Comparison of physical activity between children with autism spectrum disorders and typically developing children

Linda G Bandini1, James Gleason, Carol Curtin

  • 1Eunice Kennedy Shriver Center, University of Massachusetts Medical School, Waltham, MA, and Department of Health Sciences, Boston University, Boston, MA 02452, USA. linda.bandini@umassmed.edu

Insights

Children with autism spectrum disorder (ASD) engage in similar moderate-to-vigorous physical activity as typically developing peers. However, they participate in fewer types of activities and for less time annually, suggesting measurement limitations.

Area of Science:

  • Pediatric Health
  • Neurodevelopmental Disorders
  • Behavioral Science

Background:

  • Regular physical activity is crucial for overall health and well-being.
  • Physical activity patterns in children with autism spectrum disorder (ASD) are understudied.
  • Understanding activity levels in children with ASD is vital for targeted interventions.

Purpose of the Study:

  • To compare physical activity levels between children with ASD and typically developing (TD) children.
  • To investigate differences in the types and duration of physical activities undertaken by these groups.
  • To explore potential discrepancies between objective and parent-reported activity measures.

Main Methods:

  • The study involved 53 children with ASD and 58 TD children aged 3-11 years.
  • Participants were part of the Children's Activity and Meal Patterns Study (CHAMPS).
  • Physical activity was assessed using accelerometry and parental questionnaires, with adjustments for age and sex.

Main Results:

  • Objective measures showed similar daily moderate-to-vigorous physical activity (MVPA) between children with ASD (50.0 min/day) and TD children (57.1 min/day).
  • Parental reports indicated children with ASD participated in significantly fewer types of physical activities (6.9 vs. 9.6) and less annual time (158 vs. 225 hours).
  • Discrepancies suggest that accelerometry may not fully capture the nature or variety of activities in children with ASD.

Conclusions:

  • While objective measures show comparable MVPA, children with ASD engage in a narrower range and shorter duration of physical activities.
  • Parental reports highlight a qualitative difference in physical activity engagement for children with ASD.
  • Current assessment tools may underestimate the full spectrum of physical activity in children with ASD, necessitating refined measurement approaches.

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