Rates of obesity are rising in the general population. People with haemophilia are at high risk for being overweight or obese, and may benefit from physical activity-based interventions. The school setting is an ideal environment to implement physical activity-based interventions as it greatly influences the first two decades of life. However, there is a lack of knowledge about the benefits of exercise for managing haemophilia, as well as possible restriction of physical activity by parents or carers due to a fear of increasing the number of bleeding episodes. Furthermore, schools and teachers may be uncertain of how to integrate physical activity for children with bleeding disorders. This article summarises the Cochrane Metabolic and Endocrine Disorders Group systematic review on ‘school-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6 to 18 and considers published literature about the role of physical activity within haemophilia.’
1. World Health Organization (WHO). Global Strategy on Diet, Physical Activity and Health, 2004. Available from: http://apps.who.int/gb/ebwha/pdf_files/WHA57/A57_9-en.pdf?ua=1 (accessed.30 November 2016).
2. Wong TE, Majumdar S, Adams E, et al. Healthy Weight Working Group. Overweight and obesity in hemophilia: a systematic review of the literature. Am J Prev Med 2011; 41(6 Suppl 4):S369-75. doi: 10.1016/j.amepre.2011.09.008.
3. Soucie JM, Wang C, Siddiqi A, et al. Hemophilia Treatment Center Network. The longitudinal effect of body adiposity on joint mobility in young males with Haemophilia A. Haemophilia 2011;17(2):196-203. doi: 10.1111/j.1365-2516.2010.02400.x.
4. Ullman M, Zhang QC, Brown D, Grant A, Soucie JM; Hemophilia Treatment Center Network Investigators. Association of overweight and obesity with the use of self and home-based infusion therapy among haemophilic men. Haemophilia 2014;20(3):340-8. doi: 10.1111/hae.12303.
5. Negrier C, Seuser A, Forsyth A, et al. The benefits of exercise for patients with haemophilia and recommendations for safe and effective physical activity. Haemophilia 2013;19(4):487-98. doi: 10.1111/hae.12118. Epub 2013 Mar 28.
6. Dobbins M, Husson H, DeCorby K, LaRocca RL. School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6 to 18. Cochrane Database Syst Rev 2013; 2(2). Art. No.: CD007651. doi: 10.1002/14651858.CD007651.pub2.