Participation in Regular Physical Activity According to the Type of Disability, Sex, Point of Disability Diagnosis, and Ability to Walk Independently in South Korea
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Participants
2.2. Measurements
2.2.1. Physical Activity
2.2.2. Other Variables
2.3. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Data Availability Statement
Conflicts of Interest
References
- World Health Organization. World Report on Disability 2011; World Health Organization: Geneva, Switzerland, 2011; ISBN 9241564180. [Google Scholar]
- Korea Disabled People’s Development Institute. Annual Report on Disability Statistics 2018; Korea Disabled People’s Development Institute: Seoul, Korea, 2018. [Google Scholar]
- Centers for Disease Control and Prevention. Increasing Physical Activity among Adults with Disabilities. Disability and Health 2016. Available online: http://www.cdc.gov/ncbddd/disabilityandhealth/pa.html (accessed on 19 July 2021).
- Isaksson, G.; Skär, L.; Lexell, J. Women’s perception of changes in the social network after a spinal cord injury. Disabil. Rehabil. 2005, 27, 1013–1021. [Google Scholar] [CrossRef] [PubMed]
- Cavill, N.; Kahlmeier, S.; Racioppi, F. Physical Activity and Health in Europe: Evidence for Action; WHO Regional Office Europe: København, Denmark, 2006; ISBN 9289043873. [Google Scholar]
- Bahk, J.; Kang, H.-Y.; Khang, Y.-H. The life expectancy gap between registered disabled and non-disabled people in Korea from 2004 to 2017. Int. J. Environ. Res. Public Health 2019, 16, 2593. [Google Scholar] [CrossRef] [Green Version]
- Piercy, K.L.; Troiano, R.P.; Ballard, R.M.; Carlson, S.A.; Fulton, J.E.; Galuska, D.A.; George, S.M.; Olson, R.D. The physical activity guidelines for Americans. JAMA 2018, 320, 2020–2028. [Google Scholar] [CrossRef] [PubMed]
- Hegde, S.M.; Solomon, S.D. Influence of physical activity on hypertension and cardiac structure and function. Curr. Hypertens. Rep. 2015, 17, 77. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Bhaskarabhatla, K.V.; Birrer, R. Physical activity and diabetes mellitus. Compr. Ther. 2005, 31, 291–298. [Google Scholar] [CrossRef]
- McTiernan, A.; Friedenreich, C.M.; Katzmarzyk, P.T.; Powell, K.E.; Macko, R.; Buchner, D.; Pescatello, L.S.; Bloodgood, B.; Tennant, B.; Vaux-Bjerke, A.; et al. Physical activity in cancer prevention and survival: A systematic review. Med. Sci. Sports Exerc. 2019, 51, 1252–1261. [Google Scholar] [CrossRef]
- Lee, I.M.; Shiroma, E.J.; Lobelo, F.; Puska, P.; Blair, S.N.; Katzmarzyk, P.T. Effect of physical inactivity on major non-communicable diseases worldwide: An analysis of burden of disease and life expectancy. Lancet 2012, 380, 219–229. [Google Scholar] [CrossRef] [Green Version]
- Brown, D.R.; Carroll, D.D.; Workman, L.M.; Carlson, S.A.; Brown, D.W. Physical activity and health-related quality of life: US adults with and without limitations. Qual. Life Res. 2014, 23, 2673–2680. [Google Scholar] [CrossRef] [Green Version]
- Smith, B.; Kirby, N.; Skinner, B.; Wightman, L.; Lucas, R.; Foster, C. Infographic. Physical activity for disabled adults. Br. J. Sports Med. 2019, 53, 335–336. [Google Scholar] [CrossRef] [Green Version]
- World Health Organization. Guidelines on Physical Activity and Sedentary Behaviour; World Health Organization: Geneva, Switzerland, 2020. [Google Scholar]
- Wright, A.; Roberts, R.; Bowman, G.; Crettenden, A. Barriers and facilitators to physical activity participation for children with physical disability: Comparing and contrasting the views of children, young people, and their clinicians. Disabil. Rehabil. 2019, 41, 1499–1507. [Google Scholar] [CrossRef]
- Rimmer, J.H.; Riley, B.; Wang, E.; Rauworth, A.; Jurkowski, J. Physical activity participation among persons with disabilities: Barriers and facilitators. Am. J. Prev. Med. 2004, 26, 419–425. [Google Scholar] [CrossRef] [PubMed]
- World Health Organization. International Classification of Functioning, Disability, and Health: Children & Youth Version: ICF-CY; World Health Organization: Geneva, Switzerland, 2007; ISBN 9241547324. [Google Scholar]
