Reduced Moderate-to-Vigorous Physical Activity and Increased Sedentary Behavior Are Associated With Elevated Blood Pressure Values in Children With Cerebral Palsy

Abstract

Despite the relatively low prevalence of overweight/obesity, a relatively high proportion of children with CP had elevated BP values. Reducing sedentary behavior and increasing habitual physical activity, particularly vigorous activity, should be primary aims of rehabilitation in order to reduce cardiometabolic disease risk in this population.

Greater Adipose Tissue Distribution and Diminished Spinal Musculoskeletal Density in Adults With Cerebral Palsy

“…38 Thus, considering the highly sedentary lifestyles of most patients with CP, 14,15,39 these current findings provide strong support that this population is at increased risk for accelerated morphologic aging and cardiometabolic abnormalities. Perhaps just as importantly, whereas standard BMI cutoffs are known to have excellent specificity to screen for adiposity in adults with functional or mobility impairments, it lacks the sensitivity to detect excessive adiposity in non-obese persons.…”

The risk, burden, and management of non‐communicable diseases in cerebral palsy: a scoping review

“…The prevalence of hypertensive blood pressure values among adults with CP was 20.0% in Ireland, 82 25.5% in the Netherlands, 83 and 30.0% in the USA. 85 Only three studies provided comparative values in the general population; one reported that the prevalence of hypertension was lower among adults with CP 83 and two reported that it was higher. 85 Only three studies provided comparative values in the general population; one reported that the prevalence of hypertension was lower among adults with CP 83 and two reported that it was higher.…”

“…84 The prevalence of prehypertension and hypertension was 50% among adults with CP in the USA 44 and 10.5% among children with CP in Ireland. 84,85 Four studies reported the prevalence of hyperlipidaemia among adults with CP, but only one compared the prevalence with the general population. 84,85 Four studies reported the prevalence of hyperlipidaemia among adults with CP, but only one compared the prevalence with the general population.…”

“…44,[82][83][84] Adults with CP had a lower prevalence of hyperlipidaemia compared with the general population. 85,[89][90][91][92][93][94][95][96][97] There was large variation in the prevalence of obesity reported (7.3%-41.4% in adults and 3.3%-18.2% in children). 82,83 Seventeen studies conducted in 13 countries reported the prevalence of overweight and obesity according to BMI among people with CP.…”

Effects of a Group-Based Treadmill Program on Children With Neurodevelopmental Impairment Who Are Not Yet Ambulating

“…16 Furthermore, the benefits of walking for obesity prevention and positive effects on the cardiopulmonary system cannot be undervalued. [17][18][19] Finally, the vast majority of parents of young children with developmental disability rate the achievement of walking as the primary goal for their child. 20 When considering these factors, the current delivery of weekly PT services should be amended by innovative, parent-friendly, ancillary, evidence-based programs that can provide a more appropriate dosage of walking training during critical developmental stages in young children.…”