Accelerometer-Assessed Habitual Physical Activity and Sedentary Time of Chinese Children and Adolescents with Visual Impairments

Abstract

Introduction:

Physical activity is a key component of a healthy lifestyle for youths with visual impairments (i.e., blindness or low vision). This study aims to examine the habitual physical activity and sedentary time of Chinese children and adolescents with visual impairments and to determine whether age, gender, and body composition significantly influence their behavior.

Methods:

A purposeful sample method was utilized to recruit 137 Chinese youths with visual impairments from a special school for individuals with visual and hearing impairments. A total of 72 students with visual impairments (aged 7–17 years; M age = 13.4) participated in this study. ActiGraph GT3X accelerometers were used to measure the habitual physical activity and sedentary time.

Results:

Youths with visual impairments in this study spent an average of 287.86 (standard deviation [SD] = 45.67) minutes of light physical activity, 146.79 (SD = 56.95) minutes of moderate physical activity, 18.47 (SD = 15.15) minutes of vigorous physical activity, 165.26 (SD = 69.83) minutes of moderate-to-vigorous-intensity physical activity, and 979.51 (SD = 109.10) minutes of sedentary time per day. Children with visual impairments in elementary school engaged in more habitual physical activity and had less sedentary time than did students in middle and high school. Differences in gender and body composition with regard to time spent being active or sedentary were insignificant.

Discussion:

Findings demonstrated that Chinese youths with visual impairments in this study had sufficient health-enhancing physical activity and were habitually active. Future research is needed to identify the factors that account for the high habitual physical activity levels of Chinese youths with visual impairments.

Implications for practitioners:

Transition planning for students with visual impairments to facilitate active habitual physical activity participation when children grow up is warranted.

Keywords

physical activity children and adolescents with visual impairments accelerometer

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References

Anderson

C. B.

Hagströmer

Yngve

(2005). Validation of the PDPAR as an adolescent diary: Effect of accelerometer cut points. Medicine & Science in Sports & Exercise, 37(7), 1224–1230.

Aslan

U. B.

Calik

B. B.

Kitis

(2012). The effect of gender and level of vision on the physical activity level of children and adolescents with visual impairment. Research in Developmental Disabilities, 33(6), 1799–1804. https://doi.org/10.1016/j.ridd.2012.05.005

Ayvazoglu

Kozub

(2006). Explaining physical activity in children with visual impairments: A family systems approach. Exceptional Children, 72(2), 235–248. https://doi.org/10.1177/001440290607200207

Batterham

A. M.

Hopkins

W. G.

(2006). Making meaningful inferences about magnitudes. International Journal of Sports Physiology and Performance, 1(1), 50–57. https://doi.org/10.1123/ijspp1.1.50

Blessing

D. L.

McCrimmon

Stovall

Williford

H. N.

(1993). The effects of regular exercise programs for visually impaired and sighted school children. Journal of Visual Impairment & Blindness, 87, 50–52.

Bloemen

M. A. T.

Backx

F. J. G.

Takken

Wittink

Benner

Mollema

De Groot

J. F.

(2015). Factors associated with physical activity in children and adolescents with a physical activity: A systematic review. Developmental Medicine and Child Neurology, 57, 137–148. https://doi.org/10.1111/dmcn.12624

Cervantes

C. M.

Porretta

D. L.

(2013). Impact of after school programming on physical activity among adolescents with visual impairments. Adapted Physical Activity Quarterly, 29, 127–146.

Chinese Federation of Persons with Disabilities. (2012). The population of persons with disabilities and the number of people with different type disabilities at the end of December 2010 in China. http://www.cdpf.org.cn/sjzx/cjrgk/201206/t20120626_387581.shtml

Coale

(1991). Excess female mortality and the balance of the sexes in the population: An estimate of the number of ‘missing females.’ Population and Development Review, 17(3), 517–523. https://doi.org/10.2307/1971953

10.

Cohen

(1973). Eta-squared and partial-eta squared in fixed factor ANOVA designs. Educational and Psychological Measurement, 33(1), 107–112. https://doi.org/l0.1177/001316447303300111

11.

Cohen

(1988). Statistical power analysis for the behavioral sciences (2nd ed.). Erlbaum.

12.

Demirturk

Kaya

(2015). Physical education lesions and activity status of visually impaired and sighted adolescents. Medical Science Monitor: International Medical Journal of Experimental and Clinical Research, 21, 3521–3527. https://doi.org/10.12659/MSM.895038

13.

Fernhall

Unnithan

V. B.

(2002). Physical activity, metabolic issues, and assessment. Physical Medicine and Rehabilitation Clinics of North America, 13, 925–947. https://doi.org/10.1016/S1047-9651(02)00031-1

14.

Greguol

Gobbi

Carraro

(2014). Physical activity practice, body image and visual impairment: A comparison between Brazilian and Italian children and adolescents. Research in Developmental Disabilities, 35(1), 21–26. https://doi.org/10.1016/j.ridd.2013.10.020

15.

Guinhouya

C. B.

Hubert

Soubrier

Vilhelm

Lemdani

Durocher

(2006). Moderate-to-vigorous physical activity among children: Discrepancies in accelerometry-based cut-off points. Obesity, 14(5), 774–777.

16.

Haegele

J. A.

Aigner

C. J.

Healy

(2019). Physical activity, body mass index, and health status among youth with severe visual impairments aged 13-17 years in the United States. Disability and Health Journal, 12(1), 24–28. https://doi.org/10.1016/j.dhjo.2018.07.001

17.

Haegele

J. A.

Porretta

(2015). Physical activity and school-age individuals with visual impairments: A literature review. Adapted Physical Activity Quarterly, 32, 68–82. https://doi.org/0.1123/apaq.2013-0110

18.

