UNIGE document Scientific Article
previous document  unige:107710  next document
add to browser collection

Activity-related energy expenditure during lower limb cast immobilization in children

Martin, Xavier E.
Published in Journal of Pediatric Orthopedics. Part B. 2017, vol. 26, no. 3, p. 217-221
Abstract Physical inactivity, which may result from immobilization, is recognized as a risk factor for the development of obesity. We aimed to quantify the decrease in activity-related energy expenditure (AEE) because of lower limb cast immobilization. We carried out a longitudinal matched case-control study: 34 adolescents with a first episode of lower limb fracture and 34 healthy cases. Physical activity was assessed during cast immobilization by an accelerometer from which we calculated the decrease in AEE. AEE in adolescents with lower limb fractures was estimated to be 16.0% lower than healthy controls. When converted into kcal per mean participants' weight, the difference in AEE amounted to 125 kcal/day, which corresponds to 5.2 h of slow walking. A significant reduction of AEE in adolescents with lower limb fractures may lead to a significantly positive energy balance as there is usually no compensatory reduction of energy intake. An increase of walking seems unrealistic in this situation and patients should be advised at the emergency unit to reduce their energy intake during the immobilization period.
Keywords AccelerationAdolescentAnthropometryCase-Control StudiesCastsSurgicalChildCross-Sectional StudiesEnergy MetabolismExerciseExtremities/pathologyFemaleFracturesBoneHumansLongitudinal StudiesLower ExtremityMaleProspective StudiesWalking
PMID: 27606712
Full text
Article (Published version) (114 Kb) - document accessible for UNIGE members only Limited access to UNIGE
Research group Groupe Lascombes Pierre (orthopédie pédiatrique) (917)
(ISO format)
MAGGIO, Albane Bertha, MARTIN, Xavier E., CERONI, Dimitri. Activity-related energy expenditure during lower limb cast immobilization in children. In: Journal of Pediatric Orthopedics. Part B, 2017, vol. 26, n° 3, p. 217-221. doi: 10.1097/BPB.0000000000000389 https://archive-ouverte.unige.ch/unige:107710

254 hits

0 download


Deposited on : 2018-09-13

Export document
Format :
Citation style :