关键词: metabolic syndrome myelomeningocele pediatric physical activity spina bifida youth

Mesh : Adolescent Child Exercise Humans Meningomyelocele / complications Metabolic Syndrome / etiology Muscle Strength Spinal Cord Injuries

来  源:   DOI:10.46292/sci21-00032   PDF(Pubmed)

Abstract:
UNASSIGNED: The purpose of this review is to describe the current scientific literature on the prevalence of metabolic syndrome in children with myelomeningocele and to gain insight into the baseline levels of aerobic fitness, endurance, and strength in this population in order to identify gaps in knowledge, suggest potential primary prevention strategies, and provide recommendations for future studies.
UNASSIGNED: A literature review of articles published in English and French between 1990 and April 2020 was conducted.
UNASSIGNED: Obese adolescents with myelomeningocele have an increased prevalence of components of the metabolic syndrome. Children and adolescents with myelomeningocele have decreased aerobic fitness and muscular strength, decreased lean mass, and increased fat mass, all of which, when combined with higher levels of physical inactivity, put them at higher risk of developing metabolic syndrome and cardiovascular diseases.
UNASSIGNED: Until more research is conducted, addressing weight-related challenges and promoting healthy habits (such as optimal activity levels) could be easily integrated into yearly myelomeningocele clinics. An actionable suggestion might be to systematically weigh and measure children in these clinics and utilize the results and trends as a talking point with the parents and children. The follow-up appointments could also be used to develop physical activity goals and monitor progress. We recommend that the health care practitioner tasked with this intervention (physician, nurse, etc.) should be aware of locally available accessible sports platforms and have knowledge of motivational interviewing to facilitate removal of perceived barriers to physical activity.
摘要:
UNASSIGNED:这篇综述的目的是描述当前有关脊髓膜膨出儿童代谢综合征患病率的科学文献,并深入了解有氧健身的基线水平,耐力,以及在这个群体中的力量,以识别知识上的差距,建议潜在的一级预防策略,并为未来的研究提供建议。
UNASSIGNED:对1990年至2020年4月期间以英语和法语发表的文章进行了文献综述。
UNASSIGNED:患有脊髓脊膜膨出的肥胖青少年代谢综合征组分的患病率增加。患有脊髓膜膨出的儿童和青少年的有氧健身和肌肉力量下降,瘦肉质量减少,脂肪量增加,所有这些,当与更高水平的体力活动相结合时,使他们患代谢综合征和心血管疾病的风险更高。
未经评估:在进行更多研究之前,解决与体重相关的挑战和促进健康习惯(如最佳活动水平)可以很容易地纳入每年的脊髓脊膜膨出诊所.一个可行的建议可能是系统地衡量和衡量这些诊所的儿童,并利用结果和趋势作为与父母和孩子的谈话点。后续任命也可用于制定身体活动目标和监测进展。我们建议负责这项干预的保健医生(医生,护士,等。)应该意识到当地可用的体育平台,并了解动机面试,以促进消除身体活动的感知障碍。
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