Department of Behavioral Health and Nutrition, University of Delaware, Newark, Delaware.
Department of Psychology, Humboldt State University, Arcata, California.
Autism Res. 2019 Jun;12(6):941-951. doi: 10.1002/aur.2095. Epub 2019 Mar 20.
The purpose of this study was to examine how adherence to the physical activity (PA), screen-time (ST), and sleep duration guidelines differ between youth with autism spectrum disorder (ASD) and youth with typical development (TD). A secondary objective was to assess how PA, ST, and sleep duration varied among youth with ASD by age and ASD severity. Utilizing the 2016 National Survey of Children's Health data, parental reports of time spent by youth in PA, ST, and sleep were used to determine adherence to the 24-hr movement guidelines for 1008 youth with ASD and 34 489 youth with TD. Multivariate logistic regression analyses determined that children with ASD were less likely to meet the guidelines for PA, ST, and sleep duration, and adolescents with ASD were less likely to meet the guidelines for PA and ST than participants with TD. Furthermore, logistic regression analyses determined adolescents with severe ASD to be less likely to meet the sleep guideline compared to adolescents with mild ASD. Overall, youth with ASD were significantly less likely to adhere to all three guidelines. The findings highlight the breadth of health behaviors that require intervention to counteract the poorer health status among youth with ASD. Autism Res 2019, 12: 941-951. © 2019 International Society for Autism Research, Wiley Periodicals, Inc. LAY SUMMARY: New health recommendations suggest children and adolescents should have at least 1 hr of physical activity, no more than 2 hr of screen-time (e.g., television), and 9-11 hr of sleep (or 8-10 hr for children aged 14 or older) every day. This article looked at how children and adolescents with autism meet these new guidelines. The two main results were that: (a) children with autism were less likely to meet all three guidelines compared to children without autism, and (b) adolescents with autism were less likely to meet the guidelines for physical activity and screen-time.
本研究旨在探讨自闭症谱系障碍（ASD）和典型发育（TD）青少年在遵守体力活动（PA）、屏幕时间（ST）和睡眠时间指南方面的差异。次要目的是评估 ASD 青少年的 PA、ST 和睡眠时间如何随年龄和 ASD 严重程度而变化。利用 2016 年全国儿童健康调查数据，根据家长报告的青少年 PA、ST 和睡眠时间，确定了 1008 名 ASD 青少年和 34489 名 TD 青少年对 24 小时运动指南的依从性。多变量逻辑回归分析确定 ASD 儿童不太可能符合 PA、ST 和睡眠时间指南，与 TD 参与者相比，青少年 ASD 不太可能符合 PA 和 ST 指南。此外，逻辑回归分析确定与轻度 ASD 青少年相比，重度 ASD 青少年不太可能符合睡眠指南。总体而言，ASD 青少年在遵守所有三项指南方面的可能性明显较低。研究结果强调了需要干预的健康行为的广度，以抵消 ASD 青少年较差的健康状况。自闭症研究 2019 年，12:941-951。 © 2019 国际自闭症研究协会，威利期刊，公司。
新的健康建议建议儿童和青少年每天至少进行 1 小时的体力活动，不超过 2 小时的屏幕时间（例如电视），以及 9-11 小时的睡眠（或 14 岁或以上儿童 8-10 小时）。本文研究了自闭症儿童和青少年如何满足这些新的指南。两个主要结果是：（a）与非自闭症儿童相比，自闭症儿童不太可能满足所有三项指南，（b）自闭症青少年不太可能符合体力活动和屏幕时间的指南。
