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Activité physique et qualité de vie liée à la santé de l'enfant et de l'adolescent : approche en population générale et en milieu hospitalier

Abstract : Context. Several epidemiological studies were interested in the relation between physical activity (PA), adapted or not, and health-related quality of life in general population or on subjects with chronic pathology. However, the studies were mainly led in adult population and a few have study this relation when PA is practiced in a particular condition such as a hospitalization course. Objective. The general objective was to contribute to knowledge on the association between PA and HRQoL among children and adolescents in general population and in hospital environment. Method. We answered to this general objective by way of 3 research program. First at all, with the inclusion data of REGUL'APS program (September 2005), cluster randomized trial in school children (2nd to 5th grade). Since with the APOP data, cross-over randomized trial, with children 5-18 years-old, hospitalized and treated for a cancer in the paediatric haematology and oncology department of Nancy University Hospital Center. Finally, we set up the Activ'Hop trial, which extend the population to others paediatrics departments of Nancy University Hospital, such as paediatrics and orthopaedic surgery/burned. Results. Our results showed that a PA level is associated with a better HRQoL among school children and adolescents. Boys had a better HRQoL when they practiced a higher PA variety. The APOP results showed that APA during hospitalization for children with cancer was associated with better HRQoL for most of the HRQoL psychological and physical dimensions. The Activ?Hop trial is recruiting, but his placement is presented and discussed in the manuscript. Conclusion. In this thesis work, we have confirmed the short-term positive effect of a PA?s practice on the children HRQoL, in general population but also in a hospital environment. Hence, it is necessary to maintain or increase the PA's resources to make children more active and whatever their health?s status and/or life conditions
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Submitted on : Thursday, March 29, 2018 - 10:31:59 AM
Last modification on : Saturday, June 25, 2022 - 8:59:57 PM
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Elodie Speyer. Activité physique et qualité de vie liée à la santé de l'enfant et de l'adolescent : approche en population générale et en milieu hospitalier. Médecine humaine et pathologie. Université Henri Poincaré - Nancy 1, 2010. Français. ⟨NNT : 2010NAN10104⟩. ⟨tel-01746350⟩



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