{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T17:57:18Z","timestamp":1788544638139,"version":"build-2803163510"},"reference-count":86,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,9,19]],"date-time":"2024-09-19T00:00:00Z","timestamp":1726704000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:sec><jats:title>Background and objective<\/jats:title><jats:p>Physical activity (PA) is paramount for childhood development and growth. However, children diagnosed with Cerebral Palsy (CP) were often considered sedentary, and their physical inactivity was associated with adverse health conditions and complications. Therefore, this study aimed to objectively describe and compare the PA levels and SB levels of children with and without CP of the same age group. It also studied the factors correlating with PA, SB, and step count per day in children with CP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and methods<\/jats:title><jats:p>A cross-sectional study using a wrist-worn accelerometer was conducted. PA and SB were measured over seven consecutive days.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eighty-five children aged 6\u201312 years, consisting of 41 children with CP and 44 TD children, participated in this study with a mean age of 9.18\u2009\u00b1\u20091.95 and 8.45\u2009\u00b1\u20091.78 years, respectively. According to the gross functional measures, 53.6% of children with CP were classified as first classification. A significant amount of time was spent in SB and Light PA (LPA) by children with CP compared to TD children, and no significant differences were observed in moderate PA (MPA) or step count. Gender mainly affected MPA as girls spent more time in MPA than boys. The age, height, and weight of children with CP correlate significantly with SB. As children's age, height, and weight increase, SB increases. Additionally, children with higher weights have lower step counts per day.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study showed that children with CP spend more time in LPA and SB than typically developed children. Therefore, concerted efforts are needed to encourage physical activity and reduce the sedentary lifestyle, to take into account the gender and anthropometric measures of children to enhance the quality of life among children with CP, and to consider gender and anthropometric measures of the children.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fped.2024.1463288","type":"journal-article","created":{"date-parts":[[2024,9,19]],"date-time":"2024-09-19T04:38:43Z","timestamp":1726720723000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":8,"title":["Physical activity and sedentary behavior among ambulatory children with cerebral palsy using accelerometer: a cross-sectional study"],"prefix":"10.3389","volume":"12","author":[{"given":"Njoud Aydhah","family":"Alamoudi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maha F.","family":"Algabbani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad O.","family":"Al-Heizan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adel A.","family":"Alhusaini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,9,19]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1111\/j.1469-8749.2007.00001.x","article-title":"The definition and classification of cerebral palsy","volume":"49","author":"Bax","year":"2007","journal-title":"Dev Med Child Neurol"},{"key":"B2","first-page":"8","article-title":"A report: the definition and classification of cerebral palsy April 2006","volume":"109","author":"Rosenbaum","year":"2007","journal-title":"Dev Med Child Neurol Suppl"},{"key":"B3","doi-asserted-by":"publisher","first-page":"247","DOI":"10.1097\/01.PEP.0000096384.19136.02","article-title":"Reliability and validity of the gross motor function classification system for cerebral palsy","volume":"15","author":"Bodkin","year":"2003","journal-title":"Pediatr Phys Ther"},{"key":"B4","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1016\/j.gaitpost.2022.10.009","article-title":"Selective motor control correlates with gross motor ability, functional balance and gait performance in ambulant children with bilateral spastic cerebral palsy","volume":"99","author":"Yun","year":"2023","journal-title":"Gait Posture"},{"key":"B5","doi-asserted-by":"publisher","first-page":"S125","DOI":"10.21037\/tp.2020.01.01","article-title":"Cerebral palsy in children: a clinical overview","volume":"9","author":"Patel","year":"2020","journal-title":"Transl Pediatr"},{"key":"B6","doi-asserted-by":"publisher","first-page":"301","DOI":"10.5535\/arm.19156","article-title":"The formula for health and well-being in individuals with cerebral palsy: cross-sectional data on physical activity, sleep, and nutrition","volume":"44","author":"McPhee","year":"2020","journal-title":"Ann Rehabil Med"},{"key":"B7","doi-asserted-by":"publisher","first-page":"2821","DOI":"10.1080\/09638288.2023.2232720","article-title":"The temporal and bi-directional relationship between physical activity and sleep in ambulatory children with cerebral palsy","volume":"46","author":"Gerritsen","year":"2024","journal-title":"Disabil Rehabil"},{"key":"B8","doi-asserted-by":"publisher","first-page":"303","DOI":"10.1016\/j.jped.2021.07.005","article-title":"Physical activity, sedentary time and nutritional Status in Brazilian children with cerebral palsy","volume":"98","author":"Arruda","year":"2022","journal-title":"J Pediatr (Rio J)"},{"key":"B9","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1249\/MSS.0000000000003273","article-title":"Effects of the execp intervention on motor function, muscle strength and joint flexibility in individuals with cerebral palsy","volume":"56","author":"Valad\u00e3o","year":"2024","journal-title":"Med Sci Sports Exercise"},{"key":"B10","doi-asserted-by":"publisher","first-page":"98","DOI":"10.1186\/1479-5868-8-98","article-title":"Systematic review of sedentary behaviour and health indicators in school-aged children and youth","volume":"8","author":"Tremblay","year":"2011","journal-title":"Int J Behav Nutr Phys Act"},{"key":"B11","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1186\/1479-5868-7-40","article-title":"Systematic review of the health benefits of physical activity and fitness in school-aged children and youth","volume":"7","author":"Janssen","year":"2010","journal-title":"Int J Behav Nutr Phys Act"},{"key":"B12","doi-asserted-by":"publisher","first-page":"1412389","DOI":"10.3389\/fpubh.2024.1412389","article-title":"Can physical activity counteract the negative effects of sedentary behavior on the physical and mental health of children and adolescents? 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