Department of General Practice, Erasmus MC University Medical Center Rotterdam, P.O. Box 2040, 3000 CA Rotterdam, The Netherlands.
Department of Kinesiology and Nutrition, University of Illinois, 1919 W. Taylor St., Chicago, IL 60612-7256, USA.
Int J Environ Res Public Health. 2018 Oct 17;15(10):2274. doi: 10.3390/ijerph15102274.
Individuals with intellectual disabilities (ID) are at high risk for high levels of sedentary behaviour. To inform the development of programmes to reduce sedentary behaviour, insight into the correlates is needed. Therefore, the aim of this study is to review the evidence on correlates of sedentary behaviour in adults with ID. We performed a systematic literature search in Ovid Medline, Ovid Embase, Web of Science and Google Scholar up to 19 January 2018, resulting in nine included studies that were published from 2011 to 2018. Correlates were categorized according to the ecological model. Studies predominantly focused on individual level correlates. Of those correlates studied in more than one study, having epilepsy was associated with less sedentary behaviour and inconsistent results were found for sex, genetic syndromes, weight status, physical health, mobility, level of ID, and mental health. Of the few interpersonal and environmental factors studied, only living arrangements were studied in more than one study, with inconsistent results. To date, we have limited and inconclusive evidence about correlates of sedentary behaviour in adults with ID. Only when future studies unravel correlates and determinants, across all domains of the ecological model, will the potential opportunities to improve health by reducing sedentary behaviour come within reach.
个体的智力残疾（ID）存在高水平久坐行为的高风险。为了告知减少久坐行为的方案的制定，需要深入了解相关因素。因此，本研究旨在综述 ID 成人久坐行为的相关因素。我们在 Ovid Medline、Ovid Embase、Web of Science 和 Google Scholar 中进行了系统的文献检索，截至 2018 年 1 月 19 日，共纳入了 9 项研究，这些研究发表于 2011 年至 2018 年。根据生态模型对相关因素进行了分类。研究主要集中在个体水平的相关因素上。在多项研究中研究过的那些相关因素中，患有癫痫与较少的久坐行为有关，而性别、遗传综合征、体重状况、身体健康、移动能力、ID 水平和心理健康的相关性则不一致。在少数人际和环境因素中，只有居住安排在多项研究中进行了研究，结果不一致。迄今为止，我们对 ID 成人久坐行为的相关因素的证据有限且不明确。只有当未来的研究揭示了所有生态模型领域的相关因素和决定因素时，才能通过减少久坐行为来改善健康的潜力才会成为现实。
