title: Factors associated with low moderate-to-vigorous physical activity levels in pediatric patients with Kawasaki disease.
abstract: METHODS
  We sought to determine functional health status and physical activity determinants in 27 patients with Kawasaki disease (KD; 20 males, 11 ± 3 years old). Patient physical activity data were compared with a population-based study of healthy children (Canadian Health Measures Survey).
  
  
  RESULTS
  KD patients performed less moderate-to-vigorous physical activity (MVPA) than healthy children (males, 27 vs 61 min/d, P < .001; females, 10 vs 47 min/d, P < .001). Male KD patients performed more MVPA than female KD patients (median = 27; quartiles [Q1 15, Q3 26] min/d vs 10 [Q1 7, Q3 11] min/day, P = .009). Lower MVPA in KD patients was significantly associated with female gender; lower child self-efficacy score; lower Child Health Questionnaire (CHQ-PF50) scores for role functioning behavioral issues, physical functioning, and family cohesion; and higher CHQ-PF50 scores for self-esteem and family activity limitations.
  
  
  CONCLUSIONS
  Physical activity counseling should be a focus of management for children with a history of KD.
authors.affiliation: 1Labatt Family Heart Centre, The Hospital for Sick Children, Toronto, Ontario, Canada.
authors.forename: Laura
authors.initials: L
authors.lastname: Banks
authors.forename: Yahui Tammy
authors.initials: YT
authors.lastname: Lin
authors.forename: Nita
authors.initials: N
authors.lastname: Chahal
authors.forename: Cedric
authors.initials: C
authors.lastname: Manlhiot
authors.forename: Rae S M
authors.initials: RS
authors.lastname: Yeung
authors.forename: Brian W
authors.initials: BW
authors.lastname: McCrindle
mesh_terms: D061725:Accelerometry; D000293:Adolescent; D002648:Child; D015331:Cohort Studies; D015444:Exercise / Q000523:psychology; D005195:Family Relations; D005260:Female; D006305:Health Status Indicators; D006801:Humans; D008297:Male; D009080:Mucocutaneous Lymph Node Syndrome / Q000503:physiopathology / Q000523:psychology; D011788:Quality of Life; D012649:Self Concept; D020377:Self Efficacy; D012737:Sex Factors; D011795:Surveys and Questionnaires