Nakhostin-Ansari Amin, Shayestehfar Monir, Hasanzadeh Alireza, Gorgani Fateme, Memari Amirhossein
Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran 1417653761, Iran.
Medical School, Tehran University of Medical Sciences, Tehran 1417653761, Iran.
World J Psychiatry. 2023 Sep 19;13(9):685-697. doi: 10.5498/wjp.v13.i9.685.
There is little data on physical activity (PA), organized PA (OPA), and sedentary behaviors in autism spectrum disorders (ASD) and other neurodevelopmental disorders in developing countries.
To examine OPA, non-OPA, and sedentary behaviors and their associated factors in children and adolescents with ASD, cerebral palsy (CP), and intellectual disability (ID).
A total of 1020 children and adolescents with ASD, CP, and ID were assessed regarding the child and family information as well as the Children's Leisure Activities Study Survey.
The results showed that the OPA level was significantly lower than non-OPA in all groups. Furthermore, the OPA level was significantly lower in the CP group compared to ASD and ID groups ( < 0.001). Also, moderate ( < 0.001), vigorous ( < 0.05), and total ( < 0.001) physical activity levels were significantly different between all three groups, with the values being higher in the ASD group compared to the other two. The mean of the total sedentary behavior duration in the ASD group (1819.4 min/week, SD: 1680) was significantly lower than in the CP group (2687 min/week, SD: 2673) ( = 0.007) but not ID group (2176 min/week, SD: 2168.9) ( = 0.525).
Our findings remark on the participation rate of PA, OPA, and sedentary behaviors of children and adolescents with ASD, CP, and ID in a developing country. In contrast, the need for developing standards of PA/OPA participation in neurodevelopmental disorders is discussed.
在发展中国家,关于自闭症谱系障碍(ASD)和其他神经发育障碍患者的身体活动(PA)、有组织的身体活动(OPA)和久坐行为的数据很少。
研究患有ASD、脑瘫(CP)和智力障碍(ID)的儿童和青少年的OPA、非OPA和久坐行为及其相关因素。
对1020名患有ASD、CP和ID的儿童和青少年进行了儿童及家庭信息以及儿童休闲活动研究调查的评估。
结果显示,所有组的OPA水平均显著低于非OPA水平。此外,与ASD和ID组相比,CP组的OPA水平显著更低(<0.001)。而且,三组之间的中度(<0.001)、剧烈(<0.05)和总身体活动水平存在显著差异,ASD组的值高于其他两组。ASD组的总久坐行为持续时间平均值(1819.4分钟/周,标准差:1680)显著低于CP组(2687分钟/周,标准差:2673)(=0.007),但与ID组(2176分钟/周,标准差:2168.9)无显著差异(=0.525)。
我们的研究结果说明了发展中国家患有ASD、CP和ID的儿童和青少年的PA、OPA参与率以及久坐行为情况。此外,还讨论了制定神经发育障碍患者PA/OPA参与标准的必要性。