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- W2467738082 abstract "Child maltreatment is a complex concern worldwide (800,000 cases and 1700 deaths identified annually in the United States) with pervasive long- and short-term mental, physical and physiological damage, emphasizing the need for effective treatment strategies. Interdisciplinary action is needed to elicit paramount therapies for the care of this population. Exercise is a promising therapeutic tool for these children as it is associated with amelioration of both long- and short-term sequelae attributed to maltreatment. PURPOSE: To examine the impact of aerobic exercise on biochemical and behavioral markers of stress in children with chronic maltreatment. METHODS: Diurnal salivary cortisol was measured in a sample of youth with maltreatment (7-16 years, N=37) throughout a 12 week summer physical activity program. Oral swabs and unusual events were obtained in repeated measures (pre-, mid-, post-intervention and follow-up), quasi-experimental design. Fitness pre- and post-intervention were compared via paired sample t-test. Qualitative behavior interviews were conducted post-program. Independent alterations in peak, evening, and daily decline values of cortisol were examined with Repeated Measures ANOVA and post-hoc Bonferonni. RESULTS: Participation in the physical activity program was associated with increased cardiovascular fitness (34 ± 1.6 vs 37 ± 1.9 mlO2/kg/min, p = 0.047) and overall altered diurnal cortisol for peak (F [3, 8] 3.265, p = 0.080), daily decline (F [3, 6] 5.473, p = 0.037) and evening (F [3, 18] 3.672, p = 0.032). When comparing mid- to pre-intervention or follow-up, pairwise comparisons indicated reduced peak (-0.45 [mid] vs -0.30 [follow-up] log μg/dL, p = 0.03), daily decline (0.37 [pre] vs 0.24 [mid] μg/dL, p = 0.05) and increased evening (-1.0 [mid] vs -1.2 [follow-up] log μg/dL, p = 0.06) cortisol during participation. CONCLUSIONS: Regular participation in exercise is associated with altered diurnal cortisol and anecdotal evidence for improved behavior among children with chronic maltreatment. The direction of the association between exercise and diurnal cortisol is dependent on time of day and sustained exercise. Findings warrant further research to determine therapeutic benefits of physical activity and corresponding diurnal cortisol shifts among youth with maltreatment." @default.
- W2467738082 created "2016-07-22" @default.
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- W2467738082 date "2016-05-01" @default.
- W2467738082 modified "2023-10-18" @default.
- W2467738082 title "Routine Physical Activity and Associations with Diurnal Cortisol and Stress Indicators among Children with Maltreatment" @default.
- W2467738082 doi "https://doi.org/10.1249/01.mss.0000485723.71022.cf" @default.
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