectively bred for low aerobic capacity, support the notion that impaired genetic regulation of oxidative pathways in mitochondria may be a common factor linking reduced energy transfer as a primary determinant of the complex features of metabolic syndrome [34,35]. In addition, several recent findings have emphasized the role of mitochondrial dysfunction in many neurological disorders with oxidative mechanisms of injury such as the hypoxic-ischemic injury mechanism to developing oligodendrocytes proposed for some forms of cerebral palsy [36][37][38]. This plausible association between low mitochondrial oxidative capacity and high oxygen cost of physical activity in individuals with CP has not been tested, but, if true, it could suggest a common mechanism for lower aerobic capacity accompanied by increased adiposity in this population.…”

Section: Discussionmentioning

confidence: 60%

Prevalance of Obesity in Children with Cerebral Palsy

Bansal

Diwan

et al. 2014

JCDR

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Introduction:Obesity are epidemic among children and adolescents. There is worldwide tendency of increasing prevalence of obesity in children. Cerebral palsy (CP) is leading cause of childhood disability.studies have proposed mechanism of children with disability leading towards obesity and related health risks. So this study is aimed at determining whether such trend of obesity exists in children with CP in terms of BMI and WHR.Study Design: Cross -sectional study. Materials and Methods:Participants: 40 children diagnosed as CP age 2-18 years, GMFCS I-IV.Procedure: BMI; kg/m 2 was calculated from height and weight. WHR was calculated by measuring waist circumference and hip circumference. BMI percentiles were reported according to sexspecific age group standards for growth set by the WHO growth charts.Results: Out of total CP subjects 40% were found to be underweight, 45%, 7.5% and 7.5% were found to be normal, overweight and obese respectively according to BMI. Whereas 20%, 20% 60% were found to be at high risk, moderate risk and high risk of obesity respectively according to WHR. Conclusion:In our patient population, analysis of BMI and WHR suggests that children with CP have a high rate of overweight and are at risk of overweight, particularly of central obesity.

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Section: Discussionmentioning

confidence: 60%

Prevalance of Obesity in Children with Cerebral Palsy

Bansal

Diwan

et al. 2014

JCDR

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“…Similarly, children with a low degree of involvement have a lower rate of neuromuscular disorder arising from spasticity and decreased motor control which affect functional activities in daily life compared to children with a moderate and high degree of involvement (5)(6)(7)(8). However, they have less energy consumption, limited participation in physical activities and sportive activities compatible with their age compared to their healthy peers (5,9). Thus, the risk of obesity is increased in these children who are more immobile compared to healthy children.…”

Section: Introductionmentioning

confidence: 99%

Examination of the relation between body mass index, functional level and health-related quality of life in children with cerebral palsy

Şimşek¹,

Tuç²

2014

Turk Arch Ped

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Aim: The aim of this study was to examine the relation between body mass index (BMI) and functional level and health-related quality of life in children with cerebral palsy (CP). Material and Methods:Two hundred seventy-eight children with CP aged between 2 and 18 years were included in the study. The sociodemographic properties of the children were recorded. Their functional independence levels were assessed with WeeFIM and their health-related quality of life levels were assessed with the Child Health Questionnaire-Parent Form (PF-50). Approval was obtained from the ethics committee of Abant İzzet Baysal University Medical Faculty for this study (Number: 2008/100-77).Results: When classified by body mass index, 26.3% of the children had a normal body weight, 5.4% were overweight, 11.5% were obese and 56.8% had a low body weight. The rate of low body weight was higher in children with moderate and severe CP (52.7% and 53.8%, respectively), while the rate of obesity was higher in children with mild CP who could walk (7.1%). A significant difference was found in children with CP with a normal body weight, overweight children with CP, obese children with CP and children with CP with a low body weight in terms of the total WeeFIM score and the variables of quality of life including physical functionality and role/social limitations because of physical health (p<0.05). In the correlation analysis, a positive correlation was found between WeeFIM and BMI and the subdimensions of role/social limitations because of emotional or behavioral difficulties, pain and discomfort and self-esteem (p<0.05). Conclusions:Our results showed that BMI affected functional independence and health-related quality of life in children with CP and this was more prominent in children who had severe CP and low BMI values. More studies are needed in this area. (Türk Ped Arş 2014; 49: 130-7)

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“…Aerobic fitness of children or athletes with cerebral palsy has been vigorously investigated by Bar-Or 10) , Fernandez et al 23,24) , Lundberg 25,26) , Maltais et al [27][28][29][30] , van den Berg-Emons et al [31][32][33][34] , and other researchers since the 1960s. These studies were based on work physiology that was mainly established by Åstrand et al 9) .…”

Section: History Of Research On Aerobic Fitness In Individuals With Cmentioning

confidence: 99%

“…This work physiology was originally intended to provide practical information to athletes to improve their performance. Since the 1960s, physiological studies have mostly focused on the wellness of children 3,10,[25][26][27][28][31][32][33][34][35][36][37][38][39][40][41][42][43] or athletes [44][45][46][47][48][49][50][51][52][53][54] with cerebral palsy mainly rated to Gross Motor Function Classification System (GMFCS) level I or II. In the late twentieth century, many new remedies proliferated one after another in an attempt to recover loss of function in children with cerebral palsy.…”

Section: History Of Research On Aerobic Fitness In Individuals With Cmentioning

confidence: 99%

Aerobic fitness and lifestyle with non-exercise physical activity in adults with cerebral palsy

Sato

Suzuki

2018

JPFSM

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This review article explores how to keep individuals with cerebral palsy healthy all their life. Many of these individuals live very sedentary lives, remaining at home after leaving school or completing childhood rehabilitation programs. Aerobic fitness in such individuals is known to decline rapidly in adulthood. Therefore, in order to keep aerobic fitness from falling into decline, the physical activities and aerobic fitness of these individuals must be appropriately and rigorously managed. The authors recently showed the validity of submaximal exercise testing and provided some findings that would contribute to improving aerobic fitness in these individuals. These studies indicate that even NEAT (Non-Exercise Activity Thermogenesis) or brief and frequent daily physical activity, rather than just conventional exercises or sports, could improve aerobic fitness. However, other studies recommend that these individuals engage in exercises or sports that they may not be interested in or that require facilities or occasions that are inaccessible. In conclusion, in addition to a standard exercise regimen, realistic and tangible interventions for daily physical activities need to be made available to individuals with cerebral palsy.

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Daily physical activity of schoolchildren with spastic diplegia and of healthy control subjects

Cited by 133 publications

References 22 publications

Prevalance of Obesity in Children with Cerebral Palsy

Prevalance of Obesity in Children with Cerebral Palsy

Examination of the relation between body mass index, functional level and health-related quality of life in children with cerebral palsy

Aerobic fitness and lifestyle with non-exercise physical activity in adults with cerebral palsy

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