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Associations of sedentary behaviour, physical activity, blood pressure and anthropometric measures with cardiorespiratory fitness in children with cerebral palsy.

Ryan JM, Hensey O, McLoughlin B, Lyons A, Gormley J - PLoS ONE (2015)

Bottom Line: Shuttle run test level was negatively associated with BMI (r2 = -0.451, p<0.01), waist circumference (r2 = -0.560, p<0.001), waist-height ratio (r2 = -0.560, p<0.001) and systolic blood pressure (r2 = -0.306, p<0.05) after adjustment for age, sex and GMFCS level.Participation in physical activity, particularly at a vigorous intensity, is associated with high cardiorespiratory fitness in children with CP.Low cardiorespiratory fitness is associated with increased cardiometabolic risk.

View Article: PubMed Central - PubMed

Affiliation: School of Medicine, Trinity College Dublin, Ireland; Institute of Environment, Health and Societies, Brunel University London, United Kingdom.

ABSTRACT

Background: Children with cerebral palsy (CP) have poor cardiorespiratory fitness in comparison to their peers with typical development, which may be due to low levels of physical activity. Poor cardiorespiratory fitness may contribute to increased cardiometabolic risk.

Purpose: The aim of this study was to determine the association between sedentary behaviour, physical activity and cardiorespiratory fitness in children with CP. An objective was to determine the association between cardiorespiratory fitness, anthropometric measures and blood pressure in children with CP.

Methods: This study included 55 ambulatory children with CP [mean (SD) age 11.3 (0.2) yr, range 6-17 yr; Gross Motor Function Classification System (GMFCS) levels I and II]. Anthropometric measures (BMI, waist circumference and waist-height ratio) and blood pressure were taken. Cardiorespiratory fitness was measured using a 10 m shuttle run test. Children were classified as low, middle and high fitness according to level achieved on the test using reference curves. Physical activity was measured by accelerometry over 7 days. In addition to total activity, time in sedentary behaviour and light, moderate, vigorous, and sustained moderate-to-vigorous activity (≥10 min bouts) were calculated.

Results: Multiple regression analyses revealed that vigorous activity (β = 0.339, p<0.01), sustained moderate-to-vigorous activity (β = 0.250, p<0.05) and total activity (β = 0.238, p<0.05) were associated with level achieved on the shuttle run test after adjustment for age, sex and GMFCS level. Children with high fitness spent more time in vigorous activity than children with middle fitness (p<0.05). Shuttle run test level was negatively associated with BMI (r2 = -0.451, p<0.01), waist circumference (r2 = -0.560, p<0.001), waist-height ratio (r2 = -0.560, p<0.001) and systolic blood pressure (r2 = -0.306, p<0.05) after adjustment for age, sex and GMFCS level.

Conclusions: Participation in physical activity, particularly at a vigorous intensity, is associated with high cardiorespiratory fitness in children with CP. Low cardiorespiratory fitness is associated with increased cardiometabolic risk.

No MeSH data available.


Related in: MedlinePlus

Mean waist-height ratio across tertiles of cardiorespiratory fitness.*Significantly different to “Middle” and “High” fitness groups, p<0.001.
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pone.0123267.g004: Mean waist-height ratio across tertiles of cardiorespiratory fitness.*Significantly different to “Middle” and “High” fitness groups, p<0.001.

Mentions: There was no difference in percentage sedentary time, LPA, MPA, MVPA, mean counts.min-1, zSBP or zDBP across tertiles of cardiorespiratory fitness. Children in the most fit tertile spent significantly more time in VPA compared to children in the middle tertile (p <0.05) (Fig 1). Children in the least fit tertile had a significantly greater BMI grade, WC and WHtR than children in the middle and high fitness tertiles (Fig 2, Fig 3, Fig 4, respectively). Children in the middle fitness tertile had a greater BMI grade than children in the high fitness tertile (p<0.05) (Fig 2).


