Associations between meeting 24-hour movement guidelines and quality of life among children and adolescents with autism spectrum disorder
Background: The Canadian 24-hour movement behavior (24-HMB) guidelines suggest that a limited amount of screen time use, an adequate level of physical activity (PA), and sufficient sleep duration are beneficial for ensuring and optimizing the health and quality of life (QoL) of children and adolesce...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-01-01
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| Series: | Journal of Sport and Health Science |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2095254622000898 |
| _version_ | 1828038440099250176 |
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| author | Chuidan Kong Aiguo Chen Sebastian Ludyga Fabian Herold Sean Healy Mengxian Zhao Alyx Taylor Notger G. Müller Arthur F. Kramer Sitong Chen Mark S. Tremblay Liye Zou |
| author_facet | Chuidan Kong Aiguo Chen Sebastian Ludyga Fabian Herold Sean Healy Mengxian Zhao Alyx Taylor Notger G. Müller Arthur F. Kramer Sitong Chen Mark S. Tremblay Liye Zou |
| author_sort | Chuidan Kong |
| collection | DOAJ |
| description | Background: The Canadian 24-hour movement behavior (24-HMB) guidelines suggest that a limited amount of screen time use, an adequate level of physical activity (PA), and sufficient sleep duration are beneficial for ensuring and optimizing the health and quality of life (QoL) of children and adolescents. However, this topic has yet to be examined for children and adolescents with autism spectrum disorder (ASD) specifically. The aim of this cross-sectional observational study was to examine the associations between meeting 24-HMB guidelines and several QoL-related indicators among a national sample of American children and adolescents with ASD. Methods: Data were taken from the 2020 U.S. National Survey of Children's Health dataset. Participants (n = 956) aged 6–17 years and currently diagnosed with ASD were included. The exposure of interest was adherence to the 24-HMB guidelines. Outcomes were QoL indicators, including learning interest/curiosity, repeating grades, adaptive ability, victimization by bullying, and behavioral problems. Categorical variables were described with unweighted sample counts and weighted percentages. Age, sex, race, preterm birth status, medication, behavioral treatment, household poverty level, and the educational level of the primary caregivers were included as covariates. Odds ratio (OR) and 95% confidence interval (95%CI) were used to present the strength of association between adherence to 24-HMB guidelines and QoL-related indicators. Results: Overall, 452 participants (45.34%) met 1 of the 3 recommendations, 216 (22.65%) met 2 recommendations, whereas only 39 participants (5.04%) met all 3 recommendations. Compared with meeting none of the recommendations, meeting both sleep duration and PA recommendations (OR = 3.92, 95%CI: 1.63–9.48, p < 0.001) or all 3 recommendations (OR = 2.11, 95%CI: 1.03–4.35, p = 0.04) was associated with higher odds of showing learning interest/curiosity. Meeting both screen time and PA recommendations (OR = 0.15, 95%CI: 0.04–0.61, p < 0.05) or both sleep duration and PA recommendations (OR = 0.24, 95%CI: 0.07–0.87, p < 0.05) was associated with lower odds of repeating any grades. With respect to adaptive ability, participants who met only the PA recommendation of the 24-HMB were less likely to have difficulties dressing or bathing (OR = 0.11, 95%CI: 0.02–0.66, p < 0.05) than those who did not. For participants who met all 3 recommendations (OR = 0.38, 95%CI: 0.15–0.99, p = 0.05), the odds of being victimized by bullying was lower. Participants who adhered to both sleep duration and PA recommendations were less likely to present with severe behavioral problems (OR = 0.17, 95%CI: 0.04–0.71, p < 0.05) than those who did not meet those guidelines. Conclusion: Significant associations were found between adhering to 24-HMB guidelines and selected QoL indicators. These findings highlight the importance of maintaining a healthy lifestyle as a key factor in promoting and preserving the QoL of children with ASD. |
| first_indexed | 2024-04-10T16:27:04Z |
| format | Article |
| id | doaj.art-995f8bc33ebb46ada3fcb1cd06966864 |
| institution | Directory Open Access Journal |
| issn | 2095-2546 |
| language | English |
| last_indexed | 2024-04-10T16:27:04Z |
| publishDate | 2023-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Sport and Health Science |
| spelling | doaj.art-995f8bc33ebb46ada3fcb1cd069668642023-02-09T04:13:58ZengElsevierJournal of Sport and Health Science2095-25462023-01-011217386Associations between meeting 24-hour movement guidelines and quality of life among children and adolescents with autism spectrum disorderChuidan Kong0Aiguo Chen1Sebastian Ludyga2Fabian Herold3Sean Healy4Mengxian Zhao5Alyx Taylor6Notger G. Müller7Arthur F. Kramer8Sitong Chen9Mark S. Tremblay10Liye Zou11Body-Brain-Mind Laboratory, School of Psychology, Shenzhen University, Shenzhen 518061, ChinaCollege of Physical Education, Yangzhou University, Yangzhou 225127, ChinaDepartment of Sport, Exercise and Health, University of Basel, Basel 4052, SwitzerlandResearch Group Degenerative and Chronic Diseases, Movement, Faculty of Health Sciences Brandenburg, University of Potsdam, Potsdam 14476, GermanyCommunity Health Academic Group, School of Nursing, Psychotherapy and Community Health, Dublin City University, Dublin 9, IrelandBody-Brain-Mind Laboratory, School of Psychology, Shenzhen University, Shenzhen 518061, ChinaSchool of Rehabilitation, Sport and Psychology, AECC University