Haegele

J. A.

Zhu

X. H.

Kirk

T. N.

(2018). Weekday physical activity and health-related fitness of youths with visual impairments and those with autism spectrum disorder and visual impairments. Journal of Visual Impairment & Blindness, 112(4), 372–384.

19.

Houwen

Hartman

Visscher

(2009). Physical activity and motor skills in children with and without visual impairments. Medicine & Science in Sports & Exercise, 10(1), 103–109. https://doi.org/10.1249/MSS.0b013e318183389d

20.

Houwen

Visscher

Lemmink

K. A. P. M.

Hartman

(2008). Motor skill performance of school-age children with visual impairments. Developmental Medicine & Child Neurology, 50(2), 139–145. https://doi.org/10.1111/j.1469-8749.2007.02016.x

21.

Janssen

LeBlanc

A. G.

(2010). Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. International Journal of Behavioral Nutrition and Physical Activity, 7(1), 40. https://doi.org/10.1186/1479-5868-7-40

22.

Kozub

F. M.

(2004). An exploratory study of physical activity levels of children and adolescents with visual impairments. Clinical Kinesiology, 58(3), 1–7.

23.

Lancioni

G. E.

Singh

N. N.

O’Reilly

M. F.

Sigafoos

Didden

Manfredi

Putignano

Stasolla

Basili

(2009). Fostering locomotor behavior of children with developmental disabilities: An overview of studies using treadmills and walkers with microswitches. Research in Developmental Disabilities, 30, 308–322. https://doi.org/10.1016/j.ridd.2008.05.002

24.

Liu

Tang

Cao

Z. B.

Chen

P. J.

Zhang

J. L.

Zhu

Zhuang

Yang

Y. Y.

(2016). Results from Shanghai’s (China) 2016 report card on physical activity for children and youth. Journal of Physical Activity and Health, 13(11), 124–128. https://dx-doi-org.web.bisu.edu.cn/10.1123/jpah.2016-0362

25.

Lobenius-Palmér

Sjöqvist

Hurtig-Wennlöf

Lundqvist

(2018). 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

26.

Mattocks

Ness

Leary

Tilling

Blair

S. N.

Shield

Deere

Saunders

Kirkby

Smith

G. D.

Wells

Wareham

Reilly

Riddoch

(2008). Use of accelerometers in a large field-based study of children: Protocols, design issues, and effects on precision. Journal of Physical Activity and Health, 5(Suppl. 1), S98–S111.

27.

Modell

S. J.

Valdez

L. A.

(2002). Beyond bowling: Transition planning for students with disabilities. Teaching Exceptional Children, 34(6), 46–52.

28.

National Health Commission of the People’s Republic of China. (2018). Screening for overweight and obesity among school-age children and adolescents (in Chinese). Retrieved December 2, 2018, http://zjtks.zjsports.gov.cn/art/2018/5/4/art_1376966_17936822.html

29.

Ozturk

Kozub

(2004). Physical activity and social engagement patterns during physical education of youth with visual impairments. RE: View, 34(1), 39–48.

30.

Puyau

M. R.

Adolph

A. L.

Vohra

F. A.

Butte

N. F.

(2002). Validation and calibration of physical activity monitors in children. Obesity Research, 10(3), 150–157.

31.

Reid

D. H.

Phillips

J. F.

Green

C. W.

(1991). Teaching persons with profound multiple handicaps: A review of the effects of behavioral research. Journal of Applied Behavior Analysis, 24, 319–336. https://doi.org/10.1901/jaba.1991.24-319

32.

Sutlive

V. H.

Ulrich

D. A.

(1998). Interpreting statistical significance and meaning fullness in adapted physical activity research. Adapted Physical Activity Quarterly, 15, 103–118.

33.

Tremblay

M. S.

LeBlanc

A. G.

Kho

M. E.

Saunders

T. J.

Larouche

Colley

R. C.

Goldfield

Gorber

S. C.

(2011). Systematic review of sedentary behaviour and health indicators in school-aged children and youth. International Journal of Behavioral Nutrition and Physical Activity, 8, 98–119. https://doi.org/10.1186/1479-5868-8-98

34.

Trost

S. G.

Pate

R. R.

Freeson

P. S.

Sallis

J. F.

Taylor

W. C.

(2000). Using objective physical activity measures with youth: How many days of monitoring are needed? Medicine & Science in Sports & Exercise, 32(2), 426–431.

35.

Wang

Chen

Zhuang

(2013). A national survey of physical activity and sedentary behavior of Chinese city children and youth using accelerometers. Research Quarterly for Exercise and Sport, 84(2), 12–28. https://doi.org/10.1080/02701367.2013.850993

36.

Wilkie

Standage

Sherar

Cumming

Parnell

Davis

Foster

Jago

(2016). Results from England’s 2016 report card on physical activity for children and youth. Journal of Physical Activity and Health, 13 (11), 143–149. https://dx-doi-org.web.bisu.edu.cn/10.1123/jpah.2016-0298

37.

World Health Organization. (2010). Recommended levels of physical activity for children aged 5-17 years, https://www.who.int/news-room/fact-sheets/detail/physical-activity

38.

World Health Organization. (2018). Physical activity, https://www.who.int/news-room/fact-sheets/detail/physical-activity

39.

Wrzesińska

Lipert

Urzędowicz

Pawlicki

(2018). Self-reported physical activity using international physical activity questionnaire in adolescents and young adults with visual impairment. Disability and Health Journal, 11(1), 20–30. https://doi.org/10.1016/j.dhjo.2017.05.001