Related Experiment Video
Updated: Feb 26, 2026
Physical Activity Measurement in Children Accepting Table Tennis Training
Published on: July 27, 2022
Socio-Ecological Factors of Physical Activity in Children and Adolescents With Down Syndrome: A Mixed-Methods
Seung Hyeon Yang1, Gayeong Kim2, Kyua Kim3
1College of Nursing, Research Institute of AI and Nursing Science, Gachon University, Incheon, South Korea.
Background:
Children and adolescents with Down syndrome (DS) are at risk of obesity due to a reduced level of physical activity (PA). PA in children and adolescents with DS is a multifaceted phenomenon that includes personal, relationship, community and other social factors. Hence, a comprehensive understanding of how each component interacts with the others is required. Based on the socio-ecological model, this study aimed to identify the socio-ecological factors associated with PA in children and adolescents with DS through a mixed-methods systematic review.
Methods:
A systematic search was performed using PubMed, CINAHL, PsycINFO and Web of Science databases in February 2024. Inclusion criteria were studies investigating factors related to PA, involving at least one of the target populations (children and adolescents with DS or their parents), published in peer-reviewed journals and written in English. Studies assessing the effectiveness of PA, systematic reviews and unpublished studies were excluded. The methodology was appraised using the Mixed Methods Appraisal Tool. Data were extracted and synthesised in a sequential explanatory design using the socio-ecological model.
Results:
Databases were searched for 1022 articles; 17 studies (10 quantitative and 7 qualitative) were included and synthesised in this review. Based on the socio-ecological model, the following factors were identified at four levels: (1) physical and cognitive ability to participate in PA at the personal level, (2) competing family responsibilities and overprotective parenting at the family level, (3) peer support and community programmes at the community level and (4) absence of state support for PA programmes at the policy level.
Conclusions:
To support the PA of children and adolescents with DS, factors affecting PA at the personal, family, community and policy levels must be considered. Community stakeholders and policymakers can use the findings of this review to develop and improve programmes for children and adolescents with DS.
More Related Videos
09:18Measurements of Motor Function and Other Clinical Outcome Parameters in Ambulant Children with Duchenne Muscular Dystrophy
Published on: January 12, 2019
05:59Visualization of Intensity Levels to Reduce the Gap Between Self-Reported and Directly Measured Physical Activity
Published on: March 7, 2019
Related Concept Videos
01:19Autism Spectrum Disorder
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
01:28Conduct Disorder