Comparison of Habitual Physical Activity and Sedentary Behavior in Adolescents and Young Adults With and Without Cerebral Palsy

2019 ◽  
Vol 31 (1) ◽  
pp. 60-66 ◽  
Author(s):  
Ronit Aviram ◽  
Netta Harries ◽  
Anat Shkedy Rabani ◽  
Akram Amro ◽  
Ibtisam Nammourah ◽  
...  
Keyword(s):  
Physical Activity ◽  
Young Adults ◽  
Cerebral Palsy ◽  
Sedentary Behavior ◽  
Habitual Physical Activity ◽  
Activity Monitors ◽  
Mobility Devices ◽  
Upright Standing ◽  
Teenagers And Young Adults ◽  
Physical Activity Monitors

Purpose: The comparison of habitual physical activity and sedentary time in teenagers and young adults with cerebral palsy (CP) with typically developed (TD) peers can serve to quantify activity shortcomings. Methods: Patterns of sedentary, upright, standing, and walking components of habitual physical activity were compared in age-matched (16.8 y) groups of 54 youths with bilateral spastic CP (38 who walk with limitations and 16 who require mobility devices) and 41 TD youths in the Middle East. Activity and sedentary behavior were measured over 96 hours by activPAL3 physical activity monitors. Results: Participants with CP spent more time sedentary (8%) and sitting (37%) and less time standing (20%) and walking (40%) than TD (all Ps < .01). These trends were enhanced in the participants with CP requiring mobility devices. Shorter sedentary events (those <60-min duration) were similar for TD and CP groups, but CP had significantly more long sedentary events (>2 h) and significantly fewer upright events (taking <30, 30–60, and >60 min) and less total upright time than TD. Conclusion: Ambulant participants with CP, as well as TD youth must be encouraged to take more breaks from being sedentary and include more frequent and longer upright events.

Effects of Exercise Interventions on Habitual Physical Activity and Sedentary Behavior in Adolescents With Cerebral Palsy

2019 ◽  
Vol 31 (4) ◽  
pp. 416-424 ◽  
Author(s):  
Simona Bar-Haim ◽  
Ronit Aviram ◽  
Anat Shkedy Rabani ◽  
Akram Amro ◽  
Ibtisam Nammourah ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cerebral Palsy ◽  
Resistance Training ◽  
Sedentary Behavior ◽  
Motor Function ◽  
Classification System ◽  
Habitual Physical Activity ◽  
Progressive Resistance Training ◽  
Exercise Interventions ◽  
Progressive Resistance

Purpose:Exercise interventions have been shown to increase motor capacities in adolescents with cerebral palsy; however, how they affect habitual physical activity (HPA) and sedentary behavior is unclear. The main objective was to correlate changes in HPA with changes in mobility capacity following exercise interventions.Methods:A total of 54 participants (aged 12–20 y) with bilateral spastic cerebral palsy at Gross Motor Function Classification System (GMFCS) levels II and III received 4 months of group progressive resistance training or treadmill training. Mobility measurements and HPA (averaged over 96 h) were made before and after interventions.Results:Averaged baseline mobility and HPA measures and improvements in each after both interventions were positively correlated in all participants. Percentage of sedentary/awake time decreased 2%, with significant increases in HPA measures of step count (16%), walk time (14%), and upright time (9%). Mobility measures and HPA changes were quite similar between Gross Motor Function Classification System levels, but improvement in HPA after group progressive resistance training was greater than after treadmill training (12% vs 4%) and correlated with mobility improvement.Conclusions:Mobility capacity improved after these interventions and was clearly associated with improved HPA. The group progressive resistance training intervention seems preferable to improve HPA, perhaps related to greater social interaction and motivation provided by group training.

scholarly journals Duration and patterns of habitual physical activity in adolescents and young adults with cerebral palsy

2014 ◽  
Vol 56 (7) ◽  
pp. 673-680 ◽  
Author(s):  
Anat Shkedy Rabani ◽  
Netta Harries ◽  
Ibtisam Namoora ◽  
Muhammed D Al-Jarrah ◽  
Amir Karniel ◽  
...  
Keyword(s):  
Physical Activity ◽  
Young Adults ◽  
Cerebral Palsy ◽  
Habitual Physical Activity ◽  
Adolescents And Young Adults

scholarly journals Accuracy of Intensity and Inclinometer Output of Three Activity Monitors for Identification of Sedentary Behavior and Light-Intensity Activity

