Abstract
The purpose of this study was to examine factors affecting physical activity (PA) and sedentary pursuits of children with autism spectrum disorder (ASD) throughout the week, during weekdays, and on weekend days. Sixty-eight children with ASD aged 6–17 years participated in this study. An ActiGraph accelerometer and activity log were used to assess PA and sedentary pursuits. The findings were (a) 6-8-year-old children with ASD demonstrating the highest level of overall PA throughout the week; (b) the weekends’ PA of the group of 6-8-year-old children with ASD was significantly higher than 9-11-year-old, 12-14-year-old, and 15-17-year-old children with ASD; (c) the single-parented children with ASD showed significantly less PA level during weekend days compared with two-parented children with ASD; (d) the children with ASD having comorbidities demonstrated significantly more time in sedentary pursuits compared to those children without comorbidities; (e) age, household structure, and comorbidities were significant predictors in the overall PA, weekend PA, and weekend sedentary pursuits, respectively. Future programs or interventions are required to promote PA participation in children with ASD, especially for older children with ASD, based on their personal (i.e., age and comorbidities) and environmental (i.e., household structure) profile and day of the week.
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References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association
Ayvazoglu, N. R., Kozub, F. M., Butera, G., & Murray, M. J. (2015). Determinants and challenges in physical activity participation in families with children with high functioning autism spectrum disorders from a family systems perspective. Research in Developmental Disabilities, 47, 93–105. https://doi.org/10.1016/j.ridd.2015.08.015
Bandini, L. G., Gleason, J., Curtin, C., Lividini, K., Anderson, S. E., Cermak, S. A., Maslin, M., & Must, A. (2013). Comparison of physical activity between children with autism spectrum disorders and typically developing children. Autism, 17(1), 44–54. https://doi.org/10.1177/1362361312437416
Bosseler, A., & Massaro, D. W. (2003). Development and evaluation of a computer-animated tutor for vocabulary and language learning in children with autism. Journal of Autism and Developmental Disorders, 33(6), 653–672. https://doi.org/10.1023/B:JADD.0000006002.82367.4f
Case, L., Ross, S., & Yun, J. (2020). Physical activity guideline compliance among a national sample of children with various developmental disabilities. Disability and Health Journal, 13(2), 100881. https://doi.org/10.1016/j.dhjo.2019.100881
Center for Disease Control and Prevention (2020, March 25). Data and Statistics on Autism Spectrum Disorder | CDC. Centers for Disease Control and Prevention. https://www.cdc.gov/ncbddd/autism/data.html
Costigan, S. A., Barnett, L., Plotnikoff, R. C., & Lubans, D. R. (2013). The health indicators associated with screen-based sedentary behavior among adolescent girls: A systematic review. Journal of Adolescent Health, 52(4), 382–392. https://doi.org/10.1016/j.jadohealth.2012.07.018
Evenson, K. R., Catellier, D. J., Gill, K., Ondrak, K. S., & McMurray, R. G. (2008). Calibration of two objective measures of physical activity for children. Journal of Sports Sciences, 26(14), 1557–1565. https://doi.org/10.1080/02640410802334196
Gillberg, C. (2010). The ESSENCE in child psychiatry: Early symptomatic syndromes eliciting neurodevelopmental clinical examinations. Research in Developmental Disabilities, 31(6), 1543–1551. https://doi.org/10.1016/j.ridd.2010.06.002
Gorely, T., Atkin, A. J., Biddle, S. J., & Marshall, S. J. (2009). Family circumstance, sedentary behaviour and physical activity in adolescents living in England: Project STIL. International Journal of Behavioral Nutrition and Physical Activity, 6(1), 33. https://doi.org/10.1186/1479-5868-6-33
