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Clin Pediatr (Phila). 2012 Sep;51(9):828-34. doi: 10.1177/0009922812441664. Epub 2012 Apr 20.

Factors associated with low moderate-to-vigorous physical activity levels in pediatric patients with Kawasaki disease.

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1Labatt Family Heart Centre, The Hospital for Sick Children, Toronto, Ontario, Canada.



We sought to determine functional health status and physical activity determinants in 27 patients with Kawasaki disease (KD; 20 males, 11 ± 3 years old). Patient physical activity data were compared with a population-based study of healthy children (Canadian Health Measures Survey).


KD patients performed less moderate-to-vigorous physical activity (MVPA) than healthy children (males, 27 vs 61 min/d, P < .001; females, 10 vs 47 min/d, P < .001). Male KD patients performed more MVPA than female KD patients (median = 27; quartiles [Q1 15, Q3 26] min/d vs 10 [Q1 7, Q3 11] min/day, P = .009). Lower MVPA in KD patients was significantly associated with female gender; lower child self-efficacy score; lower Child Health Questionnaire (CHQ-PF50) scores for role functioning behavioral issues, physical functioning, and family cohesion; and higher CHQ-PF50 scores for self-esteem and family activity limitations.


Physical activity counseling should be a focus of management for children with a history of KD.

[Indexed for MEDLINE]

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