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Lifelong Fitness in Ambulatory Children and Adolescents with Cerebral Palsy II: Influencing the Trajectory

Physical activity of at least moderate intensity in all children contributes to higher levels of physical and psychological health. While essential, children with cerebral palsy (CP) often lack the physical capacity, resources, and knowledge to engage in physical activity at a sufficient intensity t...

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Autores principales: Duff, Susan V., Kimbel, Justine D., Grant-Beuttler, Marybeth, Sukal-Moulton, Theresa, Moreau, Noelle G., Friel, Kathleen M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10295269/
https://www.ncbi.nlm.nih.gov/pubmed/37366756
http://dx.doi.org/10.3390/bs13060504
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author Duff, Susan V.
Kimbel, Justine D.
Grant-Beuttler, Marybeth
Sukal-Moulton, Theresa
Moreau, Noelle G.
Friel, Kathleen M.
author_facet Duff, Susan V.
Kimbel, Justine D.
Grant-Beuttler, Marybeth
Sukal-Moulton, Theresa
Moreau, Noelle G.
Friel, Kathleen M.
author_sort Duff, Susan V.
collection PubMed
description Physical activity of at least moderate intensity in all children contributes to higher levels of physical and psychological health. While essential, children with cerebral palsy (CP) often lack the physical capacity, resources, and knowledge to engage in physical activity at a sufficient intensity to optimize health and well-being. Low levels of physical activity place them at risk for declining fitness and health, contributing to a sedentary lifestyle. From this perspective, we describe a framework to foster a lifelong trajectory of fitness in ambulatory children with CP (GMFCS I–III) as they progress into adolescence and adulthood, implemented in conjunction with a training program to augment bone and muscle health. First, we recommend that altering the fitness trajectory of children with CP will require the use of methods to drive behavioral change prior to adolescence. Second, to promote behavior change, we suggest embedding lifestyle intervention into fitness programming while including meaningful activities and peer socialization to foster self-directed habit formation. If the inclusion of lifestyle intervention to drive behavior change is embedded into fitness programs and found to be effective, it may guide the delivery of targeted programming and community implementation. Participation in comprehensive programming could alter the long-term trajectory of musculoskeletal health while fostering strong self-efficacy in persons with CP.
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spelling pubmed-102952692023-06-28 Lifelong Fitness in Ambulatory Children and Adolescents with Cerebral Palsy II: Influencing the Trajectory Duff, Susan V. Kimbel, Justine D. Grant-Beuttler, Marybeth Sukal-Moulton, Theresa Moreau, Noelle G. Friel, Kathleen M. Behav Sci (Basel) Perspective Physical activity of at least moderate intensity in all children contributes to higher levels of physical and psychological health. While essential, children with cerebral palsy (CP) often lack the physical capacity, resources, and knowledge to engage in physical activity at a sufficient intensity to optimize health and well-being. Low levels of physical activity place them at risk for declining fitness and health, contributing to a sedentary lifestyle. From this perspective, we describe a framework to foster a lifelong trajectory of fitness in ambulatory children with CP (GMFCS I–III) as they progress into adolescence and adulthood, implemented in conjunction with a training program to augment bone and muscle health. First, we recommend that altering the fitness trajectory of children with CP will require the use of methods to drive behavioral change prior to adolescence. Second, to promote behavior change, we suggest embedding lifestyle intervention into fitness programming while including meaningful activities and peer socialization to foster self-directed habit formation. If the inclusion of lifestyle intervention to drive behavior change is embedded into fitness programs and found to be effective, it may guide the delivery of targeted programming and community implementation. Participation in comprehensive programming could alter the long-term trajectory of musculoskeletal health while fostering strong self-efficacy in persons with CP. MDPI 2023-06-15 /pmc/articles/PMC10295269/ /pubmed/37366756 http://dx.doi.org/10.3390/bs13060504 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Perspective
Duff, Susan V.
Kimbel, Justine D.
Grant-Beuttler, Marybeth
Sukal-Moulton, Theresa
Moreau, Noelle G.
Friel, Kathleen M.
Lifelong Fitness in Ambulatory Children and Adolescents with Cerebral Palsy II: Influencing the Trajectory
title Lifelong Fitness in Ambulatory Children and Adolescents with Cerebral Palsy II: Influencing the Trajectory
title_full Lifelong Fitness in Ambulatory Children and Adolescents with Cerebral Palsy II: Influencing the Trajectory
title_fullStr Lifelong Fitness in Ambulatory Children and Adolescents with Cerebral Palsy II: Influencing the Trajectory
title_full_unstemmed Lifelong Fitness in Ambulatory Children and Adolescents with Cerebral Palsy II: Influencing the Trajectory
title_short Lifelong Fitness in Ambulatory Children and Adolescents with Cerebral Palsy II: Influencing the Trajectory
title_sort lifelong fitness in ambulatory children and adolescents with cerebral palsy ii: influencing the trajectory
topic Perspective
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10295269/
https://www.ncbi.nlm.nih.gov/pubmed/37366756
http://dx.doi.org/10.3390/bs13060504
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