Trends in risk factors associated with the increasing labor induction rate: A nationwide register study in Finland 2005-2023.

Maintaining an active lifestyle has well-documented physical, psychological, and social benefits. Even modest increases in physical activity (PA) lead to improvements in cardiovascular fitness, muscular strength, mental health, and overall function in children with disabilities. To promote health and inclusion, the World Health Organization (WHO) recommends that children and adolescents, including those living with disabilities, engage in at least 60 min of moderate to vigorous PA (MVPA) daily, and perform muscle- and bone-strengthening activities at least three times per week. Duchenne muscular dystrophy (DMD) is a progressive X-linked neuromuscular disorder characterized by early motor delay, loss of ambulation typically in the second decade, and reduced life expectancy. Corticosteroid therapy can delay strength loss, improve cardiorespiratory function and prolong mobility, but disease progression remains inevitable. A recent study found that only 39% of ambulatory boys with DMD under the age of 12 met the WHO PA recommendations, compared to 71% of healthy controls. Activity levels declined with age in both boys with DMD and healthy controls, whereas activity patterns varied across functional stages. Evidence regarding structured, long-term PA interventions remains limited in DMD, particularly for those that combine both strength and endurance components. While PA is generally encouraged in DMD, there is a need for beneficial and safe exercise strategies that promote long-term engagement without accelerating disease progression.