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Participation in sc...
Participation in school and physical education in juvenile idiopathic arthritis in a Nordic long-term cohort study
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- Nordal, E. (author)
- Univ Hosp North Norway, Dept Pediat, N-9038 Tromso, Norway;UIT Arctic Univ Norway, Dept Clin Med, Tromso, Norway,Department of Pediatrics, University Hospital of North Norway, Tromsø, Norway
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- Rypdal, V. (author)
- Univ Hosp North Norway, Dept Pediat, N-9038 Tromso, Norway;UIT Arctic Univ Norway, Dept Clin Med, Tromso, Norway,Department of Pediatrics, University Hospital of North Norway, Tromsø, Norway
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- Arnstad, E. D. (author)
- NTNU Norwegian Univ Sci & Technol, Dept Clin & Mol Med, Trondheim, Norway;Nord Trondelag Hosp Trust, Levanger Hosp, Dept Pediat, Levanger, Norway,Department of Clinical and Molecular Medicine, NTNU - Norwegian University of Science and Technology, Trondheim, Norway
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- Aalto, K. (author)
- Univ Helsinki, Childrens Hosp, Helsinki, Finland,Children's Hospital, University of Helsinki, Helsinki, Finland
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- Berntson, Lillemor, 1957- (author)
- Uppsala universitet,Pediatrisk inflammationsforskning,Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden
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- Ekelund, Maria (author)
- Uppsala universitet,Pediatrisk inflammationsforskning,Ryhov Cty Hosp, Dept Pediat, Jonkoping, Sweden,Department of Pediatrics, Ryhov County Hospital, Jonkoping, Sweden
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- Fasth, Anders, 1945 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för pediatrik,Institute of Clinical Sciences, Department of Pediatrics,Univ Gothenburg, Sahlgrenska Acad, Inst Clin Sci, Dept Pediat, Gothenburg, Sweden,Department of Pediatrics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
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- Glerup, M. (author)
- Aarhus Univ Hosp, Dept Pediat, Aarhus, Denmark,Department of Pediatrics, Aarhus University Hospital, Aarhus, Denmark
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- Herlin, T. (author)
- Aarhus Univ Hosp, Dept Pediat, Aarhus, Denmark,Department of Pediatrics, Aarhus University Hospital, Aarhus, Denmark
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- Nielsen, S. (author)
- Copenhagen Univ Hosp, Rigshosp, Dept Pediat, Copenhagen, Denmark,Department of Pediatrics, Rigshospitalet Copenhagen University Hospital, Copenhagen, Denmark
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- Peltoniemi, S. (author)
- Univ Helsinki, Childrens Hosp, Helsinki, Finland,Helsingin Yliopisto, Helsinki, Finland
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- Zak, M. (author)
- Copenhagen Univ Hosp, Rigshosp, Dept Pediat, Copenhagen, Denmark,Department of Pediatrics, Rigshospitalet Copenhagen University Hospital, Copenhagen, Denmark
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- Songstad, N. T. (author)
- Univ Hosp North Norway, Dept Pediat, N-9038 Tromso, Norway;UIT Arctic Univ Norway, Dept Clin Med, Tromso, Norway,Department of Pediatrics, University Hospital of North Norway, Tromsø, Norway
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- Rygg, M. (author)
- NTNU Norwegian Univ Sci & Technol, Dept Clin & Mol Med, Trondheim, Norway;St Olavs Hosp, Dept Pediat, Trondheim, Norway,Department of Clinical and Molecular Medicine, NTNU - Norwegian University of Science and Technology, Trondheim, Norway
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- Marhaug, Gudmund O. (author)
- St. Olavs Hospital, Trondheim, Norway
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- Pedersen, Freddy Karup (author)
- Copenhagen
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- Lahdenne, Pekka (author)
- Helsinki University Hospital, Helsinki, Finland
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- Andersson-Gäre, Boel (author)
- Jönköping University,The Jönköping Academy for Improvement of Health and Welfare,HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare),HHJ. ARN-J (Aging Research Network - Jönköping)
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(creator_code:org_t)
- 2019-07-15
- 2019
- English.
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In: Pediatric Rheumatology. - : Springer Science and Business Media LLC. - 1546-0096. ; 17
- Related links:
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https://ped-rheum.bi...
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https://doi.org/10.1...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Subject headings
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- BackgroundThe aim of the study was to describe school attendance and participation in physical education in school among children with juvenile idiopathic arthritis (JIA).MethodsConsecutive 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.ResultsParticipation 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.ConclusionSchool 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.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Pediatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Pediatrics (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reumatologi och inflammation (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Rheumatology and Autoimmunity (hsv//eng)
Keyword
- Juvenile idiopathic arthritis
- Participation
- Physical activity
- Physical education
- School
- Epidemiology
- disease-activity
- children
- categories
- adolescents
- validation
- countries
- validity
- criteria
- Pediatrics
- Rheumatology
- Juvenile idiopathic arthritis
Publication and Content Type
- ref (subject category)
- art (subject category)
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To the university's database
- By the author/editor
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Nordal, E.
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Rypdal, V.
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Arnstad, E. D.
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Aalto, K.
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Berntson, Lillem ...
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Ekelund, Maria
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show more...
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Fasth, Anders, 1 ...
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Glerup, M.
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Herlin, T.
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Nielsen, S.
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Peltoniemi, S.
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Zak, M.
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Songstad, N. T.
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Rygg, M.
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Marhaug, Gudmund ...
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Pedersen, Freddy ...
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Lahdenne, Pekka
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Andersson-Gäre, ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Pediatrics
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Rheumatology and ...
- Articles in the publication
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Pediatric Rheuma ...
- By the university
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University of Gothenburg
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Uppsala University
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Jönköping University