Examination of The Applicability and Intensity of Nintendo Wiitm Exergaming For Children With Acute Lymphoblastic Leukemia: A Preliminary Study

Aims: Exploring the applicability and intensity of exergaming for children with cancer is essential. This study aimed to examine the applicability of Nintendo WiiTM exergames and determine the intensity of Physical Activity (PA) provided by these exergames for children with acute lymphoblastic leukemia. Methods: In this preliminary study, 31 children aged 6-14 years of both sexes were asked to play Wii exergames for a 60-minute research session. Using the Arabic video game applicability questionnaire, the children were instructedto score seven statements regarding usability, engagement, and enjoyment of exergames. In addition, heart rate (HR), predicted heart rate maximum (pred. HRmax), rating of perceived exertion (RPE), and oxygen saturation (SpO2) were measured at baseline and every 15 min during the session. Results: About 74.2%, 83.9%, and 93.6% of the children agreed that the games were usable, engaging, and enjoyable, respectively. Exergames were of moderate intensity as the children reached 59.22±8.40 % of age-predicted HRmax: the HR and its percentage of increase from the pred. HRmax (% pred. HRmax) was significantly higher in girls than in boys (P=0.01). The level of perceived exertion was moderate (5.74± 0.63). Conclusion: Implementation of Nintendo Wii exergames for 60 minutes was found to be applicable. In addition, it resulted in PA of moderate intensity

Musculoskeletal Pain Prevalence and Association with Breastfeeding Position in Lactating Mothers in Riyadh, Saudi Arabia: A Cross-Sectional Study

Background: Musculoskeletal pain (MSP) is common among lactating mothers. The aims of this study were to assess the prevalence of MSP and its association with the positioning of lactating mothers in Riyadh, Saudi Arabia. Methods: This was a descriptive cross-sectional survey study using an online self-administered questionnaire. Results: 336 women aged 20–50 years participated in this study (58.3% reported vaginal delivery, 74.1% had one to four children, 61.3% had a bachelor’s degree or higher, and 45.5% worked). Only 25% of the mothers were given health education regarding MSP. 97.3% of mothers reported pain on at least one part of their body. There were differences in pain intensity ratings across different locations (with a median and interquartile range in parentheses): lower backs at 0 (0, 6) and upper backs at 2 (0, 5), necks at 3 (0, 6), shoulders at 3 (0, 5) and arms at 2 (0, 4), and hands at 1 (0, 4). MSP prevalence ranges from 58.6% for arm and hand to 72.3% and 67.6% for lower back and neck, respectively. MSP prevalence is significantly associated with breastfeeding positions (p < 0.001). A cradle position was the most commonly used (54.8%), and it was associated with MSP across different locations (p < 0.001). Conclusions: The prevalence of lower back and neck pain is higher among breastfeeding mothers in Riyadh, Saudi Arabia. MSP and breastfeeding position were significantly associated. Mothers received limited health education about MSP

Physical activity status and its association with quality of life among children with down syndrome in Saudi Arabia: A comparative cross-sectional study.

BackgroundDown syndrome is a genetic disorder that causes physical and cognitive challenges. Identifying the impact of sedentary behavior and physical activity on people with Down syndrome is crucial for early intervention. The purpose of this study is to compare physical activity and sedentary behavior among children with Down syndrome and typically developing children, as well as assess their relationship with quality of life.MethodsIn the cross-sectional study, 67 children between the ages of 6 and 12 were enrolled: 29 in the Down syndrome group and 38 in the typically developing group. Each child wore an ActiGraph wGT3X-BT for seven days. Accelerometer data and quality of life data were analysed.ResultsPhysical activity and sedentary behavior were not significantly different between the Down syndrome and typically developing groups (p ˃ .05). With large effect sizes (partial eta squares ranging from 0.21 to 0.59), typically developing children had a significantly better quality of life than children with Down syndrome. There was a weak positive correlation between moderate physical activity and school performance in children with Down syndrome. For typically developing children, there is a weak negative correlation between light physical activity and physical function, school function, and total paediatric quality of life scale scores.ConclusionsThis study indicates that children with Down syndrome have participated in more physical activities, resulting in a reduction in differences between them and typically developing children. Additionally, typically developing had higher quality of life than children with Down syndrome. For healthcare professionals and educators, these findings provide valuable insights into developing strategies to enhance physical activity for children with developmental disabilities

Participant characteristics.

