The status and influencing factors of physical activity level in children and adolescents with epilepsy_Journal of Epilepsy

Authors：

YANG Jie ¹ ,  CHEN Jialing ² , WANG Jinxia ³

1. Love Ward, Department of Critical Care Medicine, Shanghai Children’s Hospital, Shanghai 200040, China;
2. Department of Critical Care Medicine, Shanghai Children’s Hospital, Shanghai 200040, China;
3. Clinical Research Center, Scientific Research Department, Shanghai Children’s Hospital, Shanghai 200040, China;

Corresponding?author：

CHEN Jialing, Email: chenjl@shchildren.com.cn

Keywords：

Epilepsy; Children and Adolescents; Physical Activity; Influencing Factors; Nursing Care

DOI：

10.7507/2096-0247.202603022

Video：

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Objective To investigate the current status of physical activity levels among children and adolescents with epilepsy and analyze the influencing factors. Methods A convenience sampling method was used to survey 60 children and adolescents with epilepsy who visited the Epilepsy Center of Shanghai Children's Hospital from May 2023 to September 2023. The International Physical Activity Questionnaire - Short Form was used to assess their physical activity levels. For potential influencing factors, the Montreal Cognitive Assessment Scale, Self - Rating Anxiety Scale, Self - Rating Depression Scale, and Quality of Life Scale for Adolescent Epilepsy Patients were employed for investigation. Demographic data and disease - related information were retrospectively collected from medical records. Results Sixty valid questionnaires were collected. The total physical activity metabolic equivalent of children and adolescents with epilepsy was 1080 (636, 2346) MET-min/week, which was much lower than the standard recommended by the WHO. There were 25 cases (41.7%) with low physical activity level, 23 cases (38.3%) with moderate physical activity level, and 12 cases (20%) with high physical activity level. Uni-variate analysis and ordinal logistic regression analysis showed that the duration of each seizure, attention, and self-rating depression scores of the children were important independent influencing factors for the physical activity level of children and adolescents with epilepsy (P<0.05). Conclusion Children and adolescents with epilepsy have a relatively low level of physical activity. Parents and schools should guide the children to allocate their attention reasonably. Medical staff should help the children actively control the onset of the disease, pay attention to epilepsy comorbid with attention deficit hyperactivity disorder, identify the depressive emotions of children with epilepsy in time, and strengthen the management of physical activities of children and adolescents with epilepsy, so as to promote active physical activities.

Citation： YANG Jie, CHEN Jialing, WANG Jinxia. The status and influencing factors of physical activity level in children and adolescents with epilepsy. Journal of Epilepsy, 2026, 12(4): 292-299. doi: 10.7507/2096-0247.202603022 Copy

