FRI0534 Physical Activity, Overweight, and Leisure Time Activity in a Cohort of Juvenile Idiopathic Arthritis Patients

Sherman, Gilad; Moshe, Veronica; Haviv, Ronit; Reis, Yonit; Consolaro, Alessandro; Ruperto, Nicolino; Uziel, Yosef

doi:10.1136/annrheumdis-2015-eular.2833

Cited by 3 publications

(4 citation statements)

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“…In our study, both patients with JIA and children in the control group did not meet the criterion of proper amounts of physical activity 100% of the time, and the differences between the groups were not statistically significant. Our results are comparable to the work of Israeli and Italian researchers, who found similar levels of activity in the JIA patient group compared to the control group [ 60 ]. In contrast, Heale et al showed that physical activity levels in children with JIA decreased after diagnosis and declined steadily over the course of the study.…”

Section: Discussionsupporting

confidence: 90%

Assessment of Cardiovascular Risk Factors in Patients with Juvenile Idiopathic Arthritis

et al. 2023

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Introduction: The aim of this study was to assess the exposure to cardiovascular disease (CVD) risk factors in patients with juvenile idiopathic arthritis (JIA). Intima–media complex thickness (IMT), selected metabolic parameters and health behaviors were assessed in the course of the study. Methods: The study included study group, which consisted of 45 patients with JIA and 37 healthy age- and sex-matched children in the control group. Analyses in both groups included anthropometric parameters, laboratory tests, IMT and a questionnaire on exposure to modifiable CVD risk factors. Results: The study confirmed that CVD risk factors were present in both groups of patients. Significantly more children with JIA had abnormal BMI (p = 0.006) compared to the control group. Children in the study group were more likely to consume fruit regularly (p = 0.021) and less likely to consume fast food (p = 0.011) and sweetened beverages (p = 0.042) than children in the control group. Only 1 patient with JIA met criteria for ideal cardiovascular health. Dietary habits were not associated with IMT values, BMI, presence of joint pain or biochemical parameters in the study group. Conclusions: Patients with JIA are exposed to cardiovascular risk factors equally to their healthy peers. Ideal cardiovascular health should be pursued in the pediatric population with particular attention paid to patients with chronic diseases (i.e., JIA). The application of carotid artery IMT measurement in the assessment of CVD risk requires studies on a larger group of patients.

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Section: Discussionsupporting

confidence: 90%

Assessment of Cardiovascular Risk Factors in Patients with Juvenile Idiopathic Arthritis

et al. 2023

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“…Thus, our results differ from recent reports showing that young patients with JIA have lower PA levels than healthy peers [ 13 , 25 ]. Other studies providing information on PA state that overall PA levels in JIA patients diagnosed in the era of biologics were similar to controls [ 15 , 26 ]. In this context, Sherman et al [ 26 ] postulate that this lack of difference may be due to clinical remission following an early, aggressive treat-to-target strategy.…”

Section: Discussionmentioning

confidence: 90%

“…Other studies providing information on PA state that overall PA levels in JIA patients diagnosed in the era of biologics were similar to controls [ 15 , 26 ]. In this context, Sherman et al [ 26 ] postulate that this lack of difference may be due to clinical remission following an early, aggressive treat-to-target strategy. However, it should be noted that these studies reported PA levels only for the whole group, probably due to small sample sizes, narrow age ranges and underrepresentation of certain JIA categories (particularly oligoarthritis).…”

Section: Discussionmentioning

confidence: 90%

Level and correlates of physical activity among children and adolescents with juvenile idiopathic arthritis compared to controls: results from a German nationwide prospective observational cohort study

