Associations of sedentary behaviour, physical activity, blood pressure and anthropometric measures with cardiorespiratory fitness in children with cerebral palsy
Children with cerebral palsy (CP) have poor cardiorespiratory fitness in comparison to their peers with typical development, which may be due to low levels of physical activity. Poor cardiorespiratory fitness may contribute to increased cardiometabolic risk. The aim of this study was to determine th...
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| description | Children with cerebral palsy (CP) have poor cardiorespiratory fitness in comparison to their peers with typical development, which may be due to low levels of physical activity. Poor cardiorespiratory fitness may contribute to increased cardiometabolic risk.
The aim of this study was to determine the association between sedentary behaviour, physical activity and cardiorespiratory fitness in children with CP. An objective was to determine the association between cardiorespiratory fitness, anthropometric measures and blood pressure in children with CP.
This study included 55 ambulatory children with CP [mean (SD) age 11.3 (0.2) yr, range 6-17 yr; Gross Motor Function Classification System (GMFCS) levels I and II]. Anthropometric measures (BMI, waist circumference and waist-height ratio) and blood pressure were taken. Cardiorespiratory fitness was measured using a 10 m shuttle run test. Children were classified as low, middle and high fitness according to level achieved on the test using reference curves. Physical activity was measured by accelerometry over 7 days. In addition to total activity, time in sedentary behaviour and light, moderate, vigorous, and sustained moderate-to-vigorous activity (≥10 min bouts) were calculated.
Multiple regression analyses revealed that vigorous activity (β = 0.339, p |
| doi_str_mv | 10.1371/journal.pone.0123267 |
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The aim of this study was to determine the association between sedentary behaviour, physical activity and cardiorespiratory fitness in children with CP. An objective was to determine the association between cardiorespiratory fitness, anthropometric measures and blood pressure in children with CP.
This study included 55 ambulatory children with CP [mean (SD) age 11.3 (0.2) yr, range 6-17 yr; Gross Motor Function Classification System (GMFCS) levels I and II]. Anthropometric measures (BMI, waist circumference and waist-height ratio) and blood pressure were taken. Cardiorespiratory fitness was measured using a 10 m shuttle run test. Children were classified as low, middle and high fitness according to level achieved on the test using reference curves. Physical activity was measured by accelerometry over 7 days. In addition to total activity, time in sedentary behaviour and light, moderate, vigorous, and sustained moderate-to-vigorous activity (≥10 min bouts) were calculated.
Multiple regression analyses revealed that vigorous activity (β = 0.339, p<0.01), sustained moderate-to-vigorous activity (β = 0.250, p<0.05) and total activity (β = 0.238, p<0.05) were associated with level achieved on the shuttle run test after adjustment for age, sex and GMFCS level. Children with high fitness spent more time in vigorous activity than children with middle fitness (p<0.05). Shuttle run test level was negatively associated with BMI (r2 = -0.451, p<0.01), waist circumference (r2 = -0.560, p<0.001), waist-height ratio (r2 = -0.560, p<0.001) and systolic blood pressure (r2 = -0.306, p<0.05) after adjustment for age, sex and GMFCS level.
Participation in physical activity, particularly at a vigorous intensity, is associated with high cardiorespiratory fitness in children with CP. Low cardiorespiratory fitness is associated with increased cardiometabolic risk.]]></description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0123267</identifier><identifier>PMID: 25835955</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Accelerometers ; Accelerometry ; Adolescent ; Adults ; Age ; Analysis ; Anthropometry ; Blood ; Blood pressure ; Blood Pressure - physiology ; Body mass ; Body Mass Index ; Body measurements ; Cardiorespiratory fitness ; Care and treatment ; Cerebral palsy ; Cerebral Palsy - physiopathology ; Child ; Children ; Cross-Sectional Studies ; Ethics ; Exercise ; Exercise - physiology ; Exercise Test ; Female ; Fitness ; Health risks ; Heart - physiology ; Humans ; Levels ; Male ; Metabolic syndrome ; Motor ability ; Motor Activity - physiology ; Obesity ; Paralysis ; Patient outcomes ; Physical activity ; Physical fitness ; Physical Fitness - physiology ; Regression analysis ; Respiratory System ; Risk factors ; Sedentary behavior ; Sedentary Lifestyle ; Sex ; Studies ; Teenagers ; Waist Circumference ; Waist-Height Ratio ; Walking</subject><ispartof>PloS one, 2015-04, Vol.10 (4), p.e0123267-e0123267</ispartof><rights>COPYRIGHT 2015 Public Library of Science</rights><rights>2015 Ryan et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2015 Ryan et al 2015 Ryan et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-f7141349c6d5394c7b6207c1309c6d12d7118a1638768230470e80e734c201e73</citedby><cites>FETCH-LOGICAL-c692t-f7141349c6d5394c7b6207c1309c6d12d7118a1638768230470e80e734c201e73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4383550/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4383550/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25835955$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Zhu, Shankuan</contributor><creatorcontrib>Ryan, Jennifer M</creatorcontrib><creatorcontrib>Hensey, Owen</creatorcontrib><creatorcontrib>McLoughlin, Brenda</creatorcontrib><creatorcontrib>Lyons, Alan</creatorcontrib><creatorcontrib>Gormley, John</creatorcontrib><title>Associations of sedentary behaviour, physical activity, blood pressure and anthropometric measures with cardiorespiratory fitness in children with cerebral palsy</title><title>PloS one</title><addtitle>PLoS One</addtitle><description><![CDATA[Children with cerebral palsy (CP) have poor cardiorespiratory fitness in comparison to their peers with typical development, which may be due to low levels of physical activity. Poor cardiorespiratory fitness may contribute to increased cardiometabolic risk.
