Sedentary behaviour levels in adults with an intellectual disability: a systematic review and meta-analysis [version 3; peer review: 2 approved]

Background: Sedentary behaviour (SB), which is characterised by low levels of energy expenditure, has been linked to increased cardio-metabolic risks, obesity and mortality, as well as cancer risk. No firm guidelines are established on safe levels of SB. Adults with an intellectual disability (ID) h...

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Main Authors: Louise Lynch, Eilish Burke, Mary McCarron, Philip McCallion
Format: Article
Language:English
Published: F1000 Research Ltd 2022-03-01
Series:HRB Open Research
Subjects:
Online Access:https://hrbopenresearch.org/articles/4-69/v3
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author Louise Lynch
Eilish Burke
Mary McCarron
Philip McCallion
author_facet Louise Lynch
Eilish Burke
Mary McCarron
Philip McCallion
author_sort Louise Lynch
collection DOAJ
description Background: Sedentary behaviour (SB), which is characterised by low levels of energy expenditure, has been linked to increased cardio-metabolic risks, obesity and mortality, as well as cancer risk. No firm guidelines are established on safe levels of SB. Adults with an intellectual disability (ID) have poorer health than their counterparts in the general population with higher rates of multi-morbidity, inactivity, and obesity. The reasons for this health disparity are unclear however it is known that SB and overall inactivity contribute to poorer health. There is no clear picture of the levels of SB among individuals with ID therefore SB levels in this vulnerable population need to be examined. The aim of this systematic review is to investigate the prevalence of sedentary behaviour in adults with an ID.   Methods: The PRISMA-P framework was applied to identify high quality articles. An extensive search was carried out in four databases and grey literature sources . In total, 1,972 articles were retrieved of which 48 articles went forward for full review after duplicate removal and screening by title and abstract. The National Institute of Health’s quality assessment tools were used to assess article quality. Two reviewers independently assessed each article. An excel spreadsheet was created to guide the data extraction process. The final review included 25 articles. A meta-analysis was completed using REVMAN.   Results: Different SB assessment types were identified in studies. These included steps, time, questionnaires, and screen time. Studies were heterogeneous. Observed daily steps per individual ranged from 44 to above 30,000, with an average of approximately 6,500 steps. Mean daily time spent in SBs was more than 60% of available time, with observed screen time of more than 3 hours.  Conclusion: There is a high prevalence of SB in adults with an intellectual disability.   [Registration no: Index CRD42020177225].
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spelling doaj.art-c2927d5017974524bd2a38061251889d2022-12-22T03:26:27ZengF1000 Research LtdHRB Open Research2515-48262022-03-01414780Sedentary behaviour levels in adults with an intellectual disability: a systematic review and meta-analysis [version 3; peer review: 2 approved]Louise Lynch0https://orcid.org/0000-0002-2209-4859Eilish Burke1https://orcid.org/0000-0002-3097-8048Mary McCarron2Philip McCallion3https://orcid.org/0000-0001-5129-6399School of Nursing and Midwifery, Trinity College, Dublin, Dublin, IrelandSchool of Nursing and Midwifery, Trinity College, Dublin, Dublin, IrelandSchool of Nursing and Midwifery, Trinity College, Dublin, Dublin, IrelandSchool of Social work, College of Public Health, Temple University, Philadelphia, Pennsylvania, USABackground: Sedentary behaviour (SB), which is characterised by low levels of energy expenditure, has been linked to increased cardio-metabolic risks, obesity and mortality, as well as cancer risk. No firm guidelines are established on safe levels of SB. Adults with an intellectual disability (ID) have poorer health than their counterparts in the general population with higher rates of multi-morbidity, inactivity, and obesity. The reasons for this health disparity are unclear however it is known that SB and overall inactivity contribute to poorer health. There is no clear picture of the levels of SB among individuals with ID therefore SB levels in this vulnerable population need to be examined. The aim of this systematic review is to investigate the prevalence of sedentary behaviour in adults with an ID.   Methods: The PRISMA-P framework was applied to identify high quality articles. An extensive search was carried out in four databases and grey literature sources . In total, 1,972 articles were retrieved of which 48 articles went forward for full review after duplicate removal and screening by title and abstract. The National Institute of Health’s quality assessment tools were used to assess article quality. Two reviewers independently assessed each article. An excel spreadsheet was created to guide the data extraction process. The final review included 25 articles. A meta-analysis was completed using REVMAN.   Results: Different SB assessment types were identified in studies. These included steps, time, questionnaires, and screen time. Studies were heterogeneous. Observed daily steps per individual ranged from 44 to above 30,000, with an average of approximately 6,500 steps. Mean daily time spent in SBs was more than 60% of available time, with observed screen time of more than 3 hours.  Conclusion: There is a high prevalence of SB in adults with an intellectual disability.   [Registration no: Index CRD42020177225].https://hrbopenresearch.org/articles/4-69/v3Intellectual disability sedentary behaviour adultseng
spellingShingle Louise Lynch
Eilish Burke
Mary McCarron
Philip McCallion
Sedentary behaviour levels in adults with an intellectual disability: a systematic review and meta-analysis [version 3; peer review: 2 approved]
HRB Open Research
Intellectual disability
sedentary behaviour
adults
eng
title Sedentary behaviour levels in adults with an intellectual disability: a systematic review and meta-analysis [version 3; peer review: 2 approved]
title_full Sedentary behaviour levels in adults with an intellectual disability: a systematic review and meta-analysis [version 3; peer review: 2 approved]
title_fullStr Sedentary behaviour levels in adults with an intellectual disability: a systematic review and meta-analysis [version 3; peer review: 2 approved]
title_full_unstemmed Sedentary behaviour levels in adults with an intellectual disability: a systematic review and meta-analysis [version 3; peer review: 2 approved]
title_short Sedentary behaviour levels in adults with an intellectual disability: a systematic review and meta-analysis [version 3; peer review: 2 approved]
title_sort sedentary behaviour levels in adults with an intellectual disability a systematic review and meta analysis version 3 peer review 2 approved
topic Intellectual disability
sedentary behaviour
adults
eng
url https://hrbopenresearch.org/articles/4-69/v3
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AT marymccarron sedentarybehaviourlevelsinadultswithanintellectualdisabilityasystematicreviewandmetaanalysisversion3peerreview2approved
AT philipmccallion sedentarybehaviourlevelsinadultswithanintellectualdisabilityasystematicreviewandmetaanalysisversion3peerreview2approved