1.	肖波, 周羅. 癲癇最新臨床診療指南: 機遇與挑戰并存. 協和醫學雜志, 2017, 8(2): 122-126.
2.	Olusanya BO, Wright SM, Nair MKC, et al. Global Burden of Childhood Epilepsy, Intellectual Disability, and Sensory Impairments. Pediatrics, 2020, 146(1): e20192623.
3.	陳海麗, 肖志田, 葉敬花, 等. 癲癇患者從青少年到成人過渡期護理的研究進展. 中華護理雜志, 2022, 57(1): 118-123.
4.	中國抗癲癇協會. 臨床診療指南癲癇分冊. 北京: 人民衛生出版社, 2023: 1-3.
5.	Pan XW, Zhang XG, Chen XC, et al. A survey of application of complementary and alternative medicine in chinese patients with parkinson's disease: a pilot study. Chin J Integr Med, 2020, 26(3): 168-173.
6.	世界衛生組織. 關于身體活動有益健康的全球建議: 世界衛生組織, 2010.
7.	Pohl D, Alpous A, Hamer S, et al. Higher screen time, lower muscular endurance, and decreased agility limit the physical literacy of children with epilepsy. Epilepsy Behav, 2019, 90: 260-265.
8.	Brown DMY, Ronen GM. Associations between 24-hour movement guideline adherence and mental health disorders among young people with active and inactive epilepsy. Epilepsy Behav, 2021, 125: 108386.
9.	何斌, 高倩倩, 何曉丹, 等. 學齡前癲癇兒童日間身體活動時數與夜間睡眠型態的相關研究? 中國現代醫生, 2022, 60(30): 48-51.
10.	張彩峰, 楊潔. 癲癇兒童及青少年患者身體活動水平的研究進展. 癲癇雜志, 2025, 11(3): 256-260.
11.	管仁政, 金蓉, 李蕾, 等. 中國兒童哮喘行動計劃對學齡期哮喘兒童運動的影響. 中華醫學雜志, 2022, 102(18): 1379-1382.
12.	Bassett DR Jr. International Physical Activity Questionnaire: 12-country reliability and validity. Med Sci Sports Exerc: 2003, 35(8): 1396.
13.	屈寧寧, 李可基. 國際體力活動問卷中文版的信度和效度研究. 中華流行病學雜志, 2004, 25(3): 265-268.
14.	樊萌語, 呂筠, 何平平. 國際體力活動問卷中體力活動水平的計算方法. 中華流行病學雜志, 2014, 35(08): 961-964.
15.	Nasreddine ZS, Phillips NA, Bédirian V, et al. The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. J Am Geriatr Soc, 2005, 53(4): 695-659.
16.	楊曉燕, 龍莉莉, 肖波. 兒童顳葉癲癎及特發性癲癎對認知功能及情緒的影響. 中國當代兒科雜志, 2016, 18(7): 577-581.
17.	呂淑娟, 王海艷, 李夢媛, 等. 丙戊酸鈉聯合左乙拉西坦治療對癲癇患兒智力認知水平及腦電圖的影響. 中國實用神經疾病雜志, 2024, 27(5): 578-582.
18.	鴉明琴, 趙翔宇, 程俊芳. 北京版蒙特利爾認知評估量表應用于體檢人群的相關因素分析. 護理研究, 2018, 32(5): 814-816.
19.	向東, 王希林, 馬弘, 等. 心理衛生評定量表手冊(增訂版). 北京: 中國心理衛生雜志社, 1999: 200-204.
20.	Cramer JA, Westbrook LE, Devinsky O, et al. Development of the quality of life in epilepsy inventory for adolescents: the QOLIE-AD-48. Epilepsia, 1999, 40(8): 1114-1121.
21.	王夢陽. 遺傳性癲癇伴熱性驚厥附加癥的分子遺傳學研究;中文版青少年癲癇患者生活質量問卷信度及效度檢驗. 清華大學醫學部, 2009.
22.	鄧紅亮, 元小冬, 申健. 中文版青少年癲癇患者生活質量問卷效度及信度檢驗. 中華行為醫學與腦科學雜志, 2012, 21(2): 181-183.
23.	《中國人群身體活動指南》編寫委員會. 中國人群身體活動指南(2021). 中華預防醫學雜志, 2022, 56(1): 7-8.
24.	張長皓, 許巍, 申昆玲. 世界衛生組織關于兒童身體活動和久坐行為指南解讀. 中華實用兒科臨床雜志, 2021, 36(17): 1281-1284.
25.	Do J, Webster RJ, Longmuir PE, et al. Poor adherence to sleep and physical activity guidelines among children with epilepsy. Epilepsy Behav, 2021, 115: 107722.
26.	曹沅, 余立平, 唐蔚, 等. 癲癇兒童青少年身體活動現狀及影響因素研究進展. 廣東醫學, 2024, 45(10): 1357-1360.
27.	趙婧, 李雙子, 曾俊祺. 癲癇患兒體力活動的研究進展. 中華實用兒科臨床雜志, 2024, 39(10): 792-796.
28.	邵丹青. 中文版青少年癲癇患者病恥感量表的編譯及臨床應用. 山東第一醫科大學, 2020.
29.	王英杰, 孫蓓, 付佳, 等. 青少年活動性癲癇患兒軀體健康狀況及影響因素的研究. 中國實用護理雜志, 2013, 29(10): 1-5.
30.	張洋銘. 癲癇患者生活質量及其影響因素分析及生活質量與體育活動及病恥感之間相關性分析. 湖北醫藥學院, 2022.
31.	Capovilla G, Kaufman KR, Perucca E, Moshé SL, Arida RM. Epilepsy, seizures, physical exercise, and sports: A report from the ILAE Task Force on Sports and Epilepsy. Epilepsia. 2016 Jan;57(1): 6-12.
32.	董斌, 周農, 汪凱. 癲癇兒童的注意功能研究進展. 國際神經病學神經外科學雜志, 2007, 34(1): 72-75.
33.	武艷欽, 付全. 體育鍛煉對兒童注意力和認知靈活性的影響研究. 天津體育學院學報, 2024, 39(2): 233-240.
34.	蔡倫, 秦明芳. 癲癇患兒伴抑郁研究進展. 臨床兒科雜志, 2017, 35(1): 69-72.
35.	金佳琦, 陳芊, 于濤, 等. 兒童癲癇共患抑郁焦慮障礙的研究進展. 中國小兒急救醫學, 2023, 30(07): 549-552.
36.	廖箐箐, 顏蓉, 陳煒. 抑郁癥的軀體癥狀研究進展. 浙江醫學, 2024, 46(18): 2013-2016.
37.	羅陽, 石晶, 張明霞, 等. 抑郁癥患者的內在動機特征. 中國心理衛生雜志, 2023, 37(4): 279-285.
38.	Idowu J, Meades C, Cross JH, et al. "One size does not fit all" - Barriers to and facilitators of physical activity in adolescents with epilepsy. Epilepsy Behav, 2024, 156: 109772.
39.	宣燁菁, 尹瀟瀟, 牛姍, 等. 癲癇患者運動鍛煉效果的Meta分析. 中國護理管理, 2024, 24(2): 224-230.
40.	董萬惠, 曹笑柏, 鄧秋霞, 等. 體育鍛煉和運動對癲癇病人認知障礙影響的研究現狀. 護理研究, 2020, 34(7): 1214-1217.
41.	Kumar M, Ramanujam B, Barki S, et al. Impact of exercise as a complementary management strategy in people with epilepsy: a randomized controlled trial. Epilepsy Behav, 2022, 129: 108616.
42.	?kerlund S, Varkey E, Klecki J, et al. Randomized controlled trial of moderate cardiovascular exercise for patients with drug-resistant epilepsy. Epilepsy Behav, 2021, 124: 108335.

