Baseline preoperative physical activity for surgical patients varies from healthy population controls.
J Pediatr Surg
; 55(5): 959-963, 2020 May.
Article
em En
| MEDLINE
| ID: mdl-32067805
ABSTRACT
BACKGROUND:
Preoperative physical activity (PA) is an important reference point to evaluate recovery, yet is not attainable for emergent surgical admissions. We investigated the validity of PA of healthy children recruited from within the same community as surgical patients and a nationally representative sample as alternative baseline PA for pediatric surgical patients.METHODS:
Patients undergoing an elective operation were matched to community-recruited healthy controls (CRHC) on sex, age, and weight, and their PA was assessed using an Actigraph accelerometer. National Health and Nutrition Examination Survey (NHANES) Actigraph PA data were used as a nationally representative match for baseline PA. Surgical patients wore the accelerometer for 2â¯days preoperatively, CRHC for 2â¯days, and NHANES participants for 7â¯days. PA was categorized as light (LPA) or moderate vigorous (MVPA). Means were compared between the 3 groups.RESULTS:
Thirty patients were matched with 80 CRHC and 3147 NHANES participants. LPA was similar between surgical patients and CRHC. However, CRHC averaged 19â¯min/day more MVPA than surgery patients (pâ¯=â¯0.04), and both groups averaged 58â¯min and 67â¯min/day higher MVPA than the matched NHANES sample, respectively (pâ¯<â¯0.01).CONCLUSIONS:
CRHC LPA was similar to preoperative LPA in surgical patients and may be an alternative. LEVEL OF EVIDENCE Level II.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Exercício Físico
/
Período Pré-Operatório
Tipo de estudo:
Observational_studies
Limite:
Adolescent
/
Child
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Female
/
Humans
/
Male
Idioma:
En
Revista:
J Pediatr Surg
Ano de publicação:
2020
Tipo de documento:
Article
País de afiliação:
Israel