The aim of this study was to determine the association between sedentary behaviour, physical activity and cardiorespiratory fitness in children with CP. An objective was to determine the association between cardiorespiratory fitness, anthropometric measures and blood pressure in children with CP.
This study included 55 ambulatory children with CP [mean (SD) age 11.3 (0.2) yr, range 6-17 yr; Gross Motor Function Classification System (GMFCS) levels I and II]. Anthropometric measures (BMI, waist circumference and waist-height ratio) and blood pressure were taken. Cardiorespiratory fitness was measured using a 10 m shuttle run test. Children were classified as low, middle and high fitness according to level achieved on the test using reference curves. Physical activity was measured by accelerometry over 7 days. In addition to total activity, time in sedentary behaviour and light, moderate, vigorous, and sustained moderate-to-vigorous activity (≥10 min bouts) were calculated.
Multiple regression analyses revealed that vigorous activity (β = 0.339, p<0.01), sustained moderate-to-vigorous activity (β = 0.250, p<0.05) and total activity (β = 0.238, p<0.05) were associated with level achieved on the shuttle run test after adjustment for age, sex and GMFCS level. Children with high fitness spent more time in vigorous activity than children with middle fitness (p<0.05). Shuttle run test level was negatively associated with BMI (r2 = -0.451, p<0.01), waist circumference (r2 = -0.560, p<0.001), waist-height ratio (r2 = -0.560, p<0.001) and systolic blood pressure (r2 = -0.306, p<0.05) after adjustment for age, sex and GMFCS level.
Participation in physical activity, particularly at a vigorous intensity, is associated with high cardiorespiratory fitness in children with CP. Low cardiorespiratory fitness is associated with increased cardiometabolic risk.]]></description><subject>Accelerometers</subject><subject>Accelerometry</subject><subject>Adolescent</subject><subject>Adults</subject><subject>Age</subject><subject>Analysis</subject><subject>Anthropometry</subject><subject>Blood</subject><subject>Blood pressure</subject><subject>Blood Pressure - physiology</subject><subject>Body mass</subject><subject>Body Mass Index</subject><subject>Body measurements</subject><subject>Cardiorespiratory fitness</subject><subject>Care and treatment</subject><subject>Cerebral palsy</subject><subject>Cerebral Palsy - physiopathology</subject><subject>Child</subject><subject>Children</subject><subject>Cross-Sectional Studies</subject><subject>Ethics</subject><subject>Exercise</subject><subject>Exercise - physiology</subject><subject>Exercise Test</subject><subject>Female</subject><subject>Fitness</subject><subject>Health risks</subject><subject>Heart - physiology</subject><subject>Humans</subject><subject>Levels</subject><subject>Male</subject><subject>Metabolic syndrome</subject><subject>Motor ability</subject><subject>Motor Activity - physiology</subject><subject>Obesity</subject><subject>Paralysis</subject><subject>Patient outcomes</subject><subject>Physical activity</subject><subject>Physical fitness</subject><subject>Physical Fitness - physiology</subject><subject>Regression analysis</subject><subject>Respiratory System</subject><subject>Risk factors</subject><subject>Sedentary behavior</subject><subject>Sedentary Lifestyle</subject><subject>Sex</subject><subject>Studies</subject><subject>Teenagers</subject><subject>Waist Circumference</subject><subject>Waist-Height