School of Physical Education & Sports Science, South China Normal University, Guangzhou, China; Adapted Physical Activity + Laboratory, South China Normal University, Guangzhou, China.
School of Physical Education & Sports Science, South China Normal University, Guangzhou, China.
Disabil Health J. 2024 Jul;17(3):101616. doi: 10.1016/j.dhjo.2024.101616. Epub 2024 Mar 17.
Meeting the 24-h movement guidelines (i.e., physical activity, sedentary behavior, sleep) could generate health benefits to people with disabilities. However, no systematic reviews or meta-analyses have examined the prevalence of meeting these guidelines and associations with health indicators in this group.
This systematic review and meta-analysis aimed to examine the prevalence of meeting the 24-h movement guidelines and associations with health indicators among people with disabilities.
Six electronic databases were searched for studies published in English from inception to May 31, 2023. Meta-analyses with the random-effects model were used to determine the prevalence of meeting the 24-h movement guidelines. Qualitative syntheses were employed to describe the associations between meeting the guidelines and health indicators.
Twenty-four studies comprising 77510 participants (41.6% females) with disabilities aged 6-65 years from eight countries were identified. Overall, 6.97% of the participants with disabilities met all 24-h movement guidelines, and 16.65% met none of the guidelines. Significant age (P = 0.006) and disability type (P = 0.001) differences were found in meeting all guidelines. Participants with disabilities who met all guidelines reported better psychosocial health indicators (9/9 studies) than those met none or only one of the guidelines. There was limited evidence or research for other health indicators.
There is some evidence showing that the prevalence of meeting all 24-h movement guidelines in people with disabilities is low. Meanwhile, there is preliminary evidence suggesting that meeting all guidelines is associated with better psychosocial health than meeting none of the guidelines.
满足 24 小时运动指南（即体力活动、久坐行为、睡眠）可能会给残疾人带来健康益处。然而，目前尚无系统评价或荟萃分析研究过这一人群满足这些指南的流行率及其与健康指标的关联。
本系统评价和荟萃分析旨在调查残疾人满足 24 小时运动指南的流行率及其与健康指标的关联。
从建库至 2023 年 5 月 31 日，我们在六个电子数据库中检索发表英文文献的研究。采用随机效应模型的荟萃分析来确定满足 24 小时运动指南的流行率。采用定性综合法来描述满足指南与健康指标之间的关联。
共纳入了 8 个国家的 24 项研究，涉及 77510 名年龄在 6-65 岁的残疾参与者，其中女性占 41.6%。总体而言，有 6.97%的残疾参与者满足所有 24 小时运动指南，而 16.65%的参与者则一条都不满足。在满足所有指南方面，参与者的年龄（P=0.006）和残疾类型（P=0.001）存在显著差异。与那些不满足或仅满足一条指南的参与者相比，满足所有指南的残疾参与者报告了更好的心理健康指标（9/9 项研究）。其他健康指标的证据或研究有限。
有一些证据表明，残疾人满足所有 24 小时运动指南的流行率较低。同时，有初步证据表明，与不满足任何指南相比，满足所有指南与更好的心理健康有关。