Milatz,

Hansmann,

Klotsche

et al. 2024

Pediatr Rheumatol

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Background Physical active lifestyles are essential throughout growth and maturation and may offer potential preventive and therapeutic benefit in patients with juvenile idiopathic arthritis (JIA). Insufficient physical activity (PA), in contrast, can lead to aggravation of disease-related symptoms. This study aimed to i) examine PA levels in children and adolescents with JIA compared to general population controls and ii) investigate correlates of pronounced physical inactivity in order to identify risk groups for sedentary behaviour. Methods Data from children and adolescents with JIA and population controls aged 3 to 17 years documented in the National Pediatric Rheumatologic Database (NPRD) and the German Health Interview and Examination Survey for Children and Adolescents (KiGGS) were used. Self-reported PA was collected from parents/guardians of children up to 11 years of age or adolescents 12 years of age and older. To compare PA-related data, age- and sex-specific pairwise analyses were conducted considering NPRD/KiGGS participants' data from 2017. Correlates of physical inactivity among patients were identified using a linear regression model. Results Data of 6,297 matched-pairs (mean age 11.2 ± 4.2 years, female 67%, patients’ disease duration 4.5 ± 3.7 years, persistent oligoarthritis 43%) were available for evaluation. Almost 36% of patients aged 3–17 years (vs. 20% of controls) achieved the WHO recommended amount of PA, while PA steadily decreased with age (18% of patients aged ≥ 12 years) and varied between JIA categories. Female adolescents and patients with enthesitis-related arthritis were least likely to achieve the minimum recommended level of PA. Physical inactivity was associated with female sex, higher age at disease onset, longer disease duration, more functional disability (C-HAQ) and higher disease activity (cJADAS-10). Conclusions Depending on JIA category, children and adolescents with JIA were similarly or even more likely to achieve the WHO recommended minimum level of PA compared to general population controls. However, since a large proportion of young JIA patients appear to be insufficiently physically active, engagement in targeted efforts to promote PA is urgently needed.

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“…Beukelman et al reported that the general level of physical activity was lower in JIA patients than in their healthy peers [ 65 ]. Children diagnosed with JIA were also observed to have less leisure activity during the week [ 66 ]. Due to psychosocial stress triggered by the diagnosis of JIA, a trend towards the “inactive lifestyle” tended to increase over time from disease onset [ 67 ].…”

Section: Discussionmentioning

confidence: 99%

Why and How Should We Assess the Cardiovascular Risk in Patients with Juvenile Idiopathic Arthritis? A Single-Centre Experience with Carotid Intima-Media Measurements

et al. 2023

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Background: Children diagnosed with juvenile idiopathic arthritis (JIA) are thought to be more likely to develop cardiovascular disease in adulthood. The factors modulating the cardiovascular risk, involving exposure to secondhand smoking, sedentary lifestyle and abnormal body mass index, might have had a stronger impact during the COVID-19 pandemic. The lack of reliable prognostic markers for a higher probability of cardiovascular events might be solved by carotid intima-media thickness (cIMT) measurement. The paramount goal of the study was to assess its usefulness in JIA patients. Materials and Methods: The results of cIMT measured by a single physician in 45 children diagnosed with JIA were compared to 37 age- and sex-matched healthy counterparts. The analysis also involved anthropometric parameters, laboratory tests, and a survey regarding lifestyle-related factors. Results: Four JIA patients appeared to have cIMT above the 94th percentile. A positive correlation between erythrocytes sedimentation rate (ESR) and right carotid artery percentiles was found. Passive smoking increased the cardiovascular risk regardless of JIA. Doubling the daily screen time during the pandemic led to a significant reduction in children’s physical activity. However, the number of enrolled subjects was not enough to make significant recommendations. Conclusions: cIMT measurements remain an interesting perspective for future cardiovascular screening of children with JIA. It has yet to be determined whether it should be considered in all JIA patients on a reliable basis.

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FRI0534 Physical Activity, Overweight, and Leisure Time Activity in a Cohort of Juvenile Idiopathic Arthritis Patients

Cited by 3 publications

References 0 publications

Assessment of Cardiovascular Risk Factors in Patients with Juvenile Idiopathic Arthritis

Assessment of Cardiovascular Risk Factors in Patients with Juvenile Idiopathic Arthritis

Level and correlates of physical activity among children and adolescents with juvenile idiopathic arthritis compared to controls: results from a German nationwide prospective observational cohort study

Why and How Should We Assess the Cardiovascular Risk in Patients with Juvenile Idiopathic Arthritis? A Single-Centre Experience with Carotid Intima-Media Measurements

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