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Participation in school and physical education in juvenile idiopathic arthritis in a Nordic long-term cohort study
Department of Pediatrics, University Hospital of North Norway, Tromsø, Norway.
Department of Pediatrics, University Hospital of North Norway, Tromsø, Norway.
Department of Clinical and Molecular Medicine, NTNU - Norwegian University of Science and Technology, Trondheim, Norway.
Children's Hospital, University of Helsinki, Helsinki, Finland.
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2019 (English)In: Pediatric Rheumatology, ISSN 1546-0096, E-ISSN 1546-0096, Vol. 17, no 1, article id 44Article in journal (Refereed) Published
Abstract [en]

Background: The aim of the study was to describe school attendance and participation in physical education in school among children with juvenile idiopathic arthritis (JIA).

Methods: Consecutive 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.

Results: Participation 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 > 1 day 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.

Conclusion: School absence at baseline predicted adverse long-term outcome. In children and adolescents with JIA participation in school activities is mostly high after 8 years 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.

Place, publisher, year, edition, pages
BioMed Central, 2019. Vol. 17, no 1, article id 44
Keywords [en]
Epidemiology, Juvenile idiopathic arthritis, Participation, Physical activity, Physical education, School
National Category
Rheumatology and Autoimmunity Pediatrics
Identifiers
URN: urn:nbn:se:hj:diva-45410DOI: 10.1186/s12969-019-0341-6ISI: 000475708400002PubMedID: 31307487Scopus ID: 2-s2.0-85069198105Local ID: GOA HHJ 2019;HHJIMPROVEIS;HHJARNISOAI: oai:DiVA.org:hj-45410DiVA, id: diva2:1352984
Available from: 2019-09-20 Created: 2019-09-20 Last updated: 2019-09-20Bibliographically approved

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Andersson-Gäre, Boel

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