Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Physical Activity Levels of Turkish Individuals withSpecial Educational Needs and Its Predictors
Özel Eğitim İhtiyacı Olan Türk Bireylerin Fiziksel Aktivite Düzeyleri ve Bunun Yordayıcıları
Melda Pelin YARGIÇa
aNecmettin Erbakan University Meram Faculty of Medicine, Department of Sports Medicine, Konya, TURKEY
Turkiye Klinikleri J Health Sci. 2020;5(3):538-46
doi: 10.5336/healthsci.2019-72834
Article Language: EN
Full Text
ABSTRACT
Objective: It is known that physical activity levels of disabled individuals are lower than those of healthy individuals, both among adolescence and adulthood. This study aims to compare the physical activity levels of individuals with disabilities from various diagnosis groups and try to define the predictors of physical activity levels of individuals with disabilities. Material and Methods: A total of 275 participants (103 women and 172 men) with either one of the following disabilities (or their representatives) filled in the International Physical Activity Questionnaire-Short Form and a Participant Information Form: intellectual disabilities, hearing impairment, language- speech disorders, specific developmental disorder and pervasive developmental disorder. Results: Fifteen per cent of the participants were highly active (n=42), 20% were moderately active (n=54) and 65% were low level active (n=179). Total physical activity, high-intensity physical activity, walking amounts and daily average sitting time of the participants differed significantly between the diagnostic groups. (p<0.001, p=0.037, p=0.002 and p=0.001, respectively). People with hearing impairment were the most active and people with severe intellectual disability were the least active. Sex, diagnosis and the father's having postgraduate training were significant predictors of physical activity levels. Conclusion: Majority of the individuals with disabilities do not meet the minimum physical activity recommendations. Physical activity levels differ among various diagnoses groups and people with severe intellectual disability require the most attention.

Keywords: Exercise; developmental disabilities; intellectual disability; learning disorders; hearing loss; language development disorders
ÖZET
Amaç: Engelli bireylerin fiziksel aktivite düzeylerinin hem ergenlik hem de yetişkinlik döneminde sağlıklı bireylerden daha düşük olduğu bilinmektedir. Bu çalışmanın amacı, farklı tanı gruplarından engelli bireylerin fiziksel aktivite düzeylerini karşılaştırmak ve engelli bireylerin fiziksel aktivite düzeylerinin bazı yordayıcılarını saptamaktır. Gereç ve Yöntemler: Uluslararası Fiziksel Aktivite Anketi - Kısa Form ve Katılımcı Bilgi Formu, şu tanılardan birine sahip toplam 275 katılımcı (103 kadın ve 172 erkek), ya da vasisi tarafından doldurulmuştur: Zeka Geriliği, işitme kaybı, konuşma ve dil özel gelişimsel bozukluğu, skolastik becerilerde özel gelişim bozukluklar ve yaygın gelişimsel bozukluklar. Bulgular: Katılımcıların %15'inin fiziksel aktivite düzeyi yüksek (n=42), %20'sinin orta (n=54) ve % 65'inin düşük (n=179) olarak tespit edilmiştir. Toplam fiziksel aktivite, şiddetli fiziksel aktivite, yürüme miktarları ve katılımcıların günlük ortalama oturma süresi; tanı grupları arasında anlamlı farklılık göstermiştir (sırasıyla, p<0,001, p=0,037, p=0,002 ve p=0,001). İşitme kaybı olan kişilerin fiziksel aktivitye düzeyi en yüksek iken, ağır zeka geriliği olan kişiler en az aktif olarak saptanmıştır. Cinsiyet, tanı ve babanın lisansüstü eğitim almış olması, katılımcıların fiziksel aktivitesinin anlamlı yordayıcılarıdır. Sonuç: Engelli bireylerin çoğunluğu asgari fiziksel aktivite önerilerini karşılamamaktadır. Fiziksel aktivite seviyeleri çeşitli teşhis grupları arasında farklılık gösterir ve ağır zeka geriliği olan kişiler bu hususta en fazla dikkati gerektirir.

Anahtar Kelimeler: Egzersiz; gelişim yetersizlikleri; entellektüel engellilik; öğrenme bozukluğu; işitme kaybı; dil yeteneğinde gelişim kusurları
REFERENCES:
  1. World Health Organization. Global recommendations on physical activity for health. 2015. [Link] 
  2. Riebe D, Ehrman JK, Liguori G, Magal M, eds. ACSM's Guidelines for Exercise Testing and Prescription. Tenth Edit. Wolters Kluwer; 2016.
