Physical activity cost in children following an acquired brain injury--a comparative study

Robyn A Littlewood1, Peter S W Davies, Geoff J Cleghorn

  • 1Children's Nutrition Research Centre, Department of Paediatrics and Child Health, University of Queensland, Australia. s310501@student.uq.edu.au

Insights

Children with acquired brain injury (ABI) expend more energy during running activities compared to healthy peers. However, at comfortable paces, their energy expenditure for walking and running is lower.

Area of Science:

  • Pediatric neurology
  • Sports medicine
  • Rehabilitation science

Background:

  • Energy expenditure during activity post-head injury remains understudied due to measurement challenges.
  • Acquired brain injury (ABI) can impact physical capabilities and metabolic function.
  • Understanding energy demands is crucial for rehabilitation and activity planning in children with ABI.

Purpose of the Study:

  • To compare the energy expenditure during physical activity and body composition in children with ABI against a control group of healthy children.
  • To investigate differences in energy utilization during standardized and self-paced activities.
  • To assess the relationship between ABI and physical performance metrics.

Main Methods:

  • Utilized the Cosmed K4b(2) device to measure energy expenditure in 15 children with ABI and 67 healthy controls.
  • Assessed energy expenditure during rest, walking, and running conditions.
  • Recorded the number of steps taken during a 3-minute run and measured body composition.

Main Results:

  • No significant difference in energy expenditure was observed during walking between groups.
  • Children with ABI showed significantly different energy expenditure during running compared to controls.
  • Children with ABI took fewer steps during a 3-minute run, indicating altered running dynamics.

Conclusions:

  • Children with ABI expend more energy per activity when controlled for velocity or distance.
  • At self-selected comfortable paces, children with ABI expend less energy for walking and running than healthy controls.
  • Findings suggest potential adaptations in energy utilization and physical performance following ABI.
Abstract

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