The 24-Hour Physical Activities in Adults With Cerebral Palsy and Their Adherence to the 24-Hour Movement Guideline
Bibliographic record
Abstract
OBJECTIVE: To describe 24-hour physical activities (sleep and physical activity) in adults with cerebral palsy (CP), explore potential influencing factors, and compare 24-hour physical activities with controls. DESIGN: Cross-sectional, observational internet study involving adults with CP and a convenience sample of adults without CP. SETTING: Individuals residing in the Netherlands. PARTICIPANTS: A total of 110 adults with CP (median age: 42, range: 28-77 years; 64 [58%] ambulant; 40% men) and 89 adult controls (median age; 43, range: 18-78 years; 29% men). MAIN OUTCOME MEASURES: Sleep quantity and quality measured by the Pittsburgh Sleep Quality Index, physical activity measured using the International Physical Activity Questionnaire- Short Form, and health status using the 5-level EuroQol-5D. RESULTS: Most recurrent sleep problems for adults with CP included falling asleep, waking up, needing the toilet, having nightmares, and experiencing pain during the night. Sleep quality was significantly worse for adults with CP than controls. A total of 64% of adults with CP met the physical activity guidelines. Total physical activity was similar between adults with CP who are ambulatory and controls. A total of 44% of adults with CP, compared with 51% controls, met both sleep and physical activity guidelines. No factors influencing the 24-hour activities were found for level of severity, age, sex, pain/discomfort, and anxiety/depression. CONCLUSIONS: Given the prevalence of worse sleep quality and modest adherence to the 24-hour movement guideline, this study emphasizes the importance for clinicians to assess problems in physical activities during clinical encounters with adults with CP.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.004 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".