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Physical Activity Levels, Cardiorespiratory Fitness, and Physical Literacy in Children With a Chronic Medical
Johannes J Noordstar1, Maaike C A Sprong, Martijn G Slieker
1Child Development & Exercise Center, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands (Drs Noordstar, Sprong, Takken, van Brussel, and Hulzebos); Department of Pediatric Cardiology, Wilhelmina Children's Hospital, University Medical Center, Utrecht University, Utrecht, The Netherlands (Dr Slieker); Department of Pediatric Pulmonology and Allergology, Wilhelmina Children's Hospital, University Medical Centre Utrecht, Utrecht University, Utrecht, The Netherlands (Dr van der Ent); Department of Pediatric Hematology, Wilhelmina Children's Hospital, University Medical Centre Utrecht, Utrecht University, Utrecht, The Netherlands (Dr Bartels).
Purpose:
This study investigated differences in cardiorespiratory fitness (CRF) and other physical literacy domains between children with a chronic medical condition (CMC) who adhered to with the physical activity guideline and those who did not.
Method:
Forty children with a CMC (7-12 years) wore an accelerometer for 7 days to measure moderate-to-vigorous physical activity. CRF and muscle power were assessed with a maximal cardiopulmonary exercise test, and motor performance was measured with an exercise course. Motivation, confidence, knowledge, and understanding were assessed with a questionnaire.
Results:
Children who adhered to the PA guideline ( n = 13) scored significantly higher for CRF, muscle power, motivation and confidence than children who did not adhere to the PA guideline ( n = 27). No significant differences were found for motor performance, knowledge and understanding.
Conclusion:
Future research should investigate the effect of paying specific attention to motivation and confidence in children with a CMC to stimulate their adherence to the PA guideline.
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