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学校和家庭中的残疾儿童:身体活动与环境特征

Children with Physical Disabilities at School and Home: Physical Activity and Contextual Characteristics.

作者信息

Li Ru, Sit Cindy Hui-Ping, Yu Jane Jie, Sum Raymond Kim-Wai, Wong Stephen Heung-Sang, Cheng Kenneth Chik-Chi, McKenzie Thomas L

机构信息

Department of Sports Science and Physical Education, The Chinese University of Hong Kong, Hong Kong, China.

School of Exercise and Nutritional Sciences, San Diego State University, San Diego, CA 92182, USA.

出版信息

Int J Environ Res Public Health. 2017 Jun 25;14(7):687. doi: 10.3390/ijerph14070687.

Abstract

The purpose of this study was to assess the physical activity (PA) of children with physical disabilities (PD) in school and home settings and to simultaneously examine selected contextual characteristics in relation to PA in those settings. Children with PD (N = 35; Mean age = 15.67 ± 4.30 years; 26 boys) were systematically observed using BEACHES (Behaviors of Eating and Activity for Children's Health: Evaluation System) at school (before school, recess, lunch break, after class) and at home (before dinner) during four normal school days. The children spent most of their time in all five settings being physically inactive, but had slightly more PA during recess and lunch break periods. Hierarchical multiple regression revealed that selected contextual characteristics explained 18.9-56.0% ( < 0.01) of the variance predicting moderate-to-vigorous physical activity (MVPA) after controlling for demographic variables. Prompts to be active were positively associated with MVPA at school and the presence of fathers and fathers being motivators at home. This study highlights how little PA that children with PD receive and identifies the importance of the provision of prompts for PA at both school and home with this special population.

摘要

本研究的目的是评估身体残疾(PD)儿童在学校和家庭环境中的身体活动(PA),并同时考察这些环境中与PA相关的特定背景特征。使用BEACHES(儿童健康饮食与活动行为:评估系统)对35名患有PD的儿童(平均年龄 = 15.67 ± 4.30岁;26名男孩)在四个正常上学日期间于学校(上学前、课间休息、午餐休息、课后)和家中(晚餐前)进行了系统观察。在所有这五个环境中,孩子们大部分时间身体不活动,但在课间休息和午餐休息期间的PA略多一些。分层多元回归显示,在控制了人口统计学变量后,选定的背景特征解释了预测中度至剧烈身体活动(MVPA)的方差的18.9 - 56.0%(<0.01)。积极活动的提示与学校的MVPA以及家中父亲的存在和父亲作为激励者呈正相关。本研究突出了患有PD的儿童获得的PA极少这一情况,并确定了在学校和家庭中为这一特殊人群提供PA提示的重要性。

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