Anthropometric characteristics, functional capacity of exercise, and physical activity of children who suffered burns

Authors

  • Paola Janeiro Valenciano Fundação Araucária
  • Edna Yukimi Itakussu Hospital Universitário de Londrina
  • Celita Salmaso Trelha Universidade Estadual de Londrina; Departamento de Fisioterapia
  • Dirce Shizuko Fujisawa Universidade Estadual de Londrina; Departamento de Fisioterapia

DOI:

https://doi.org/10.1590/1809-2950/16775424042017

Keywords:

Burns, Child, Walking, Exercise Tolerance, Body Weight

Abstract

This study aimed to analyze the anthropometric characteristics, functional capacity of exercise, and physical activity of children who suffered burns. It also aimed to verify whether there is association between the anthropometric and physical activity variables and the severity of the burns, after hospital discharge. Nutritional status, regular physical activity, and functional capacity of exercise were evaluated by z-score, “Physical Activity Questionnaire for Older Children,” and six-minute walk test (6MWT), respectively. Shapiro-Wilk test was used to verify the normality of the data. Fisher’s exact test was used to study the association among the qualitative variables. A statistical significance of 5% was adopted. The mean age was 10.0±2.7 years old, and most participants were classified as greatly burned. After 12.7±5.5 months of hospital discharge, 13 (61.9%) participants were eutrophic and 7 (33.3%) were shorter than expected. Regarding physical activity, 11 (52.3%) were classified as active, and the mean distance traveled in the 6MWT was 564.7±70.6 m. There was no significant difference in the association between the variables eutrophic or overweight and active or sedentary (p=0.65) nor between moderately or greatly burned and active or sedentary (p=0.31). The findings showed no association of children classified as greatly burned or overweight/obese with sedentary lifestyle. There was also no reduction of functional capacity of exercise, even with some participants presenting changes in anthropometric data and being sedentary.

Downloads

Download data is not yet available.

References

World Health Organization (WHO). A WHO plan for burn

prevention and care. Geneva, 2008. [cited 2016 Jan 15].

Available from: https://goo.gl/hhLNtX

Stubbs TK, James LE, Daugherty MB, Epperson K, Barajaz

KA, Meyer WJ 3rd, et al. Psychosocial impact of childhood

face burns: a multicenter, prospective, longitudinal study of

children and adolescents. Burns. 2011;37(3):387-94. doi:

1016/j.burns. 2010.12.013

Malta DC, Mascarenhas MDM, Neves ACM, Silva MA.

Atendimentos por acidentes e violências na infância em

serviços de emergências públicas. Cad Saúde Pública [online].

;31(5):1095-105. doi: 10.1590/0102-311X00068814

Dassie LTD, Alves EONM. Centro de tratamento de

queimados: perfil epidemiológico de crianças internadas em

um hospital escola. Rev Bras Queimaduras. 2011;10(1):10-4.

Albuquerque MLL, Silva GPF, Diniz DMSM, Figueiredo AMF,

Câmara TMS, Bastos VPD. Análise dos pacientes queimados

com sequelas motoras em um hospital de referência na cidade

de Fortaleza-CE. Rev Bras Queimaduras. 2010;9(3):89-94.

Krishnamoorthy V, Ramaiah R, Bhananker SM. Pediatric

burn injuries. Int J Crit Illn Inj Sci. 2012;2(3):128-134. doi:

4103/2229-5151.100889

Jeschke MG, Herndon DN. Burns in children: standard and

new treatments. Lancet. 2014;383(9923):1168-78. doi: 10.1016/

S0140-6736(13)61093-4

Porter C, Tompkins RG, Finnerty CC, Sidossis LS, Suman

OE, Herndon DN. The metabolic stress response to

burn trauma: current understanding and therapies.

Lancet. 2016;388(10052):1417-26. doi: 10.1016/

S0140-6736(16)31469-6

Berman B, Viera MH, Armini S, Huo R, Jones BS. Prevention

and management of hypertrophic scars and keloids after

burns in children. J Craniofac Surg. 2008:19(4):989-1006. doi:

1097/SCS.0b013e318175f3a7

Schneider JC, Qu HD. Neurologic and musculoskeletal

complications of burn injuries. Phys Med Rehabil Clin N Am.

;22(2):262-75. doi: 10.1016/j.pmr.2011.01.003

Pervanidou P, Chrousos GP. Metabolic consequences of

stress during childhood and adolescence. Metabolism.

;61(5):611-9. doi: 10.1016/j.metabol.2011.10.005

Grice KO, Barnes KJ, Vogel KA. Influence of burn injury

on activity participation of children. J Burn Care Res.

;36(3):414-20. doi: 10.1097/BCR.0000000000000105

World Health Organization (WHO). Physical activity. Geneva,

[cited 2016Jan 15]. Available from: https://goo.gl/

NhGtP

Guilherme FR, Molena-Fernades CA, Guilherme VR, Fávero

MTM, Reis EJB, Rinaldi W. Inatividade física e medidas

antropométricas em escolares de Paranavaí, Paraná,

Brasil. Rev Paul Pediatr. 2015;33(1):50-5. doi: 10.1016/j.

rpped.2014.11.009.

Beja A, Ferrinho P, Craveiro I. Evolução da prevenção e

combate à obesidade de crianças e jovens em Portugal

ao nível do planejamento estratégico. Rev Port Sau Pub.

;32(1):10-7.

US Department of health and human services. Physical

activity guidelines for Americans. Rockville, MD: Office of

Disease Prevention and Health Promotion, 2008. [cited 2016

Jan 19]. Available from: http://health.gov/paguidelines/

Crocker PR, Bailey DA, Faulkner RA, Kowalski KC, McGrath

R. Measuring general levels of physical activity: preliminary

evidence for the Physical Activity Questionnaire for Older

Children. Med Sci Sports Exerc. 1997;29(10):1344-9.

Silva RCR, Malina RM. Nível de atividade física em

adolescentes do Município de Niterói, Rio de Janeiro,

Brasil. Cad Saúde Pública. 2000;16(4):1091-97. doi: 10.1590/

S0102-311X2000000400027

Alves JGB, Siqueira PP, Figueiroa JN. Excesso de peso e

inatividade física em crianças moradoras de favelas na região

metropolitana do Recife, PE. J Pediatria. 2009;85(1):67-71.

doi: 10.2223/JPED.1862

Rivera IR, Silva MAM, Silva RDATA, Oliveira BAV,

Carvalho ACC. Atividade física, horas de assistência à

TV e composição corporal em crianças e adolescentes.

Arq Bras Cardiol. 2010;95(2):159-65. doi: 10.1590/

S0066-782X2010005000065

World Health Organization (WHO). Grouth Reference data

for 5-19 years: WHO reference 2007. Geneva, 2007. [cited

Jan 19]. Available from: https://goo.gl/DSuS8.

ATS statement: guidelines for the six-minute walk test.

Am J Respir Crit Care Med. 2002;166(1):111-7. doi: 10.1164/

ajrccm.166.1.at1102

Priesnitz CV, Rodrigues GH, Stumpf CDAS, Viapiana G,

Cabral CP, Stein RT, et al. Reference values for the 6-min walk

test in healthy children aged 6-12 years. Pediatr Pulmonol.

;44(12):1174-9. doi: 10.1002/ppul.21062

Britto RR, Souza LAP. Teste de caminhada de seis minutos

uma normatização brasileira. Fisioter Mov. 2006;19(4):49-54.

Peck M, Molnar J, Swart D. A global plan for burn prevention

and care. Bull Word Health Organ. 2009;87(10):802-3. doi:

2471/BLT.08.059733

Takino MA, Valenciano PJ, Itakussu EY, Kakitsuka EE, Hoshimo

AA, Trelha CS, et al. Perfil epidemiológico de crianças e

adolescentes vítimas de queimaduras admitidos em centro

de tratamento de queimados. Rev Bras Queimaduras.

;15(2):74-9.

Serghiou M, Cowan A, Whitehead C. Rehabilitation after

a burn injury. Clin Plasti Surg. 2009;36(34):675-86. doi:

1016/j.cps.2009.05.008

Mayes T, Gottschlich MM, Khoury J, Kagan RJ. Investigation

of bone health subsequent to vitamin D supplementation in

children following burn injury. Nutr Clin Pract. 2015;30(6):830-

doi: 10.1177/0884533615587720

Bakhtyar N, Sivayoganathan T, Jeschke MG. Therapeutic

approaches to combatting hypermetabolism in severe

burn injuries. J Intens Crit Care. 2015;1(1):1-6. doi:

21767/2471-8505.10006

Wijnhoven TM, van Raaij JM, Sjöberg A. WHO European

Childhood Obesity Surveillance Initiative: school nutrition

environment and body mass index in primary schools. Int J

Environ Res Public Health. 2014;11(11):11261-85. doi: 10.3390/

ijerph111111261

Zhang Y, Zhao J, Chu Z, Zhou J. Increasing prevalence of

childhood overweight and obesity in a coastal province in

China. Pediatr Obes. 2016;11(6):e22-e26. doi: 10.1111/ijpo.12070

Carissimi A, Adan A, Tonetti L, Fabbri M, Hidalgo MP,

Levandovski R, et al. Physical self-efficacy is associated to

body mass index in schoolchildren. J Pediatr (Rio J). 2017;

(1):64-9. doi: 10.1016/j.jped.2016.04.011

Suman OE, Herndon DN. Effects of cessation of a structured

and supervised exercise conditioning program on lean

mass and muscle strenght in severely burned children. Arch

Phys Med Rehabil. 2007;88(12 Suppl 2):S24-9. doi: 10.1016/j.

apmr.2007.09.002

Disseldorp LM, Mouton LJ, Van Brussel M, Beerthuizen GIJM,

Van der Woude LHV, Nieuwenhuis M. Design of a crosssectional study on physical fitness and physical activity

in children and adolescents after burn injury. BMC Pediatr.

;12:195. doi: 10.1186/1471-2431-12-195

Dematte MF, Gemperli R, Salles AG, Dolhmikoff M, Lanças T,

Saldiva PHN, et al. Mechanical evaluation of the resistance

and elastance of post-burn scars after topical treatment

with tretinoin. Clinics. 2011;66(11):1949-54. doi: 10.1590/

S1807-59322011001100016

Published

2017-12-12

Issue

Section

Original Research

How to Cite

Anthropometric characteristics, functional capacity of exercise, and physical activity of children who suffered burns. (2017). Fisioterapia E Pesquisa, 24(4), 371-377. https://doi.org/10.1590/1809-2950/16775424042017