Home-based exercise program for adolescents with juvenile dermatomyositis quarantined during COVID-19 pandemic: a mixed methods study
Abstract Background Exercise has been suggested to prevent deterioration of health-related quality of life (HRQL) and overall health in pediatric rheumatologic diseases during the COVID-19 pandemic. Herein we describe the effects of a 12-week, home-based, exercise program on overall health and quali...
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2021
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oai:doaj.org-article:9e90e01375d0407aa51e017fa1c1f4032021-11-14T12:07:07ZHome-based exercise program for adolescents with juvenile dermatomyositis quarantined during COVID-19 pandemic: a mixed methods study10.1186/s12969-021-00646-71546-0096https://doaj.org/article/9e90e01375d0407aa51e017fa1c1f4032021-11-01T00:00:00Zhttps://doi.org/10.1186/s12969-021-00646-7https://doaj.org/toc/1546-0096Abstract Background Exercise has been suggested to prevent deterioration of health-related quality of life (HRQL) and overall health in pediatric rheumatologic diseases during the COVID-19 pandemic. Herein we describe the effects of a 12-week, home-based, exercise program on overall health and quality of life among quarantined patients with juvenile dermatomyositis (JDM). Method This prospective, quasi-experimental, mixed methods (qualitative and quantitative) study was conducted between July and December 2020, during the most restricted period of COVID-19 pandemic in Brazil. The home-based exercise program consisted of a 12-week, three-times-a-week, aerobic and strengthening (bodyweight) training program. Qualitative data were systematically evaluated. Strengths and Difficulties Questionnaire (SDQ), Pediatric Quality of Life Inventory (PedsQOL) and Pittsburgh Sleep Quality Index (PSQI) evaluate symptoms of mental health disorder, HRQL, and quality of sleep. Findings 11 patients (out of 27) met the inclusion criteria (91% female; mean ± SD age: 13.5 ± 3.2 years). Adherence to the intervention was 72.6%. Barriers to exercise involved poor internet connectivity, excessive weekly sessions, and other commitments. Even though not statistically significant, Self-report SDQ subscales Total Difficulties Score, Emotional Problems Score, and PedsQOL School Functioning Score improved after intervention (− 2.4; 95%confidence interval [CI] -5.1; 0.2, p = 0.06; − 1.0; 95%CI -2.2; 0.2, p = 0.09 and; 11.7; 95%CI -2.5; 25.8, p = 0.09, respectively). Remaining SDQ subscales were not altered. Six themes emerged from patients’ and parents’ comments (qualitative results). Patients engaged in exercise reported other health-related benefits including increased motivation, concentration and strength. Interpretation A home-based exercise program was associated with qualitative perceptions of improvements in overall health and HRQL by quarantined adolescents with JDM during COVID-19 pandemic. Lessons from this trial may help developing interventions focused on tackling physical inactivity in JDM.Camilla AstleySofia Mendes SieczkowskaIsabela Gouveia MarquesBianca Pires IharaLivia LindosoSofia Simão Martins LavoratoLucia Maria Arruda CamposRosa Maria Rodrigues PereiraAdriana Maluf EliasNadia Emi AikawaKatia KozuAmanda Yuri IrahaTathiane Christine FrancoHamilton RoschelLigia Bruni QueirozGuilherme Vanoni PolanczykClovis Artur SilvaBruno GualanoBMCarticlePediatric rheumatologic diseasesLifestylePhysical activityWell-beingMyositisCOVID-19PediatricsRJ1-570Diseases of the musculoskeletal systemRC925-935ENPediatric Rheumatology Online Journal, Vol 19, Iss 1, Pp 1-10 (2021) |
| institution |
DOAJ |
| collection |
DOAJ |
| language |
EN |
| topic |
Pediatric rheumatologic diseases Lifestyle Physical activity Well-being Myositis COVID-19 Pediatrics RJ1-570 Diseases of the musculoskeletal system RC925-935 |
| spellingShingle |
Pediatric rheumatologic diseases Lifestyle Physical activity Well-being Myositis COVID-19 Pediatrics RJ1-570 Diseases of the musculoskeletal system RC925-935 Camilla Astley Sofia Mendes Sieczkowska Isabela Gouveia Marques Bianca Pires Ihara Livia Lindoso Sofia Simão Martins Lavorato Lucia Maria Arruda Campos Rosa Maria Rodrigues Pereira Adriana Maluf Elias Nadia Emi Aikawa Katia Kozu Amanda Yuri Iraha Tathiane Christine Franco Hamilton Roschel Ligia Bruni Queiroz Guilherme Vanoni Polanczyk Clovis Artur Silva Bruno Gualano Home-based exercise program for adolescents with juvenile dermatomyositis quarantined during COVID-19 pandemic: a mixed methods study |
