Physical activity levels of an inpatient paediatric population: a cross-sectional service evaluation - Report - MDSpire

Physical activity levels of an inpatient paediatric population: a cross-sectional service evaluation

  • By

  • Colin Hamilton

  • Kieren Lock

  • Jonathan Littlewood

  • Sarah Nethercott

  • Theofilos Polychronakis

  • July 14, 2026

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Clinical Report: Assessment of Physical Activity Levels in Hospitalized Pediatric Patients

Overview

This study evaluates physical activity levels in hospitalized children aged 7-16 years, revealing consistently low activity levels. Most children fell significantly below recommended physical activity thresholds.

Background

Physical activity is crucial for healthy childhood development, impacting various domains of well-being. Previous studies have shown reduced activity levels in hospitalized children.

Data Highlights

MeasureValue
Median Step Count766 (IQR 1992.00)
Mean Sedentary Minutes668.48 (SD 187.25)
Median Light PA Minutes123.00 (IQR 124.00)
Median Moderate PA Minutes9.00 (IQR 27.00)
Median Vigorous PA Minutes0.00 (IQR 0.00)

Key Findings

  • Children spent a median of 668.48 minutes per day in sedentary behavior.
  • Only a small number of children achieved any time in moderate or vigorous physical activity.
  • There was a significant but small negative correlation between days since admission and step count (r(142)= −0.22).
  • Most participants fell below the recommended 60 minutes of moderate or vigorous physical activity per day.
  • All children assessed were deemed well enough to be active by a physiotherapist, indicating potential environmental impacts on activity levels.

Clinical Implications

The low levels of physical activity observed in hospitalized pediatric patients suggest a need for further investigation into the factors affecting movement during hospitalization.

Conclusion

This evaluation highlights the low physical activity levels in hospitalized children. Further research is needed to explore effective strategies for improving activity levels in this population.

Related Resources & Content

  1. JAMA Network Open, 2023 -- Hybrid Hospital at Home and Physical Activity for Adults Admitted to the Hospital With Acute Illness
  2. Pediatric Cardiology, 2024 -- Links Between Physical Fitness and Mental Health in Pediatric Patients with Fontan Circulation
  3. Obesity Surgery, 2022 -- The Importance of Accurate Physical Activity Assessment in Standard Bariatric Treatment
  4. World Health Organization 2020 guidelines on physical activity and sedentary behaviour | British Journal of Sports Medicine
  5. Excessive sedentary behaviour during hospitalisations among children and adolescents: a prospective observational study - PubMed
  6. 2022 Society of Critical Care Medicine Clinical Practice Guidelines on Prevention and Management of Pain, Agitation, Neuromuscular Blockade, and Delirium in Critically Ill Pediatric Patients With Consideration of the ICU Environment and Early Mobility - PubMed
  7. Clinical Research in Cardiology — Impact of Daily Physical Activity on Prognosis in Heart Failure Patients: Insights from an Accelerometer-Based Study
  8. World Health Organization 2020 guidelines on physical activity and sedentary behaviour | British Journal of Sports Medicine
  9. Excessive sedentary behaviour during hospitalisations among children and adolescents: a prospective observational study - PubMed
  10. 2022 Society of Critical Care Medicine Clinical Practice Guidelines on Prevention and Management of Pain, Agitation, Neuromuscular Blockade, and Delirium in Critically Ill Pediatric Patients With Consideration of the ICU Environment and Early Mobility - PubMed

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