Physical activity level among children recovering from severe acute malnutrition

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Esther Babirekere-Iriso, Maren Johanne Heilskov Rytter, Hanifa Namusoke, Ezekiel Mupere, Kim F. Michaelsen, Søren Brage, Ken D Stark, Lotte Lauritzen, André Briend, Henrik Friis, Daniel Faurholt-Jepsen

Objective: To assess the level and predictors of physical activity at discharge among children recovering from severe acute malnutrition (SAM).

Methods: We conducted a prospective study among 69 children 6 - 59 months of age admitted with SAM for nutritional rehabilitation at Mulago National Referral Hospital, Uganda. Using hip-mounted tri-axial accelerometers, we measured physical activity expressed as counts per minute (cpm) during the last three days of hospital treatment. As potential predictors, we assessed clinical and background characteristics, duration to transition phase and duration of hospitalisation, serum C-reactive protein and whole-blood docosahexaenoic acid (DHA). Multiple linear regression analyses were used to identify predictors of physical activity.

Results: The median (IQR) age was 15.5 (12.6; 20.5) months. At discharge, the mean (SD) movement was 285 (126) cpm. Physical activity was 43 (19; 67) cpm higher for each unit increase in weight-for-height z-score (WHZ) and 72 (36; 108) cpm higher for each centimeter increase in MUAC. Whole-blood DHA on admission was also a positive predictor of physical activity, whereas duration to transition phase and duration of hospitalisation were both negative predictors.

Conclusion: The level of physical activity at discharge among children treated for SAM was low. WHZ, MUAC and DHA on admission were positive predictors of physical activity whereas duration of stabilization and hospitalization were negative predictors of physical activity. These results suggest that assessment of physical activity may be used as a marker of recovery. This article is protected by copyright. All rights reserved.

OriginalsprogEngelsk
TidsskriftTropical Medicine & International Health
Vol/bind23
Udgave nummer2
Sider (fra-til)156-163
Antal sider8
ISSN1360-2276
DOI
StatusUdgivet - 2018

Bibliografisk note

CURIS 2018 NEXS 018

ID: 186865719