Physical (in)activity and screen-based media use of adolescents with juvenile idiopathic arthritis over time - data from a German inception cohort
Main finding · PA levelResult — go to the resultOdds ratio 3.69 95% CI 1.01–13.50Authors' 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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