Pediatric rheumatology

Exploring physical activity patterns in adolescents with hypermobility spectrum disorder or hypermobile Ehlers-Danlos Syndrome

Pediatr Rheumatol Online JPublished Cross-sectional study

Authors' conclusion

According to this study, adolescents with HSD/hEDS exhibited physical activity behaviors at levels that are associated to poorer health compared to healthy peers.

Study context

Population
Adolescents aged 13–17 years with Hypermobility Spectrum Disorder (HSD)/Hypermobile Ehlers-Danlos Syndrome (hEDS) and healthy adolescents
Participants
37 vs 45
Exposure
Adolescents with HSD/hEDS vs healthy adolescents
  • HSD/hEDSn = 37
  • Controln = 45reference
Outcome
Physical activity patterns (daytime and nighttime movement behavior) measured with accelerometers
Methodological detailsaccelerometer-measured physical activity, healthy control group
  • Accelerometer-measured physical activity
  • Healthy control group

Main finding

As reported in the abstract

Physical activity patterns (accelerometer)
  • HSD/hEDS spent significantly more time in sedentary behavior (SED) vs control
  • HSD/hEDS spent less time in moderate-to-vigorous physical activity (MVPA) vs control
  • HSD/hEDS exhibited significantly more sleep movement during night vs control

Observational data: associations, not effects.

Further findings

Association between fatigue and SED, MVPA daytime or sleep movement in HSD/hEDS (pain catastrophizing as confounder)

Association could not be confirmed

Original publication

Exploring physical activity patterns in adolescents with hypermobility spectrum disorder or hypermobile Ehlers-Danlos Syndrome. Pediatr Rheumatol Online J. Published 8 July 2025. doi:10.1186/s12969-025-01124-0

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