Physical Activity in Patients with Prader-Willi Syndrome-A Systematic Review of Observational and Interventional Studies.
Alice BellichaMuriel CoupayeHelena MosbahMaithé TauberJean-Michel OppertChristine PoitouPublished in: Journal of clinical medicine (2021)
Physical activity (PA) is an important aspect of the management of patients with Prader-Willi syndrome (PWS). However, the day-to-day implementation of PA programs is particularly challenging in these patients. This systematic review aimed (1) to describe habitual PA and sedentary behavior and (2) to assess the effects of PA interventions and to describe their implementation process, in children and adults with PWS. A systematic search of controlled trials, single-group interventions, observational, and qualitative studies published up to December 2020 was performed. Twenty-five studies were included. Habitual PA was found to be lower in patients with PWS compared to controls without obesity or with non-syndromic obesity. Habitual PA was positively associated with lean body mass and bone parameters in children with PWS, and these finding were strengthened by intervention studies reporting an increase in both outcomes after a PA program. PA programs also improved physical function (muscle strength, walking distance, and coordination), without significant effect on weight and fat mass. Attendance to exercise sessions was usually high and no serious adverse effect was reported. In conclusion, supervised PA programs are beneficial for children and adults with PWS. Support should be provided to families to facilitate their implementation in real-life settings.
Keyphrases
- physical activity
- systematic review
- primary care
- healthcare
- metabolic syndrome
- quality improvement
- young adults
- weight loss
- insulin resistance
- public health
- body mass index
- case control
- weight gain
- randomized controlled trial
- end stage renal disease
- growth hormone
- meta analyses
- skeletal muscle
- chronic kidney disease
- emergency department
- newly diagnosed
- ejection fraction
- high fat diet induced
- autism spectrum disorder
- soft tissue
- lower limb