背景:遵守24小时运动指南(24-HMG:身体活动(PA),屏幕时间(ST),和睡眠)与儿童和青少年的许多有益健康结果有关。然而,对于24-HMG的总体依从性缺乏共识,特别是在残疾儿童和青少年中.因此,本系统综述和荟萃分析旨在研究全球残疾儿童和青少年坚持24-HMG的程度.
方法:通过搜索七个电子数据库来寻求直到2023年5月以英文发表的定量研究:WebofScience,PubMed,SPORTDiscus,CINAHL,MEDLINE,Scopus,心理学与行为科学合集。这项审查包括将参与者确定为残疾人的研究,并报告了残疾儿童和青少年对24-HMG的总体(不)遵守情况。
结果:共13项研究,涉及21,101人(65.95%的男性),来自9个国家的6至21岁,包括在分析中。总的来说,7%(95CI:0.05-0.09,p<0.01)的残疾儿童和青少年满足所有三个24-HMG,而16%(95CI:0.13-020,p<0.01)不符合三项建议中的任何一项。关于坚持个人24小时运动行为,PA的依从率为22%(95CI:0.18-0.25,p<0.01),ST的49%(95CI:0.41-0.56,p<0.01),59%(95CI:0.56-0.61,p<0.01)睡眠。关于与24-HMG会面的人数,43%(95CI:0.41-0.45,p<0.01)符合一项准则,而32%(95CI:0.28-0.36,p<0.01)符合两项指南。
结论:有显著比例的残疾儿童和青少年不符合建议的24-HMG,其中包括PA,ST,和睡眠。这强调了迫切需要制定和执行基于证据的策略,以有效地鼓励和帮助这些残疾人采取和维持这些运动行为。
BACKGROUND: Compliance with the 24-Hour Movement Guidelines (24-HMG: physical activity (PA), screen time (ST), and sleep) has been associated with numerous beneficial health outcomes among children and adolescents. However, there is a lack of consensus on the overall compliance with the 24-HMG specifically among children and adolescents with disabilities. Therefore, this systematic review and meta-analysis aimed to examine the extent to which children and adolescents with disabilities adhere to the 24-HMG globally.
METHODS: Quantitative studies published in English until May 2023 were sought by searching seven electronic databases: Web of Science, PubMed, SPORTDiscus, CINAHL, MEDLINE, Scopus, Psychology and Behavioural Sciences Collection. This review included studies that identified participants as individuals with disabilities and reported the overall (non) compliance with the 24-HMG among children and adolescents with disabilities.
RESULTS: A total of 13 studies, involving 21,101 individuals (65.95% males), aged 6 to 21 years from 9 countries, were included in the analysis. In general, 7% (95%CI: 0.05-0.09, p < 0.01) of children and adolescents with disabilities met all three 24-HMG, while 16% (95%CI: 0.13-020, p < 0.01) did not meet any of the three recommendations. Regarding adherence to individual 24-hour movement behaviour, the rates of compliance were 22% (95%CI: 0.18-0.25, p < 0.01) for PA, 49% (95%CI: 0.41-0.56, p < 0.01) for ST, and 59% (95%CI: 0.56-0.61, p < 0.01) sleep. In relation to numbers of those meeting the 24-HMG, 43% (95%CI: 0.41-0.45, p < 0.01) met one guideline, while 32% (95%CI: 0.28-0.36, p < 0.01) met two guidelines.
CONCLUSIONS: There is a notable percentage of children and adolescents with disabilities who do not meet the recommended the 24-HMG, which encompasses PA, ST, and sleep. This underscores the pressing requirement to create and execute evidence-based strategies that effectively encourage and assist these individuals with disabilities in adopting and maintaining these movement behaviours.