Article

The objectives of this exploratory study were (1) to describe the experience
of fatigue in adults with cerebral palsy (CP) inclusive of all levels of the
Gross Motor Function Classification System (GMFCS); and (2) to determine if
physical activity level, sedentary time, age, or body composition can predict
fatigue in adults with CP. METHOD: An observational study was conducted in an
outpatient setting in Ontario, Canada. Participants included adults with CP
(n=41; GMFCS levels I-V; mean age 33.7y, standard deviation [SD] 12.3y). Fatigue
was measured using the Fatigue Impact and Severity Self-Assessment (FISSA)
questionnaire. Habitual physical activity and sedentary time were measured using
accelerometry. Body mass index (BMI) and waist circumference were reported as
measures of body composition. RESULTS: The mean (SD) FISSA score for all
participants was 84.5 (30.6), ranging from 54.0 (18.3) (GMFCS level I) to 93.6
(21.9) (GMFCS level V). Significant positive relationships (regression
coefficient beta [95% confidence intervals]) were observed between BMI and FISSA
scores (1.9 [0.73-3.1]), waist circumference and FISSA scores (0.71 [0.19-1.2]),
and age and FISSA scores (0.99 [0.26-1.7]). A significant negative relationship
was observed between moderate-to-vigorous physical activity (MVPA) per hour and
FISSA scores -6.4 [-12 to -0.83]). Backwards stepwise regression analysis
revealed BMI (1.8 [0.61-2.9]) and MVPA per hour (-5.4 [-10 to -0.30]) were
significant predictors of FISSA scores. INTERPRETATION: Health care providers
should consider the importance of weight management and physical activity to
prevent and treat fatigue in this population.
CI - (c) 2016 Mac Keith Press.

Langue : ANGLAIS