The association among demographic factors,health behaviors and sleep quality in youth with Autism Spectrum Disorder |
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| Institution: | 1. Health Sciences Department, College of Health Professions and Sciences, University of Central Florida, Orlando, FL, 32816, USA;2. School of Kinesiology and Physical Therapy, College of Health Professions and Sciences, University of Central Florida, Orlando, FL, 32816, USA;3. Department of Nursing and Health Sciences, Florida Southern College, Lakeland, FL, 33801, USA;1. Dept. of Clinical & Health Psychology, Shahid Beheshti University, Tehran, Iran;2. Institute for Cognitive and Brain Sciences, Shahid Beheshti University, Tehran, Iran;3. Department of Educational and Developmental Psychology, Shahid Beheshti University, Tehran, Iran;4. Department of Pediatric Neurology, Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran;1. Department of Behavioral Health and Nutrition, College of Health Sciences, University of Delaware, Newark, DE, USA;2. KenCrest Services, Bluebell, PA, USA;1. Massachusetts General Hospital, Center for Child and Adolescent Health Research and Policy, 15th Floor – C100, 100 Cambridge Street, Boston, MA 02114, USA;2. Columbia Medical Center, Columbia Midtown, 51 East 51st Street, New York, NY 10019, USA;3. Oregon Health & Science University, Child Development and Rehabilitation Center, PO Box 574, Portland, OR 97207, USA;4. University of Washington, Seattle Children''s Hospital, CAC – Autism Center 4909 – 25th Avenue NE, Seattle, WA 98105, USA;5. The EMMES Corporation, 401 North Washington Street, Suite 700, Rockville, MD 20850, USA;6. Tufts University, 18 Curtis Avenue, Somerville, MA 02144, USA |
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| Abstract: | BackgroundA majority of youth with Autism Spectrum Disorder (ASD) have disrupted sleep patterns, but there has been limited research examining factors associated with sleep in this population. Objective: The objective of this study was to compare demographic and lifestyle behaviors with sleep quality in youth with ASD. Methods: A total of 49 children (12.44 years; 78% male) with ASD wore the Actigraph GT9X accelerometer over seven days and nights to assess moderate to vigorous physical activity (MVPA), sedentary behavior (SB), total sleep duration, and sleep efficiency. Parents reported their child’s weekly amount of screen time and demographic information. Participants were classified according to whether they met sleep criteria for duration and efficiency (8–9 h of sleep duration and ≥85% sleep efficiency). T-tests and ANOVA were used to compare demographic and lifestyle factors between the groups. Results: Participants who meet both sleep duration and efficiency criteria had greater minutes of MVPA per day (113.65 min/day) than participants who only met sleep efficiency criteria (40.27 min/day) and participants who did not meet either sleep criteria (67.5 min/day; p < 0.0001). Additionally, participants who met both sleep criteria had fewer minutes of SB compared to those who only met sleep efficiency criteria (384.79 vs 526.05 min/day; p = 0.02). Conclusions: Youth who had indicators of good sleep quality had greater amounts of MVPA and lower amounts of SB. Studies should further examine the relationship between sleep and health behaviors in youth with ASD to determine causal mechanisms, leading to more effective sleep interventions. |
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| Keywords: | Physical activity Sedentary behavior Sleep quality Autism Spectrum Disorder Youth Accelerometer |
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