Oregon State University, College of Public Health and Human Sciences, 160 SW 26th St, Corvallis, OR, 97330, USA.
West Virginia University, College of Physical Activity and Sport Sciences, 375 Birch St, Morgantown, WV, 26506, USA.
Disabil Health J. 2020 Apr;13(2):100881. doi: 10.1016/j.dhjo.2019.100881. Epub 2019 Dec 19.
Researchers have reported relatively low estimates of physical activity among children with various developmental disabilities. However, there are inconsistencies within these reports due to methodological issues.
The goals of this study were to estimate the prevalence of meeting national physical activity guidelines among children with various developmental disabilities and examine the relative influence of different disability descriptors on meeting the guidelines.
A sample of 3,010 U.S. children between the ages of 6 and 17 years with parent-reported diagnoses of autism spectrum disorder, cerebral palsy, Down syndrome, developmental disability, and/or intellectual disability was drawn from the combined 2016 and 2017 datasets of the National Survey of Children's Health. Multivariate logistic regression analyses explored the unique contributions of multiple child characteristics and disability descriptors, such as diagnosis type, severity, complexity, and functionality, toward meeting physical activity guidelines and compared the likelihood of meeting guidelines between children with these diagnoses.
The results of this study reveal that the majority of children with developmental disabilities are not achieving adequate levels of daily physical activity, with only 19% of the study sample engaging in 60 min of physical activity daily. Child age and functionality were significant predictors of meeting physical activity guidelines among children within the sample.
The findings of this study highlight the potentially limiting view of physical activity participation when diagnosis type is considered alone and demonstrate the importance of considering function and other individual factors as significant predictors of physical activity among children with disabilities.
研究人员报告称，患有各种发育障碍的儿童的身体活动量相对较低。然而，由于方法学问题，这些报告存在不一致。
本研究的目的是估计患有各种发育障碍的儿童达到国家身体活动指南的比例，并检查不同残疾描述符对符合指南的相对影响。
从全国儿童健康调查的 2016 年和 2017 年合并数据集中抽取了 3010 名年龄在 6 至 17 岁之间、父母报告患有自闭症谱系障碍、脑瘫、唐氏综合征、发育障碍和/或智力障碍的美国儿童作为样本。多变量逻辑回归分析探讨了多种儿童特征和残疾描述符（如诊断类型、严重程度、复杂性和功能）对符合身体活动指南的独特贡献，并比较了这些诊断的儿童符合指南的可能性。
本研究结果表明，大多数患有发育障碍的儿童没有达到足够的日常身体活动水平，只有 19%的样本儿童每天进行 60 分钟的身体活动。儿童年龄和功能是样本中儿童符合身体活动指南的重要预测因素。
本研究的结果强调了仅考虑诊断类型时对身体活动参与的潜在限制观点，并表明考虑功能和其他个体因素作为残疾儿童身体活动的重要预测因素的重要性。