Jones, R. A., Downing, K., Rinehart, N. J., Barnett, L. M., May, T., McGillivray, J. A., Papadopoulos, N. V., Skouteris, H., Timperio, A., & Hinkley, T. (2017). Physical activity, sedentary behavior and their correlates in children with autism spectrum disorder: A systematic review. Plos One, 12(2), e0172482. https://doi.org/10.1371/journal.pone.0172482
Ketcheson, L., Hauck, J. L., & Ulrich, D. (2018). The levels of physical activity and motor skills in young children with and without autism spectrum disorder, aged 2–5 years. Autism, 22(4), 414–423. https://doi.org/10.1177/1362361316683889
Ku, B., MacDonald, M., Hatfield, B., & Gunter, K. (2020). Parental influence on the physical activity behaviors of young children with developmental disabilities. Adapted Physical Activity Quarterly, 37(4), 441–460. https://doi.org/10.1123/apaq.2019-0120
Langøy, A., Smith, O. R. F., Wold, B., Samdal, O., & Haug, E. M. (2019). Associations between family structure and young people’s physical activity and screen time behaviors. Bmc Public Health, 19(1), 433. https://doi.org/10.1186/s12889-019-6740-2
Llewellyn, A., & Hogan, K. (2000). The use and abuse of models of disability. Disability and Society, 15(1), 157–165
Lobenius-Palmér, K., Sjöqvist, B., Hurtig-Wennlöf, A., & Lundqvist, L. O. (2017). Accelerometer-assessed physical activity and sedentary time in youth with disabilities. Adapted Physical Activity Quarterly, 35(1), 1–19. https://doi.org/10.1123/apaq.2015-0065
MacDonald, M., Esposito, P., & Ulrich, D. (2011). The physical activity patterns of children with autism. BMC Research Notes, 4(1), 422. https://doi.org/10.1186/1756-0500-4-422
Maenner, M. J. (2020). Prevalence of autism spectrum disorder among children aged 8 years—Autism and developmental disabilities monitoring network, 11 Sites, United States, 2016. MMWR. Surveillance Summaries, 69. https://doi.org/10.15585/mmwr.ss6904a1
Memari, A. H., Ghaheri, B., Ziaee, V., Kordi, R., Hafizi, S., & Moshayedi, P. (2013). Physical activity in children and adolescents with autism assessed by triaxial accelerometry. Pediatric Obesity, 8(2), 150–158. https://doi.org/10.1111/j.2047-6310.2012.00101.x
Must, A., Phillips, S., Curtin, C., & Bandini, L. G. (2015). Barriers to physical activity in children with autism spectrum disorders: Relationship to physical activity and screen time. Journal of Physical Activity and Health, 12(4), 529–534. https://doi.org/10.1123/jpah.2013-0271
Pan, C. Y., & Frey, G. C. (2005). Identifying physical activity determinants in youth with autistic spectrum disorders. Journal of Physical Activity and Health, 2(4), 412–422. https://doi.org/10.1123/jpah.2.4.412
Pan, C. Y., & Frey, G. C. (2006). Physical activity patterns in youth with autism spectrum disorders. Journal of Autism and Developmental Disorders, 36(5), 597–606. https://doi.org/10.1007/s10803-006-0101-6
Pan, C. Y., Hsu, P. J., Chung, I. C., Hung, C. S., Liu, Y. J., & Lo, S. Y. (2015). Physical activity during the segmented school day in adolescents with and without autism spectrum disorders. Research in Autism Spectrum Disorders, 15–16, 21–28. https://doi.org/10.1016/j.rasd.2015.04.003
Pan, C. Y., Tsai, C. L., Chu, C. H., Sung, M. C., Ma, W. Y., & Huang, C. Y. (2016). Objectively measured physical activity and health-related physical fitness in secondary school-aged male students with autism spectrum disorders. Physical Therapy, 96(4), 511–520. https://doi.org/10.2522/ptj.20140353
Pan, C. Y., Tsai, C. L., Hsieh, K. W., Chu, C. H., Li, Y. L., & Huang, S. T. (2011). Accelerometer-determined physical activity among elementary school-aged children with autism spectrum disorders in Taiwan. Research in Autism Spectrum Disorders, 5(3), 1042–1052. https://doi.org/10.1016/j.rasd.2010.11.010
