A Cross-Sectional Examination of Movement Behaviours and Guideline Adherence Rates Among Preschool-Aged Children With Disabilities

IF 1.8 4区医学 Q2 PEDIATRICS

Child Care Health and Development Pub Date : 2025-04-28 DOI:10.1111/cch.70088

Maeghan E. James, Kathleen A. Martin Ginis, Rebecca L. Bassett-Gunter, Krista L. Best, Kelly P. Arbour-Nicitopoulos

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Abstract

Background

Meeting the 24-h movement behaviour guidelines (hereafter ‘guidelines’) supports healthy growth and development. It is recommended that preschool-aged children engage daily in 180 min of physical activity (PA), 60 min of which are moderate-to-vigorous PA (MVPA), along with less than 1 h of screen time and 10–13 h of sleep for optimal health. However, research on movement behaviours among children with disabilities in the early years is limited. This study aimed to describe movement behaviours and guideline adherence rates among preschool-aged children with disabilities.

Methods

A cross-sectional subanalysis was conducted of caregivers of young children (aged 4 years) with a disability (N = 31; 65% boys, 55% with a developmental disability) who were part of a Canadian study on movement behaviours in children and youth with disabilities. Caregiver-reported PA, screen time and sleep behaviours were collected using an online survey. Descriptive statistics were used to describe children's movement behaviours and proportion meeting the guidelines.

Results

On average, children engaged in 108 min (SD = 89.9) of total PA and 40 min (SD = 47.0) of MVPA per day. Children engaged in an average of 3.5 h (SD = 2.4) of screen time per day and slept an average of 10.6 h (SD = 1.0) per night. Overall, 23.1%, 6.9% and 79.3% of children met the guidelines for PA, screen time and sleep, respectively. One child (4.3%) met all three guidelines.

Conclusions

Few children with disabilities met the preschool-aged PA and screen time guidelines, though most met the sleep guideline. These findings highlight the need to further examine adherence of movement behaviour guidelines among a more representative sample of young children with disabilities and factors influencing adherence.

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学龄前残疾儿童运动行为和指南依从率的横断面研究

符合24小时运动行为准则（以下简称“准则”）有助于健康成长和发育。建议学龄前儿童每天进行180分钟的体育活动（PA），其中60分钟为中高强度PA (MVPA)，同时少于1小时的屏幕时间和10-13小时的睡眠时间，以达到最佳健康状态。然而，对残疾儿童早期运动行为的研究是有限的。本研究旨在描述学龄前残疾儿童的运动行为和指南依从率。方法对残疾幼儿（4岁）的照料者进行横断面亚分析(N = 31；65%是男孩，55%是发育障碍)，他们是加拿大残疾儿童和青少年运动行为研究的一部分。通过在线调查收集照顾者报告的PA、屏幕时间和睡眠行为。采用描述性统计描述儿童的运动行为和符合指南的比例。结果儿童平均每天总PA为108 min (SD = 89.9)， MVPA为40 min （SD = 47.0）。儿童平均每天看屏幕的时间为3.5小时（SD = 2.4），每晚平均睡眠时间为10.6小时（SD = 1.0）。总体而言，分别有23.1%、6.9%和79.3%的儿童在PA、屏幕时间和睡眠方面达到了指导标准。有一个孩子（4.3%）符合所有三条准则。结论：虽然大多数残疾儿童符合睡眠指南，但很少有残疾儿童符合学龄前PA和屏幕时间指南。这些发现强调需要进一步检查更具代表性的残疾幼儿样本对运动行为准则的遵守情况以及影响遵守情况的因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Child Care Health and Development 医学-小儿科

CiteScore

3.40

自引率

5.30%

发文量

136

审稿时长

4-8 weeks

期刊介绍： Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.