Physical Activity Levels and Factors Affecting Them in Hospitalized Children With Leukemia

Abstract

Background Physical activity promotes healthy physical and mental development in children with leukemia. However, the level of physical activity in hospitalized children with leukemia and the factors that influence it are unknown. Objectives The aims of this study were to understand the physical activity level of hospitalized children with leukemia and to explore the factors influencing it to provide a reference for physical activity assessment and intervention in such children. Methods A total of 133 hospitalized children with leukemia completed a general information questionnaire, the Chinese University of Hong Kong Physical Activity Rating for Children and Youth, and the Children’s Social Anxiety Scale. A cross-sectional study was used to explore the effects of different variables on the children’s activity levels. Results Among the study participants, 44.4% had a low-intensity activity level, 35.3% had a moderate-intensity activity level, and 20.3% had a high-intensity activity level, with a total physical activity rating of 3 (1, 6). Chemotherapy phase (P = .007), screen time (P = .001), and social anxiety (P = .012) were identified as influential factors. Conclusions Our results showed that children with hospitalized leukemia had lower-intensity physical activity levels, especially in the chemotherapy phase of induction remission. Furthermore, screen time and social anxiety had negative effects on the children’s activity levels. Implications for Practice According to the physical activity level of the children and the influencing factors, healthcare professionals should gradually improve children’s mobility and promote their physical and mental health development through guidance and encouragement, and the development of personalized activity intervention programs.