Longitudinal physical activity and sedentary behaviour in preschool-aged children with cerebral palsy across all functional levels
Aim: To investigate longitudinal changes of habitual physical activity (HPA) and sedentary time in children with cerebral palsy (CP) aged 1 year 6 months to 5 years across all functional abilities. Method: At study entry, 95 children (62 males, 33 females) were classified using the Gross Motor Funct...
| Main Authors: | , , , , , , |
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| Format: | Journal Article |
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Wiley-Blackwell Publishing Ltd.
2017
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| Online Access: | http://hdl.handle.net/20.500.11937/53425 |
| _version_ | 1848759140885725184 |
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| author | Keawutan, P. Bell, K. Oftedal, S. Ware, R. Stevenson, R. Davies, P. Boyd, Roslyn |
| author_facet | Keawutan, P. Bell, K. Oftedal, S. Ware, R. Stevenson, R. Davies, P. Boyd, Roslyn |
| author_sort | Keawutan, P. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Aim: To investigate longitudinal changes of habitual physical activity (HPA) and sedentary time in children with cerebral palsy (CP) aged 1 year 6 months to 5 years across all functional abilities. Method: At study entry, 95 children (62 males, 33 females) were classified using the Gross Motor Function Classification System (GMFCS) at levels I (50), II (9), III (16), IV (6), and V (14). Physical activity was recorded on a total of 159 occasions at four possible time points: 1 year 6 months to 2 years; 2 years 6 months to 3 years; 4 years; and 5 years using ActiGraph for 3 days. Mixed-effects regression models were used for analyses. Results: Participants classified at GMFCS levels I and II had stable HPA as they aged. HPA significantly decreased at 5 years in children classified at GMFCS levels III to V. Sedentary time significantly increased at 4 years and 5 years in all participants. Annual HPA significantly reduced in children classified at GMFCS levels III to V (-123 counts/min, 95% confidence interval [CI] -206 to -40) while annual sedentary time significantly increased in all participants (GMFCS levels I-II: 2.4%, 95% CI 0.7-4.1; GMFCS levels III-V: 6.9%, 95% CI 4.6-9.2). Interpretation: Children with CP at all GMFCS levels should be encouraged to be physically active from early childhood as HPA levels start to decline from 4 years. Breaks in sedentary time are required for all children with CP from the age of 3 years. |
| first_indexed | 2025-11-14T09:55:09Z |
| format | Journal Article |
| id | curtin-20.500.11937-53425 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T09:55:09Z |
| publishDate | 2017 |
| publisher | Wiley-Blackwell Publishing Ltd. |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-534252017-10-06T08:12:12Z Longitudinal physical activity and sedentary behaviour in preschool-aged children with cerebral palsy across all functional levels Keawutan, P. Bell, K. Oftedal, S. Ware, R. Stevenson, R. Davies, P. Boyd, Roslyn Aim: To investigate longitudinal changes of habitual physical activity (HPA) and sedentary time in children with cerebral palsy (CP) aged 1 year 6 months to 5 years across all functional abilities. Method: At study entry, 95 children (62 males, 33 females) were classified using the Gross Motor Function Classification System (GMFCS) at levels I (50), II (9), III (16), IV (6), and V (14). Physical activity was recorded on a total of 159 occasions at four possible time points: 1 year 6 months to 2 years; 2 years 6 months to 3 years; 4 years; and 5 years using ActiGraph for 3 days. Mixed-effects regression models were used for analyses. Results: Participants classified at GMFCS levels I and II had stable HPA as they aged. HPA significantly decreased at 5 years in children classified at GMFCS levels III to V. Sedentary time significantly increased at 4 years and 5 years in all participants. Annual HPA significantly reduced in children classified at GMFCS levels III to V (-123 counts/min, 95% confidence interval [CI] -206 to -40) while annual sedentary time significantly increased in all participants (GMFCS levels I-II: 2.4%, 95% CI 0.7-4.1; GMFCS levels III-V: 6.9%, 95% CI 4.6-9.2). Interpretation: Children with CP at all GMFCS levels should be encouraged to be physically active from early childhood as HPA levels start to decline from 4 years. Breaks in sedentary time are required for all children with CP from the age of 3 years. 2017 Journal Article http://hdl.handle.net/20.500.11937/53425 10.1111/dmcn.13439 Wiley-Blackwell Publishing Ltd. restricted |
| spellingShingle | Keawutan, P. Bell, K. Oftedal, S. Ware, R. Stevenson, R. Davies, P. Boyd, Roslyn Longitudinal physical activity and sedentary behaviour in preschool-aged children with cerebral palsy across all functional levels |
| title | Longitudinal physical activity and sedentary behaviour in preschool-aged children with cerebral palsy across all functional levels |
| title_full | Longitudinal physical activity and sedentary behaviour in preschool-aged children with cerebral palsy across all functional levels |
| title_fullStr | Longitudinal physical activity and sedentary behaviour in preschool-aged children with cerebral palsy across all functional levels |
| title_full_unstemmed | Longitudinal physical activity and sedentary behaviour in preschool-aged children with cerebral palsy across all functional levels |
| title_short | Longitudinal physical activity and sedentary behaviour in preschool-aged children with cerebral palsy across all functional levels |
| title_sort | longitudinal physical activity and sedentary behaviour in preschool-aged children with cerebral palsy across all functional levels |
| url | http://hdl.handle.net/20.500.11937/53425 |