- McGuire, L.C.; Strine, T.W.; Okoro, C.A.; Ahluwalia, I.B.; Ford, E.S. Peer reviewed: Healthy lifestyle behaviors among older US adults with and without disabilities, behavioral risk factor surveillance system, 2003. Prev. Chronic Dis. 2007, 4, A09. [Google Scholar]
- Pharr, J.R.; Bungum, T. Health disparities experienced by people with disabilities in the United States: A Behavioral Risk Factor Surveillance System study. Glob. J. Health Sci. 2012, 4, 99–108. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Hoekstra, F.; Roberts, L.; van Lindert, C.; Martin Ginis, K.A.; van der Woude, L.H.V.; McColl, M.A. National approaches to promote sports and physical activity in adults with disabilities: Examples from the Netherlands and Canada. Disabil. Rehabil. 2019, 41, 1217–1226. [Google Scholar] [CrossRef] [Green Version]
- Jaarsma, E.A.; Haslett, D.; Smith, B. Improving communication of information about physical activity opportunities for people with disabilities. Adapt. Phys. Act. Q. 2019, 36, 185–201. [Google Scholar] [CrossRef]
- Steckler, A.B.; Linnan, L.; Israel, B. Process Evaluation for Public Health Interventions and Research; Jossey-Bass: San Francisco, CA, USA, 2002. [Google Scholar]
- Wierenga, D.; Engbers, L.H.; Van Empelen, P.; Duijts, S.; Hildebrandt, V.H.; Van Mechelen, W. What is actually measured in process evaluations for worksite health promotion programs: A systematic review. BMC Public Health 2013, 13, 1190. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Carroll, D.D.; Courtney-Long, E.A.; Stevens, A.C.; Sloan, M.L.; Lullo, C.; Visser, S.N.; Fox, M.H.; Armour, B.S.; Campbell, V.A.; Brown, D.R.; et al. Vital signs: Disability and physical activity—United States, 2009–2012. Morb. Mortal. Wkly. Rep. 2014, 63, 407–413. [Google Scholar]
- Emerson, E. Underweight, obesity and exercise among adults with intellectual disabilities in supported accommodation in Northern England. J. Intellect. Disabil. Res. 2005, 49, 134–143. [Google Scholar] [CrossRef]
- Cole, O. Medical screening of adults at social education centres: Whose responsibility. Mental Handicap 1986, 14, 54–56. [Google Scholar]
- Macdonald, N.; McConnell, K.; Stephen, M.; Dunnigan, M. Hypernatraemic dehydration in patients in a large hospital for the mentally handicapped. Br. Med. J. 1989, 299, 1426–1429. [Google Scholar] [CrossRef] [Green Version]
- Flynn, M.; Hirst, M. This Year, Next Year, Sometime...?: Learning Disability and Adulthood; National Development Team: London, UK, 1992; ISBN 1851977570. [Google Scholar]
- Robertson, J.; Emerson, E.; Gregory, N.; Hatton, C.; Turner, S.; Kessissoglou, S.; Hallam, A. Lifestyle related risk factors for poor health in residential settings for people with intellectual disabilities. Res. Dev. Disabil. 2000, 21, 469–486. [Google Scholar] [CrossRef]
- Biernat, E.; Piatkowska, M. Physical activity of disabled individuals in the context of meeting WHO recommendations and support of local authorities. Turk. J. Phys. Med. Rehabil. 2017, 63, 107–116. [Google Scholar] [CrossRef] [PubMed]
- Martin Ginis, K.A.; Ma, J.K.; Latimer-Cheung, A.E.; Rimmer, J.H. A systematic review of review articles addressing factors related to physical activity participation among children and adults with physical disabilities. Health Psychol. Rev. 2016, 10, 478–494. [Google Scholar] [CrossRef]
- Shields, N.; Synnot, A. Perceived barriers and facilitators to participation in physical activity for children with disability: A qualitative study. BMC Pediatrics 2016, 16, 9. [Google Scholar] [CrossRef] [Green Version]
- da Silva, E.S.; Fischer, G.; da Rosa, R.G.; Schons, P.; Teixeira, L.B.T.; Hoogkamer, W.; Peyré-Tartaruga, L.A. Gait and functionality of individuals with visual impairment who participate in sports. Gait Posture 2018, 62, 355–358. [Google Scholar] [CrossRef] [PubMed]
- Centers for Disease Control and Prevention. Physical activity among adults with a disability—United States, 2005. Morb. Mortal. Wkly. Rep. 2007, 56, 1021–1024. [Google Scholar]
Group | Total | Physical Disability | Visual Impairment | Hearing/Speech Impairment | Intellectual Disability | Disability Due to Brain Lesion | p-Value |
