The introductory Chapter 1 describes the various types of spina bifida, including the most severe myelomeningocele (MMC), and its associated symptoms. Furthermore, it introduces new challenges that rise in medical care with the increased life expectancy of children who are born with this condition. Similarly to persons with other chronic conditions, there is a shift from disability prevention towards prevention of secondary conditions. Sufficient levels of physical activity and fitness are important for disease prevention, maintenance of functional independence, participation and quality of life. Studies on this topic in people with MMC are scarce. Therefore, this thesis aimed to obtain insight in the levels of daily physical activity and fitness of adolescents and young adults with MMC and to study the associations with personal and environmental factors, participation, health-related quality of life and cardiovascular disease (CVD) risk.

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Stichting Nationaal Fonds “Het Gehandicapte Kind”, Livit Orthopedie,
H.J. Stam (Henk)
Erasmus University Rotterdam
Erasmus MC: University Medical Center Rotterdam

Buffart, L. (2008, November 5). Physical Activity and Fitness in Adolescents and Young Adults with Myelomeningocele. Retrieved from