ABSTRACT

Purpose

Children with low lumbar and sacral level myelomeningocele are expected to be community ambulators. However, they do not always meet the expected ambulation level by the time they reach adulthood. The purpose of this study is to investigate daily activity energy expenditure and physical activity levels of these patients in daily routine.

Materials and methods

20 patients and 20 healthy peers were included in this case-control study. Omnidirectional accelerometer monitor was used for assessing activity energy expenditure, and daily durations spent in sedentary, light activity, and moderate to vigorous physical activity levels (NCT04186338).

Results

Mean activity energy expenditure and moderate to vigorous physical activity duration were significantly lower in the patient group, while age was positively correlated with sedentary time and negatively correlated with light activity time.

Conclusions

In patients with myelomeningocele, increasing daily activity energy expenditure and moderate to vigorous physical activity and, especially as age progresses, decreasing the sedentary behavior may assist in providing the expected ambulation level. These patients should be encouraged to partake in regular exercise programs.

中文翻译：

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腰骶部低位脊髓脊膜膨出儿童和青少年的日常体力活动

摘要

目的

腰椎和骶骨水平脊髓脊膜膨出的儿童有望成为社区步行者。然而，到成年时，他们并不总是达到预期的行走水平。本研究的目的是调查这些患者在日常生活中的日常活动能量消耗和身体活动水平。

材料和方法

本病例对照研究包括 20 名患者和 20 名健康同伴。全向加速度计监测器用于评估活动能量消耗，以及在久坐、轻度活动和中度至剧烈体力活动水平上花费的每日持续时间 (NCT04186338)。

结果

患者组的平均活动能量消耗和中度至剧烈运动持续时间显着降低，而年龄与久坐时间呈正相关，与轻度活动时间呈负相关。

结论

在脊髓脊膜膨出患者中，增加日常活动能量消耗和中度至剧烈的身体活动，尤其是随着年龄的增长，减少久坐行为可能有助于提供预期的步行水平。应鼓励这些患者参加定期锻炼计划。