While children who are healthy are already at risk for a hypoactive lifestyle in this modern society, this is
even more the case in children with chronic disease or disability.1 Next to general health risks, low fitness levels may contribute to fatigue and lower levels of activities and participation.2 In the Netherlands, several groups are working on interventions to improve fitness and daily physical activity in children with childhood disability and chronic disease.3 This current project was initiated in 2011 by the Research Group Lifestyle and Health at HU University of Applied Sciences—home to both undergraduate and master programs for Pediatric Physical Therapy—and the Child Exercise Center at the Wilhelmina Children’s Hospital. These 2 organizations are housed at the same campus and have joint interest in exercise and health