Currently, we know little about the impact of determinants of physical activity (PA) and sedentary behaviour (SB) in children and adolescents with disabilities (Ng et al., 2023; Tremblay et al., 2024). This systematic review aims to summarise the existing evidence concerning determinants of PA and SB in this population. The systematic review was based on the DE-PASS Best Evidence Statement (BESt) pre-published protocol (Khudair et al., 2022). We considered randomized controlled trials (RCTs) and prospective cohort studies (PCSs) published between 2010-2023. Studies written in English were searched in MEDLINE (Ovid), PsycINFO (EBSCO), Web of Science, Sport Discus and Cochrane Central Register of Controlled Trials (CENTRAL). Eight RCTs and two PCSs were included. The determinants associated with PA were identified and classified into three primary domains: physical functioning, psychological, and social. Device-based tools to assess PA were present in most of the included studies. Only three studies measured SB as the study outcome. Physical fitness was the most prevalent determinant associated with physical functioning. Within the psychological domain, three studies examined attitudes toward physical exercise, while two determinants in the social domain were linked to peer and family support. Various settings were identified, including four at home, three in community-based settings, two at school, and one in a laboratory. The determinants related to physical functioning demonstrated the most pronounced influence, whereas psychological and social determinants exhibited no significant impact on PA. Device-based instruments have been employed to investigate the daily PA levels of children and adolescents with disabilities. This systematic review provides information on multiple factors that should be considered in planning and implementing PA programs for children and adolescents with disabilities. References Khudair, M., Marcuzzi, A., Ng, K. On behalf of DE-PASS, et al. (2022). DE-PASS Best Evidence Statement (BESt): modifiable determinants of physical activity and sedentary behaviour in children and adolescents aged 5-19 years-a protocol for systematic review and meta-analysis. BMJ Open, 12, e059202. Ng, K., Sit, C., Arbour-Nicitopoulos, K., Aubert, S., Stanish, H., Hutzler, Y., Santos Silva, D. A., Kang, M., LópezGil, J. F., Lee, E., Asunta, P., Pozeriene, J., Urbanski, P. K., Aguilar-Farias, N., & Reilly, J. J. (2023). Global Matrix of Para Report Cards on Physical Activity of Children and Adolescents with Disabilities. Adapted Physical Activity Quarterly, 40(3), 409-430. Tremblay, M. S., Demchenko, I., Reilly, J. J., Aubert, S., & Sit, C. (2024). The Future of Para Report Cards on Physical Activity of Children and Adolescents With Disabilities—A Global Call for Engagement, Data, and Advocacy. Adapted Physical Activity Quarterly, 41(1), 1-8. Contact: Brazo-Sayavera, Javier, Spain, jbsayavera@upo.es
A systematic review on the determinants of physical activity and sedentary behaviour among children and adolescents with disabilities: the DE-PASS Best Evidence Statement (BESt)
Ciaccioni S;
2024-01-01
Abstract
Currently, we know little about the impact of determinants of physical activity (PA) and sedentary behaviour (SB) in children and adolescents with disabilities (Ng et al., 2023; Tremblay et al., 2024). This systematic review aims to summarise the existing evidence concerning determinants of PA and SB in this population. The systematic review was based on the DE-PASS Best Evidence Statement (BESt) pre-published protocol (Khudair et al., 2022). We considered randomized controlled trials (RCTs) and prospective cohort studies (PCSs) published between 2010-2023. Studies written in English were searched in MEDLINE (Ovid), PsycINFO (EBSCO), Web of Science, Sport Discus and Cochrane Central Register of Controlled Trials (CENTRAL). Eight RCTs and two PCSs were included. The determinants associated with PA were identified and classified into three primary domains: physical functioning, psychological, and social. Device-based tools to assess PA were present in most of the included studies. Only three studies measured SB as the study outcome. Physical fitness was the most prevalent determinant associated with physical functioning. Within the psychological domain, three studies examined attitudes toward physical exercise, while two determinants in the social domain were linked to peer and family support. Various settings were identified, including four at home, three in community-based settings, two at school, and one in a laboratory. The determinants related to physical functioning demonstrated the most pronounced influence, whereas psychological and social determinants exhibited no significant impact on PA. Device-based instruments have been employed to investigate the daily PA levels of children and adolescents with disabilities. This systematic review provides information on multiple factors that should be considered in planning and implementing PA programs for children and adolescents with disabilities. References Khudair, M., Marcuzzi, A., Ng, K. On behalf of DE-PASS, et al. (2022). DE-PASS Best Evidence Statement (BESt): modifiable determinants of physical activity and sedentary behaviour in children and adolescents aged 5-19 years-a protocol for systematic review and meta-analysis. BMJ Open, 12, e059202. Ng, K., Sit, C., Arbour-Nicitopoulos, K., Aubert, S., Stanish, H., Hutzler, Y., Santos Silva, D. A., Kang, M., LópezGil, J. F., Lee, E., Asunta, P., Pozeriene, J., Urbanski, P. K., Aguilar-Farias, N., & Reilly, J. J. (2023). Global Matrix of Para Report Cards on Physical Activity of Children and Adolescents with Disabilities. Adapted Physical Activity Quarterly, 40(3), 409-430. Tremblay, M. S., Demchenko, I., Reilly, J. J., Aubert, S., & Sit, C. (2024). The Future of Para Report Cards on Physical Activity of Children and Adolescents With Disabilities—A Global Call for Engagement, Data, and Advocacy. Adapted Physical Activity Quarterly, 41(1), 1-8. Contact: Brazo-Sayavera, Javier, Spain, jbsayavera@upo.esI documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