  3. Oviedo GR, Guerra-Balic M, Baynard T, Javierre C. Effects of aerobic, resistance and balance training in adults with intellectual disabilities. Res Dev Disabil. 2014;35(11):2624-34. [Crossref]  [PubMed] 
  4. Srinivasan SM, Pescatello LS, Bhat AN. Current perspectives on physical activity and exercise recommendations for children and adolescents with autism spectrum disorders. Phys Ther. 2014;94(6):875-89. [Crossref]  [PubMed]  [PMC] 
  5. Calders P, Elmahgoub S, Roman de Mettelinge T, Vandenbroeck C, Dewandele I, Rombaut L, et al. Effect of combined exercise training on physical and metabolic fitness in adults with intellectual disability: a controlled trial. Clin Rehabil. 2011;25(12):1097-108. [Crossref]  [PubMed] 
  6. Carraro A, Gobbi E. Effects of an exercise programme on anxiety in adults with intellectual disabilities. Res Dev Disabil. 2012;33(4):1221-6. [Crossref]  [PubMed] 
  7. Pestana MB, Barbieri FA, Vitório R, Figueiredo GA, Mauerberg-deCastro E. Effects of physical exercise for adults with intellectual disabilities: A systematic review. J Phys Educ. 2018;29(1). [Crossref] 
  8. İlhan L, Kırımoğlu H, Tunçel M, Altun M. The Effect Of Special Athletics Training To Self-Care Skills' Level On Mentally Retarded Children. Ahi Evran Üniversitesi Kırşehir Eğitim Fakültesi Derg. 2015;16(3):145-60.
  9. Shields N, Taylor NF, Dodd KJ. Effects of a community-based progressive resistance training program on muscle performance and physical function in adults with Down syndrome: a randomized controlled trial. Arch Phys Med Rehabil. 2008 ;89(7):1215-20. [Crossref]  [PubMed] 
  10. Heki̇m M, Tokgöz M, Akif Ersoy Üniversitesi M, Eğitimi ve Spor Yüksekokulu B, Eğitimi Bölümü A, Gör A. Motor development deficiencies in mentally disabled children: the importance of physical activity and sport at supporting motor development. Mehmet Akif Ersoy Üniversitesi Sos Bilim Enstitüsü Derg. 2016;8(17):489-501. [Crossref] 
  11. Wouters M, Evenhuis HM, Hilgenkamp TIM. Physical fitness of children and adolescents with moderate to severe intellectual disabilities. Disabil Rehabil. 2020;42(18):2542-52. [Crossref]  [PubMed] 
  12. Hsieh K, Hilgenkamp TIM, Murthy S, Heller T, Rimmer JH. Low Levels of Physical Activity and Sedentary Behavior in Adults with Intellectual Disabilities. Int J Environ Res Public Health. 2017;14(12):1503. [Crossref]  [PubMed]  [PMC] 
  13. Dairo YM, Collett J, Dawes H, Oskrochi GR. Physical activity levels in adults with intellectual disabilities: A systematic review. Prev Med Rep. 2016;4:209-19. [Crossref]  [PubMed]  [PMC] 
  14. Tahmaz T, Tarakci D, Tarakci E. Investigation of physical activity levels in disabled individuals with special needs education. J Heal Sci Prof. 2019;6(2):275-82. [Crossref] 
  15. Topsaç M, Bişğin H. Üniversitede okuyan engelli öğrencilerin fiziksel aktivite düzeylerinin incelenmesi. Dumlupınar Üniversitesi Sos Bilim Derg. 2014;(40). [Link] 
  16. Görgün B, Melekoğlu MA. Otizm Spektrum Bozukluğu (OSB) olan bireylerin fiziksel aktivitelerine ilişkin yapılan çalışmaların gözden geçirilmesi. Ankara Üniversitesi Eğitim Bilim Fakültesi Özel Eğitim Derg.2016:347-3765. [Crossref] 
  17. Hagströmer M, Oja P, Sjöström M. The International Physical Activity Questionnaire (IPAQ): a study of concurrent and construct validity. Public Health Nutr. 2006;9(6):755-62. [Crossref]  [PubMed] 
  18. Saglam M, Arikan H, Savci S, Inal-Ince D, Bosnak-Guclu M, Karabulut E, et al. International physical activity questionnaire: reliability and validity of the Turkish version. Percept Mot Skills. 2010;111(1):278-84. [Crossref]  [PubMed] 
  19. International Physical Activity Questionnaire. Accessed November 10, 2019. [Link] 
  20. TC. Sağlık Bakanlığı Sosyal Güvenlik Uygulamaları DB. ICD-10-TRM hastalık ve sağlık girişimi sınıflandırma sistemleri geliştirilmesi. Published 2014. Accessed October 23, 2019. [Link] 
  21. Team RC. R: A Language and Environment for Statistical Computing. 2013. [Link] 
