促进加拿大儿童MASLD管理体育活动的挑战:洞察力和障碍
Mohit Kehar1, Lina Huerta-Saenz2, Jamie Strain3
1Division of Pediatric Gastroenterology, Hepatology and Nutrition, Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, Canada. mkehar@cheo.on.ca.
Digestive diseases and sciences
|February 17, 2025
概括
许多患有代谢功能障碍相关的脂肪性肝病 (MASLD) 的儿童因疲劳和不适等障碍而难以进行体力活动 (PA). 医疗保健支持和技术整合是改善儿科MASLD管理中PA遵守的关键.
科学领域:
- 儿科肝病学 儿科肝病学
- 代谢障碍 代谢障碍 代谢障碍
- 生活方式 医学 医疗
背景情况:
- 代谢功能障碍相关的脂肪性肝病 (MASLD) 是儿童慢性肝病的主要原因,与儿科肥胖症密切相关.
- 身体活动 (PA) 对于管理儿科MASLD至关重要,但许多儿童在满足推指南时遇到重大障碍.
研究的目的:
- 在被诊断患有MASLD的加拿大儿童中量化身体活动 (PA) 水平.
- 确定阻碍PA在这个儿科群体中的坚持的主要障碍.
主要方法:
- 一项前性队列研究,涉及25名儿科MASLD患者 (≤18岁),从第三级护理中心招募.
- 使用习惯性活动估计量表 (HAES) 和修改的PA障碍调查进行数据收集.
- 收集临床,人口和实验室数据进行全面分析.
主要成果:
- 尽管96%的人认识到PA的重要性,但只有56%的人符合世卫组织每天60分钟的中度至强度PA建议.
- 主要障碍包括疲劳 (84%),不适 (56%),害怕受伤 (32%) 和被嘲笑 (36%).
- 符合PA指南的儿童报告了医疗保健提供者的更大支持 (79%对45%),适度使用活动追踪器 (52%).
结论:
- 患有MASLD的儿童经历了相当大的PA障碍,强调了针对性干预的必要性.
- 整合技术和增强医疗保健提供者的支持对于改善儿科MASLD中的PA遵守至关重要.
- 未来的研究应该调查更大的队列和社会经济和文化因素对PA行为的影响.
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