Pediatric rheumatology

Level and correlates of physical activity among children and adolescents with juvenile idiopathic arthritis compared to controls: results from a German nationwide prospective observational cohort study

Pediatr Rheumatol Online JPublished Prospective observational cohort study

Authors' conclusion

Depending on JIA category, children and adolescents with JIA were similarly or even more likely to achieve the WHO recommended minimum level of PA compared to general population controls.

Study context

Population
Children and adolescents aged 3 to 17 years with juvenile idiopathic arthritis (JIA) and population controls, Germany, data from 2017 (mean age 11.2 ± 4.2 years, female 67%)6,297 matched-pairs
Exposure
Children and adolescents with JIA vs general population controls
Outcome
Achievement of the WHO recommended amount of PA (self-reported)
Methodological detailsnationwide, age- and sex-specific pairwise (matched) analyses, linear regression model
  • Nationwide
  • Age- and sex-specific pairwise (matched) analyses
  • Linear regression model

Main finding

As reported in the abstract

Achieved WHO recommended amount of PA, aged 3-17 years

Observational data: associations, not effects.

Further findings

Achieved WHO recommended amount of physical activity (PA), patients aged ≥ 12 years — JIA
18%

Achieved WHO recommended amount of PA, patients aged ≥ 12 years

PA steadily decreased with age and varied between JIA categories
Female adolescents and patients with enthesitis-related arthritis least likely to achieve minimum recommended PA

Correlates of physical inactivity among patients (linear regression)

Associated with female sex, higher age at disease onset, longer disease duration, more functional disability (C-HAQ) and higher disease activity (cJADAS-10)

Original publication

Level and correlates of physical activity among children and adolescents with juvenile idiopathic arthritis compared to controls: results from a German nationwide prospective observational cohort study. Pediatr Rheumatol Online J. Published 20 March 2024. doi:10.1186/s12969-024-00976-2

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