Determinants of physical activity in young wheelchair-users with spina bifida
Bloemen, Manon A T; Takken, Tim; de Groot, Janke F; Kruitwagen, Cas L J J; Rooks, Rosanne A; van den Berg-Emons, Rita H J G; Backx, Frank J G
(2020) Journal of Rehabilitation Medicine, volume 52, issue 10, pp. 1 - 7
(Article)
Abstract
Objective: To explore associations between physical activity and peak oxygen uptake (VO2peak), age, sex, and Hoffer classification in young wheelchair-users with spina bifida. Design: Exploratory study. Subjects: Fifty-three dutch children (age 5-19 years) with spina bifida who use a manual wheelchair. Methods: For the dependent variable physical activity, data from
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2 physical activity monitors were analysed: VitaMove data for 34 participants and Actiheart data for 36 participants. Time sedentary, time physically active, and time in moderate to vigorous physical activity were analysed. The Wheelchair Shuttle Test was used to measure VO2peak. Univariate and multivariate regression analyses were performed. Independent variables were VO2peak, age, sex, and Hoffer classification. Results: Time sedentary and time physically active during a school day were influenced by age (β=0.326/β=-0.320) and Hoffer classification (β=0.409/β=-0.534) and during a weekend day by Hoffer classification (β=0.617/β=-0.428). Time in moderate to vigorous physical activity was influenced by Hoffer classification (β=-0.527) during a school day and by age (β=-0.600) during a weekend day. Conclusion: Older age and the inability to walk negatively influence physical activity. Sex and VO2peak were not associated with physical activity. These results imply that increasing cardiorespiratory fitness alone will not improve physical activity in young wheelchair-users with spina bifida.
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Keywords: Adolescents, Children, Physical activity, Spinal dysraphism, Wheelchair, Accelerometry/methods, Humans, Child, Preschool, Male, Disabled Persons/statistics & numerical data, Young Adult, Regression Analysis, Walking, Wheelchairs/statistics & numerical data, Netherlands, Exercise, Spinal Dysraphism/physiopathology, Time Factors, Adolescent, Female, Child, wheelchair, children, spinal dysraphism, adolescents, physical activity, Rehabilitation, Physical Therapy, Sports Therapy and Rehabilitation, Journal Article, Evaluation Studies
ISSN: 1650-1977
Publisher: Foundation for Rehabilitation Information
Note: Funding Information: Funding. This research was funded by Foundation Innovation Alliance – Regional Attention and Action for Knowledge circulation (SIA RAAK PRO), project number SIA RAAK PRO-4-03 and by a personal PhD grant (Manon A.T. Bloemen )from HU University of Applied Sciences Utrecht. Publisher Copyright: © 2020 Foundation for Rehabilitation Information. All rights reserved. Copyright: Copyright 2020 Elsevier B.V., All rights reserved.
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