The Role of Body Mass Index on Physical Activity, Symptoms, and Related Outcomes Following Pediatric Concussion.

Autor: Eagle SR; Department of Neurological Surgery, University of Pittsburgh, Pittsburgh, PA, USA. Electronic address: eaglesr@upmc.edu., Zynda AJ; Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA, USA., Sandulli L; Department of Neurological Surgery, University of Pittsburgh, Pittsburgh, PA, USA., Hickey RW; Department of Pediatrics, University of Pittsburgh, Pittsburgh, PA, USA., Kegel NE; Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA, USA; UPMC Sports Medicine Concussion Program, University of Pittsburgh, Pittsburgh, PA, USA., Nelson L; Departments of Neurosurgery and Neurology, Medical College of Wisconsin, Milwaukee, WI, USA., McCrea M; Departments of Neurosurgery and Neurology, Medical College of Wisconsin, Milwaukee, WI, USA., Collins MW; Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA, USA; UPMC Sports Medicine Concussion Program, University of Pittsburgh, Pittsburgh, PA, USA., Okonkwo DO; Department of Neurological Surgery, University of Pittsburgh, Pittsburgh, PA, USA., Thomas DG; Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI, USA., Kontos AP; Department of Neurological Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Jazyk: angličtina
Zdroj: The Journal of pediatrics [J Pediatr] 2024 Nov 01, pp. 114386. Date of Electronic Publication: 2024 Nov 01.
DOI: 10.1016/j.jpeds.2024.114386
Abstrakt: Objective: To determine the step count and self-reported activity levels for obese and non-obese pediatric patients following concussion and predict self-reported symptoms, quality of life, and psychological health over time.
Study Design: Participants completed the Post-Concussion Symptom Scale (PCSS), Pediatric Quality of Life (PedsQL), and Behavioral Symptom Inventory-18 (BSI-18) at an initial visit (<72 hours), 3-5 days post-injury, 10-18 days post-injury, and 1 and 2 months post-injury. Physical activity data (eg, step count) were collected via a commercial actigraph. Participants were categorized into obese and non-obese body mass index (BMI) groups based on age- and sex-adjusted growth standards. Mann Whitney U tests compared groups while nonparametric series regression models examined the effect of obese BMI and average daily step count on PCSS, PedsQL, and BSI-18 outcomes at 1- and 2-months post-injury.
Results: 194 participants were included: 153 (78.9%; M=14.6 ± 2.4 years; 50% female) in the non-obese group and 41 (21.1%; M=14.2 ± 2.0 years; 44% female) in the obese group. The obese group had a 22.8% lower average daily step count in the week post-injury (p=0.02). At 2-months, there was a significant association between obese BMI and worse PCSS total score (p=0.042), PedsQL (p=0.017), and BSI-18 anxiety (p=0.046). Average daily step count in the first week post-injury was associated with a higher PCSS total score at 2 months (p=0.031).
Conclusions: Pediatric patients following concussion with an obese BMI had a lower daily average step count in the week after injury and exhibited worse concussion symptoms, quality of life, and anxiety at 2 months compared with those with a non-obese BMI.
(Copyright © 2024 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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