2012 ◽  
Vol 2012 ◽  
pp. 1-9 ◽  
Author(s):  
Lucas J. Carr ◽  
Matthew T. Mahar
Keyword(s):  
Physical Activity ◽  
Light Intensity ◽  
Sedentary Behavior ◽  
Direct Observation ◽  
Sedentary Behaviors ◽  
Percentage Agreement ◽  
Activity Monitors ◽  
Anatomical Position ◽  
Physical Activity Monitors ◽  
Walking Time

Purpose. To examine the accuracy of intensity and inclinometer output of three physical activity monitors during various sedentary and light-intensity activities.Methods. Thirty-six participants wore three physical activity monitors (ActiGraph GT1M, ActiGraph GT3X+, and StepWatch) while completing sedentary (lying, sitting watching television, sitting using computer, and standing still) light (walking 1.0 mph, pedaling 7.0 mph, pedaling 15.0 mph) intensity activities under controlled settings. Accuracy for correctly categorizing intensity was assessed for each monitor and threshold. Accuracy of the GT3X+ inclinometer function (GT3X+Incl) for correctly identifying anatomical position was also assessed. Percentage agreement between direct observation and the monitor recorded time spent in sedentary behavior and light intensity was examined.Results. All monitors using all thresholds accurately identified over 80% of sedentary behaviors and 60% of light-intensity walking time based on intensity output. The StepWatch was the most accurate in detecting pedaling time but unable to detect pedal workload. The GT3X+Incl accurately identified anatomical position during 70% of all activities but demonstrated limitations in discriminating between activities of differing intensity.Conclusions. Our findings suggest that all three monitors accurately measure most sedentary and light-intensity activities although choice of monitors should be based on study-specific needs.

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

2014 ◽  
Vol 94 (8) ◽  
pp. 1144-1153 ◽  
Author(s):  
Jennifer M. Ryan ◽  
Owen Hensey ◽  
Brenda McLoughlin ◽  
Alan Lyons ◽  
John Gormley
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Cerebral Palsy ◽  
Waist Circumference ◽  
Sedentary Behavior ◽  
Habitual Physical Activity ◽  
Elevated Blood Pressure ◽  
Vigorous Activity ◽  
Elevated Blood ◽  
Children With Cerebral Palsy

Background Children with cerebral palsy (CP) participate in reduced levels of physical activity and spend increased time in sedentary behavior. The effect of reduced activity and increased sedentary behavior on their cardiometabolic health has not been investigated. Objectives The purposes of this study were: (1) to investigate the prevalence of overweight/obesity and elevated blood pressure (BP) among a cohort of ambulatory children with CP and (2) to investigate the associations among physical activity, sedentary behavior, overweight/obesity, and BP in children with CP. Study Design This was a cross-sectional study of 90 ambulatory children, aged 6 to 17 years, with CP. Methods Body mass index (BMI), waist circumference, waist-height ratio, and BP were measured on 1 occasion. Habitual physical activity was measured by accelerometry over 7 days. Results The prevalence of overweight/obesity in the cohort was 18.9%. Twenty-two percent of the children had BP values within the hypertensive or prehypertensive range. Systolic BP was positively associated with waist circumference (β=.324, P&lt;.05) and BMI (β=.249, P&lt;.05). Elevated BP values were associated with reduced time in moderate-to-vigorous activity, vigorous activity, and total activity, as well as increased time in sedentary behavior. The strongest association was observed between elevated BP and vigorous activity alone (odds ratio=0.61, 95% confidence interval=0.37–0.99, P&lt;.05). Limitations A convenience sample was recruited for this study, and it is possible that this limitation resulted in selection bias. Conclusions 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.

Reliability, Validity and Responsiveness of Physical Activity Monitors in Patients with Inflammatory Myopathy

Rheumatology ◽  
2021 ◽  
Author(s):  
Bonny Rockette-Wagner ◽  
Didem Saygin ◽  
Siamak Moghadam-Kia ◽  
Chester Oddis ◽  
Océane Landon-Cardinal ◽  
...  
Keyword(s):  
Physical Activity ◽  
Construct Validity ◽  
Disease Activity ◽  
Retest Reliability ◽  
Activity Monitors ◽  
Muscle Testing ◽  
Patient Reported ◽  
Physical Activity Monitors ◽  
Global Disease Activity ◽  
Test Retest Reliability

