Abstract
BackgroundTo assess physical behaviour, including physical activity and sedentary behaviour, of ambulatory adolescents and young adults with cerebral palsy (CP). We compared participant physical behaviour to that of able-bodied persons and assessed differences related to Gross Motor Functioning Classification System (GMFCS) level and CP distribution (unilateral/bilateral).MethodsIn 48 ambulatory persons aged 16 to 24 years with spastic CP and in 32 able-bodied controls, physical behaviour was objectively determined with an accelerometer-based activity monitor. Total duration, intensity and type of physical activity were assessed and sedentary time was determined (lying and sitting). Furthermore, distribution of walking bouts and sitting bouts was specified.ResultsAdolescents and young adults with CP spent 8.6% of 24 hours physically active and 79.5% sedentary, corresponding with respectively 123 minutes and 1147 minutes per 24 hours. Compared to able-bodied controls, persons with CP participated 48 minutes less in physical activities (p < 0.01) and spent 80 minutes more sedentary per 24 hours (p < 0.01). Physical behaviour was not different between persons with GMFCS level I and II and only number of short sitting bouts were significantly more prevalent in persons with bilateral CP compared to unilateral CP (p < 0.05).ConclusionsAmbulatory adolescents and young adults with CP are less physically active and spend more time sedentary compared to able-bodied persons, suggesting that this group may be at increased risk for health problems related to less favourable physical behaviour.Trial registrationNederlands trial register: NTR1785
Highlights
To assess physical behaviour, including physical activity and sedentary behaviour, of ambulatory adolescents and young adults with cerebral palsy (CP)
It has been indicated that children and adults with CP participate substantially less in physical activities compared to reference populations, and less than recommended by guidelines [7,8,9]
Persons with CP participated 48 minutes per 24 hours less in physical activities compared to able-bodied controls (123 vs. 171 minutes/ 24 h)
Summary
To assess physical behaviour, including physical activity and sedentary behaviour, of ambulatory adolescents and young adults with cerebral palsy (CP). Sedentary behaviour, defined as a distinct class of activities that require low levels of Persons with cerebral palsy (CP) experience problems with movement and posture, including difficulty with balance and walking, gross and fine motor control, and muscle spasticity. They are at risk of reduced physical activity and increased sedentary behaviour [6]. It has been indicated that children and adults with CP participate substantially less in physical activities compared to reference populations, and less than recommended by guidelines [7,8,9]. Sedentary behaviour has not been studied previously in persons with CP after childhood
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