Pediatric rheumatology

Can fitness testing promote physical activity in adolescents with juvenile idiopathic arthritis?

Pediatr Rheumatol Online JPublished Exploratory pre-post study

Authors' conclusion

Introducing submaximal treadmill fitness testing in routine care did not change self-reported PA, but estimated VO2peak and walking distance increased significantly.

Study context

Population
Adolescents aged 10–18 years with non-systemic juvenile idiopathic arthritis (JIA), recruited during routine physiotherapy visits at a rheumatology clinic24 completed follow-up
Participants
34 adolescents
Comparison
Follow-up vs baseline after introducing submaximal treadmill fitness testing
Outcome
Self-reported PA (International Physical Activity Questionnaire Short-Form (IPAQ-SF))
Follow-up
follow-up
Methodological detailssingle-group, consecutive recruitment
  • Single-group
  • Consecutive recruitment

Main finding

As reported in the abstract

IPAQ-derived PA
  • IPAQ-derived physical activity (PA) did not change significantly between assessments

Further findings

OutcomeEstimateP value
Estimated VO2peak, change from baseline · follow-upFollow-up vs Baseline · SD 4.4difference 2.4 mL∙kg- 1∙min- 1P = 0.01
Walking distance, change from baseline · follow-upFollow-up vs Baseline · SD 69difference 31 metresP = 0.04

Juvenile Arthritis Multidimensional Assessment Report (JAMAR) physical function and health-related quality of life (HRQoL) · follow-up

No significant changes

Association of vigorous PA with estimated VO2peak · baseline and follow-up

Spearman rho up to
0.51
  • P < 0.05

Association of moderate-to-vigorous and total PA with VO2peak · follow-up only

Spearman rho
≈0.41-0.43
  • Weaker

Association of vigorous PA with walking distance · follow-up

Spearman rho
0.42
  • P = 0.040

Original publication

Can fitness testing promote physical activity in adolescents with juvenile idiopathic arthritis? Pediatr Rheumatol Online J. Published 21 May 2026. doi:10.1186/s12969-026-01223-6

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