---|---|---|---|---|---|---|---|
Variable | N = 2749 (100.00) | N = 889 (32.34) | N = 523 (19.03) | N = 412 (14.99) | N = 561 (20.41) | N = 364 (13.24) | |
Age, year | 49.94 ± 12.35 | 54.33 ± 8.57 | 51.77 ± 10.36 | 53.87 ± 9.76 | 36.99 ± 12.77 | 52.10 ± 11.33 | <0.001 *** |
Male (n = 1850, 67.30%) | 49.48 ± 12.48 | 53.72 ± 8.71 | 50.87 ± 10.64 | 53.68 ± 10.03 | 35.97 ± 12.70 | 52.24 ± 11.43 | <0.001 *** |
Female (n = 899, 32.70%) | 50.83 ± 11.19 | 55.88 ± 8.01 | 53.84 ± 9.42 | 54.16 ± 9.35 | 38.86 ± 12.73 | 51.83 ± 11.19 | <0.001 *** |
Severity | <0.001 *** | ||||||
Severe | 1119 (40.71) | 140 (15.75) | 95 (18.16) | 154 (37.38) | 561 (100) | 169 (46.43) | |
Mild | 1630 (59.29) | 749 (84.25) | 428 (81.84) | 258 (62.62) | 0 (0.00) | 195 (53.57) | |
Meeting physical activity guidelines | 1436 (52.24) | 474 (53.32) | 263 (50.29) | 245 (59.47) | 253 (45.10) | 201 (55.22) | <0.001 *** |
Group Variable | Physical Disability | Visual Impairment | Hearing/Speech Impairment | Intellectual Disability | Disability Due to Brain Lesion |
---|---|---|---|---|---|
Male (n, %) | 639 (71.88) | 363 (69.41) | 248 (60.19) | 363 (64.71) | 237 (65.11) |
Meeting physical activity guidelines (n, %) | 341 (53.36) | 184 (50.69) | 144 (58.06) | 165 (45.45) | 131 (55.27) |
Odds ratio (95% CI) | Reference | 0.95 (0.73–1.24) | 1.21 (0.90–1.63) | 1.05 (0.73–1.50) | 1.11 (0.82–1.52) |
p-value | 0.718 | 0.216 | 0.808 | 0.503 | |
Female (n, %) | 250 (28.12) | 160 (30.59) | 164 (39.81) | 198 (35.29) | 127 (34.89) |
Meet physical activity guidelines (n, %) | 133 (53.20) | 79 (49.38) | 101 (61.59) | 88 (44.44) | 70 (55.12) |
Odds ratio (95% CI) | Reference | 0.91 (0.61–1.36) | 1.50 (0.99–2.27) | 1.18 (0.70–1.97) | 1.23 (0.78–1.93) |
p-value | 0.648 | 0.053 | 0.532 | 0.368 |
Group Variable | Physical Disability | Visual Impairment | Hearing/Speech Impairment | Intellectual Disability | Disability Due to Brain Lesion |
---|---|---|---|---|---|
Congenital disability (n, %) | 47 (5.29) | 59 (11.28) | 64 (15.53) | 370 (65.95) | 33 (9.07) |
Meeting physical activity guidelines (n, %) | 25 (53.19) | 26 (44.07) | 29 (45.31) | 164 (44.32) | 17 (51.52) |
Odds ratio (95% CI) | Reference | 0.69 (0.32–1.51) | 0.59 (0.26–1.32) | 0.69 (0.31–1.52) | 1.05 (0.40–2.79) |
p-value | 0.353 | 0.198 | 0.360 | 0.916 | |
Acquired disability (n, %) | 842 (94.71) | 464 (88.72) | 348 (84.47) | 191 (34.05) | 331 (90.93) |
Meeting physical activity guidelines (n, %) | 449 (53.33) | 237 (51.08) | 216 (62.07) | 89 (46.60) | 184 (55.59) |
Odds ratio (95% CI) | Reference | 0.96 (0.76–1.21) | 1.46 (1.12–1.87) | 1.14 (0.77–1.68) | 1.14 (0.87–1.48) |
p-value | 0.739 | 0.005 ** | 0.595 | 0.378 |
Group Variable | Physical Disability | Visual Impairment | Hearing/Speech Impairment | Intellectual Disability | Disability Due to Brain Lesion |
---|---|---|---|---|---|
Ability to walk independently (n, %) | 789 (88.75) | 472 (90.25) | 409 (99.27) | 545 (97.15) | 236 (64.84) |
Meeting physical activity guidelines (n, %) | 408 (51.71) | 234 (49.58) | 245 (59.90) | 248 (45.5) | 130 (55.08) |
Odds ratio (95% CI) | Reference | 0.97 (0.77–1.23) | 1.43 (1.11–1.84) | 1.18 (0.85–1.64) | 1.23 (0.91–1.65) |
p-value | 0.829 | 0.005 ** | 0.318 | 0.185 |
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Cho, C.; Shin, W.; Kong, S. Participation in Regular Physical Activity According to the Type of Disability, Sex, Point of Disability Diagnosis, and Ability to Walk Independently in South Korea. Healthcare 2021, 9, 1079. https://doi.org/10.3390/healthcare9081079
Cho C, Shin W, Kong S. Participation in Regular Physical Activity According to the Type of Disability, Sex, Point of Disability Diagnosis, and Ability to Walk Independently in South Korea. Healthcare. 2021; 9(8):1079. https://doi.org/10.3390/healthcare9081079
Chicago/Turabian StyleCho, Changok, Wonsang Shin, and Sunga Kong. 2021. "Participation in Regular Physical Activity According to the Type of Disability, Sex, Point of Disability Diagnosis, and Ability to Walk Independently in South Korea" Healthcare 9, no. 8: 1079. https://doi.org/10.3390/healthcare9081079