Physical Fitness in Patients With Oligoarticular and Polyarticular Juvenile Idiopathic Arthritis Diagnosed in the Era of Biologics: A Controlled Cross-Sectional Study.
Absorptiometry, Photon
Accelerometry
Adolescent
Arthritis, Juvenile
/ diagnosis
Biological Products
/ therapeutic use
Bone Density
Child
Cross-Sectional Studies
Exercise Therapy
/ methods
Exercise Tolerance
/ physiology
Female
Humans
Male
Muscle Contraction
/ physiology
Muscle Strength
/ physiology
Physical Fitness
/ physiology
Journal
Arthritis care & research
ISSN: 2151-4658
Titre abrégé: Arthritis Care Res (Hoboken)
Pays: United States
ID NLM: 101518086
Informations de publication
Date de publication:
12 2019
12 2019
Historique:
received:
20
07
2018
accepted:
20
11
2018
pubmed:
27
11
2018
medline:
14
4
2020
entrez:
27
11
2018
Statut:
ppublish
Résumé
To perform a comprehensive evaluation of and identify correlates for physical fitness in consecutive patients with juvenile idiopathic arthritis (JIA) who have been diagnosed in the era of biologics and to compare the results with those obtained in healthy controls. The study cohort included 60 patients with JIA (50 girls) ages 10-16 years and 60 age- and sex-matched controls. The JIA group included 30 patients with persistent oligoarticular JIA and 30 patients with extended oligoarticular or polyarticular disease. Measures of physical fitness included cardiorespiratory fitness (CRF) by peak oxygen uptake (Vo Forty-two percent of the patients were being treated with biologic drugs. Patients with JIA demonstrated lower muscle strength and total body BMD compared to controls, but there were no differences in CRF and body composition. Physical fitness was comparable between the persistent oligoarticular and extended oligoarticular/polyarticular-JIA groups. In patients with JIA, we identified associations between higher vigorous physical activity and higher CRF and muscle strength, but did not find any association between physical fitness and disease variables. In this cohort of patients with JIA, we found suboptimal muscle strength and BMD compared to controls, but no differences in CRF and body composition. Vigorous physical activities appeared important for optimizing muscle strength and CRF in patients with JIA; the importance of such activities should be highlighted in patient education.
Substances chimiques
Biological Products
0
Types de publication
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1611-1620Subventions
Organisme : The Sophies Minde Foundation
Pays : International
Informations de copyright
© 2018, American College of Rheumatology.
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