Physical activity correlates in children and adolescents, adults, and older adults with an intellectual disability: a systematic review

Davy Vancampfort; Tine Van Damme; Joseph Firth; Brendon Stubbs; Felipe Schuch; Shuichi Suetani; Anke Arkesteyn; Debbie Van Biesen

doi:10.1080/09638288.2021.1909665

Physical activity correlates in children and adolescents, adults, and older adults with an intellectual disability: a systematic review

Davy Vancampfort^*, Tine Van Damme, Joseph Firth, Brendon Stubbs, Felipe Schuch, Shuichi Suetani, Anke Arkesteyn, Debbie Van Biesen

^*Corresponding author for this work

Research output: Contribution to journal › Review article › peer-review

9 Citations (Scopus)

Abstract

Purpose: Understanding enablers of and barriers for physical activity (PA) participation in people with intellectual disability (ID) is an essential first step to develop effective interventions. This systematic review examined correlates of PA across the socio-ecological model (i.e., intra-personal, inter-personal, environmental and policy level) in people with ID across the lifespan. Material and methods: Major electronic databases were searched from inception until 15 February 2021. Keywords included “physical activity” or “exercise” and “intellectual disability” or “mental retardation.” A summary coding was used to analyze the data for adolescents (<18 years), adults (18 < 50 years), and older adults (50≤ years). Results: Out of 83 PA correlates, retrieved from 39 studies (n = 26,456), only three consistent (i.e., reported in four or more studies) correlates were identified. In adults, older age (7/11, 64%), more severe ID (9/9, 100%) and the presence of physical mobility problems (3/4, 75%) were associated with decreased PA. From 38 correlates identified, no consistent correlates were identified for children and adolescents and older people. Conclusions: Despite the abundance of evidence of the PA benefits for people with ID, we only found consistent evidence for three correlates reliably being related to PA in adults with ID. More research, particularly among young and older people is urgently needed.IMPLICATIONS FOR REHABILITATION More severe intellectual disability is an important barrier for being active in adults with intellectual disability. Presence of physical health problems is an important barrier for being active in adults with intellectual disability.

Original language	English
Journal	Disability and Rehabilitation
DOIs	https://doi.org/10.1080/09638288.2021.1909665
Publication status	Accepted/In press - 2021

Keywords

Exercise
intellectual disability
physical activity
physical fitness
Special Olympics

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10.1080/09638288.2021.1909665

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@article{c790625632e14594a48f25bcc2c535e3,

title = "Physical activity correlates in children and adolescents, adults, and older adults with an intellectual disability: a systematic review",

abstract = "Purpose: Understanding enablers of and barriers for physical activity (PA) participation in people with intellectual disability (ID) is an essential first step to develop effective interventions. This systematic review examined correlates of PA across the socio-ecological model (i.e., intra-personal, inter-personal, environmental and policy level) in people with ID across the lifespan. Material and methods: Major electronic databases were searched from inception until 15 February 2021. Keywords included “physical activity” or “exercise” and “intellectual disability” or “mental retardation.” A summary coding was used to analyze the data for adolescents (<18 years), adults (18 < 50 years), and older adults (50≤ years). Results: Out of 83 PA correlates, retrieved from 39 studies (n = 26,456), only three consistent (i.e., reported in four or more studies) correlates were identified. In adults, older age (7/11, 64%), more severe ID (9/9, 100%) and the presence of physical mobility problems (3/4, 75%) were associated with decreased PA. From 38 correlates identified, no consistent correlates were identified for children and adolescents and older people. Conclusions: Despite the abundance of evidence of the PA benefits for people with ID, we only found consistent evidence for three correlates reliably being related to PA in adults with ID. More research, particularly among young and older people is urgently needed.IMPLICATIONS FOR REHABILITATION More severe intellectual disability is an important barrier for being active in adults with intellectual disability. Presence of physical health problems is an important barrier for being active in adults with intellectual disability.",

keywords = "Exercise, intellectual disability, physical activity, physical fitness, Special Olympics",

author = "Davy Vancampfort and {Van Damme}, Tine and Joseph Firth and Brendon Stubbs and Felipe Schuch and Shuichi Suetani and Anke Arkesteyn and {Van Biesen}, Debbie",

note = "Funding Information: Brendon Stubbs is supported by a Clinical Lectureship (ICA-CL-2017-03-001) jointly funded by Health Education England (HEE) and the National Institute for Health Research (NIHR). Brendon Stubbs is part funded by the NIHR Biomedical Research Centre at South London and Maudsley NHS Foundation Trust. Brendon Stubbs also holds active grants with the Medical Research Council (GCRF and multimorbidity calls) and Guys and St Thomas Charity (GSTT). The views expressed are those of the author(s) and not necessarily those of the (partner organisation), the NHS, the NIHR, the Department of Health and Social Care, the MRC or GSTT. Publisher Copyright: {\textcopyright} 2021 Informa UK Limited, trading as Taylor & Francis Group. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.",

year = "2021",

doi = "10.1080/09638288.2021.1909665",

language = "English",

journal = "Disability and Rehabilitation",

issn = "0963-8288",

publisher = "Informa Healthcare",

}

TY - JOUR

T1 - Physical activity correlates in children and adolescents, adults, and older adults with an intellectual disability

