Aerobic fitness in children with juvenile idiopathic arthritis: A systematic review

Research output: Contribution to journalLiterature reviewpeer-review

Abstract

Objective. To determine whether children with juvenile idiopathic arthritis (JIA) have lower physical fitness compared to healthy children, and to determine the clinical relevance of this impairment.

Methods. A systematic literature search was performed using MEDLINE, CINAHL, EMBASE and SPORTDiscus. The appropriate titles were identified and the data were extracted from these publications. The maximal oxygen consumption (VO2peak; in ml.kg(-1).min(-1)) during a maximal exercise test until volitional exhaustion was used as the main outcome for this review.

Results. Nine studies were identified in the literature. Data from 5 studies (144 patients) were pooled in a metaanalysis. The VO2peak of the patients with JIA was 21.8% (95% Cl 13.7, 29.9) lower than that of healthy children (p <0.0001).

Conclusion. The results of the metaanalysis suggest that children with JIA have moderate to heavy impairment in physical fitness as represented by maximal oxygen consumption compared to healthy children.

Original languageEnglish
Pages (from-to)2643-2647
Number of pages5
JournalJournal of Rheumatology
Volume29
Issue number12
Publication statusPublished - Dec 2002

Keywords

  • exercise capacity
  • metaanalysis
  • exercise tolerance
  • juvenile idiopathic arthritis
  • RHEUMATOID-ARTHRITIS
  • PHYSICAL-FITNESS

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