Daily Physical Activity Levels of Elementary School-Aged Children With and Without Mental Retardation

One of the goals of Healthy People 2010 is to eliminate health disparities of people with disabilities. However, there is a deficit of information on physical activity levels in children with mental retardation (MR) in both the school and out of school environments. The purpose of this study was to investigate the physical activity levels of elementary school-aged children with and without MR in both school, after-school and weekend environments. Accelerometers were used to record physical activity levels of nine children with mild MR and 33 children without (NMR). Four multiple regressions were performed to identify the difference between groups while accounting for age, gender and BMI. While at school, physical activity levels for children with MR were significantly lower during both recess and physical education, p < 0.001, p < 0.001 respectively, After school and weekend physical activity levels for children with MR were significantly lower, p < 0.001, p = 0.006 respectively. The findings of this study indicate that the disparity in physical activity in individuals with MR begins as early as the elementary school years and is measurable across environments.

[1]  M. Horvat,et al.  The Effects of the Environment on Physical Activity Patterns of Children with Mental Retardation , 2001, Research quarterly for exercise and sport.

[2]  D. Porretta,et al.  Physical activity levels of students with mental retardation and students without disabilities. , 2004 .

[3]  J. Peters,et al.  Environmental contributions to the obesity epidemic. , 1998, Science.

[4]  T. Cole,et al.  Establishing a standard definition for child overweight and obesity worldwide: international survey , 2000, BMJ : British Medical Journal.

[5]  Katherine M Flegal,et al.  Prevalence and trends in overweight among US children and adolescents, 1999-2000. , 2002, JAMA.

[6]  Stella M. Yu Healthy People 2010 , 1998, Maternal and Child Health Journal.

[7]  P. Davies,et al.  Using stable isotopes to assess reduced physical activity of individuals with Prader-Willi syndrome. , 1993, American journal of mental retardation : AJMR.

[8]  S. Holm A Simple Sequentially Rejective Multiple Test Procedure , 1979 .

[9]  M. Puyau,et al.  Validation and calibration of physical activity monitors in children. , 2002, Obesity research.

[10]  L L Dyson,et al.  Fathers and mothers of school-age children with developmental disabilities: parental stress, family functioning, and social support. , 1997, American journal of mental retardation : AJMR.

[11]  C. Draheim,et al.  Differences in cardiovascular disease risk between nondiabetic adults with mental retardation with and without Down syndrome. , 2002, American journal of mental retardation : AJMR.

[12]  J. Mota,et al.  Patterns of daily physical activity during school days in children and adolescents , 2003, American journal of human biology : the official journal of the Human Biology Council.

[13]  F. M. Kozub Explaining Physical Activity in Individuals with Mental Retardation: An Exploratory Study. , 2003 .

[14]  Catharyn T. Liverman,et al.  Preventing Childhood Obesity: Health in the Balance , 2005 .

[15]  A. Pellegrini,et al.  Physical Activity of Children With and Without Mental Retardation In Inclusive Recess Settings , 2000 .

[16]  Bo Fernhall,et al.  Physical activity, metabolic issues, and assessment. , 2002, Physical medicine and rehabilitation clinics of North America.

[17]  J. Sallis,et al.  Leisure-time physical activity in school environments: an observational study using SOPLAY. , 2000, Preventive medicine.

[18]  Jacob Cohen,et al.  A power primer. , 1992, Psychological bulletin.

[19]  H. Kohl,et al.  Prevalence of no leisure-time physical activity--35 States and the District of Columbia, 1988-2002. , 2004, MMWR. Morbidity and mortality weekly report.

[20]  S. Kagamimori,et al.  Validation of a Self-reported Physical Activity Questionnaire for Schoolchildren , 2003, Journal of epidemiology.

[21]  L. Dyson Response to the presence of a child with disabilities: parental stress and family functioning over time. , 1993, American journal of mental retardation : AJMR.

[22]  S. Trost,et al.  Correlates of objectively measured physical activity in preadolescent youth. , 1999, American journal of preventive medicine.

[23]  F. Ramsey,et al.  The statistical sleuth : a course in methods of data analysis , 2002 .

[24]  C. Draheim,et al.  Physical activity, dietary intake, and the insulin resistance syndrome in nondiabetic adults with mental retardation. , 2002, American journal of mental retardation : AJMR.

[25]  A. Magarey,et al.  Predicting obesity in early adulthood from childhood and parental obesity , 2003, International Journal of Obesity.

[26]  V. Temple,et al.  Academic Learning Time—Physical Education (ALT-PE) of Students with Mild Intellectual Disabilities in Regular Victorian Schools , 1999 .

[27]  P. Freedson,et al.  Using objective physical activity measures with youth: how many days of monitoring are needed? , 2000, Medicine and science in sports and exercise.

[28]  M. Goran,et al.  Obesity and risk of type 2 diabetes and cardiovascular disease in children and adolescents. , 2003, The Journal of clinical endocrinology and metabolism.

[29]  S. Sulzbacher,et al.  Activity levels of persons with Prader-Willi syndrome. , 1983, American journal of mental deficiency.

[30]  J. Sallis,et al.  VALIDITY AND RELIABILITY OF THE CSA ACCELEROMETER WORN ON THE ANKLE, HIP, AND WRIST , 1998 .

[31]  T. Seekins,et al.  Assessing secondary conditions among adults with developmental disabilities: a preliminary study. , 2002, Mental retardation.

[32]  T Sharav,et al.  Dietary Practices, Physical Activity, and Body-Mass Index in a Selected Population of Down Syndrome Children and Their Siblings , 1992, Clinical pediatrics.

[33]  J. Prochaska,et al.  A review of correlates of physical activity of children and adolescents. , 2000, Medicine and science in sports and exercise.

[34]  C. Hatton,et al.  Lifestyle related risk factors for poor health in residential settings for people with intellectual disabilities. , 2000, Research in developmental disabilities.

[35]  Amanda Honeycutt,et al.  Economic costs associated with mental retardation, cerebral palsy, hearing loss, and vision impairment--United States, 2003. , 2004, MMWR. Morbidity and mortality weekly report.

[36]  Charles B. Corbin,et al.  Measurement Issues in the Assessment of Physical Activity in Children , 2000, Research quarterly for exercise and sport.