Physical Activity Levels, Cardiorespiratory Fitness, and Physical Literacy in Children With a Chronic Medical Condition

Pediatr Phys Ther. 2025 Jan 1;37(1):30-35. doi: 10.1097/PEP.0000000000001157. Epub 2024 Oct 8.

Abstract

Purpose: This study investigated differences in cardiorespiratory fitness (CRF) and other physical literacy domains between children with a chronic medical condition (CMC) who adhered to with the physical activity guideline and those who did not.

Method: Forty children with a CMC (7-12 years) wore an accelerometer for 7 days to measure moderate-to-vigorous physical activity. CRF and muscle power were assessed with a maximal cardiopulmonary exercise test, and motor performance was measured with an exercise course. Motivation, confidence, knowledge, and understanding were assessed with a questionnaire.

Results: Children who adhered to the PA guideline ( n = 13) scored significantly higher for CRF, muscle power, motivation and confidence than children who did not adhere to the PA guideline ( n = 27). No significant differences were found for motor performance, knowledge and understanding.

Conclusion: Future research should investigate the effect of paying specific attention to motivation and confidence in children with a CMC to stimulate their adherence to the PA guideline.

MeSH terms

  • Accelerometry
  • Cardiorespiratory Fitness* / physiology
  • Child
  • Chronic Disease
  • Exercise Test
  • Exercise*
  • Female
  • Health Literacy
  • Humans
  • Male
  • Motivation*
  • Muscle Strength / physiology
  • Surveys and Questionnaires