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An institutional pilot study to investigate physical activity patterns in boys with haemophilia
Author(s) -
Bouskill V.,
Hilliard P.,
Stephens S.,
Zhang C.,
Whitney K.,
Carcao M.
Publication year - 2016
Publication title -
haemophilia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.213
H-Index - 92
eISSN - 1365-2516
pISSN - 1351-8216
DOI - 10.1111/hae.13021
Subject(s) - haemophilia , medicine , haemophilia a , observational study , physical therapy , physical activity , pediatrics , prospective cohort study , cohort study , cohort
Haemophilia is a bleeding disorder characterized by musculoskeletal bleeding. Trauma‐induced bleeding into joints and muscles may be associated with participation in physical activities. Recognizing this, persons with haemophilia may limit physical activities to avoid bleeding. The characterization of physical activity profiles (type, intensity, frequency and duration) in children with differing severities of haemophilia has not been well documented. This is required to better understand the relationship between physical activity and bleeding in children with haemophilia. Aim This study was a prospective, cross‐sectional, observational study to compare the quantity, type and intensity of physical activity as measured by accelerometry in boys with different haemophilia severities. Methods Subjects wore an accelerometer daily for 1 week and completed validated self‐report Ped HAL and 3 DPAR questionnaires. Accelerometer activity levels were classified as sedentary, light, moderate or vigorous. Results A total of 66 males were enrolled, 24 had mild/moderate and 42 had severe haemophilia. Subjects average age was 11.52 years (±3.99) and their average BMI was 20.74 kg m 2 (±5.68). Boys with severe haemophilia reported significantly more time per day spent in sedentary activities compared to those with mild/moderate haemophilia. Furthermore, the amount of time engaged in sedentary activities increased with age in those boys with severe haemophilia, whereas the opposite was true in those with mild/moderate haemophilia. Conclusion We speculate that prophylaxis in children with severe haemophilia permitted them to engage in similar amounts of moderate to vigorous physical activity ( MVPA ) as children with mild/moderate haemophilia. Increasing sedentary time in the severe cohort with age may be attributed to increasing arthropathy among other psychosocial factors.