TY - JOUR
T1 - Physical activity after mild traumatic brain injury
T2 - What are the relationships with fatigue and sleep quality?
AU - van Markus-Doornbosch, F.
AU - Peeters, E.
AU - van der Pas, S.
AU - Vlieland, T. Vliet
AU - Meesters, J.
N1 - Funding Information: We would like to thank all the participants that participated in this study. Further we would like to thank the Brain Power study group: Haaglanden Medical Centre, The Hague, The Netherlands: prof. M. Taphoorn MD PhD, S. Rhemrev MD PhD, S. Keizer MD; Haga Hospital, The Hague, The Netherlands: G. Zijp MD, H. van der Meulen MD, S. de Bruijn MD PhD and colleague's that have supported the study at different stages: Cedric Kromme, Gerard Volkers, Laurika Kraaij and Hanneke Kranenborg. Publisher Copyright: © 2018 European Paediatric Neurology Society Copyright: Copyright 2019 Elsevier B.V., All rights reserved.
PY - 2019/1
Y1 - 2019/1
N2 - Objectives: To determine self-reported physical activity (PA) levels and relationships with fatigue and sleep quality in adolescents and young adults after mild traumatic brain injury (mTBI). Setting: Follow-up 6–18 months after visiting the emergency department of one of 2 general hospitals. Participants: Forty-nine adolescents and young adults aged 12–25 years (mean 18.4 years), 22 (45%) male with mTBI. Design: Cross-sectional survey study. Main outcome measures: The Activity Questionnaire for Adults and Adolescents (AQuAA), with results dichotomized into meeting or not meeting Dutch Health Enhancing PA recommendations (D-HEPA), the Checklist Individual Strength (CIS, 4 subscores) and the Pittsburgh Sleep Quality Index (PSQI, total score) were administered. Results: Twenty-five participants (51%) did not meet the D-HEPA recommendations. After adjusting for sex, BMI and age, not meeting the recommendations was associated with a higher CIS Total Score (OR 1.04 95%CI 1.01, 1.07) but not with PSQI Total Score (OR 0.99, 95%CI 0.80, 1.21). Conclusions: In adolescents and young adults with mTBI the level of reported PA is associated with fatigue but not with sleep quality. It remains to be established whether interventions aiming to promote PA should primarily be focused on PA or fatigue or both.
AB - Objectives: To determine self-reported physical activity (PA) levels and relationships with fatigue and sleep quality in adolescents and young adults after mild traumatic brain injury (mTBI). Setting: Follow-up 6–18 months after visiting the emergency department of one of 2 general hospitals. Participants: Forty-nine adolescents and young adults aged 12–25 years (mean 18.4 years), 22 (45%) male with mTBI. Design: Cross-sectional survey study. Main outcome measures: The Activity Questionnaire for Adults and Adolescents (AQuAA), with results dichotomized into meeting or not meeting Dutch Health Enhancing PA recommendations (D-HEPA), the Checklist Individual Strength (CIS, 4 subscores) and the Pittsburgh Sleep Quality Index (PSQI, total score) were administered. Results: Twenty-five participants (51%) did not meet the D-HEPA recommendations. After adjusting for sex, BMI and age, not meeting the recommendations was associated with a higher CIS Total Score (OR 1.04 95%CI 1.01, 1.07) but not with PSQI Total Score (OR 0.99, 95%CI 0.80, 1.21). Conclusions: In adolescents and young adults with mTBI the level of reported PA is associated with fatigue but not with sleep quality. It remains to be established whether interventions aiming to promote PA should primarily be focused on PA or fatigue or both.
KW - Adolescent
KW - Brain injuries
KW - Fatigue
KW - Pediatric
KW - Physical activity
KW - Sleep
UR - http://www.scopus.com/inward/record.url?scp=85057550297&partnerID=8YFLogxK
U2 - https://doi.org/10.1016/j.ejpn.2018.11.002
DO - https://doi.org/10.1016/j.ejpn.2018.11.002
M3 - Article
C2 - 30522904
SN - 1090-3798
VL - 23
SP - 53
EP - 60
JO - European Journal of Paediatric Neurology
JF - European Journal of Paediatric Neurology
IS - 1
ER -