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Actigraphy-based physical activity monitoring in adolescents with juvenile primary fibromyalgia syndrome.
J Pain. 2010 Sep; 11(9):885-93.JP

Abstract

Juvenile primary fibromyalgia syndrome (JPFS) is a chronic pain condition associated with significant impairment in physical functioning, but no studies have used newer technologies such as actigraphy to document objective physical activity levels in JPFS. This is the first study to objectively describe physical activity in JPFS patients and examine the relationship of pain, perceived functional impairment, and depressive symptoms on physical activity. One hundred four clinically referred adolescents with JPFS (ages 11 to 18 years) wore a hip-mounted actigraph for 1 week. Data on pain intensity, functional disability, depressive symptoms, and psychiatric diagnoses were obtained using self- and parent-report measures and a standardized psychiatric interview. Results showed that younger patients were more active. Pain intensity was not significantly associated with physical activity levels overall, but the most highly active group of adolescents reported lower levels of pain and disability than the least active. Parent report of adolescents' physical functioning and depressive symptoms were significantly correlated with adolescents' physical activity levels. Actigraphy provides a unique source of information about physical functioning which is distinct from adolescents' self-report of physical functioning in JPFS. Preliminary findings suggest that further study of factors that predict perceived and actual physical functioning in JPFS is warranted.

PERSPECTIVE

This study presents the results of physical activity monitoring in adolescents with JPFS using actigraphy. Results indicate that actigraphy provides a unique source of objective information that can advance our understanding of physical disability in JPFS and the factors associated with physical impairment.

Authors+Show Affiliations

Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA. Susmita.Kashikar-Zuck@cchmc.orgNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

20418183

Citation

Kashikar-Zuck, Susmita, et al. "Actigraphy-based Physical Activity Monitoring in Adolescents With Juvenile Primary Fibromyalgia Syndrome." The Journal of Pain : Official Journal of the American Pain Society, vol. 11, no. 9, 2010, pp. 885-93.
Kashikar-Zuck S, Flowers SR, Verkamp E, et al. Actigraphy-based physical activity monitoring in adolescents with juvenile primary fibromyalgia syndrome. J Pain. 2010;11(9):885-93.
Kashikar-Zuck, S., Flowers, S. R., Verkamp, E., Ting, T. V., Lynch-Jordan, A. M., Graham, T. B., Passo, M., Schikler, K. N., Hashkes, P. J., Spalding, S., Banez, G., Richards, M. M., Powers, S. W., Arnold, L. M., & Lovell, D. (2010). Actigraphy-based physical activity monitoring in adolescents with juvenile primary fibromyalgia syndrome. The Journal of Pain : Official Journal of the American Pain Society, 11(9), 885-93. https://doi.org/10.1016/j.jpain.2009.12.009
Kashikar-Zuck S, et al. Actigraphy-based Physical Activity Monitoring in Adolescents With Juvenile Primary Fibromyalgia Syndrome. J Pain. 2010;11(9):885-93. PubMed PMID: 20418183.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Actigraphy-based physical activity monitoring in adolescents with juvenile primary fibromyalgia syndrome. AU - Kashikar-Zuck,Susmita, AU - Flowers,Stacy R, AU - Verkamp,Emily, AU - Ting,Tracy V, AU - Lynch-Jordan,Anne M, AU - Graham,T Brent, AU - Passo,Murray, AU - Schikler,Kenneth N, AU - Hashkes,Philip J, AU - Spalding,Steven, AU - Banez,Gerard, AU - Richards,Margaret M, AU - Powers,Scott W, AU - Arnold,Lesley M, AU - Lovell,Daniel, Y1 - 2010/04/24/ PY - 2009/07/17/received PY - 2009/11/25/revised PY - 2009/12/13/accepted PY - 2010/4/27/entrez PY - 2010/4/27/pubmed PY - 2010/12/17/medline SP - 885 EP - 93 JF - The journal of pain : official journal of the American Pain Society JO - J Pain VL - 11 IS - 9 N2 - UNLABELLED: Juvenile primary fibromyalgia syndrome (JPFS) is a chronic pain condition associated with significant impairment in physical functioning, but no studies have used newer technologies such as actigraphy to document objective physical activity levels in JPFS. This is the first study to objectively describe physical activity in JPFS patients and examine the relationship of pain, perceived functional impairment, and depressive symptoms on physical activity. One hundred four clinically referred adolescents with JPFS (ages 11 to 18 years) wore a hip-mounted actigraph for 1 week. Data on pain intensity, functional disability, depressive symptoms, and psychiatric diagnoses were obtained using self- and parent-report measures and a standardized psychiatric interview. Results showed that younger patients were more active. Pain intensity was not significantly associated with physical activity levels overall, but the most highly active group of adolescents reported lower levels of pain and disability than the least active. Parent report of adolescents' physical functioning and depressive symptoms were significantly correlated with adolescents' physical activity levels. Actigraphy provides a unique source of information about physical functioning which is distinct from adolescents' self-report of physical functioning in JPFS. Preliminary findings suggest that further study of factors that predict perceived and actual physical functioning in JPFS is warranted. PERSPECTIVE: This study presents the results of physical activity monitoring in adolescents with JPFS using actigraphy. Results indicate that actigraphy provides a unique source of objective information that can advance our understanding of physical disability in JPFS and the factors associated with physical impairment. SN - 1528-8447 UR - https://www.unboundmedicine.com/medline/citation/20418183/Actigraphy_based_physical_activity_monitoring_in_adolescents_with_juvenile_primary_fibromyalgia_syndrome_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1526-5900(09)00911-0 DB - PRIME DP - Unbound Medicine ER -