获得性下丘脑功能障碍儿童的身体活动,与健康相关的健康状况和身体表现
I M A A Van Roessel1,2, J Van Schaik3,4, L B Kleinlugtenbelt4
1Department of Pediatric Endocrinology, Wilhelmina Children's Hospital, University Medical Center Utrecht, Lundlaan 6, 3584 EA, Utrecht, The Netherlands. i.m.a.vanroessel@umcutrecht.nl.
概括
超细胞瘤后患有下丘脑-垂体功能障碍的儿童体力活动和健身能力降低. 然而,他们的身体表现是正常的,这表明生活方式干预可以改善健康.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 瘤学康复康复 癌症康复
- 运动生理学 运动生理学
背景情况:
- 儿科上细胞瘤的幸存者往往会出现下丘脑-垂体功能障碍 (HD).
- 脑下垂体肥胖 (HO) 是HD的常见后果,运动等生活方式干预是主要治疗方法.
- 评估身体活动,健身和表现对于指导HO管理在这个人群中至关重要.
研究的目的:
- 为了评估身体活动 (PA),与健康相关的健康状况 (HRF) 和治疗上细胞瘤的儿童的身体表现 (PP).
- 确定在这个群体中练习参与的潜在限制或促进者.
主要方法:
- 一项回顾性国家队列研究包括了被转移到物理治疗 (2018-2022) 上细胞瘤的儿童.
- 收集的数据包括PA (中度至强度体力活动分钟,每日步骤),HRF (身体组成,VO2峰值,平均功率,肌肉力量) 和PP (10米步行/跑步,楼梯和坐立测试).
主要成果:
- 分析了73名儿童 (平均年龄为11.09岁,BMI SDS为2.36).
- 只有24.1%的人达到每天≥60分钟的MVPA的建议.
- VO2峰值为预期的71.0%,58.3%的平均功率≤-2 SDS,表明心肺呼吸能力和肌肉耐力降低.
- 肌肉力量得到保留 (中位数为-0.5 SDS),体力表现与标准相当.
结论:
- 在超细胞瘤后患有HD的儿童表现出降低的PA和HRF.
- 尽管身体健康有所降低,但身体表现没有受到损害,这表明身体活动没有运动限制.
- 这些发现支持生活方式教练的整合,以增强PA和HRF在这个儿科群体.
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