  22. Oviedo GR, Travier N, Guerra-Balic M. Sedentary and Physical Activity Patterns in Adults with Intellectual Disability. Int J Environ Res Public Health. 2017;14(9):1027. [Crossref]  [PubMed]  [PMC] 
  23. Barnes TL, Howie EK, McDermott S, Mann JR. Physical activity in a large sample of adults with intellectual disabilities. J Phys Act Health. 2013;10(7):1048-56. [Crossref]  [PubMed] 
  24. Finlayson J, Jackson A, Cooper S-A, Morrison Jillian, Melville Craig,Smiley Elita,et al. Understanding predictors of low physical activity in adults with intellectual disabilities. J Appl Res Intellect Disabil. 2009;22(3):236-47. [Crossref] 
  25. Mansell J, Elliott T, Beadle-Brown J, Ashman B, Macdonald S. Engagement in meaningful activity and "active support" of people with intellectual disabilities in residential care. Res Dev Disabil. 2002;23(5):342-52. [Crossref]  [PubMed] 
  26. Dhaliwal KK, Orsso CE, Richard C, Haqq AM, Zwaigenbaum L. Risk Factors for Unhealthy Weight Gain and Obesity among Children with Autism Spectrum Disorder. Int J Mol Sci. 2019 ;20(13):3285. [Crossref]  [PubMed]  [PMC] 
  27. Bandini LG, Gleason J, Curtin C, Lividini K, Anderson SE, Cermak SA, et al. Comparison of physical activity between children with autism spectrum disorders and typically developing children. Autism. 2013;17(1):44-54. [Crossref]  [PubMed]  [PMC] 
  28. Dreyer Gillette ML, Borner KB, Nadler CB, Poppert KM, Odar Stough C, Swinburne Romine R, et al. Prevalence and Health Correlates of Overweight and Obesity in Children with Autism Spectrum Disorder. J Dev Behav Pediatr. 2015;36(7):489-96. [Crossref]  [PubMed] 
  29. Loprinzi PD, Lee H, Cardinal BJ, Loprinzi KL, Gilham B, Smit E. Objectively measured physical activity and hearing sensitivity. Hear J. 2011;64(4):40. [Crossref] 
  30. van der Niet AG, Hartman E, Moolenaar BJ, Smith J, Visscher C. Relationship between physical activity and physical fitness in school-aged children with developmental language disorders. Res Dev Disabil. 2014;35(12):3285-91. [Crossref]  [PubMed] 
  31. Ojembarrena Martínez E, Fernández De Pinedo Montoya R, Gorostiza Garay E, Lafuente Mesanza P, Lizarraga Azparren MA. [Learning disorders in adolescents and associated social and health risk factors]. An Esp Pediatr. 2002;56(5):416-24. Accessed January 23, 2020. [Crossref] 
  32. Longmuir PE, Bar-Or O. Physical activity of children and adolescents with a disability: methodology and effects of age and gender. Pediatr Exerc Sci. 2016;6(2):168-77. [Crossref] 
  33. Trost SG, Pate RR, Sallis JF, Freedson PS, Taylor WC, Dowda M, Sirard J. Age and gender differences in objectively measured physical activity in youth. Med Sci Sports Exerc. 2002;34(2):350-5. [Crossref]  [PubMed] 
  34. Peterson JJ, Janz KF, Lowe JB. Physical activity among adults with intellectual disabilities living in community settings. Prev Med. 2008;47(1):101-6. [Crossref]  [PubMed] 
  35. Stancliffe RJ, Anderson LL. Factors associated with meeting physical activity guidelines by adults with intellectual and developmental disabilities. Research in Developmental Disabilities. 2017;62:1-14. [Crossref]  [PubMed] 
  36. Orsmond GI, Kuo HY. The daily lives of adolescents with an autism spectrum disorder: discretionary time use and activity partners. Autism. 2011;15(5):579-99. [Crossref]  [PubMed]  [PMC] 
  37. Lee PH, Macfarlane DJ, Lam TH, Stewart SM. Validity of the International Physical Activity Questionnaire Short Form (IPAQ-SF): a systematic review. Int J Behav Nutr Phys Act. 2011;8:115. [Crossref]  [PubMed]  [PMC] 
  38. Emaus A, Degerstrøm J, Wilsgaard T, Hansen BH, Dieli-Conwright CM, Furberg AS, et al. Does a variation in self-reported physical activity reflect variation in objectively measured physical activity, resting heart rate, and physical fitness? Results from the Tromso study. Scand J Public Health. 2010;38(5 Suppl):105-18. [Crossref]  [PubMed] 
  39. Chastin SF, Culhane B, Dall PM. Comparison of self-reported measure of sitting time (IPAQ) with objective measurement (activPAL). Physiol Meas. 2014;35(11):2319-28. [Crossref]  [PubMed] 

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