Graduate Research Assistant, (
Professor, (
J Sch Health. 2021 May;91(5):393-400. doi: 10.1111/josh.13012. Epub 2021 Mar 25.
School-environments are thought to be strong influences of behavioral choices. There is limited research available on the role of physical activity (PA) and school success among children with special health care needs (CSHCN). The purpose of this study was to explore differences in PA among CSHCN and non-CSHCN and how the school success index is related to PA in both groups.
Data were taken from new version of the National Survey of Children's Health (NSCH), which consolidated questions from the previous NSCH and the National Survey of Children with Special Health Care Needs (NS-CSHCN). Chi-square and logistic regression analyses were employed to examine group differences.
There were significant differences among both subgroups, although most school-aged children did not meet recommended PA guidelines. Chi-squared analyses indicated; school engagement and the parent's perception of child safety at school were associated with the likelihood of meeting PA guidelines. Logistic regression analyses showed that the odds of meeting PA guidelines were associated with the school success index.
Comprehensive school health programs should focus on PA both subgroups. School health educators should continue to advocate for safe and structured extracurricular activities to improve the child and adolescent's engagement and overall well-being.
学校环境被认为是行为选择的重要影响因素。针对有特殊医疗需求的儿童（CSHCN），关于身体活动（PA）和学业成功的作用的研究有限。本研究旨在探讨 CSHCN 和非 CSHCN 之间 PA 的差异，以及学业成功指数与两组 PA 的关系。
数据来自新版《全国儿童健康调查》（NSCH），该调查整合了之前的 NSCH 和《全国特殊儿童健康需求调查》（NS-CSHCN）的问题。采用卡方检验和逻辑回归分析来检验组间差异。
两个亚组之间存在显著差异，尽管大多数学龄儿童没有达到推荐的 PA 指南。卡方分析表明，学校参与度和家长对孩子在学校安全的看法与达到 PA 指南的可能性相关。逻辑回归分析表明，达到 PA 指南的可能性与学业成功指数相关。
综合学校健康计划应关注两个亚组的 PA。学校健康教育者应继续倡导安全和结构化的课外活动，以提高儿童和青少年的参与度和整体幸福感。