1. 肖波, 周羅. 癲癇最新臨床診療指南: 機遇與挑戰并存. 協和醫學雜志, 2017, 8(2): 122-126.
2. Olusanya BO, Wright SM, Nair MKC, et al. Global Burden of Childhood Epilepsy, Intellectual Disability, and Sensory Impairments. Pediatrics, 2020, 146(1): e20192623.
3. 陳海麗, 肖志田, 葉敬花, 等. 癲癇患者從青少年到成人過渡期護理的研究進展. 中華護理雜志, 2022, 57(1): 118-123.
4. 中國抗癲癇協會. 臨床診療指南癲癇分冊. 北京: 人民衛生出版社, 2023: 1-3.
5. Pan XW, Zhang XG, Chen XC, et al. A survey of application of complementary and alternative medicine in chinese patients with parkinson's disease: a pilot study. Chin J Integr Med, 2020, 26(3): 168-173.
6. 世界衛生組織. 關于身體活動有益健康的全球建議: 世界衛生組織, 2010.
7. Pohl D, Alpous A, Hamer S, et al. Higher screen time, lower muscular endurance, and decreased agility limit the physical literacy of children with epilepsy. Epilepsy Behav, 2019, 90: 260-265.
8. Brown DMY, Ronen GM. Associations between 24-hour movement guideline adherence and mental health disorders among young people with active and inactive epilepsy. Epilepsy Behav, 2021, 125: 108386.
9. 何斌, 高倩倩, 何曉丹, 等. 學齡前癲癇兒童日間身體活動時數與夜間睡眠型態的相關研究? 中國現代醫生, 2022, 60(30): 48-51.
10. 張彩峰, 楊潔. 癲癇兒童及青少年患者身體活動水平的研究進展. 癲癇雜志, 2025, 11(3): 256-260.
11. 管仁政, 金蓉, 李蕾, 等. 中國兒童哮喘行動計劃對學齡期哮喘兒童運動的影響. 中華醫學雜志, 2022, 102(18): 1379-1382.
12. Bassett DR Jr. International Physical Activity Questionnaire: 12-country reliability and validity. Med Sci Sports Exerc: 2003, 35(8): 1396.
13. 屈寧寧, 李可基. 國際體力活動問卷中文版的信度和效度研究. 中華流行病學雜志, 2004, 25(3): 265-268.
14. 樊萌語, 呂筠, 何平平. 國際體力活動問卷中體力活動水平的計算方法. 中華流行病學雜志, 2014, 35(08): 961-964.
15. Nasreddine ZS, Phillips NA, Bédirian V, et al. The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. J Am Geriatr Soc, 2005, 53(4): 695-659.
16. 楊曉燕, 龍莉莉, 肖波. 兒童顳葉癲癎及特發性癲癎對認知功能及情緒的影響. 中國當代兒科雜志, 2016, 18(7): 577-581.
17. 呂淑娟, 王海艷, 李夢媛, 等. 丙戊酸鈉聯合左乙拉西坦治療對癲癇患兒智力認知水平及腦電圖的影響. 中國實用神經疾病雜志, 2024, 27(5): 578-582.
18. 鴉明琴, 趙翔宇, 程俊芳. 北京版蒙特利爾認知評估量表應用于體檢人群的相關因素分析. 護理研究, 2018, 32(5): 814-816.
19. 向東, 王希林, 馬弘, 等. 心理衛生評定量表手冊(增訂版). 北京: 中國心理衛生雜志社, 1999: 200-204.
20. Cramer JA, Westbrook LE, Devinsky O, et al. Development of the quality of life in epilepsy inventory for adolescents: the QOLIE-AD-48. Epilepsia, 1999, 40(8): 1114-1121.
21. 王夢陽. 遺傳性癲癇伴熱性驚厥附加癥的分子遺傳學研究;中文版青少年癲癇患者生活質量問卷信度及效度檢驗. 清華大學醫學部, 2009.
