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Physical Activity and Its Correlates in Youth with Multiple Sclerosis
Stephanie A Grover1, Carolyn P Sawicki2, Dominique Kinnett-Hopkins3
1Division of Neurology, Department of Pediatrics, Neurosciences and Mental Health (RI), The Hospital for Sick Children, Toronto, Ontario, Canada.
The Journal of Pediatrics
|October 9, 2016
Summary
Youth with multiple sclerosis engage in less vigorous physical activity than healthy peers. Improving self-efficacy and goal-setting may boost activity levels in these children.
Area of Science:
- Pediatric Neurology
- Rehabilitation Medicine
- Exercise Physiology
Background:
- Multiple sclerosis (MS) and acquired demyelinating syndromes (ADS) impact pediatric populations.
- Understanding physical activity levels in youth with these conditions is crucial for long-term health.
- Monophasic ADS (mono-ADS) represents a distinct clinical course compared to relapsing MS.
Purpose of the Study:
- To compare physical activity in youth with MS and mono-ADS against healthy controls.
- To identify factors influencing physical activity engagement in pediatric MS.
- To test the hypothesis that goal-setting and self-efficacy correlate with vigorous physical activity.
Main Methods:
- Cross-sectional study involving 68 patients (27 MS, 41 mono-ADS) and 37 controls.
- Utilized questionnaires for fatigue, depression, self-efficacy, disability, and goal-setting.
- Objective physical activity measurement via 7-day accelerometer monitoring.
Main Results:
- Youth with MS showed significantly less vigorous and moderate-to-vigorous physical activity.
- Fewer MS patients (63%) reported strenuous activity compared to mono-ADS (85%) and controls (89%).
- Physical activity self-efficacy and goal-setting positively correlated with vigorous activity in MS youth.
Conclusions:
- Pediatric MS patients exhibit lower physical activity levels than mono-ADS and healthy peers.
- Physical activity self-efficacy and exercise goal-setting are modifiable factors.
- Interventions targeting these factors could enhance physical activity in youth with MS.
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