Ratio</subject><subject>Walking</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk22L1DAQx4so3rn6DUQDgijcrkmTpu0bYTl8WDg48OltSNPpNkvb1CRd3Y_jNzW97R1buRdSyrST3_wnM8lE0XOCV4Sm5N3ODLaTzao3HawwiWnM0wfROclpvOQxpg9Pvs-iJ87tME5oxvnj6CxOMprkSXIe_Vk7Z5SWXpvOIVMhByV0XtoDKqCWex2yXKC-PjitZIOk8nqv_eECFY0xJeotODdYQLIrw-tra3rTgrdaoRbkuOTQL-1rpKQttQm_vbbSm6Bfad-FaKQ7pGrdlBa6CQULhQ3Zetm4w9PoURUsPJvsIvr-8cO3y8_Lq-tPm8v11VLxPPbLKiWMUJYrXiY0ZyotQuGpIhSPLhKXKSGZJJxmKc9iilmKIcOQUqZiTIJdRC-Pun1jnJi66wThPGcJo3kSiM2RKI3cid7qNrRJGKnFjcPYrZDWa9WAwKHDwDkGDoQxVsiElrgCkuBE4VjioPV-yjYULZQq9DxUPBOdr3S6FluzF4yGo0tGgTeTgDU_B3BetNopaBrZgRnGfaeM5zjG475f_YPeX91EbWUoQHeVCXnVKCrWLOYkI3kAF9HqHio8JbRahatY6eCfBbydBQTGw2-_lYNzYvP1y_-z1z_m7OsTtgbZ-NqZZri5yHOQHUFljXMWqrsmEyzGSbrthhgnSUyTFMJenB7QXdDt6NC_b6obCw</recordid><startdate>20150402</startdate><enddate>20150402</enddate><creator>Ryan, Jennifer M</creator><creator>Hensey, Owen</creator><creator>McLoughlin, Brenda</creator><creator>Lyons, Alan</creator><creator>Gormley, John</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20150402</creationdate><title>Associations of sedentary behaviour, physical activity, blood pressure and anthropometric measures with cardiorespiratory fitness in children with cerebral palsy</title><author>Ryan, Jennifer M ; Hensey, Owen ; McLoughlin, Brenda ; Lyons, Alan ; Gormley, John</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-f7141349c6d5394c7b6207c1309c6d12d7118a1638768230470e80e734c201e73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Accelerometers</topic><topic>Accelerometry</topic><topic>Adolescent</topic><topic>Adults</topic><topic>Age</topic><topic>Analysis</topic><topic>Anthropometry</topic><topic>Blood</topic><topic>Blood pressure</topic><topic>Blood Pressure - physiology</topic><topic>Body mass</topic><topic>Body Mass Index</topic><topic>Body measurements</topic><topic>Cardiorespiratory fitness</topic><topic>Care and treatment</topic><topic>Cerebral palsy</topic><topic>Cerebral Palsy - physiopathology</topic><topic>Child</topic><topic>Children</topic><topic>Cross-Sectional Studies</topic><topic>Ethics</topic><topic>Exercise</topic><topic>Exercise - physiology</topic><topic>Exercise Test</topic><topic>Female</topic><topic>Fitness</topic><topic>Health risks</topic><topic>Heart - physiology</topic><topic>Humans</topic><topic>Levels</topic><topic>Male</topic><topic>Metabolic syndrome</topic><topic>Motor ability</topic><topic>Motor Activity - physiology</topic><topic>Obesity</topic><topic>Paralysis</topic><topic>Patient outcomes</topic><topic>Physical activity</topic><topic>Physical fitness</topic><topic>Physical Fitness - physiology</topic><topic>Regression analysis</topic><topic>Respiratory System</topic><topic>Risk factors</topic><topic>Sedentary behavior</topic><topic>Sedentary Lifestyle</topic><topic>Sex</topic><topic>Studies</topic><topic>Teenagers</topic><topic>Waist Circumference</topic><topic>Waist-Height Ratio</topic><topic>Walking</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ryan, Jennifer M</creatorcontrib><creatorcontrib>Hensey, Owen</creatorcontrib><creatorcontrib>McLoughlin, Brenda</creatorcontrib><creatorcontrib>Lyons, Alan</creatorcontrib><creatorcontrib>Gormley, John</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Meteorological & Geoastrophysical Abstracts - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ryan, Jennifer M</au><au>Hensey, Owen</au><au>McLoughlin, Brenda</au><au>Lyons, Alan</au><au>Gormley, John</au><au>Zhu, Shankuan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Associations of sedentary behaviour, physical activity, blood pressure and anthropometric measures with cardiorespiratory fitness in children with cerebral palsy</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2015-04-02</date><risdate>2015</risdate><volume>10</volume><issue>4</issue><spage>e0123267</spage><epage>e0123267</epage><pages>e0123267-e0123267</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract><![CDATA[Children with cerebral palsy (CP) have poor cardiorespiratory fitness in comparison to their peers with typical development, which may be due to low levels of physical activity. Poor cardiorespiratory fitness may contribute to increased cardiometabolic risk.
