Pediatric rheumatology

Physical (in)activity and screen-based media use of adolescents with juvenile idiopathic arthritis over time - data from a German inception cohort

Pediatr Rheumatol Online JPublished Prospective cohort study

Main finding · PA levelResult — go to the resultOdds ratio 3.69 95% CI 1.01–13.50

Authors' conclusion

Adolescents with JIA become more physically active over the disease course and achieve comparable levels of PA and recreational screen time to their peers. However, the vast majority appear to be insufficiently physically active.

Study context

Population
Adolescents aged 13 and over with JIA and their peers, ICON inception cohort, 11 German centres; two-year intervalpatients mean age 14.4 ± 0.9 years, female 63%
Participants
214 vs 141
Exposure
Adolescents with JIA vs peers
  • JIAn = 214
  • Peersn = 141reference
Outcome
PA levels and recreational SBM use over time, compared with peers
Follow-up
Two-year interval
Methodological detailsinception cohort (ICON), multicentre (11 German centres), linear mixed models
  • Inception cohort (ICON)
  • Multicentre (11 German centres)
  • Linear mixed models

Main finding

PA level

Odds ratio

3.69

95% CI 1.01–13.50

P = 0.048

JIAvs Peers
OR 3.69 (95% CI 1.01–13.50); P = 0.048

As reported in the abstract

At first documentation, patients less physically active than peers
P < 0.001

Observational data: associations, not effects.

Further findings

Mean screen time, first documentation

P = 0.556

Mean screen time, follow-up

P = 0. 969

Factors associated with high screen-based media (SBM) use (≥ 4.5 h/d)

Low socioeconomic status (SES), OR
14.40 (95% CI 2.84-73.15)
Higher cJADAS-10 score, OR
1.31 (95% CI 1.03-1.66)
Higher PedsQL psychosocial health score, OR
0.93 (95% CI 0.88-0.99)

Sex differences in patients

Male patients reported higher physical activity (PA) levels than female patients, but also higher screen time levels

Original publication

Physical (in)activity and screen-based media use of adolescents with juvenile idiopathic arthritis over time - data from a German inception cohort. Pediatr Rheumatol Online J. Published 21 October 2024. doi:10.1186/s12969-024-01027-6

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