Meeting the 24-h movement guidelines and health-related outcomes among youth with autism spectrum disorder : a seven-country observational study
Abstract
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.
Main Authors
Format
Articles
Research article
Published
2022
Series
Subjects
Publication in research information system
Publisher
Springer Science and Business Media LLC
The permanent address of the publication
https://urn.fi/URN:NBN:fi:jyu-202208174170Use this for linking
Review status
Peer reviewed
ISSN
1753-2000
DOI
https://doi.org/10.1186/s13034-022-00488-5
Language
English
Published in
Child and Adolescent Psychiatry and Mental Health
Citation
- 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). Meeting the 24-h movement guidelines and health-related outcomes among youth with autism spectrum disorder : a seven-country observational study. Child and Adolescent Psychiatry and Mental Health, 16, Article 50. https://doi.org/10.1186/s13034-022-00488-5
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Additional information about funding
CL and YW are both partially supported by the National Social Science Fund in China (20BTY027). JAH and SH are both partially supported by a grant from the US Department of Education (H325H190001). FS is partially supported by grants from the Faculty of Liberal Arts and Social Sciences (02140) and Department of Health and Physical Education (04585). However, the contents do not necessarily represent the policy of the funding agencies, and endorsement by the governing parties should not be assumed.
Copyright© The Author(s) 2022.