Slow speed resistance exercise training in children with polyarticular juvenile idiopathic arthritis

Sangeeta D Sule,1 Kevin R Fontaine21Division of Rheumatology, Children’s National Health System, Washington, DC 20010, USA; 2Department of Public Health, School of Public Health, University of Alabama at Birmingham, Birmingham, AB, USABackground: Juvenile idiopathic arthritis (JIA) is an i...

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Autores principales:	Sule SD, Fontaine KR
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	Exercise juvenile arthritis body composition Diseases of the musculoskeletal system RC925-935
Acceso en línea:	https://doaj.org/article/5dc8a8fb6e5c426bb98f32ee538a0fad
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spelling	oai:doaj.org-article:5dc8a8fb6e5c426bb98f32ee538a0fad2021-12-02T03:42:31ZSlow speed resistance exercise training in children with polyarticular juvenile idiopathic arthritis1179-156Xhttps://doaj.org/article/5dc8a8fb6e5c426bb98f32ee538a0fad2019-05-01T00:00:00Zhttps://www.dovepress.com/slow-speed-resistance-exercise-training-in-children-with-polyarticular-peer-reviewed-article-OARRRhttps://doaj.org/toc/1179-156XSangeeta D Sule,1 Kevin R Fontaine21Division of Rheumatology, Children’s National Health System, Washington, DC 20010, USA; 2Department of Public Health, School of Public Health, University of Alabama at Birmingham, Birmingham, AB, USABackground: Juvenile idiopathic arthritis (JIA) is an inflammatory autoimmune disease that can cause severe impairment and disability. Exercise is recommended to preserve joint mobility and function. Our objectives were to assess the safety, feasibility, and effects of slow speed resistance exercise in children with polyarticular JIA.Methods: Patients were recruited from a pediatric rheumatology clinic at an urban hospital and randomized to exercise or control groups. In the intervention group, slow speed resistance exercise with individualized instruction by a certified trainer was performed 1–2 times per week for 12 weeks. The control group performed home-based aerobic exercise 3 days per week for 12 weeks. Pre and post-body composition measurements by dual-energy X-ray absorptiometry; aerobic fitness by peak oxygen uptake during cycle ergometry; isometric muscle strength; and quality of life measures were obtained.Results: In the exercise group, 9/17 (53%) completed any exercise training. Of these nine subjects, five (55%) completed all 12 weeks of the protocol. In the control group, 8/16 (50%) reported compliance with the recommended aerobic exercise training at least one time per week. Only 2 subjects (12%) reported exercising more than once per week. There was no significant difference between pre- and post-measurements in any category in the exercise group. There was also significantly elevated body fat in both groups with only 17% in the control group and 23% in the exercise group meeting recommended <30% total body fat levels.Conclusions: Children with JIA participated safely in this resistance exercise protocol. The exercise was well-tolerated with no serious adverse events noted. While individual subjects reported improvement in fatigue and improved energy, there was no statistical difference in pre- and post-exercise measures of body composition or quality of life. Identifying ways to improve adherence and encourage exercise in children with JIA is important.Keywords: exercise, juvenile arthritis, body compositionSule SDFontaine KRDove Medical PressarticleExercisejuvenile arthritisbody compositionDiseases of the musculoskeletal systemRC925-935ENOpen Access Rheumatology: Research and Reviews, Vol Volume 11, Pp 121-126 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Exercise juvenile arthritis body composition Diseases of the musculoskeletal system RC925-935
spellingShingle	Exercise juvenile arthritis body composition Diseases of the musculoskeletal system RC925-935 Sule SD Fontaine KR Slow speed resistance exercise training in children with polyarticular juvenile idiopathic arthritis
description	Sangeeta D Sule,1 Kevin R Fontaine21Division of Rheumatology, Children’s National Health System, Washington, DC 20010, USA; 2Department of Public Health, School of Public Health, University of Alabama at Birmingham, Birmingham, AB, USABackground: Juvenile idiopathic arthritis (JIA) is an inflammatory autoimmune disease that can cause severe impairment and disability. Exercise is recommended to preserve joint mobility and function. Our objectives were to assess the safety, feasibility, and effects of slow speed resistance exercise in children with polyarticular JIA.Methods: Patients were recruited from a pediatric rheumatology clinic at an urban hospital and randomized to exercise or control groups. In the intervention group, slow speed resistance exercise with individualized instruction by a certified trainer was performed 1–2 times per week for 12 weeks. The control group performed home-based aerobic exercise 3 days per week for 12 weeks. Pre and post-body composition measurements by dual-energy X-ray absorptiometry; aerobic fitness by peak oxygen uptake during cycle ergometry; isometric muscle strength; and quality of life measures were obtained.Results: In the exercise group, 9/17 (53%) completed any exercise training. Of these nine subjects, five (55%) completed all 12 weeks of the protocol. In the control group, 8/16 (50%) reported compliance with the recommended aerobic exercise training at least one time per week. Only 2 subjects (12%) reported exercising more than once per week. There was no significant difference between pre- and post-measurements in any category in the exercise group. There was also significantly elevated body fat in both groups with only 17% in the control group and 23% in the exercise group meeting recommended <30% total body fat levels.Conclusions: Children with JIA participated safely in this resistance exercise protocol. The exercise was well-tolerated with no serious adverse events noted. While individual subjects reported improvement in fatigue and improved energy, there was no statistical difference in pre- and post-exercise measures of body composition or quality of life. Identifying ways to improve adherence and encourage exercise in children with JIA is important.Keywords: exercise, juvenile arthritis, body composition
format	article
author	Sule SD Fontaine KR
author_facet	Sule SD Fontaine KR
author_sort	Sule SD
title	Slow speed resistance exercise training in children with polyarticular juvenile idiopathic arthritis
title_short	Slow speed resistance exercise training in children with polyarticular juvenile idiopathic arthritis
title_full	Slow speed resistance exercise training in children with polyarticular juvenile idiopathic arthritis
title_fullStr	Slow speed resistance exercise training in children with polyarticular juvenile idiopathic arthritis
title_full_unstemmed	Slow speed resistance exercise training in children with polyarticular juvenile idiopathic arthritis
title_sort	slow speed resistance exercise training in children with polyarticular juvenile idiopathic arthritis
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/5dc8a8fb6e5c426bb98f32ee538a0fad
work_keys_str_mv	AT sulesd slowspeedresistanceexercisetraininginchildrenwithpolyarticularjuvenileidiopathicarthritis AT fontainekr slowspeedresistanceexercisetraininginchildrenwithpolyarticularjuvenileidiopathicarthritis
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Slow speed resistance exercise training in children with polyarticular juvenile idiopathic arthritis

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