Characterization of physical literacy in children with chronic medical conditions compared with healthy controls: a cross-sectional study.

Autor: Do J; Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada.; Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada., Blais A; Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada.; Faculty of Health Sciences, University of Ottawa, Ottawa, ON, Canada., Feldman B; Division of Rheumatology, The Hospital for Sick Children, Toronto, ON, Canada.; Faculty of Medicine, University of Toronto, Toronto, ON, Canada., Brandão LR; Division of Hematology/Oncology, The Hospital for Sick Children, Toronto, ON, Canada.; Faculty of Medicine, University of Toronto, Toronto, ON, Canada., Lougheed J; Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada.; Division of Cardiology, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.; Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada., Pohl D; Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada.; Division of Neurology, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.; Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada., Klaassen RJ; Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada.; Division of Hematology/Oncology, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.; Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada., Johnston DL; Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada.; Division of Hematology/Oncology, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.; Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada., De Laat D; Division of Developmental Pediatrics and Rehabilitation Medicine, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada., Roth J; Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada.; Division of Dermatology and Rheumatology, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.; Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada., Katz SL; Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada.; Division of Respirology, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.; Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada., McCormick A; Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada.; Division of Developmental Pediatrics and Rehabilitation Medicine, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.; Faculty of Health Sciences, University of Ottawa, Ottawa, ON, Canada., Wright FV; Holland Bloorview Children's Rehab Hospital, Toronto, ON, Canada.; Department of Physical Therapy, University of Toronto, Ottawa, ON, Canada., Macartney G; Faculty of Health Sciences, University of Ottawa, Ottawa, ON, Canada.; Faculty of Nursing, University of Prince Edward Island, Charlottetown, PEI, Canada., McMillan HJ; Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada.; Division of Neurology, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.; Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada., Venkateswaran S; Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada.; Division of Neurology, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.; Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada., Sell E; Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada.; Division of Neurology, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.; Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada., Doja A; Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada.; Division of Neurology, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.; Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada., Matheson K; Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada.; Division of Psychiatry, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.; Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada., Boafo A; Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada.; Division of Psychiatry, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.; Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada., Longmuir PE; Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada.; Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.; Faculty of Health Sciences, University of Ottawa, Ottawa, ON, Canada.
Jazyk: angličtina
Zdroj: Applied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme [Appl Physiol Nutr Metab] 2021 Sep; Vol. 46 (9), pp. 1073-1082. Date of Electronic Publication: 2021 Mar 09.
DOI: 10.1139/apnm-2020-0957
Abstrakt: To determine the physical literacy, defined as the capability for a physically active lifestyle, of children with medical conditions compared with healthy peers, this multicenter cross-sectional study recruited children with medical conditions from cardiology, neurology (including concussion), rheumatology, mental health, respirology, oncology, hematology, and rehabilitation (including cerebral palsy) clinics. Participants aged 8-12 years ( N  = 130; mean age: 10.0 ± 1.44 years; 44% female) were randomly matched to 3 healthy peers from a normative database, based on age, gender, and month of testing. Total physical literacy was assessed by the Canadian Assessment of Physical Literacy, a validated assessment of physical literacy measuring physical competence, daily behaviour, knowledge/understanding, and motivation/confidence. Total physical literacy mean scores (/100) did not differ ( t (498) = -0.67; p  = 0.44) between participants (61.0 ± 14.2) and matched healthy peers (62.0 ± 10.7). Children with medical conditions had lower mean physical competence scores (/30; -6.5 [-7.44 to -5.51]; p < 0.001) but higher mean motivation/confidence scores (/30; 2.6 [1.67 to 3.63]; p  < 0.001). Mean daily behaviour and knowledge/understanding scores did not differ from matches (/30; 1.8 [0.26 to 3.33]; p  = 0.02;/10; -0.04 [-0.38 to 0.30]; p  = 0.81; respectively). Children with medical conditions are motivated to be physically active but demonstrate impaired movement skills and fitness, suggesting the need for targeted interventions to improve their physical competence. Novelty: Physical literacy in children with diverse chronic medical conditions is similar to healthy peers. Children with medical conditions have lower physical competence than healthy peers, but higher motivation and confidence. Physical competence (motor skill, fitness) interventions, rather than motivation or education, are needed for these youth.
Databáze: MEDLINE