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- Raustorp, Anders, 1958, et al.
(author)
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Translation of children’s cycling into steps: the share of cycling in 10-year-olds’ physical activity
- 2013
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In: International Journal of Adolescent Medicine and Health. - : Walter de Gruyter GmbH. - 2191-0278 .- 0334-0139. ; 25:2, s. 171-176
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Journal article (peer-reviewed)abstract
- Background: Active travel has a potential to increase children ' s physical activity (PA). Pedometers offer a valid option to measure PA, but do not capture cycling activity. Children ' s self-reported cycling distances can be analyzed by the Geografic Information System (GIS). Aim: To combine pedometry and GIS mapping to identify the relative amount of cycling in children ' s PA. Study group: Of all children in 4th grade (n = 187) in Staffanstorp Sweden, 144 had valid pedometer data. Fifty-six children were non-cyclists while 88 children (32 boys, 47 girls, 9 gender unknown) reported at least one cycle journey. Methods: Cycle trips were entered into GIS and calculated to total cycling distance. Average length of the single distances cycled per day was 676 m (SD = 534 m). A previously reported cycling speed (13.5 km/h) was used to calculate time spent cycling. Consequently distance = 676 m, speed = 13.5 km/h = 13,500 m/3600 s = 3.75 m/s and time = 676m/3.75m/s = 180.26 s = 3 min. Expenditure of 4 and 5 metabolic equivalents (METs) has in children been reported equivalent to 122 and 127 steps/min, respectively. We estimated 4.7 METs (13.5 km/h) as 126 steps for every min of cycling (127 - 122 = 5 ×?0.7 = 125.5). Results: The daily mean cycle distance was 676 m, on average 379 additional steps/day for cycling children (min. 21, max. 1385, SD = 299) with no gender difference. Additional " steps " obtained by cycling corresponded to on average 3 % of their PA. Conclusion: The relative contribution of cycling in 10-yearold children ' s PA level is quite small and stable between children across different levels of activity levels, regardless of gender. © 2013 Walter de Gruyter GmbH.
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- Stenström, Pernilla, et al.
(author)
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Adolescents with anorectal malfromation: physical outcome, sexual health and quality of life
- 2014
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In: International Journal of Adolescent Medicine and Health. - : Walter de Gruyter GmbH. - 0334-0139 .- 2191-0278. ; 26:1, s. 49-59
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Journal article (peer-reviewed)abstract
- Background: The necessity of referral of adolescents with anorectal malformation (ARM) from pediatric units to adult care is unclear. The issue requires knowledge about the adolescents´ health. Objective: To examine the physical outcome, sexual health and quality of life (QoL) in adolescents with ARM. Material and method: At medical counseling twenty-four adolescents with ARM, 15-21 years of age, answered questionnaires about physical outcome according to the Krickenbeck and QoL according to SF 36 and gastrointestinal quality of life (Giqli). Matched control groups were used. Fifteen adolescents participated in deep interviews about sexual health and body imaging. Results: Fecal soiling, constipation and gas incontinence were much higher for ARM patients compared with the controls (p<0.05). QoL regarding large bowel function was lower for both genders compared with the controls (p<0.05). Females scored lower in physically related QoL (p<0.05). Social and sexual adaption was transparent in the deep interviews. Conclusion: Adolescents with ARM have considerable intestinal symptoms, influencing QoL and requiring adaption in intimate situations. A referral to adult care seems important and a continuous cooperation between the pediatric surgeon and adult care is suggested.
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- Tofft, Louise, et al.
(author)
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Key components of successful transition for adolescents born with anorectal malformations-a Nordic focus group study
- 2022
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In: International Journal of Adolescent Medicine and Health. - : Walter de Gruyter GmbH. - 0334-0139 .- 2191-0278. ; 34:4, s. 211-218
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Journal article (peer-reviewed)abstract
- Transitional care for adolescents with congenital malformations, such as anorectal malformations (ARM), is described sparsely in the literature and referred to as being inadequate. In order to organize future successful healthcare structures, knowledge of patient-reported important aspects of transition is required. The aim of the study was therefore to explore the needs and expectations of transitional-and adult healthcare among adolescents and adults born with ARM. Two tertiary paediatric surgical centres, in collaboration with two tertiary pelvic floor centres, in Sweden and Norway, conducted a qualitative study, involving adolescents and adults born with ARM in focus group discussions regarding transitional care. Discussions were analyzed by qualitative content analysis. Ethical approval was obtained. Sixteen participants (10 women) with a median age of 24 (19-47) years, born with mixed subtypes of ARM were included in gender-divided focus groups. Participants emphasized a need for improved knowledge of ARM, both among patients and adult care providers. Participants identified a need for support with coping strategies regarding challenging social-and intimate situations due to impaired bowel function. Participants pin-pointed well-functioning communication between the patient and the paediatric-and adult care providers as a key factor for a successful transitional process. Further, participants emphasized the importance of easy access to specialized adult healthcare when needed, suggested to be facilitated by appointed patient navigators. Adolescents and adults born with ARM identify improved knowledge of ARM, well-functioning communication and easy access to specialized adult care as key components of a successful transition.
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