Quarmby, T., Dagkas, S., & Bridge, M. (2011). Associations between children’s physical activities, sedentary behaviours and family structure: A sequential mixed methods approach. Health Education Research, 26(1), 63–76. https://doi.org/10.1093/her/cyq071
Sandt, D. D. R., & Frey, G. C. (2005). Comparison of physical activity levels between children with and without autistic spectrum disorders. Adapted Physical Activity Quarterly, 22(2), 146–159. https://doi.org/10.1123/apaq.22.2.146
Srinivasan, S. M., Pescatello, L. S., & Bhat, A. N. (2014). Current perspectives on physical activity and exercise recommendations for children and adolescents with autism spectrum disorders. Physical Therapy, 94(6), 875–889. https://doi.org/10.2522/ptj.20130157
Stanish, H. I., Curtin, C., Must, A., Phillips, S., Maslin, M., & Bandini, L. G. (2017). Physical activity levels, frequency, and type among adolescents with and without autism spectrum disorder. Journal of Autism and Developmental Disorders, 47(3), 785–794. https://doi.org/10.1007/s10803-016-3001-4
Sturmey, P. (2003). Video technology and persons with autism and other developmental disabilities: An emerging technology for PBS. Journal of Positive Behavior Interventions, 5(1), 3–4. https://doi.org/10.1177/10983007030050010401
Suchert, V., Hanewinkel, R., & Isensee, B. (2015). Sedentary behavior and indicators of mental health in school-aged children and adolescents: A systematic review. Preventive Medicine, 76, 48–57. https://doi.org/10.1016/j.ypmed.2015.03.026
Thomas, S., May, T., Barnett, L. M., Papadopoulos, N., McGillivray, J., & Rinehart, N. (2020). Ecological correlates of sedentary behavior in young children with autism spectrum disorder. Research in Autism Spectrum Disorders, 78, 101636. https://doi.org/10.1016/j.rasd.2020.101636
Thomson, E., & McLanahan, S. S. (2012). Reflections on “family structure and child well-being: Economic resources vs. parental socialization. Social Forces, 91(1), 45–53. https://doi.org/10.1093/sf/sos119
Tyler, K., MacDonald, M., & Menear, K. (2014). Physical activity and physical fitness of school-aged children and youth with autism spectrum disorders. Autism Research and Treatment Article ID, 312163. https://doi.org/10.1155/2014/312163
U.S. Department of Health and Human Services (2018). Physical activity guidelines for Americans, 2nd edition. Washington, DC: U.S. Department of Health and Human Services; 2018
Yu, C. C. W., Chan, S., Cheng, F., Sung, R. Y. T., & Hau, K. (2006). Are physical activity and academic performance compatible? Academic achievement, conduct, physical activity and self-esteem of Hong Kong Chinese primary school children. Educational Studies, 32(4), 331–341. https://doi.org/10.1080/03055690600850016
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The authors wish to thank all the participants who participated in this study and the research assistants.
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This research was funded by the Taiwan Ministry of Science and Technology (MOST), grant number 106-2410-H-017-022-MY3.
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All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by Chien-Yu Pan. The first draft of the manuscript was written by Ming-Chih Sung and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
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Approval was obtained from the Human Research Ethics Committee (ID: 106 − 026) of National Cheng Kung University. The procedures used in this study adhere to the tenets of the Declaration of Helsinki.
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Sung, MC., Tsai, CL., Chen, FC. et al. Physical Activity, Sedentary Pursuits, and their Determinants in Children with Autism Spectrum Disorders. J Dev Phys Disabil 35, 683–696 (2023). https://doi.org/10.1007/s10882-022-09874-5
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DOI: https://doi.org/10.1007/s10882-022-09874-5