Triad of physical activity, aerobic fitness and obesity in adolescents and young adults with myelomeningocele

Transition Research Group South-West Netherlands

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

OBJECTIVE: Comprehensively and objectively assess physical activity, aerobic fitness and body fat in adolescents and young adults with myelomeningocele and to investigate their relationships.

DESIGN: Cross-sectional study.

SUBJECTS: Fifty-one persons (26 males) with myelomeningocele aged 21.1 (standard deviation) 4.5) years.

METHODS: Physical activity was measured with an accelerometry-based activity monitor. Aerobic fitness was defined as the maximum oxygen uptake during the last minute of a maximal exercise test. Body fat was assessed using sum of 4 skin-folds and body mass index. Correlations were studied using multiple regression analyses.

RESULTS: Thirty-nine percent of the participants were inactive and another 37% were extremely inactive. Aerobic fitness was 42% lower than normative values and 35% were obese. Ambulatory status was related to daily physical activity (beta = 0.541), aerobic fitness (beta = 0.397) and body fat (beta = -0.243). Gender was related to aerobic fitness (beta = -0.529) and body fat (beta = 0.610). Physical activity was related to aerobic fitness in non-ambulatory persons with myelomeningocele (beta = 0.398), but not in ambulatory persons.

CONCLUSION: Adolescents and young adults with myelomeningocele were physically inactive, had poor aerobic fitness and high body fat. Differences exist between subgroups regarding gender and ambulatory status.

Original languageEnglish
Pages (from-to)70-5
Number of pages6
JournalJournal of Rehabilitation Medicine
Volume40
Issue number1
DOIs
Publication statusPublished - Jan 2008

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