Physical activity in children aged 7-13 years with juvenile idiopathic arthritis. Is it significantly altered? A

Marta Szyszko1, Marcin Kożuchowski2, Aneta Woźniak1

  • 1Department of Rehabilitation, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland.

Reumatologia
|January 26, 2026
PubMed

Insights

Children with juvenile idiopathic arthritis (JIA) show similar after-school physical activity (PA) to healthy peers but are more often exempt from physical education (PE). Reconsidering PE exemptions for JIA patients is suggested.

Area of Science:

  • Pediatrics
  • Rheumatology
  • Immunology

Background:

  • Juvenile idiopathic arthritis (JIA) is a chronic childhood inflammatory disease linked to joint damage.
  • JIA's pathogenesis involves genetic, immunological, and environmental factors, leading to abnormal immune responses.
  • Pain and swelling in JIA can impair mobility and reduce physical activity (PA) in children.

Purpose of the Study:

  • To determine if JIA influences the selection of physical activities in children aged 7-13 years.
  • To compare the physical activity patterns of children with JIA versus healthy controls.

Main Methods:

  • Study involved children diagnosed with JIA and age/sex-matched healthy controls.
  • Data collected via anonymous, self-administered questionnaires.
  • Statistical analysis included the chi-squared test (p < 0.05 significance).

Main Results:

  • The JIA group (29 children) had a median age of 11, with 66% girls.
  • The control group (20 children) had a median age of 9.5, with 55% girls.
  • Children with JIA were less likely to attend physical education (PE) (59% vs. 100%). Martial arts were the only after-school PA more frequent in healthy children (p=0.033).
  • No significant differences in screen time (TV/computer use) were found between groups.

Conclusions:

  • After-school physical activity levels are comparable between children with JIA and healthy peers.
  • Children with JIA are significantly more likely to receive complete exemptions from PE.
  • The necessity of full PE exemptions for JIA patients warrants reconsideration given unchanged after-school activity.
Abstract

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