Physical Fitness, Activity and Training in Children with Juvenile Idiopathic Arthritis

Tim Takken


Pediatr Health. 2010;4(5):499-507. 

In This Article


Clinicians should stimulate an active healthy lifestyle as soon as possible after diagnosis.

In general, children with JIA should be advised to comply with public-health recommendations of daily participation in 60 min or more of moderate-to-vigorous physical activity that is developmentally appropriate, enjoyable and involves a variety of activities.[57] Moreover, children with JIA are advised to perform less than 2 h of sedentary activities during their leisure time (e.g., TV watching, browsing the internet and computer games among others) per day.[57]

Clinicians should be aware of the detrimental effects of inactivity and sedentary behavior and stimulate physical activity in children with JIA. Advice regarding appropriate levels of physical activity should be implemented in clinical consultations.

In addition, clinicians are advised to provide written advices (including restrictions and permissions) to both primary-care providers as well as parents regarding appropriate levels of physical activity. Future studies should determine the most effective approach to promote physical activity and increase physical fitness in children with JIA.


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