BackgroundDown syndrome is a genetic disorder that causes physical and cognitive challenges. Identifying the impact of sedentary behavior and physical activity on people with Down syndrome is crucial for early intervention. The purpose of this study is to compare physical activity and sedentary behavior among children with Down syndrome and typically developing children, as well as assess their relationship with quality of life.MethodsIn the cross-sectional study, 67 children between the ages of 6 and 12 were enrolled: 29 in the Down syndrome group and 38 in the typically developing group. Each child wore an ActiGraph wGT3X-BT for seven days. Accelerometer data and quality of life data were analysed.ResultsPhysical activity and sedentary behavior were not significantly different between the Down syndrome and typically developing groups (p ˃ .05). With large effect sizes (partial eta squares ranging from 0.21 to 0.59), typically developing children had a significantly better quality of life than children with Down syndrome. There was a weak positive correlation between moderate physical activity and school performance in children with Down syndrome. For typically developing children, there is a weak negative correlation between light physical activity and physical function, school function, and total paediatric quality of life scale scores.ConclusionsThis study indicates that children with Down syndrome have participated in more physical activities, resulting in a reduction in differences between them and typically developing children. Additionally, typically developing had higher quality of life than children with Down syndrome. For healthcare professionals and educators, these findings provide valuable insights into developing strategies to enhance physical activity for children with developmental disabilities.</div

STROBE statement—checklist of items that should be included in reports of <i>cross-sectional studies</i>.

STROBE statement—checklist of items that should be included in reports of cross-sectional studies.</p

S1 Data -

BackgroundDown syndrome is a genetic disorder that causes physical and cognitive challenges. Identifying the impact of sedentary behavior and physical activity on people with Down syndrome is crucial for early intervention. The purpose of this study is to compare physical activity and sedentary behavior among children with Down syndrome and typically developing children, as well as assess their relationship with quality of life.MethodsIn the cross-sectional study, 67 children between the ages of 6 and 12 were enrolled: 29 in the Down syndrome group and 38 in the typically developing group. Each child wore an ActiGraph wGT3X-BT for seven days. Accelerometer data and quality of life data were analysed.ResultsPhysical activity and sedentary behavior were not significantly different between the Down syndrome and typically developing groups (p ˃ .05). With large effect sizes (partial eta squares ranging from 0.21 to 0.59), typically developing children had a significantly better quality of life than children with Down syndrome. There was a weak positive correlation between moderate physical activity and school performance in children with Down syndrome. For typically developing children, there is a weak negative correlation between light physical activity and physical function, school function, and total paediatric quality of life scale scores.ConclusionsThis study indicates that children with Down syndrome have participated in more physical activities, resulting in a reduction in differences between them and typically developing children. Additionally, typically developing had higher quality of life than children with Down syndrome. For healthcare professionals and educators, these findings provide valuable insights into developing strategies to enhance physical activity for children with developmental disabilities.</div

Descriptive statistics for PA variables.

BackgroundDown syndrome is a genetic disorder that causes physical and cognitive challenges. Identifying the impact of sedentary behavior and physical activity on people with Down syndrome is crucial for early intervention. The purpose of this study is to compare physical activity and sedentary behavior among children with Down syndrome and typically developing children, as well as assess their relationship with quality of life.MethodsIn the cross-sectional study, 67 children between the ages of 6 and 12 were enrolled: 29 in the Down syndrome group and 38 in the typically developing group. Each child wore an ActiGraph wGT3X-BT for seven days. Accelerometer data and quality of life data were analysed.ResultsPhysical activity and sedentary behavior were not significantly different between the Down syndrome and typically developing groups (p ˃ .05). With large effect sizes (partial eta squares ranging from 0.21 to 0.59), typically developing children had a significantly better quality of life than children with Down syndrome. There was a weak positive correlation between moderate physical activity and school performance in children with Down syndrome. For typically developing children, there is a weak negative correlation between light physical activity and physical function, school function, and total paediatric quality of life scale scores.ConclusionsThis study indicates that children with Down syndrome have participated in more physical activities, resulting in a reduction in differences between them and typically developing children. Additionally, typically developing had higher quality of life than children with Down syndrome. For healthcare professionals and educators, these findings provide valuable insights into developing strategies to enhance physical activity for children with developmental disabilities.</div

Two-way MANCOVA for the main effect of group and gender and the interaction of group and gender on physical activity, sedentary behaviour and step count.

Two-way MANCOVA for the main effect of group and gender and the interaction of group and gender on physical activity, sedentary behaviour and step count.</p

Two-way MANOVA analysis of the QoL differences between children with DS and TD children.

Two-way MANOVA analysis of the QoL differences between children with DS and TD children.</p

Correlations between PedsQoL and physical activity, sedentary behaviour and step count for both groups.

Correlations between PedsQoL and physical activity, sedentary behaviour and step count for both groups.</p