Peer-Reviewed Journal Details
Mandatory Fields
Li C.;Haegele J.A.;Sun F.;Alves M.L.T.;Ang S.H.C.;Lee J.;Ng K.;dos Santos Alves I.;Healy S.;Huang W.Y.;Rintala P.;Tan J.S.Y.;Wu Y.;Yang H.;Kärnä E.;Maeng H.;Schliemann A.L.;Ding D.
2022
December
Child And Adolescent Psychiatry And Mental Health
Meeting the 24-h movement guidelines and health-related outcomes among youth with autism spectrum disorder: a seven-country observational study
Published
1 ()
Optional Fields
Adolescent Disability Movement behavior Physical activity Screen time Sleep
16
1
Background: Meeting daily guidelines for physical activity, screen time, and sleep duration is associated with a host of health indicators for youth. In this cross-sectional observational study, we investigated the associations between adherence to the movement guidelines and health-related outcomes among youth with autism spectrum disorder (ASD). Methods: Parents of youth with ASD (10¿17 years) from seven countries and regions were invited to provide online proxy-reports for child¿s movement behaviors (i.e., physical activity, sleep and screen time), and health-related outcomes (i.e., body mass index [BMI], general health, and quality of life). A series of multiple linear regression analyses were used to examine the associations between meeting movement guidelines and health-related outcomes, adjusted for covariates. Results: The final sample consisted of 1165 youth with ASD. Compared with youth meeting all three guidelines, a higher BMI z-score was observed in those who met no guidelines (B = 0.62, P = 0.04), ¿sedentary time only¿ (B = 0.60, P = 0.047), and ¿physical activity plus sleep only¿ (B = 0.85, P = 0.04). Compared with meeting all three guidelines, meeting no guidelines was associated with poorer general health (B = ¿ 0.46, P = 0.02). Further, compared with youth meeting all three guidelines, a lower quality of life score was observed in those who met no guidelines (B = ¿ 0.47, P = 0.02) and ¿physical activity only¿ (B = ¿ 0.62, P = 0.03). Lastly, there were dose¿response associations between the number of guidelines met and all three health-related outcomes (all Ptrend < 0.05). Conclusions: In conclusion, meeting more 24-h movement guidelines was generally associated with more favorable health-related outcomes in youth with ASD. The low level of adherence to all three guidelines (2.0%) suggests the urgent need to promote the adoption of all the guidelines in this group.
1753-2000
10.1186/s13034-022-00488-5
Grant Details