Harris Leanne, McGarty Arlene M, Hilgenkamp Thessa, Mitchell Fiona, Melville Craig A
Institute of Health and Wellbeing, College of Medicine, Veterinary and Life Sciences, University of Glasgow, G12 0XH, United Kingdom.
Department of General Practice, Erasmus MC University Medical Center Rotterdam, Netherlands.
Prev Med Rep. 2017 Nov 29;9:12-17. doi: 10.1016/j.pmedr.2017.11.010. eCollection 2018 Mar.
Sedentary behaviour is an independent risk factor for adverse health conditions. Adults with intellectual disabilities spend a high proportion of their day engaged in sedentary behaviour, however, there is limited evidence on potential correlates of objectively measured sedentary behaviour in this population group. In Glasgow, UK from July to September 2017, a secondary analysis of pooled baseline accelerometer data from two randomised controlled trials of lifestyle behaviour change programmes was conducted. Backwards linear regression was used to investigate the associations between demographic, biological, and environmental correlates and objective measure of sedentary behaviour (percentage of time spent sedentary). One-hundred and forty-three participants provided valid accelerometer data. Mean percentage time spent sedentary (adjusted for wear time) was 72.9% [Standard Deviation (SD) = 8.7] per day. In the final model, physical and mental health problems were significantly (p < 0.05) associated with increased percentage time spent sedentary. This is the first study to provide evidence on multi-level, demographic, biological, and environmental correlates of objectively measured sedentary behaviour in adults with intellectual disabilities. To inform the development of interventions to modify sedentary behaviours in adults with intellectual disabilities, further research is required including a wide range of socio-ecological correlates.
久坐行为是导致健康状况不佳的一个独立风险因素。成年智障人士一天中大部分时间都处于久坐状态,然而,关于该人群中客观测量的久坐行为潜在相关因素的证据有限。2017年7月至9月,在英国格拉斯哥,对两项生活方式行为改变项目随机对照试验的汇总基线加速计数据进行了二次分析。采用向后线性回归来研究人口统计学、生物学和环境相关因素与久坐行为客观测量值(久坐时间百分比)之间的关联。143名参与者提供了有效的加速计数据。每天久坐时间的平均百分比(根据佩戴时间调整)为72.9% [标准差(SD)= 8.7]。在最终模型中,身心健康问题与久坐时间百分比增加显著相关(p < 0.05)。这是第一项提供关于成年智障人士客观测量的久坐行为的多层次、人口统计学、生物学和环境相关因素证据的研究。为了为制定干预措施以改变成年智障人士的久坐行为提供信息,需要进一步开展研究,包括广泛的社会生态相关因素。