Agreement of accelerometer and a physical activity questionnaire in adults with intellectual disabilities (original) (raw)
Related papers
British Journal of Learning Disabilities
Twenty participants with mild to profound intellectual disabilities (20-70yrs) were recruited. The response rate was significantly different between home (16%) and residential-homes (4%): χ2(1) =7.7, p<.05. All participants completed the IPAQ-s but only 15 completed 7-day accelerometer. Self and carer-reported PA had perfect agreement on IPAQ-s, and agreements between instruments using PA guidelines was substantial (k=0.6, p<0.05). However, mean moderate-vigorous PA minutes/week differed between measures at 145 and 207 from IPAQ-s and accelerometer respectively. Conclusions Recruitment demonstrated a need for better engagement with residential-homes. While both the IPAQ-s and accelerometers can be used to evaluate PA levels, the IPAQ-s was more acceptable and carer report was accurate, but it underestimated absolute moderatevigorous PA levels. These findings indicate that IPAQ-s can be used to measure PA levels, including in those with profound intellectual disabilities.
Disability and rehabilitation, 2016
The purpose of this study was to determine the level of agreement between objective physical activity (PA) (ActiHeart(®)) and subjective proxy-respondent International Physical Activity Questionnaire-short version (IPAQ-S) data in adults with intellectual disabilities (IDs). Fifty-eight participants wore ActiHeart(®) monitors for seven consecutive days. Caregivers of each participant completed the IPAQ-S on behalf of the participant. Total PA, time spent in light, moderate, and vigorous activity as well as time spent being sedentary were assessed by the IPAQ-S and the ActiHeart(®). Results were compared by means of correlation analyses. The level of agreement was presented with Bland-Altman plots. Objective PA (ActiHeart(®)) was higher (225.57 ± 91.96 min/week) than IPAQ-S PA reported by care-givers (177.06 ± 309.17 min/week). Weak significant correlations were observed between the ActiHeart(®) and IPAQ-S instruments for sedentary behavior (r = 0.31; p = 0.04); no significant correl...
Sedentary and Physical Activity Patterns in Adults with Intellectual Disability
International Journal of Environmental Research and Public Health
Little is known about the patterns of sedentary time (ST) and physical activity (PA) levels throughout the week among adults and older adults with Intellectual Disability (ID). We analyzed ST and PA patterns of adults and older adults with ID. Forty-two adults and 42 older adults with mild to severe ID participated in this study. Height and weight were obtained to calculate Body Mass Index (BMI). Body fat and fat-free mass percentages were also obtained. Patterns of PA levels and ST were assessed with GT3X Actigraph accelerometers. Adults performed higher amounts of total PA and moderate to vigorous PA than older adults during the week, on weekdays and in center time (all p > 0.05). No differences between males and females were found for either PA levels or ST. Only 10.7% of the participants met the global recommendations on PA for health. The participants of the current study showed low PA levels and a high prevalence of ST. Interestingly, when comparing age and/or sex groups, no differences were observed for ST. Our findings provide novel and valuable information to be considered in future interventions aiming to increase PA levels and reduce ST.
Physical Therapy Reviews, 2010
Background: Physical activity behavior is influenced by a complex set of interrelated variables. Objective: To describe the literature of objectively measured (accelerometer and pedometer) physical activity involving individuals with intellectual disability using the International Classification of Functioning, Disability and Health (ICF) model of Functioning and Disability as a framework. Major findings: Overall, studies were small in scale; included individuals with higher intellectual functioning; and tended to exclude individuals with co-morbid, associated, or secondary conditions. Study results indicate that less than one-third of adults are meeting health guidelines for physical activity; however, children and youth may be more active. Whether the population is less active than the general community is uncertain; but there appears to be syndrome-specific differences in participation. The breadth of factors investigated as potential correlates of physical activity is not as wide-ranging as the general population. Factors positively associated with physical activity were social connectedness and weekday; and among children and youth, physical activity was higher among boys and younger age groups. Conclusions: The inclusion and exclusion criterion applied to studies to date suggests that estimates of physical activity are upwardly biased. Accordingly, research that represents the diversity of individuals with intellectual disability is needed. It is obvious from this review that there is a great scope to examine a broad range of factors that may influence participation in physical activity. Research would benefit from incorporating disability-specific or generic models of health or physical activity participation to help select, organize, and interpret factors of importance.
