24-Hour Movement Behaviors Among US Adults With Functional Disabilities

Abstract

This study aimed to quantify and compare physical activity, sitting time, and sleep behaviors among US adults with and without disabilities using the 2020 Canadian 24-hour movement framework. The weighted prevalence of 24-hour movement guideline adherence was estimated among a nationally representative sample from the 2017 to 2018 National Health and Nutrition Examination Survey of US adults (18–65 years old) with (n = 1070) and without (n = 33,370) functional disabilities in vision, hearing, mobility, cognitive, and self-care domains. The adjusted odds of single and combination guideline compliance were estimated by disability type, in reference to adults without disabilities, using separate multivariable logistic regressions. After adjusting for age, sex, and income, adults with disabilities in mobility, cognitive, or self-care domains had approximately half the odds of meeting all 3 guidelines, compared with adults without disabilities (adjusted odds range: 0.49–0.77). Significantly lower adherence was observed among adults with functional disabilities, compared with no disabilities, for sleep, and moderate to vigorous physical activity, but not sedentary guidelines. This report establishes baseline prevalence estimates for guidelines compliance among US adults with functional disabilities ages 18–65 years old. Low guideline adherence, and evidence for significant differences in physical activity and sleep, signals a need to further explore combination health behaviors among adults with disabilities.

Prevalence of meeting 24-hour movement guidelines and its associations with health indicators in people with disabilities: A systematic review and meta-analysis

“…25-27, 36, 38-57 A total of 77510 participants (female = 41.6%) aged 6-65 years were included, of whom 71879 were children and adolescents and 5631 were adults. Seventeen studies were conducted with children and adolescents only, 26, 27, 38-45, 47, 48, 50, 51, 54, 56, 57 6 were with adults only, 25,46,49,52,53,55 and 1 with both age groups. 36 In terms of disability type, 13 studies focused on neurodevelopmental disorders, 26, 27, 39, 40, 43-45, 48-50, 54, 56, 57 while 7 were mainly for sensory impairments.…”

“…36 In terms of disability type, 13 studies focused on neurodevelopmental disorders, 26, 27, 39, 40, 43-45, 48-50, 54, 56, 57 while 7 were mainly for sensory impairments. 25,36,38,41,46,52,53 Notably, 3 studies included a variety of disability types 42,51,55 and 1 did not specify the type of disability. 47 Abbreviations: PA = physical activity; ST = sedentary time; SD = sleep duration; MBDD = mental, behavioral, and developmental disorders; VI = visual impairment; ASD = autism spectrum disorder; ADHD = attention de cit/ hyperactive disorder; PSD = physical and sensory disabilities; ND = neurodevelopmental disorders; ID = intellectual disability; CCD = chronic conditions and disabilities; CC = chronic conditions; BMI = body mass index.…”

“…The participants of included studies were recruited from different countries: 17 studies from the United States, 25,38,39,41,42,[44][45][46][47][48][49][50][51][52][53][54]56 3 from Canada, 36, 40, 55 2 from China, 26, 57 1 from Ireland, 43 and 1 included samples from seven different countries/regions. 27 Regarding the measuring approach of the three 24-hour movement behaviors, physical activity was measured by proxy report (n = 13), self-report (n = 8) and accelerometer (n = 3).…”

Secular trends in the prevalence of meeting 24-hour movement guidelines among U.S. adolescents: evidence from NHANES 2007–2016

“…For example, some studies have evaluated compliance with meeting combinations involving any two out of the three guidelines (16). Others have focused primarily on the prevalence of meeting 24-HMG among special populations (17)(18)(19), which restricts the generalization to the wider healthy population. Previous studies (14, 20, 21) have failed to assess the long-term trends for compliance, which has resulted in a lack of an overall understanding of the prevalence over decades.…”

Inspirational and Worthy of Charity: (Mis)Representations of Disability in Sport Media

“…For example, physical activity and sport have been identified as spaces in which disabled individuals can empower themselves (Blinde & Taub, 1999; Santino et al, 2021). Unfortunately, many disabled people are prevented from participating in regular physical activity because of cultural, social, and political constraints (Misener et al, 2019; Ross et al, 2022).…”