Physical activity level among children recovering from severe acute malnutrition
Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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Physical activity level among children recovering from severe acute malnutrition. / Babirekere-Iriso, Esther; Rytter, Maren Johanne Heilskov; Namusoke, Hanifa; Mupere, Ezekiel; Michaelsen, Kim F.; Brage, Søren; Stark, Ken D; Lauritzen, Lotte; Briend, André; Friis, Henrik; Faurholt-Jepsen, Daniel.
I: Tropical Medicine & International Health, Bind 23, Nr. 2, 01.02.2018, s. 156-163.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Physical activity level among children recovering from severe acute malnutrition
AU - Babirekere-Iriso, Esther
AU - Rytter, Maren Johanne Heilskov
AU - Namusoke, Hanifa
AU - Mupere, Ezekiel
AU - Michaelsen, Kim F.
AU - Brage, Søren
AU - Stark, Ken D
AU - Lauritzen, Lotte
AU - Briend, André
AU - Friis, Henrik
AU - Faurholt-Jepsen, Daniel
N1 - CURIS 2018 NEXS 018
PY - 2018/2/1
Y1 - 2018/2/1
N2 - Objective: To assess the level and predictors of physical activity at discharge among children recovering from severe acute malnutrition (SAM).Methods: We conducted a prospective study among 69 children 6 - 59 months of age admitted with SAM for nutritional rehabilitation at Mulago National Referral Hospital, Uganda. Using hip-mounted tri-axial accelerometers, we measured physical activity expressed as counts per minute (cpm) during the last three days of hospital treatment. As potential predictors, we assessed clinical and background characteristics, duration to transition phase and duration of hospitalisation, serum C-reactive protein and whole-blood docosahexaenoic acid (DHA). Multiple linear regression analyses were used to identify predictors of physical activity.Results: The median (IQR) age was 15.5 (12.6; 20.5) months. At discharge, the mean (SD) movement was 285 (126) cpm. Physical activity was 43 (19; 67) cpm higher for each unit increase in weight-for-height z-score (WHZ) and 72 (36; 108) cpm higher for each centimeter increase in MUAC. Whole-blood DHA on admission was also a positive predictor of physical activity, whereas duration to transition phase and duration of hospitalisation were both negative predictors.Conclusion: The level of physical activity at discharge among children treated for SAM was low. WHZ, MUAC and DHA on admission were positive predictors of physical activity whereas duration of stabilization and hospitalization were negative predictors of physical activity. These results suggest that assessment of physical activity may be used as a marker of recovery. This article is protected by copyright. All rights reserved.
AB - Objective: To assess the level and predictors of physical activity at discharge among children recovering from severe acute malnutrition (SAM).Methods: We conducted a prospective study among 69 children 6 - 59 months of age admitted with SAM for nutritional rehabilitation at Mulago National Referral Hospital, Uganda. Using hip-mounted tri-axial accelerometers, we measured physical activity expressed as counts per minute (cpm) during the last three days of hospital treatment. As potential predictors, we assessed clinical and background characteristics, duration to transition phase and duration of hospitalisation, serum C-reactive protein and whole-blood docosahexaenoic acid (DHA). Multiple linear regression analyses were used to identify predictors of physical activity.Results: The median (IQR) age was 15.5 (12.6; 20.5) months. At discharge, the mean (SD) movement was 285 (126) cpm. Physical activity was 43 (19; 67) cpm higher for each unit increase in weight-for-height z-score (WHZ) and 72 (36; 108) cpm higher for each centimeter increase in MUAC. Whole-blood DHA on admission was also a positive predictor of physical activity, whereas duration to transition phase and duration of hospitalisation were both negative predictors.Conclusion: The level of physical activity at discharge among children treated for SAM was low. WHZ, MUAC and DHA on admission were positive predictors of physical activity whereas duration of stabilization and hospitalization were negative predictors of physical activity. These results suggest that assessment of physical activity may be used as a marker of recovery. This article is protected by copyright. All rights reserved.
KW - Accelerometry
KW - Recovery
KW - Predictors
KW - Severe acute malnutrition
U2 - 10.1111/tmi.13022
DO - 10.1111/tmi.13022
M3 - Journal article
C2 - 29236339
VL - 23
SP - 156
EP - 163
JO - Tropical Medicine & International Health
JF - Tropical Medicine & International Health
SN - 1360-2276
IS - 2
ER -
ID: 186865719