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Characterizing Sedentary Behaviour in Residents With Intellectual Disability in Community Living Arrangements.

Paige Laxton1,2, Sean Healy3, Benjamin Brewer4

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|March 5, 2026
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Summary
This summary is machine-generated.

Adults with intellectual disabilities (ID) living in community living arrangements (CLAs) spent nearly 8 hours daily in sedentary behavior (SB). Lower independence and education levels were linked to higher SB, highlighting CLAs as key sites for intervention.

Keywords:
group homeintellectual disabilitiesresidential caresedentary behavioursitting timesupported living

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Area of Science:

  • Public Health
  • Gerontology
  • Behavioral Science

Background:

  • Adults with intellectual disabilities (ID), especially those in community living arrangements (CLAs), face high risks for chronic diseases.
  • Sedentary behavior (SB) is an independent risk factor for cardiovascular and metabolic conditions.
  • Understanding device-estimated SB patterns and individual determinants is crucial for developing interventions in this population.

Purpose of the Study:

  • To characterize SB patterns in adults with ID residing in CLAs.
  • To identify individual-level determinants associated with SB in this population.
  • To inform the development of targeted interventions to reduce SB and mitigate chronic disease risk.

Main Methods:

  • A cross-sectional observational study involving 38 adults with ID from 24 CLAs.
  • Participants wore activPAL devices for one week to measure SB (time, bout lengths, breaks, prolonged SB).
  • Online surveys collected data on demographics, independence, programming, and health status; logistic regression analyzed associations.

Main Results:

  • The sample averaged 44.79 years, with 60.53% males; 47.37% experienced prolonged SB.
  • Average daily SB was 7.46 hours, with 32.4 daily bouts lasting an average of 17.7 minutes.
  • Higher assistance needs correlated with longer SB bouts and daily duration (p<0.018). Lower education levels were associated with ~15 minutes longer sedentary bouts (p<0.013).

Conclusions:

  • Adults with ID in CLAs exhibit high levels of daily SB, averaging almost 8 hours.
  • Reduced independence and lower educational attainment are significantly associated with increased SB.
  • CLAs present a vital setting for implementing targeted interventions to decrease SB and improve health outcomes.