Intrapersonal, interpersonal and environmental correlates of moderate to vigorous physical activity and sedentary time in adolescents with intellectual and developmental disabilities.

Intrapersonal, interpersonal and environmental correlates of moderate to vigorous physical activity and sedentary time in adolescents with intellectual and developmental disabilities.
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DOI:
10.1111/jir.12920
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发表时间:
2022-06
影响因子:
3.6
通讯作者:
Donnelly, J. E.
Donnelly, J. E.
中科院分区:
医学3区
文献类型:
--
作者:
Ptomey, L. T.;Helsel, B. C.;White, D. A.;Lee, J.;Sherman, J. R.;Washburn, R. A.;Gorczyca, A. M.;Donnelly, J. E.

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虽然PA的相关性已经在儿童和青少年中进行了广泛的研究,但对智力和发育障碍(IDD)青少年的中度至剧烈体力活动(MVPA)和久坐时间的相关性知之甚少。因此,我们研究了IDD青少年的自我、人际和环境因素及其与基于设备的MVPA和久坐时间的关系。在IDD青少年及其父母中,使用髋关节佩戴的ActiGraph型号wGT 3x-BT三轴加速度计在7天内评估MVPA和久坐时间。Pearson相关和点-双方差相关分析,以检查PA的相关性(MVPA,久坐时间)与个人因素(人口统计学特征、BMI、腰围、运动能力、肌肉力量、握力、心血管健康和PA自我效能)、人际因素(父母人口统计学资料,父母BMI,父母MVPA和久坐时间,家庭对PA的社会支持,父母对PA的障碍和支持,父母对PA的信念/态度,和兄弟姐妹的数量)和环境因素(气象季节,COVID-19)。在控制了参与者的年龄、性别、种族、腰围和总佩戴时间后,使用普通最小二乘回归来估计关键因素对PA的独特贡献。92名青少年(15.5 ± 3.0岁,21.7%为非白人,6.5%为西班牙裔,56.5%为女性)提供了有效的加速度计数据。平均久坐时间为494.6 ± 136.4分钟。天,平均MVPA为19.8 ± 24.2分钟。/天年龄(r=0.27,p=0.01)、先天性心脏病诊断(r=-0.26,p=0.01)和父母久坐时间(r=0.30,p=0.01)与久坐时间相关。BMI(r=-0.24,p=0.03)、腰围(r=-0.28,p=0.01)、识别为白色(r =-0.23,p=0.03)和父母MVPA(r=0.56,p<0.001)与MVPA相关。在调整了青少年的年龄、性别、种族、腰围和总佩戴时间后,父母和青少年MVPA之间的相关性仍然显著(B=0.55,p<0.01,部分η2=0.11)。这项研究的结果提供了证据表明,种族,腰围,和父母MVPA可能会影响MVPA在IDD青少年的数额。有限的可用信息,以及增加MVPA的潜在健康益处,强调需要评估针对个人和人际层面的多组分干预措施的有效性,以促进缺碘症青少年中PA的增加。
Although correlates of PA have been extensively examined in both children and adolescents who are typically developing, little is known about correlates of moderate to vigorous physical activity (MVPA) and sedentary time in adolescents with intellectual and developmental disabilities (IDD). Therefore, we examined intrapersonal, interpersonal, and environmental factors and their association with device-based MVPA and sedentary time in adolescents with IDD. MVPA and sedentary time was assessed using a hip-worn ActiGraph model wGT3x-BT tri-axial accelerometer across a 7-day period in adolescents with IDD and one of their parents. Pearson and point-biserial correlations, were calculated to inspect the associations of PA (MVPA, sedentary time) with intrapersonal factors (demographic characteristic, BMI, waist circumference, motor ability, muscle strength, grip strength, cardiovascular fitness, and self-efficacy for PA), interpersonal factors (parent demographics, parent BMI, parent MVPA and sedentary time, family social support for PA, parent barriers and support for PA, parent’s beliefs/attitudes towards PA, and number of siblings), and environmental factors (meteorologic season, COVID-19). Ordinary least squares regression was used to estimate the unique contributions of key factors to PA after controlling for participants’ age, sex, race, waist circumference, and total wear time. Ninety-two adolescents (15.5 ± 3.0 yrs. old, 21.7% non-white, 6.5% Hispanic, 56.5% female) provided valid accelerometer data. Average sedentary time was 494.6 ± 136.4 min./day and average MVPA was 19.8 ± 24.2 min./day. Age (r=0.27, p=0.01), diagnosis of congenital heart disease (r=-0.26, p=0.01), and parent sedentary time (r=0.30, p=0.01) were correlated with sedentary time. BMI (r=-0.24, p=0.03), waist circumference (r=-0.28, p=0.01), identifying as white (r =−0.23, p=0.03), and parent MVPA (r=0.56, p<0.001) were correlated with MVPA. After adjusting for the adolescent’s age, sex, race, waist circumference, and total wear time, the association between parent and adolescent MVPA remained significant (b=0.55, p<0.01, partial η2=0.11). The results of this study provide evidence that race, waist circumference, and parental MVPA may influence the amount of MVPA in adolescents with IDD. The limited available information, and the potential health benefits of increased MVPA, highlight the need to evaluate the effectiveness of multi-component interventions targeting both intrapersonal and interpersonal levels to promote increased PA in adolescents with IDD.
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