| description |
Abstract Background Exercise has been suggested to prevent deterioration of health-related quality of life (HRQL) and overall health in pediatric rheumatologic diseases during the COVID-19 pandemic. Herein we describe the effects of a 12-week, home-based, exercise program on overall health and quality of life among quarantined patients with juvenile dermatomyositis (JDM). Method This prospective, quasi-experimental, mixed methods (qualitative and quantitative) study was conducted between July and December 2020, during the most restricted period of COVID-19 pandemic in Brazil. The home-based exercise program consisted of a 12-week, three-times-a-week, aerobic and strengthening (bodyweight) training program. Qualitative data were systematically evaluated. Strengths and Difficulties Questionnaire (SDQ), Pediatric Quality of Life Inventory (PedsQOL) and Pittsburgh Sleep Quality Index (PSQI) evaluate symptoms of mental health disorder, HRQL, and quality of sleep. Findings 11 patients (out of 27) met the inclusion criteria (91% female; mean ± SD age: 13.5 ± 3.2 years). Adherence to the intervention was 72.6%. Barriers to exercise involved poor internet connectivity, excessive weekly sessions, and other commitments. Even though not statistically significant, Self-report SDQ subscales Total Difficulties Score, Emotional Problems Score, and PedsQOL School Functioning Score improved after intervention (− 2.4; 95%confidence interval [CI] -5.1; 0.2, p = 0.06; − 1.0; 95%CI -2.2; 0.2, p = 0.09 and; 11.7; 95%CI -2.5; 25.8, p = 0.09, respectively). Remaining SDQ subscales were not altered. Six themes emerged from patients’ and parents’ comments (qualitative results). Patients engaged in exercise reported other health-related benefits including increased motivation, concentration and strength. Interpretation A home-based exercise program was associated with qualitative perceptions of improvements in overall health and HRQL by quarantined adolescents with JDM during COVID-19 pandemic. Lessons from this trial may help developing interventions focused on tackling physical inactivity in JDM. |
| format |
article |
| author |
Camilla Astley Sofia Mendes Sieczkowska Isabela Gouveia Marques Bianca Pires Ihara Livia Lindoso Sofia Simão Martins Lavorato Lucia Maria Arruda Campos Rosa Maria Rodrigues Pereira Adriana Maluf Elias Nadia Emi Aikawa Katia Kozu Amanda Yuri Iraha Tathiane Christine Franco Hamilton Roschel Ligia Bruni Queiroz Guilherme Vanoni Polanczyk Clovis Artur Silva Bruno Gualano |
| author_facet |
Camilla Astley Sofia Mendes Sieczkowska Isabela Gouveia Marques Bianca Pires Ihara Livia Lindoso Sofia Simão Martins Lavorato Lucia Maria Arruda Campos Rosa Maria Rodrigues Pereira Adriana Maluf Elias Nadia Emi Aikawa Katia Kozu Amanda Yuri Iraha Tathiane Christine Franco Hamilton Roschel Ligia Bruni Queiroz Guilherme Vanoni Polanczyk Clovis Artur Silva Bruno Gualano |
| author_sort |
Camilla Astley |
| title |
Home-based exercise program for adolescents with juvenile dermatomyositis quarantined during COVID-19 pandemic: a mixed methods study |
| title_short |
Home-based exercise program for adolescents with juvenile dermatomyositis quarantined during COVID-19 pandemic: a mixed methods study |
| title_full |
Home-based exercise program for adolescents with juvenile dermatomyositis quarantined during COVID-19 pandemic: a mixed methods study |
| title_fullStr |
Home-based exercise program for adolescents with juvenile dermatomyositis quarantined during COVID-19 pandemic: a mixed methods study |
| title_full_unstemmed |
Home-based exercise program for adolescents with juvenile dermatomyositis quarantined during COVID-19 pandemic: a mixed methods study |
| title_sort |
home-based exercise program for adolescents with juvenile dermatomyositis quarantined during covid-19 pandemic: a mixed methods study |
| publisher |
BMC |
| publishDate |
2021 |
| url |
https://doaj.org/article/9e90e01375d0407aa51e017fa1c1f403 |
| work_keys_str_mv |
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