The aim of this study is to objectively determine physical activity levels and to explore factors associated with the level of physical activity during hospital admission in hospitalized children between six months and 18 years old.
ID
Source
Brief title
Condition
- Other condition
Synonym
Research involving
Sponsors and support
Intervention
- Other intervention
N.a.
Outcome measures
Primary outcome
<p>Physical activity measured with an accelerometer</p>
Secondary outcome
<p>Secondary outcome of this study are the factors potential associated with the level of physical activity, i.e. delirium, level of functionality, level of disability, severity of illness, comfort, pain, analgesic/sedative treatment, presence of a urinary catheter or central venous catheter, supplemental oxygen therapy and mobility restrictions. In children admitted to the PICU there are more potential associated factors, namely: PICU length of stay, neuromuscular blockage, and mechanical ventilation.</p>
Background summary
It is generally believed that physical activity contributes to well-being and recovery of hospitalized patients. Immobilization is considered unfavorable and, in hospitalized children, is associated with complications such as muscle weakness/loss, pressure ulcers, and venous thromboembolism that all may prolong length of stay. In order to increase physical activity levels of hospitalized children, (early) mobilization programs are implemented. Early mobilization in children admitted to the Pediatric Intensive Care Unit (PICU) has been shown to be safe and feasible, but its effectiveness in improving outcomes for critically ill children has yet to be demonstrated.
In order to evaluate the effect on physical activity levels and the potential benefits of (early) mobilization in hospitalized children, it is relevant to know their spontaneous levels of physical activity. Physical activity levels have been described in previous research in hospitalized children. Main issue with previous studies on physical activity is the methods of measuring physical activity. This was done either via self-constructed standardized forms, non-validated measurement tools, or based on chart review.
Accelerometers are a reliable and alternative method of measuring physical activity in children. This objective method allows for the continuous measurement of physical activity during several days. Additionally, this method enables the identification of factors associated with physical activity more objectively than in previous research. Understanding these factors can be helpful in identifying children at risk for low physical activity levels, enabling the development of tailored approaches to increase their activity levels.
Study objective
The aim of this study is to objectively determine physical activity levels and to explore factors associated with the level of physical activity during hospital admission in hospitalized children between six months and 18 years old.
Study design
Prospective cohort study
Intervention
none
Study burden and risks
-
B.M. Geven
Meibergdreef 9
Amsterdam 1105 AZ
Netherlands
020-5661244
b.m.geven@amsterdamumc.nl
B.M. Geven
Meibergdreef 9
Amsterdam 1105 AZ
Netherlands
020-5661244
b.m.geven@amsterdamumc.nl
Listed location countries
Age
Inclusion criteria
Children of 6 months and older, admitted to a pediatric ward, with an expected length of stay of 48 hours and longer.
Exclusion criteria
Children with any condition which affects the validity of the measurement of physical activity (i.e. epilepsia, dystonia or any form of unvoluntary movement) and, children with quadriplegia are excluded. Children with anorexia are also excluded.
Design
Recruitment
Medical products/devices used
IPD sharing statement
Plan description
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| Research portal | NL-009560 |