Sedentary behaviour levels in adults with an intellectual disability: a systematic review protocol
HRB Open Research
Background: Sedentary behaviour contributes to non-communicable diseases, which account for almost 71% of world deaths. Of these, cardiovascular disease is one of the largest causes of preventable death. It is not yet fully understood what level of sedentary behaviour is safe. People with an intellectual disability have poorer health than the general population with higher rates of multi-morbidity, obesity and inactivity. There is a paucity of evidence on whether this poorer health is due to sedentary behaviour or physical inactivity. This systematic review will investigate the sedentary behaviour levels of adults with an intellectual disability. Method: The PRISMA-P framework will be applied to achieve high-quality articles. An extensive search will be conducted in Medline, Embase, psycINFO and Cinahl and grey literature sources. All articles will be independently reviewed by two reviewers and a third to resolve disputes. Initially, the articles will be reviewed by title and abstra...
Physical activity levels in adults with intellectual disabilities: A systematic review
Preventive Medicine Reports, 2016
Despite evidence that inactivity is a major factor causing ill health in people with intellectual disabilities (pwID) there are gaps in our knowledge of their physical activity (PA). To date, there is no published systematic review of their PA levels. Therefore, we performed a systematic review from January-October 2015, comprising studies from across the globe to establish PA levels, determine how they were measured, and what factors influenced PA in adults with intellectual disabilities (awID). Five databases were searched. Studies were included if written in English, peer-reviewed, had primary research data, and measured PA levels of awID. Quality was assessed using a 19-item checklist. Meta-summary of the findings was performed and a meta-analysis of factors influencing PA using multiple regression. Fifteen studies were included consisting of 3159 awID, aged 16-81 years, 54% male and 46% female. Only 9% of participants achieved minimum PA guidelines. PA levels were measured using objective and subjective methods. ID severity, living in care, gender, and age were independently significantly correlated with the number of participants achieving PA guidelines with the strongest predictor being ID severity (Beta 0.631, p b 0.001). Findings should be in the context that most of the participants were in the mild/moderate range of ID severity and none of the studies objectively measured PA in people with profound ID. To inform measurement and intervention design for improved PA, we recommend that there is an urgent need for future PA studies in awID population to include all disability severity levels. PROSPERO registration number CRD42015016675.
Health Promotion Practice, 2013
Adults with intellectual disabilities (ID) have low levels of physical activity and higher than average rates of related chronic health conditions. Understanding correlates of their physical activity participation may improve health promoting interventions. Forty-two adults with ID participated in a physical activity study. Physical activity knowledge and skills, awareness of recommendations and demographic characteristics were analyzed for their association with moderate-tovigorous physical activity (MVPA) participation measured by accelerometers. Five variables were significantly correlated with MVPA. Body mass index was inversely correlated with MVPA, and gender, job location, job tasks, and place of residence were all significantly associated with MVPA. Understanding correlates of physical activity in this population will help inform disability service and health promotion professionals in future research and health intervention design.
2018
Beside health benefits, the impact of physical activity on individuals with intellectual disabilities is evident in all the spheres of life, such as psychological, social and cognitive development. The goal of this research was to examine the physical activity level in persons with intellectual disabilities, who are users of habilitation programs. Thirty-six parents of persons with intellectual disabilities participated in the study. An appropriate sample was used in referential centre's and associations caring for persons with intellectual disabilities older than 21 years of age. We used the International Physical Activity Questionnaire (IPAQ) to evaluate the physical activity and Personal Wellbeing Index (PWI) for quality of life. The results show that the total level of physical activity in persons with intellectual disabilities, evaluated by their parents and expressed through MET-minutes/week, is high (M=3434.7). No differences were found with regard to gender and the intel...
The physical activity scale for individuals with physical disabilities: Development and evaluation
Archives of Physical Medicine and Rehabilitation, 2002
The objective was to determine the test-retest reliability and criterion validity of the Physical Activity Scale for Individuals with Physical Disabilities (PASIPD). Methods: Forty-fi ve non-wheelchair dependent subjects were recruited from three Dutch rehabilitation centers. Subjectsʼ diagnoses were: stroke, spinal cord injury, whiplash, and neurological-, orthopedic-or back disorders. The PASIPD is a 7-d recall physical activity questionnaire that was completed twice, 1 wk apart. During this week, physical activity was also measured with an Actigraph accelerometer. Results: The test-retest reliability Spearman correlation of the PASIPD was 0.77. The criterion validity Spearman correlation was 0.30 when compared to the accelerometer. Conclusions: The PASIPD had test-retest reliability and criterion validity that is comparable to well established self-report physical activity questionnaires from the general population.