Bone Health in Children and Adolescents With Juvenile Idiopathic Arthritis and the Influence of Short-term Physical Exercise

Sandstedt, E; Fasth, Anders; Fors, Hans; Beckung, Eva

doi:10.1097/pep.0b013e31824cce6e

Cited by 41 publications

(33 citation statements)

References 20 publications

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“…Bone health and leisure time activities have been reported earlier and the randomization process has been described in detail [23]. The inclusion criteria were polyarticular or extended oligoarticular arthritis, treated with methotrexate, TNF-blockers and/or prednisone, and in need of repeated corticosteroid injections of joints in the lower extremities.…”

Section: Methodsmentioning

confidence: 99%

“…Different physical activities have been studied such as jumping with a rope (rope-skipping) and exercise programs in water [4,6,7,21-24]. Jumping has influence on bone health and foot orthotics can significantly improve pain, speed of ambulation, and self-rated activity and functional ability [23,25]. …”

Section: Introductionmentioning

confidence: 99%

“…Exercise programs with weight bearing exercises have been shown to improve both muscle strength and bone mass [6,22,23]. The exercise programmes in these studies were at different intensity levels and of different duration and physical activity in leisure time was not fully documented [4,6,22].…”

Section: Introductionmentioning

confidence: 99%

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Muscle strength, physical fitness and well-being in children and adolescents with juvenile idiopathic arthritis and the effect of an exercise programme: a randomized controlled trial

et al. 2013

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BackgroundDecreased muscle strength, fitness and well-being are common in children and adolescents with juvenile idiopathic arthritis (JIA) compared to healthy peers. Biological drugs have improved health in children with JIA, but despite this pain is still a major symptom and bone health is reported as decreased in the group. The improvement made by the biological drugs makes it possible to more demanding exercises. To jump is an exercise that can improve bone heath, fitness and muscle strength. The aim of the study was to see if an exercise programme with jumps had an effect on muscle strength, physical fitness and well-being and how it was tolerated.MethodsMuscle strength and well-being were studied before and after a 12-week exercise programme in 54 children and adolescents with JIA, 9–21 years old. The participants were randomized into an exercise and a control group. Muscle strength, fitness and well-being were documented before and after the training period and at follow-up after 6 months. Physical activity in leisure time was documented in diaries. The fitness/exercise programme was performed at home three times a week and included rope skipping and muscle strength training exercises.Assessment included measurement of muscle strength with a handheld device, and with Grip-it, step-test for fitness with documentation of heart rate and pain perception and two questionnaires (CHAQ, CHQ) on well-being.ResultsThere were no differences between exercise and control group regarding muscle strength, grip strength, fitness or well-being at base line. Muscle weakness was present in hip extensors, hip abductors and handgrip. For the exercise group muscle strength in hip and knee extensors increased after the 12-week exercise programme and was maintained in knee extensors at follow-up. There was no change in fitness tested with the individually adapted step-test. The CHQ questionnaire showed that pain was common in the exercise group and in the control group. There were only small changes in the CHAQ and CHQ after the training period. The fitness/exercise programme was well tolerated and pain did not increase during the study.ConclusionsA weight bearing exercise programme, with muscle strength training with free weights and rope skipping was well tolerated without negative consequences on pain. It also improved muscle strength in the legs and can be recommended for children and adolescents with JIA.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Muscle strength, physical fitness and well-being in children and adolescents with juvenile idiopathic arthritis and the effect of an exercise programme: a randomized controlled trial

et al. 2013

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“…Studies on physical exercise programs in JIA patients show that exercise training is beneficial for this population [5,15,21,[27][28][29][30][31][32][33][34][35][36]. The trends for outcome measures all point to benefits of exercise, with increased strength and range of motion, improved joint stiffness, and better quality of life [37].…”

Section: Clinical Effects Of Exercise In Jia Patientsmentioning

confidence: 94%

Juvenile idiopathic arthritis and physical activity: Possible inflammatory and immune modulation and tracks for interventions in young populations

Rochette¹,

Duché²,

Merlin³

2015

Autoimmunity Reviews

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“…Exercise as medicine for childhood arthritis has been studied, but only to a limited extent [14][15][16][17][18][19][20][21][22][23]24 . For example, we did a randomized trial that compared aerobic fitness exercise (cardio-karate) with weight-bearing but nonaerobic exercise (qigong).…”

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confidence: 99%

Exercise as Medicine for Children with Arthritis

Feldman

2017

J Rheumatol

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Bone Health in Children and Adolescents With Juvenile Idiopathic Arthritis and the Influence of Short-term Physical Exercise

Abstract: The study group had BMD measurements within the reference range. Twelve weeks of exercise increases BMD in children with juvenile idiopathic arthritis.

Cited by 41 publications

References 20 publications

Muscle strength, physical fitness and well-being in children and adolescents with juvenile idiopathic arthritis and the effect of an exercise programme: a randomized controlled trial

Muscle strength, physical fitness and well-being in children and adolescents with juvenile idiopathic arthritis and the effect of an exercise programme: a randomized controlled trial

Juvenile idiopathic arthritis and physical activity: Possible inflammatory and immune modulation and tracks for interventions in young populations

Exercise as Medicine for Children with Arthritis

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