Abstract Objective Idiopathic inflammatory myopathies (IIM) cause proximal muscle weakness, which affect activities of daily living. Wearable physical activity monitors (PAMs) objectively assess continuous activity with potential clinical usefulness in IIM assessment. We examined the psychometric characteristics for PAM outcomes in IIM. Methods Adult IIM patients were prospectively evaluated (baseline, 3 and 6-months) in an observational study. A waist-worn PAM (ActiGraph GT3X-BT) assessed average step counts/min, peak 1-min cadence, and vector magnitude/min. Validated myositis core set measures (CSM) including manual muscle testing (MMT), physician global disease activity (MD global), patient global disease activity (Pt global), extra-muscular disease activity (Ex-muscular global), HAQ-DI, muscle enzymes, and patient-reported physical function were evaluated. Test-retest reliability, construct validity, and responsiveness were determined for PAM measures and CSM using Pearson correlations and other appropriate analyses. Results 50 adult IIM patients enrolled [mean (SD) age, 53.6 (±14.6); 60% female, 94% Caucasian]. PAM measures showed strong test-retest reliability, moderate-to-strong correlations at baseline with MD global (r=-0.37- -0.48), Pt-global (r=-0.43- -0.61), HAQ-DI (r=-0.47- -0.59) and MMT (r = 0.37–0.52), and strong discriminant validity for categorical MMT and HAQ-DI. Longitudinal association with MD global (r=-0.38- -0.44), MMT (r = 0.50–0.57), HAQ-DI (r=-0.45- -0.55), and functional tests (r = 0.30–0.65) were moderate-to-strong. PAM measures were responsive to MMT improvement (≥10%) and moderate-to-major improvement on ACR/EULAR myositis response criteria. Peak 1-min cadence had the largest effect size and Standardized Response Means (SRMs). Conclusion PAM measures showed promising construct validity, reliability, and longitudinal responsiveness; especially peak 1-min cadence. PAMs provide valid outcome measures for future use in IIM clinical trials.

scholarly journals Physical activity and mental well-being under COVID-19 lockdown: a cross-sectional multination study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Costas I. Karageorghis ◽  
Jonathan M. Bird ◽  
Jasmin C. Hutchinson ◽  
Mark Hamer ◽  
Yvonne N. Delevoye-Turrell ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Young Adults ◽  
Sedentary Behavior ◽  
Online Survey ◽  
Electronic Device ◽  
Well Being ◽  
Middle Aged ◽  
Steps Per Day ◽  
Western Nations

Abstract Background COVID-19 lockdowns have reduced opportunities for physical activity (PA) and encouraged more sedentary lifestyles. A concomitant of sedentariness is compromised mental health. We investigated the effects of COVID-19 lockdown on PA, sedentary behavior, and mental health across four Western nations (USA, UK, France, and Australia). Methods An online survey was administered in the second quarter of 2020 (N = 2541). We measured planned and unplanned dimensions of PA using the Brunel Lifestyle Physical Activity Questionnaire and mental health using the 12-item General Health Questionnaire. Steps per day were recorded only from participants who used an electronic device for this purpose, and sedentary behavior was reported in hours per day (sitting and screen time). Results In the USA and Australia samples, there was a significant decline in planned PA from pre- to during lockdown. Among young adults, Australians exhibited the lowest planned PA scores, while in middle-aged groups, the UK recorded the highest. Young adults exhibited the largest reduction in unplanned PA. Across nations, there was a reduction of ~ 2000 steps per day. Large increases in sedentary behavior emerged during lockdown, which were most acute in young adults. Lockdown was associated with a decline in mental health that was more pronounced in women. Conclusions The findings illustrate the deleterious effects of lockdown on PA, sedentary behavior, and mental health across four Western nations. Australian young and lower middle-aged adults appeared to fare particularly badly in terms of planned PA. The reduction in steps per day is equivalent to the non-expenditure of ~ 100 kcal. Declines in mental health show how harmful lockdowns can be for women in particular.

Habitual Physical Activity in Children With Cerebral Palsy Aged 4 to 5 Years Across All Functional Abilities

2017 ◽  
Vol 29 (1) ◽  
pp. 8-14 ◽  
Author(s):  
Piyapa Keawutan ◽  
Kristie L. Bell ◽  
Stina Oftedal ◽  
Peter S. W. Davies ◽  
Robert S. Ware ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cerebral Palsy ◽  
Habitual Physical Activity ◽  
Functional Abilities ◽  
Children With Cerebral Palsy

Habitual physical activity can be increased in people with cerebral palsy: a systematic review

2010 ◽  
Vol 25 (4) ◽  
pp. 303-315 ◽  
Author(s):  
Theofani Bania ◽  
Karen J Dodd ◽  
Nicholas Taylor
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Cerebral Palsy ◽  
Habitual Physical Activity
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