Associations of sedentary behaviour, physical activity, blood pressure and anthropometric measures with cardiorespiratory fitness in children with cerebral palsy.

Ryan JM, Hensey O, McLoughlin B, Lyons A, Gormley J - PLoS ONE (2015)

Mean waist-height ratio across tertiles of cardiorespiratory fitness.*Significantly different to “Middle” and “High” fitness groups, p<0.001.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4383550&req=5

pone.0123267.g004: Mean waist-height ratio across tertiles of cardiorespiratory fitness.*Significantly different to “Middle” and “High” fitness groups, p<0.001.
Mentions: There was no difference in percentage sedentary time, LPA, MPA, MVPA, mean counts.min-1, zSBP or zDBP across tertiles of cardiorespiratory fitness. Children in the most fit tertile spent significantly more time in VPA compared to children in the middle tertile (p <0.05) (Fig 1). Children in the least fit tertile had a significantly greater BMI grade, WC and WHtR than children in the middle and high fitness tertiles (Fig 2, Fig 3, Fig 4, respectively). Children in the middle fitness tertile had a greater BMI grade than children in the high fitness tertile (p<0.05) (Fig 2).

Bottom Line: Shuttle run test level was negatively associated with BMI (r2 = -0.451, p<0.01), waist circumference (r2 = -0.560, p<0.001), waist-height ratio (r2 = -0.560, p<0.001) and systolic blood pressure (r2 = -0.306, p<0.05) after adjustment for age, sex and GMFCS level.Participation in physical activity, particularly at a vigorous intensity, is associated with high cardiorespiratory fitness in children with CP.Low cardiorespiratory fitness is associated with increased cardiometabolic risk.

View Article: PubMed Central - PubMed

Affiliation: School of Medicine, Trinity College Dublin, Ireland; Institute of Environment, Health and Societies, Brunel University London, United Kingdom.

ABSTRACT

Background: Children with cerebral palsy (CP) have poor cardiorespiratory fitness in comparison to their peers with typical development, which may be due to low levels of physical activity. Poor cardiorespiratory fitness may contribute to increased cardiometabolic risk.

Purpose: The aim of this study was to determine the association between sedentary behaviour, physical activity and cardiorespiratory fitness in children with CP. An objective was to determine the association between cardiorespiratory fitness, anthropometric measures and blood pressure in children with CP.

Methods: This study included 55 ambulatory children with CP [mean (SD) age 11.3 (0.2) yr, range 6-17 yr; Gross Motor Function Classification System (GMFCS) levels I and II]. Anthropometric measures (BMI, waist circumference and waist-height ratio) and blood pressure were taken. Cardiorespiratory fitness was measured using a 10 m shuttle run test. Children were classified as low, middle and high fitness according to level achieved on the test using reference curves. Physical activity was measured by accelerometry over 7 days. In addition to total activity, time in sedentary behaviour and light, moderate, vigorous, and sustained moderate-to-vigorous activity (≥10 min bouts) were calculated.

Results: Multiple regression analyses revealed that vigorous activity (β = 0.339, p<0.01), sustained moderate-to-vigorous activity (β = 0.250, p<0.05) and total activity (β = 0.238, p<0.05) were associated with level achieved on the shuttle run test after adjustment for age, sex and GMFCS level. Children with high fitness spent more time in vigorous activity than children with middle fitness (p<0.05). Shuttle run test level was negatively associated with BMI (r2 = -0.451, p<0.01), waist circumference (r2 = -0.560, p<0.001), waist-height ratio (r2 = -0.560, p<0.001) and systolic blood pressure (r2 = -0.306, p<0.05) after adjustment for age, sex and GMFCS level.

Conclusions: Participation in physical activity, particularly at a vigorous intensity, is associated with high cardiorespiratory fitness in children with CP. Low cardiorespiratory fitness is associated with increased cardiometabolic risk.

No MeSH data available.


Related in: MedlinePlus