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"Just Move It . . . Move It": A Multidisciplinary Motivational Approach to Improve Physical Activity in Children With

Valérie Sputael1, Véronique Gaspar1, Valentine Weber1

  • 1Queen Fabiola Children's University Hospital, Brussels, Belgium.

Global Pediatric Health
|March 13, 2023
PubMed

Insights

Motivational interviewing increased physical activity (PA) in pediatric cystic fibrosis (CF) patients. While PA duration rose, functional and nutritional improvements were not observed in this study.

Area of Science:

  • Pediatric Pulmonology
  • Behavioral Medicine
  • Exercise Science

Background:

  • Regular physical activity (PA) is crucial for managing cystic fibrosis (CF).
  • Pediatric CF patients often face challenges in maintaining consistent PA levels.
  • Motivational interviewing (MI) is a counseling approach that can facilitate behavior change.

Purpose of the Study:

  • To evaluate the effectiveness of an MI-based project ('Just move it... move it') in enhancing PA among pediatric CF patients.
  • To assess changes in PA duration, functional parameters, and nutritional status following the intervention.

Main Methods:

  • A 6-month project utilizing motivational interviewing (MI) during patient visits.
  • Nineteen pediatric CF patients were enrolled.
  • Data collected included body mass index, spirometry, extracurricular sport duration, and estimated maximal oxygen uptake (VO2max) at baseline and 6 months.

Main Results:

  • Over half of the participants (52.7%) increased their regular PA by an average of 1.9 hours/week (PA+ group).
  • The PA+ group showed a significant increase in extracurricular sport time compared to the PA- group.
  • No significant differences in body mass index, spirometric values, or VO2max were found between groups.

Conclusions:

  • The 'Just move it... move it' project successfully motivated a significant portion of pediatric CF patients to increase their PA.
  • While the intervention improved PA engagement, it did not lead to measurable improvements in functional or nutritional parameters within the study period.
  • MI appears to be an effective strategy for initiating or increasing PA in this population, warranting further investigation into its long-term effects.

Keywords:
childrencystic fibrosisfunctional parametersmotivational interviewingphysical activity

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