TY - JOUR
T1 - Children treated for severe acute malnutrition experience a rapid increase in physical activity a few days after admission
AU - Faurholt-Jepsen, Daniel
AU - Hansen, Kristina Beck
AU - van Hees, Vincent T
AU - Christensen, Line Brinch
AU - Girma, Tsinuel
AU - Friis, Henrik
AU - Brage, Søren
N1 - CURIS 2014 NEXS 117
PY - 2014/6
Y1 - 2014/6
N2 - Objective To assess physical activity at admission and during recovery from severe acute malnutrition. Study design Ethiopian children who were admitted with severe acute malnutrition received a clinical examination each week to monitor their recovery during rehabilitation. Using accelerometry (24 h/d for 5 consecutive days) at admission and again after 10 days of rehabilitation, we assessed the level and changes of physical activity. Results Among 13 children included, the mean (SD) age was 31.1 months (15.5). At baseline, the day-night activity difference was relatively small, whereas the level of activity had substantially increased at follow-up. The diurnal mean acceleration level was significantly greater at follow-up for wrist (1158.8 vs 541.4 counts per minute, P =.003) but not hip movements (204.1 vs 141.5, P =.261). During daytime (6 a.m. to 10 p.m.), hip activity increased by 38% from baseline to follow-up (eB 1.38, 95% CI 1.17-1.62), and wrist activity more than doubled (eB 2.50, 95% CI 2.17-2.87). Conclusion The level of physical activity among children with severe acute malnutrition is very low but increases rapidly during recovery. Accelerometry may be a useful approach in the recovery phase as an indicator of early improvement.
AB - Objective To assess physical activity at admission and during recovery from severe acute malnutrition. Study design Ethiopian children who were admitted with severe acute malnutrition received a clinical examination each week to monitor their recovery during rehabilitation. Using accelerometry (24 h/d for 5 consecutive days) at admission and again after 10 days of rehabilitation, we assessed the level and changes of physical activity. Results Among 13 children included, the mean (SD) age was 31.1 months (15.5). At baseline, the day-night activity difference was relatively small, whereas the level of activity had substantially increased at follow-up. The diurnal mean acceleration level was significantly greater at follow-up for wrist (1158.8 vs 541.4 counts per minute, P =.003) but not hip movements (204.1 vs 141.5, P =.261). During daytime (6 a.m. to 10 p.m.), hip activity increased by 38% from baseline to follow-up (eB 1.38, 95% CI 1.17-1.62), and wrist activity more than doubled (eB 2.50, 95% CI 2.17-2.87). Conclusion The level of physical activity among children with severe acute malnutrition is very low but increases rapidly during recovery. Accelerometry may be a useful approach in the recovery phase as an indicator of early improvement.
U2 - 10.1016/j.jpeds.2014.02.014
DO - 10.1016/j.jpeds.2014.02.014
M3 - Journal article
C2 - 24657125
SN - 0022-3476
VL - 164
SP - 1421
EP - 1424
JO - Journal of Pediatrics
JF - Journal of Pediatrics
IS - 6
ER -