T2 - a systematic review

AU - Vancampfort, Davy

AU - Van Damme, Tine

AU - Firth, Joseph

AU - Stubbs, Brendon

AU - Schuch, Felipe

AU - Suetani, Shuichi

AU - Arkesteyn, Anke

AU - Van Biesen, Debbie

N1 - Funding Information: Brendon Stubbs is supported by a Clinical Lectureship (ICA-CL-2017-03-001) jointly funded by Health Education England (HEE) and the National Institute for Health Research (NIHR). Brendon Stubbs is part funded by the NIHR Biomedical Research Centre at South London and Maudsley NHS Foundation Trust. Brendon Stubbs also holds active grants with the Medical Research Council (GCRF and multimorbidity calls) and Guys and St Thomas Charity (GSTT). The views expressed are those of the author(s) and not necessarily those of the (partner organisation), the NHS, the NIHR, the Department of Health and Social Care, the MRC or GSTT. Publisher Copyright: © 2021 Informa UK Limited, trading as Taylor & Francis Group. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.

PY - 2021

Y1 - 2021

N2 - Purpose: Understanding enablers of and barriers for physical activity (PA) participation in people with intellectual disability (ID) is an essential first step to develop effective interventions. This systematic review examined correlates of PA across the socio-ecological model (i.e., intra-personal, inter-personal, environmental and policy level) in people with ID across the lifespan. Material and methods: Major electronic databases were searched from inception until 15 February 2021. Keywords included “physical activity” or “exercise” and “intellectual disability” or “mental retardation.” A summary coding was used to analyze the data for adolescents (<18 years), adults (18 < 50 years), and older adults (50≤ years). Results: Out of 83 PA correlates, retrieved from 39 studies (n = 26,456), only three consistent (i.e., reported in four or more studies) correlates were identified. In adults, older age (7/11, 64%), more severe ID (9/9, 100%) and the presence of physical mobility problems (3/4, 75%) were associated with decreased PA. From 38 correlates identified, no consistent correlates were identified for children and adolescents and older people. Conclusions: Despite the abundance of evidence of the PA benefits for people with ID, we only found consistent evidence for three correlates reliably being related to PA in adults with ID. More research, particularly among young and older people is urgently needed.IMPLICATIONS FOR REHABILITATION More severe intellectual disability is an important barrier for being active in adults with intellectual disability. Presence of physical health problems is an important barrier for being active in adults with intellectual disability.

AB - Purpose: Understanding enablers of and barriers for physical activity (PA) participation in people with intellectual disability (ID) is an essential first step to develop effective interventions. This systematic review examined correlates of PA across the socio-ecological model (i.e., intra-personal, inter-personal, environmental and policy level) in people with ID across the lifespan. Material and methods: Major electronic databases were searched from inception until 15 February 2021. Keywords included “physical activity” or “exercise” and “intellectual disability” or “mental retardation.” A summary coding was used to analyze the data for adolescents (<18 years), adults (18 < 50 years), and older adults (50≤ years). Results: Out of 83 PA correlates, retrieved from 39 studies (n = 26,456), only three consistent (i.e., reported in four or more studies) correlates were identified. In adults, older age (7/11, 64%), more severe ID (9/9, 100%) and the presence of physical mobility problems (3/4, 75%) were associated with decreased PA. From 38 correlates identified, no consistent correlates were identified for children and adolescents and older people. Conclusions: Despite the abundance of evidence of the PA benefits for people with ID, we only found consistent evidence for three correlates reliably being related to PA in adults with ID. More research, particularly among young and older people is urgently needed.IMPLICATIONS FOR REHABILITATION More severe intellectual disability is an important barrier for being active in adults with intellectual disability. Presence of physical health problems is an important barrier for being active in adults with intellectual disability.

KW - Exercise

KW - intellectual disability

KW - physical activity

KW - physical fitness

KW - Special Olympics

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U2 - 10.1080/09638288.2021.1909665

DO - 10.1080/09638288.2021.1909665

M3 - Review article

AN - SCOPUS:85104809624

SN - 0963-8288

JO - Disability and Rehabilitation

JF - Disability and Rehabilitation

ER -

Physical activity correlates in children and adolescents, adults, and older adults with an intellectual disability: a systematic review

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