Pediatric rheumatology

Impaired cardiorespiratory and neuromuscular fitness in children and adolescents with juvenile idiopathic arthritis: a cross-sectional case–control study in the era of biologic drug therapies

Pediatr Rheumatol Online JPublished Cross-sectional study

Authors' conclusion

JIA patients were physically less active and had lower cardiorespiratory and neuromuscular fitness than their same aged controls with no JIA.

Study context

Population
Children and adolescents with juvenile idiopathic arthritis (JIA) aged 6.8–17.5 years and healthy matched controls, investigated in 2017–201973 JIA, 73 controls
Participants
73 vs 73
Exposure
JIA patients vs healthy age- and sex-matched controls
  • JIAn = 73
  • Controlsn = 73reference
Outcome
Cardiorespiratory fitness (maximal ergospirometry) and neuromuscular fitness (speed, agility, balance and muscle strength tests)
Methodological detailscase–control, age- and sex-matched controls
  • Case–control
  • Age- and sex-matched controls

Main finding

As reported in the abstract

Maximal workload (Wmax/kg)

P < 0.01

Observational data: associations, not effects.

Further findings

Peak oxygen uptake (VO2peak/kg) · lower in JIA

P < 0.01

Daily activity · lower in JIA

P < 0.05

Sedentary time · higher in JIA

P < 0.05

Shuttle-run, sit-up and standing long jump tests · lower in JIA
P < 0.01

Association with disease activity

Physical activity and cardiorespiratory or neuromuscular fitness not associated with disease activity

Original publication

Impaired cardiorespiratory and neuromuscular fitness in children and adolescents with juvenile idiopathic arthritis: a cross-sectional case–control study in the era of biologic drug therapies. Pediatr Rheumatol Online J. Published 17 March 2023. doi:10.1186/s12969-023-00808-9

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