Exercise Guidelines for Children with Growth Disorders

Safe and Effective Physical Activity Recommendations

Endocrinology

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Last updated: Mar 24, 2025

Introduction

Physical activity is crucial for children with growth disorders, but it must be approached safely and appropriately.

Recommended Activities

Low-Impact Exercises

  • Swimming
  • Walking
  • Stationary cycling
  • Modified yoga

Strength Training

  • Body weight exercises
  • Light resistance bands
  • Supervised weight training (when age-appropriate)

Safety Guidelines

Before Exercise

  1. Warm up for 5-10 minutes
  2. Check blood glucose (if diabetic)
  3. Ensure proper hydration

During Exercise

  • Monitor breathing rate
  • Take frequent breaks
  • Stay within comfortable intensity levels
  • Stop if experiencing pain or dizziness

Special Considerations

For Growth Hormone Deficiency

  • Focus on bone-strengthening activities
  • Avoid high-impact sports initially
  • Progress gradually

For Turner Syndrome

  • Avoid activities with risk of aortic stress
  • Monitor heart rate carefully
  • Choose non-competitive activities when starting

Frequency and Duration

  • Start with 15-20 minute sessions
  • Exercise 3-4 times per week
  • Gradually increase duration as tolerated

When to Seek Medical Attention

  • Unusual fatigue
  • Persistent joint pain
  • Dizziness or fainting
  • Irregular heartbeat

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