Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Participation in school and physical education in juvenile idiopathic arthritis in a Nordic long-term cohort study
Univ Hosp North Norway, Dept Pediat, N-9038 Tromso, Norway;UIT Arctic Univ Norway, Dept Clin Med, Tromso, Norway.
Univ Hosp North Norway, Dept Pediat, N-9038 Tromso, Norway;UIT Arctic Univ Norway, Dept Clin Med, Tromso, Norway.
NTNU Norwegian Univ Sci & Technol, Dept Clin & Mol Med, Trondheim, Norway;Nord Trondelag Hosp Trust, Levanger Hosp, Dept Pediat, Levanger, Norway.
Univ Helsinki, Childrens Hosp, Helsinki, Finland.
Show others and affiliations
2019 (English)In: Pediatric Rheumatology, ISSN 1546-0096, E-ISSN 1546-0096, Vol. 17, article id 44Article in journal (Refereed) Published
Abstract [en]

Background: The aim of the study was to describe school attendance and participation in physical education in school among children with juvenile idiopathic arthritis (JIA).

Methods: Consecutive cases of JIA from defined geographical areas of Finland, Sweden and Norway with disease onset in 1997 to 2000 were followed for 8 years in a multi-center cohort study, aimed to be as close to population-based as possible. Clinical characteristics and information on school attendance and participation in physical education (PE) were registered.

Results: Participation in school and in PE was lowest initially and increased during the disease course. Eight years after disease onset 228/274 (83.2%) of the children reported no school absence due to JIA, while 16.8% reported absence during the last 2 months due to JIA. Full participation in PE was reported by 194/242 (80.2%), partly by 16.9%, and none by 2.9%. Lowest participation in PE was found among children with ERA and the undifferentiated categories. Absence in school and PE was associated with higher disease activity measures at the 8-year visit. School absence >1day at baseline predicted use of disease-modifying anti-rheumatic drugs, including biologics (DMARDs) (OR 1.2 (1.1-1.5)), and non-remission off medication (OR 1.4 (1.1-1.7) 8 years after disease onset.

Conclusion: School absence at baseline predicted adverse long-term outcome. In children and adolescents with JIA participation in school activities is mostly high after 8years of disease. For the minority with low participation, special attention is warranted to promote their full potential of social interaction and improve long-term outcome.

Place, publisher, year, edition, pages
BMC , 2019. Vol. 17, article id 44
Keywords [en]
Juvenile idiopathic arthritis, Participation, Physical activity, Physical education, School, Epidemiology
National Category
Rheumatology and Autoimmunity
Identifiers
URN: urn:nbn:se:uu:diva-390780DOI: 10.1186/s12969-019-0341-6ISI: 000475708400002PubMedID: 31307487OAI: oai:DiVA.org:uu-390780DiVA, id: diva2:1343443
Available from: 2019-08-16 Created: 2019-08-16 Last updated: 2019-08-16Bibliographically approved

Open Access in DiVA

fulltext(733 kB)53 downloads
File information
File name FULLTEXT01.pdfFile size 733 kBChecksum SHA-512
c5736a3266d8146b6bbd1cb9f19875c134174e4b872cc4bee80875050b5cfc0851035424a705866c496655269833334ed333078563a781f78a910e7b5f300982
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Berntson, LillemorEkelund, Maria
By organisation
Paediatric Inflammation Research
In the same journal
Pediatric Rheumatology
Rheumatology and Autoimmunity

Search outside of DiVA

GoogleGoogle Scholar
Total: 53 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 54 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf