24-h movement behaviors among autistic adults: Differences by sex,age, and level of independence |
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| Affiliation: | 1. Department of Behavioral Health and Nutrition, College of Health Sciences, University of Delaware, Newark, DE, USA;2. KenCrest Services, Bluebell, PA, USA;1. Community Care Research Center, Health Insurance Research Institute, National Health Insurance Service, Gangwon, South Korea;2. Department of Hospital Administration, Graduate School of Public Health, Yonsei University, Seoul, South Korea;3. College of Pharmacy, Yonsei Institute of Pharmaceutical Sciences, Yonsei University, Incheon, South Korea;1. Supportive Care Center, Samsung Comprehensive Cancer Center, Sungkyunkwan University School of Medicine, Seoul, South Korea;2. Depart. of Clinical Research Design and Evaluation, SAIHST, Sungkyunkwan University, Seoul, South Korea;3. Dept. of Urology, Uijeongbu Eulji Medical Center, Eulji University, Uijeongbu-si, South Korea;4. Graduate School of Health Science & Business Convergence/College of Medicine, Chungbuk National University, Cheongju, South Korea;5. Dept. of Urology, Chungbuk National University Hospital, Chungbuk National University, Cheongju, South Korea;6. Red Cross College of Nursing, Chung-Ang University, Seoul, South Korea;7. Korean National Health Insurance Service, Wonju, South Korea;8. Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, USA;9. Department of Public Health and Preventive Medicine, Chungbuk National University Hospital, Cheongju, South Korea;1. Caribbean Institute for Health Research, The University of the West Indies, Mona Campus, Kingston 7, Jamaica;2. Avicanna Inc., 480 University Ave, Suite 1502, Toronto, ON M5G 1V2, Canada;3. Department of Medicine, Kingston Public Hospital, Kingston, Jamaica;1. Department of Traumatology, Cantonal Hospital, Tellstr.1, CH-5001, Aarau, Switzerland;2. Amsler Consulting, Gundeldingerrain 111, CH-4059, Basel, Switzerland;1. Parenting and Special Education Research Unit, Faculty of Psychology and Educational Sciences, KU Leuven, Leuven, Belgium;2. KU Leuven, LUCAS, Centre for Care Research and Consultancy, Leuven, Belgium;1. Department of Physical Medicine & Rehabilitation, SUNY Upstate Medical University, Syracuse, NY, 13210, USA;2. College of Medicine, SUNY Upstate Medical University, Syracuse, NY, 13210, USA;3. College of Medicine, The Ohio State University, Columbus, OH, 43210, USA |
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| Abstract: | BackgroundAutistic adults have low levels of physical activity [PA], high levels of sedentary behavior [SB], and insufficient sleep. Not known is the extent to which engagement in these movement behaviors vary by sex, age, and level of independence in activities of daily living (ADLs).ObjectiveTo characterize movement behaviors in a national sample of autistic adults by sex, age, and level of independence in ADLs.MethodsA national sample of autistic adults and caregivers of autistic adults self-reported PA, SB and sleep behaviors as well as demographic variables using an electronic survey. Levels of engagement in movement behaviors were described, and compared by sex, age (young-adult versus middle-age), and level of independence in ADLs.ResultsData were collected on 361 autistic adults (60.3% male, n = 217, mage = 30.82 years, SD = 10.24). Overall, 44% did not meet the PA guideline; PA guideline adherence was lowest among males and those who were dependent on others in ADLs. Overall, the SB guideline was not met by 43% of the sample at weekdays and 48% at weekends. SB guideline adherence was lowest among adults who were middle-aged, and those who were fully independent in ADLs. Overall, 35.2% did not meet the total sleep time (TST) guideline. Middle-aged autistic adults had the lowest adherence to the TST guideline.ConclusionsThese finding should prompt researchers to consider these demographic differences, and tailor research and programmatic efforts to account for the unique movement behavior profiles of different segments of this heterogenous population. |
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| Keywords: | Physical activity Sedentary behavior Sleep Autism spectrum disorder 24-H movement behaviors |
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