Department of Pediatrics, University of British Columbia, Vancouver, BC, Canada.
Res Dev Disabil. 2012 Nov-Dec;33(6):2245-54. doi: 10.1016/j.ridd.2012.07.002. Epub 2012 Jul 24.
Compared to typically developing peers, children with disabilities due to neurodevelopmental disorders and disabilities (NDD/D) and to chronic medical conditions (CMC) have reduced participation in activities. The extent to which these two groups of children have different levels of participation is unknown and was examined in this study.
The 2006 Participation and Activity Limitation Survey children dataset collected by Statistics Canada was analyzed. Children with disabilities due to NDD/D and CMC were identified following review and classification of all ICD-10 codes in the dataset by two pediatricians. Dependent variables were parent-reported child participation in supervised and unsupervised physical activities within and outside of school, educational activities, and social/recreational activities. Logistic regression analyses, with relevant covariates (child and familial characteristics), were used to analyze the data.
Children with NDD/D were significantly more likely to take part in supervised and unsupervised physical activity at school than children with CMC (p<0.001). A similar trend was observed for participation in school outings, although the effect was not significant at p<0.01. Finally, a trend in the opposite direction was observed for educational activities, as children with NDD/D were less likely to take part in these activities than children with CMC.
Finding decreased participation among children with CMC compared with NDD/D was not predicted a priori but has potential implications for their mental and physical health.
Gaining a better understanding of the barriers to participation in physical activity may contribute to improving the overall health status of children with CMC.
与神经发育障碍和残疾（NDD/D）以及慢性疾病（CMC）的正常发育同龄人相比，这些儿童的活动参与度较低。目前尚不清楚这两组儿童的参与度水平有何不同，本研究对此进行了检验。
分析了加拿大统计局 2006 年参与度和活动限制调查儿童数据集。通过两位儿科医生对数据集中所有 ICD-10 代码的回顾和分类，确定了患有 NDD/D 和 CMC 的残疾儿童。因变量为家长报告的儿童在学校内外的监督和非监督体育活动、教育活动以及社会/娱乐活动中的参与情况。采用逻辑回归分析方法（结合相关协变量，如儿童和家庭特征）分析数据。
患有 NDD/D 的儿童在学校参加监督和非监督体育活动的可能性显著高于患有 CMC 的儿童（p<0.001）。在参加学校远足方面也观察到类似的趋势，尽管在 p<0.01 时效果不显著。最后，对于教育活动，观察到相反方向的趋势，因为患有 NDD/D 的儿童参与这些活动的可能性小于患有 CMC 的儿童。
发现患有 CMC 的儿童的参与度降低，这与事先预测的情况不符，但可能对他们的身心健康产生影响。
更好地了解身体活动参与障碍，可能有助于改善患有 CMC 的儿童的整体健康状况。