22. 鄧紅亮, 元小冬, 申健. 中文版青少年癲癇患者生活質量問卷效度及信度檢驗. 中華行為醫學與腦科學雜志, 2012, 21(2): 181-183.
23. 《中國人群身體活動指南》編寫委員會. 中國人群身體活動指南(2021). 中華預防醫學雜志, 2022, 56(1): 7-8.
24. 張長皓, 許巍, 申昆玲. 世界衛生組織關于兒童身體活動和久坐行為指南解讀. 中華實用兒科臨床雜志, 2021, 36(17): 1281-1284.
25. Do J, Webster RJ, Longmuir PE, et al. Poor adherence to sleep and physical activity guidelines among children with epilepsy. Epilepsy Behav, 2021, 115: 107722.
26. 曹沅, 余立平, 唐蔚, 等. 癲癇兒童青少年身體活動現狀及影響因素研究進展. 廣東醫學, 2024, 45(10): 1357-1360.
27. 趙婧, 李雙子, 曾俊祺. 癲癇患兒體力活動的研究進展. 中華實用兒科臨床雜志, 2024, 39(10): 792-796.
28. 邵丹青. 中文版青少年癲癇患者病恥感量表的編譯及臨床應用. 山東第一醫科大學, 2020.
29. 王英杰, 孫蓓, 付佳, 等. 青少年活動性癲癇患兒軀體健康狀況及影響因素的研究. 中國實用護理雜志, 2013, 29(10): 1-5.
30. 張洋銘. 癲癇患者生活質量及其影響因素分析及生活質量與體育活動及病恥感之間相關性分析. 湖北醫藥學院, 2022.
31. Capovilla G, Kaufman KR, Perucca E, Moshé SL, Arida RM. Epilepsy, seizures, physical exercise, and sports: A report from the ILAE Task Force on Sports and Epilepsy. Epilepsia. 2016 Jan;57(1): 6-12.
32. 董斌, 周農, 汪凱. 癲癇兒童的注意功能研究進展. 國際神經病學神經外科學雜志, 2007, 34(1): 72-75.
33. 武艷欽, 付全. 體育鍛煉對兒童注意力和認知靈活性的影響研究. 天津體育學院學報, 2024, 39(2): 233-240.
34. 蔡倫, 秦明芳. 癲癇患兒伴抑郁研究進展. 臨床兒科雜志, 2017, 35(1): 69-72.
35. 金佳琦, 陳芊, 于濤, 等. 兒童癲癇共患抑郁焦慮障礙的研究進展. 中國小兒急救醫學, 2023, 30(07): 549-552.
36. 廖箐箐, 顏蓉, 陳煒. 抑郁癥的軀體癥狀研究進展. 浙江醫學, 2024, 46(18): 2013-2016.
37. 羅陽, 石晶, 張明霞, 等. 抑郁癥患者的內在動機特征. 中國心理衛生雜志, 2023, 37(4): 279-285.
38. Idowu J, Meades C, Cross JH, et al. "One size does not fit all" - Barriers to and facilitators of physical activity in adolescents with epilepsy. Epilepsy Behav, 2024, 156: 109772.
39. 宣燁菁, 尹瀟瀟, 牛姍, 等. 癲癇患者運動鍛煉效果的Meta分析. 中國護理管理, 2024, 24(2): 224-230.
40. 董萬惠, 曹笑柏, 鄧秋霞, 等. 體育鍛煉和運動對癲癇病人認知障礙影響的研究現狀. 護理研究, 2020, 34(7): 1214-1217.
41. Kumar M, Ramanujam B, Barki S, et al. Impact of exercise as a complementary management strategy in people with epilepsy: a randomized controlled trial. Epilepsy Behav, 2022, 129: 108616.
42. ?kerlund S, Varkey E, Klecki J, et al. Randomized controlled trial of moderate cardiovascular exercise for patients with drug-resistant epilepsy. Epilepsy Behav, 2021, 124: 108335.

Journal of Epilepsy

The status and influencing factors of physical activity level in children and adolescents with epilepsy

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