Exercise Guidelines for Children with Growth Disorders

A Comprehensive Physical Activity Program for Optimal Development

Endocrinology

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Last updated: Mar 24, 2025

Introduction

Physical activity is essential for children with growth disorders, supporting both their physical development and overall health. This guide outlines safe and effective exercise recommendations.

General Exercise Guidelines

Frequency

  • 3-5 sessions per week
  • 30-60 minutes per session
  • Rest days between intense activities

Types of Recommended Activities

Bone-Strengthening Exercises

  • Swimming (low-impact)
  • Modified gymnastics
  • Light resistance training (under supervision)
  • Walking

Flexibility Exercises

  • Gentle stretching
  • Modified yoga poses
  • Range of motion exercises

Aerobic Activities

  • Cycling
  • Swimming
  • Dancing
  • Modified team sports

Safety Considerations

Before Starting

  1. Obtain medical clearance
  2. Assess bone age and growth plate status
  3. Consider current medications
  4. Evaluate overall fitness level

During Exercise

  • Monitor intensity levels
  • Watch for signs of fatigue
  • Stay hydrated
  • Avoid high-impact activities if advised

Special Precautions

Growth Hormone Therapy

  • Schedule exercise between GH injections
  • Monitor glucose levels if applicable
  • Adjust intensity based on treatment phase

Exercise Modifications

  • Adapt activities to individual capacity
  • Use proper equipment sizing
  • Focus on form over intensity

Progress Monitoring

  • Keep an exercise log
  • Track energy levels
  • Note any discomfort
  • Regular check-ins with healthcare team

Warning Signs

Seek medical attention if experiencing:

  • Unusual joint pain
  • Excessive fatigue
  • Breathing difficulties
  • Dizziness

Contact Information

Consult your endocrinologist or physical therapist for personalized guidance.

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