Chronic Disease, Chronic Disease of Immune System, Chronic Diseases in Adolescence, Chronic Kidney Diseases
Conditions
Brief summary
Data show that the coronavirus disease 2019 (COVID-19) symptoms can be severe in 4% and 3% of the adolescents aged 11-15 years and ≥ 16 years, respectively. In addition, the prevalence of chronic diseases among adolescents has increased in the last years. About 20% of the adolescents have some chronic disease, resulting in increased morbidity and mortality. In march, 2020, the quarantine was officially implemented in Sao Paulo, while elective medical appointments for adolescents with chronic disease were temporarily suspended. To mitigate the deleterious effect of the social isolation on physical and mental health among these patients, this study aims to test the effects of an online, home-based, exercise training program.
Interventions
Online aerobic home-based exercise training, 3 times per week, during 3 months. The exercise program is composed by 3 levels (starter, intermediate and advanced) which be completed in the first, second and third month of intervention, respectively.
Sponsors
Study design
Eligibility
Inclusion criteria
Diagnosed with either one of the following chronic conditions: * Inflammatory bowel disease; * autoimmune hepatitis; * liver transplant; * renal transplant; * systemic lupus erythematosus; * juvenile dermatomyositis; * juvenile idiopathic arthritis.
Exclusion criteria
* Patients with physical limitations that preclude exercise. * Patients diagnosed with COVID-19. * Patients diagnosed with mental disorders.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Safety and efficacy of a home-based exercise training program | From baseline to 3 months of follow-up | Semi structured interview |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patients perceptions during social isolation | From baseline to 3 months of follow-up | Semi structured interview |
| Adolescents quality of life | From baseline to 3 months of follow-up | Quality of life will be assessed by means of Pediatric Quality of Life inventory (PedsQLTM 4.0) |
| Disease activity | From baseline to 3 months of follow-up | Will be assessed by means of a visual analog scale (from 0 - no disease activity) to 10 - maximum disease activity). |
| Disease overall assessment | From baseline to 3 months of follow-up | Will be assessed using the visual analog scale from 0 (very good condition) to 10 (very poor condition). |
| Strengths and difficulties | From baseline to 3 months of follow-up | Will be assessed by means of Strengths & Difficulties Questionnaires |
Countries
Brazil