Correlates of Physical Activity in Adolescents with Intellectual Disabilities

智力障碍青少年体力活动的相关性

基本信息

批准号：
8066266
负责人：
LINDA G BANDINI
金额：
$ 9.42万
依托单位：
UNIV OF MASSACHUSETTS MED SCH WORCESTER
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-08-01 至 2012-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8066266
关键词：
Adaptive Behaviors Address Adolescent Adult Age Attention Autistic Disorder Behavior Behavioral Cardiovascular system Child Child Support Childhood Clinical Communities Data Development Developmental Coordination Disorders Developmental Disabilities Dietary intake Disabled Persons Enrollment Environmental Risk Factor Family Feeling Funding Gender Glare Goals Government Health Health Benefit Health Promotion Health Status Healthy People 2010 Individual Instruction Intellectual functioning disability Intervention Interview Lead Learning Life Style Measures Mental Health Mental Retardation Methodology Minority Motor Skills Muscle Obesity Parents Participant Pattern Perception Personal Satisfaction Persons Physical Fitness Physical activity Play Population Positioning Attribute Psychosocial Factor Public Health Questionnaires Relative (related person)Reporting Research Resources Risk Role Schools Secure Self Efficacy Sports Staging Structure Study Section Supervision Surgeon Testing Time Translational Research United States Dept. of Health and Human Services Weight Work Writing Youth base bone health care systems comparison group demographics design disability disorder prevention experience fitness health disparity improved information gathering insight intervention program medical schools meetings nutrition peer population health programs psychosocial public health relevance sedentary skills social communication sound weight loss intervention

项目摘要

DESCRIPTION (provided by applicant): Regular physical activity plays an important role in health and disease prevention. Children and adolescents with intellectual disabilities (ID) have poorer health than other populations and their lack of physical activity may contribute to the health disparities that have been identified in people with disabilities. Evidence supports that children and adolescents with ID do not engage in sufficient physical activity, that their fitness is low, and that they are more sedentary than their typically developing peers. However, research on physical activity in children and adolescents with ID is limited. To inform the development of effective physical activity interventions in adolescents with ID, it is imperative to first examine their activity levels and to understand the factors associated with their participation. Physical activity is known to be influenced by many individual, psychosocial, behavioral, and environmental factors, but the factors are likely to be different in children and adolescents with ID due to their limitations in intellectual functioning and adaptive behaviors, which may limit their opportunities and abilities to participate. The specific aims of this project are: 1) to compare time spent in moderate and vigorous physical activity and in structured activities between adolescents ages 13-18 with ID and typically developing adolescents; 2) to compare time spent in sedentary behavior between adolescents with ID and typically developing adolescents; and 3) to compare the individual, family, and community factors associated with physical activity and sedentary behavior between adolescents with ID and typically developing adolescents. Sixty adolescents ages 13-18 with mild ID and 60 typically developing adolescents of comparable chronological age and gender will participate in the study. Physical activity levels will be objectively measured using accelerometers over 7 consecutive days. Through questionnaires and interviews with the adolescent participants and their parents, we will gather information on demographics, adolescent and parent participation in physical activity, barriers and supports to physical activity, the importance that parents and adolescents place on physical activity, and adolescent enjoyment and self-efficacy in relation to physical activity. The health needs of children and adolescents with ID have been under-represented in research efforts, and thus, they represent an under-served minority. The proposed project seeks to address this gap by describing the physical activity patterns of adolescents with ID and comparing them to their typically developing peers. We will also identify the individual, family, and community factors associated with physical activity to determine whether they are different than those found in typically developing adolescents. This information will have direct implications for informing the development of physical activity programs specific to meeting the needs of adolescents with intellectual disabilities. PUBLIC HEALTH RELEVANCE: The US Department of Health and Human Services has identified major heath disparities in children, adolescents, and adults with intellectual disabilities (mental retardation). The poor health of this population may be caused in part by low levels of physical activity, and the government's agenda for improving health includes physical activity promotion. Physical activity is listed prominently as a leading health indicator in Healthy People 2010, and objectives include improving activity levels and reducing sedentary behavior in children. Developing effective health promotion programs for children and adolescents with intellectual disabilities requires an in-depth understanding of their physical activity levels and of the factors uniquely related to behavior.

描述（由申请人提供）：定期体育锻炼在预防健康和疾病中起着重要作用。智障儿童和青少年（ID）的健康状况比其他人群差，他们缺乏体育锻炼可能会导致在残疾人中发现的健康差异。有证据表明，具有ID的儿童和青少年没有进行足够的体育锻炼，他们的健康状况低，并且比通常发展的同龄人更久坐。但是，对具有ID的儿童和青少年的体育活动的研究是有限的。为了告知具有ID的青少年有效的身体活动干预措施的开发，必须先检查其活动水平并了解与参与的因素。已知体育活动受到许多个人，社会心理，行为和环境因素的影响，但是由于智力功能和适应性行为的局限性，儿童和青少年的因素可能会有所不同，这可能会限制他们参与的机会和能力。该项目的具体目的是：1）比较在中度和剧烈的体育锻炼中花费的时间，以及13-18岁的青少年之间的结构化活动，具有ID和通常发展的青少年； 2）比较具有ID的青少年和通常发展青少年的青少年之间花费的时间； 3）比较具有ID和通常发展青少年的青少年之间的体育活动和久坐行为相关的个人，家庭和社区因素。 60名青少年年龄在13-18岁的青少年和60个通常会发展为年龄和性别的青少年，将参与这项研究。体育活动水平将在连续7天内使用加速度计客观地测量。通过问卷调查和与青少年参与者及其父母的访谈，我们将收集有关人口统计学，青少年和父母参与体育锻炼的信息，对体育锻炼的障碍和支持，父母和青少年对体育锻炼的重要性以及青少年的享受以及与身体活动相关的自我效能。具有ID的儿童和青少年的健康需求在研究工作中的代表性不足，因此，他们代表了服务不足的少数民族。拟议的项目旨在通过描述具有ID的青少年的体育活动模式，并将其与他们通常发展的同龄人进行比较，以解决这一差距。我们还将确定与体育活动相关的个体，家庭和社区因素，以确定它们是否与典型发展的青少年中的个人因素不同。该信息将对开发的发展有直接的影响，以了解特定于满足智障青少年需求的体育活动计划。公共卫生相关性：美国卫生与公共服务部已经确定了儿童，青少年和智力障碍成年人（智力低下）的主要健康差异。该人群的健康状况不佳可能部分是由于体育锻炼的水平较低，而政府改善健康的议程包括促进体育锻炼。体育活动被列为健康人2010年的主要健康指标，目标包括提高活动水平和减少儿童久坐行为。为儿童和青少年制定有效的健康促进计划需要深入了解其体育活动水平以及与行为唯一相关的因素。