24-hour movement behaviors in children with chronic disease and their healthy peers: a case-control study

Elmesmari, R. A., Reilly, J. J. and Paton, J. Y. (2022) 24-hour movement behaviors in children with chronic disease and their healthy peers: a case-control study. International Journal of Environmental Research and Public Health, 19(5), 2912. (doi: 10.3390/ijerph19052912) (PMID:35270604) (PMCID:PMC8910254)

Abstract

Background: Time spent in 24-h movement behaviors is important to health and wellbeing in childhood, but levels of these behaviors in children with chronic disease are unknown. Methods: A case-control-study included 80 children with chronic disease; 20 with type 1 diabetes mellitus (T1DM), 20 with juvenile idiopathic arthritis (JIA), 20 with congenital heart disease (CHD), 20 with cystic fibrosis (CF); pair-matched individually for age, sex, and timing of measures with 80 healthy children. Habitual time spent in movement behaviors and step counts were all measured with an activPAL accelerometer over 7 days. Comparisons against recommendations and differences between the groups were made. Results: Time spent in physical activity and step counts/day were significantly lower in T1DM and CHD groups compared to controls. Only 20/80 children with chronic disease and 29/80 controls met step count recommendations. Sedentary time was significantly higher in children with CF compared to controls. Time spent asleep was slightly greater in children with chronic disease, significant only for the JIA group. Sleep disruption was consistently greater in those with chronic disease, reaching significance for T1DM, CHD, and CF groups. Conclusions: For some groups of children with chronic disease, 24-h movement behaviors may differ substantially from recommendations, and slightly but systematically from their healthy peers. Optimizing levels of 24-h movement behaviors should confer a number of benefits for child health, development, and wellbeing.

• Item Type: Articles
• Keywords: Children, type 1 diabetes mellitus, juvenile idiopathic arthritis, congenital heart disease, cystic fibrosis and 24 h movement, physical activity, objective measurement and non-movement behaviors.
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Paton, Dr James and Reilly, Prof John and Sulyman, Dr Rabha
• Authors: Elmesmari, R. A., Reilly, J. J., and Paton, J. Y.
• College/School: College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
• Journal Name: International Journal of Environmental Research and Public Health
• Publisher: MDPI
• ISSN: 1661-7827
• ISSN (Online): 1660-4601
• Published Online: 02 March 2022
• Copyright Holders: Copyright © 2022 The Authors
• First Published: First published in International Journal of Environmental Research and Public Health 19(5): 2912
• Publisher Policy: Reproduced under a Creative Commons License