The aim of this study was to determine the association between sedentary behaviour, physical activity and cardiorespiratory fitness in children with CP. An objective was to determine the association between cardiorespiratory fitness, anthropometric measures and blood pressure in children with CP.
This study included 55 ambulatory children with CP [mean (SD) age 11.3 (0.2) yr, range 6-17 yr; Gross Motor Function Classification System (GMFCS) levels I and II]. Anthropometric measures (BMI, waist circumference and waist-height ratio) and blood pressure were taken. Cardiorespiratory fitness was measured using a 10 m shuttle run test. Children were classified as low, middle and high fitness according to level achieved on the test using reference curves. Physical activity was measured by accelerometry over 7 days. In addition to total activity, time in sedentary behaviour and light, moderate, vigorous, and sustained moderate-to-vigorous activity (≥10 min bouts) were calculated.
Multiple regression analyses revealed that vigorous activity (β = 0.339, p<0.01), sustained moderate-to-vigorous activity (β = 0.250, p<0.05) and total activity (β = 0.238, p<0.05) were associated with level achieved on the shuttle run test after adjustment for age, sex and GMFCS level. Children with high fitness spent more time in vigorous activity than children with middle fitness (p<0.05). Shuttle run test level was negatively associated with BMI (r2 = -0.451, p<0.01), waist circumference (r2 = -0.560, p<0.001), waist-height ratio (r2 = -0.560, p<0.001) and systolic blood pressure (r2 = -0.306, p<0.05) after adjustment for age, sex and GMFCS level.
Participation in physical activity, particularly at a vigorous intensity, is associated with high cardiorespiratory fitness in children with CP. Low cardiorespiratory fitness is associated with increased cardiometabolic risk.]]></abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>25835955</pmid><doi>10.1371/journal.pone.0123267</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2015-04, Vol.10 (4), p.e0123267-e0123267 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_1669454395 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Public Library of Science (PLoS); PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Accelerometers Accelerometry Adolescent Adults Age Analysis Anthropometry Blood Blood pressure Blood Pressure - physiology Body mass Body Mass Index Body measurements Cardiorespiratory fitness Care and treatment Cerebral palsy Cerebral Palsy - physiopathology Child Children Cross-Sectional Studies Ethics Exercise Exercise - physiology Exercise Test Female Fitness Health risks Heart - physiology Humans Levels Male Metabolic syndrome Motor ability Motor Activity - physiology Obesity Paralysis Patient outcomes Physical activity Physical fitness Physical Fitness - physiology Regression analysis Respiratory System Risk factors Sedentary behavior Sedentary Lifestyle Sex Studies Teenagers Waist Circumference Waist-Height Ratio Walking |
| title | Associations of sedentary behaviour, physical activity, blood pressure and anthropometric measures with cardiorespiratory fitness in children with cerebral palsy |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-07T00%3A32%3A41IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Associations%20of%20sedentary%20behaviour,%20physical%20activity,%20blood%20pressure%20and%20anthropometric%20measures%20with%20cardiorespiratory%20fitness%20in%20children%20with%20cerebral%20palsy&rft.jtitle=PloS%20one&rft.au=Ryan,%20Jennifer%20M&rft.date=2015-04-02&rft.volume=10&rft.issue=4&rft.spage=e0123267&rft.epage=e0123267&rft.pages=e0123267-e0123267&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0123267&rft_dat=%3Cgale_plos_%3EA426181954%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1669454395&rft_id=info:pmid/25835955&rft_galeid=A426181954&rft_doaj_id=oai_doaj_org_article_0258e660e6e1444ba53d0fe1505c02a0&rfr_iscdi=true |