College, Bournemouth, BH5 2DF, UKResearch Group Degenerative and Chronic Diseases, Movement, Faculty of Health Sciences Brandenburg, University of Potsdam, Potsdam 14476, Germany; Research Group Neuroprotection, German Center for Neurodegenerative Diseases (DZNE), Magdeburg 39120, Germany; Center for Behavioral Brain Sciences (CBBS), Magdeburg 39118, GermanyCenter for Cognitive and Brain Health, Northeastern University, Boston, MA 02115, USA; Beckman Institute, University of Illinois at Urbana-Champaign, Champaign, IL 61820, USAInstitute for Health and Sport, Victoria University, Melbourne 8001, AustraliaHealthy Active Living and Obesity Research Group, CHEO Research Institute, Ottawa, Ontario K1H8L1, Canada; Department of Pediatrics, University of Ottawa, Ottawa, Ontario K1N 6N5, CanadaBody-Brain-Mind Laboratory, School of Psychology, Shenzhen University, Shenzhen 518061, China; Corresponding author.Background: The Canadian 24-hour movement behavior (24-HMB) guidelines suggest that a limited amount of screen time use, an adequate level of physical activity (PA), and sufficient sleep duration are beneficial for ensuring and optimizing the health and quality of life (QoL) of children and adolescents. However, this topic has yet to be examined for children and adolescents with autism spectrum disorder (ASD) specifically. The aim of this cross-sectional observational study was to examine the associations between meeting 24-HMB guidelines and several QoL-related indicators among a national sample of American children and adolescents with ASD. Methods: Data were taken from the 2020 U.S. National Survey of Children's Health dataset. Participants (n = 956) aged 6–17 years and currently diagnosed with ASD were included. The exposure of interest was adherence to the 24-HMB guidelines. Outcomes were QoL indicators, including learning interest/curiosity, repeating grades, adaptive ability, victimization by bullying, and behavioral problems. Categorical variables were described with unweighted sample counts and weighted percentages. Age, sex, race, preterm birth status, medication, behavioral treatment, household poverty level, and the educational level of the primary caregivers were included as covariates. Odds ratio (OR) and 95% confidence interval (95%CI) were used to present the strength of association between adherence to 24-HMB guidelines and QoL-related indicators. Results: Overall, 452 participants (45.34%) met 1 of the 3 recommendations, 216 (22.65%) met 2 recommendations, whereas only 39 participants (5.04%) met all 3 recommendations. Compared with meeting none of the recommendations, meeting both sleep duration and PA recommendations (OR = 3.92, 95%CI: 1.63–9.48, p < 0.001) or all 3 recommendations (OR = 2.11, 95%CI: 1.03–4.35, p = 0.04) was associated with higher odds of showing learning interest/curiosity. Meeting both screen time and PA recommendations (OR = 0.15, 95%CI: 0.04–0.61, p < 0.05) or both sleep duration and PA recommendations (OR = 0.24, 95%CI: 0.07–0.87, p < 0.05) was associated with lower odds of repeating any grades. With respect to adaptive ability, participants who met only the PA recommendation of the 24-HMB were less likely to have difficulties dressing or bathing (OR = 0.11, 95%CI: 0.02–0.66, p < 0.05) than those who did not. For participants who met all 3 recommendations (OR = 0.38, 95%CI: 0.15–0.99, p = 0.05), the odds of being victimized by bullying was lower. Participants who adhered to both sleep duration and PA recommendations were less likely to present with severe behavioral problems (OR = 0.17, 95%CI: 0.04–0.71, p < 0.05) than those who did not meet those guidelines. Conclusion: Significant associations were found between adhering to 24-HMB guidelines and selected QoL indicators. These findings highlight the importance of maintaining a healthy lifestyle as a key factor in promoting and preserving the QoL of children with ASD.http://www.sciencedirect.com/science/article/pii/S209525462200089824-hour movement guidelinesAutism spectrum disorderPhysical activityQuality of life |
| spellingShingle | Chuidan Kong Aiguo Chen Sebastian Ludyga Fabian Herold Sean Healy Mengxian Zhao Alyx Taylor Notger G. Müller Arthur F. Kramer Sitong Chen Mark S. Tremblay Liye Zou Associations between meeting 24-hour movement guidelines and quality of life among children and adolescents with autism spectrum disorder Journal of Sport and Health Science 24-hour movement guidelines Autism spectrum disorder Physical activity Quality of life |
| title | Associations between meeting 24-hour movement guidelines and quality of life among children and adolescents with autism spectrum disorder |
| title_full | Associations between meeting 24-hour movement guidelines and quality of life among children and adolescents with autism spectrum disorder |
| title_fullStr | Associations between meeting 24-hour movement guidelines and quality of life among children and adolescents with autism spectrum disorder |
| title_full_unstemmed | Associations between meeting 24-hour movement guidelines and quality of life among children and adolescents with autism spectrum disorder |
| title_short | Associations between meeting 24-hour movement guidelines and quality of life among children and adolescents with autism spectrum disorder |
| title_sort | associations between meeting 24 hour movement guidelines and quality of life among children and adolescents with autism spectrum disorder |
| topic | 24-hour movement guidelines Autism spectrum disorder Physical activity Quality of life |
| url | http://www.sciencedirect.com/science/article/pii/S2095254622000898 |
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