自闭症谱系障碍和没有自闭症的儿童和青少年在加速器评估的体力活动和睡眠参数中的年龄相关差异:元分析
Xiao Liang1, Justin A Haegele2,3, Sean Healy4
1Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong.
JAMA network open
|October 6, 2023
概括
与同龄人相比,患有自闭症谱系障碍 (ASD) 的年轻人表现出较低的体力活动和较差的睡眠. 适度至强度体力活动 (MVPA) 的差异随着年龄的增长而变化,突出了针对性干预的需要.
科学领域:
- 神经发育障碍 神经发育障碍
- 儿科健康 儿科健康
- 睡眠医学 睡眠医学
背景情况:
- 身体不活动和睡眠障碍对患有自闭症谱系障碍 (ASD) 的年轻人来说是一个重大问题.
- 这些问题可以从童年持续下去,可能会恶化ASD核心症状.
- 现有的关于青少年患有自闭症的身体活动和睡眠差异的证据不一致,年龄特异性的影响还不太清楚.
研究的目的:
- 系统地审查和综合证据,比较加速仪评估的身体活动和青少年有或没有自闭症的睡眠参数.
- 调查年龄对儿童和青少年之间的这些差异的调节作用.
主要方法:
- 在多个数据库 (例如,MEDLINE,PsycINFO) 进行了全面的文献搜索,直到2023年2月.
- 两位审稿人选了观察性研究,比较了ASD和没有ASD的年轻人的加速计评估的体力活动和睡眠.
- 使用元分析和元回归来汇集数据,并检查与年龄相关的对中度至强度体力活动 (MVPA) 和睡眠参数等结果的影响.
主要成果:
- 分析包括28项研究,805名青少年患有自闭症,1573名对照组 (5.1-16.9岁).
- 与没有自闭症的同龄人相比,患有自闭症的年轻人表现出明显较低的MVPA,减少了总睡眠时间,睡眠效率较差,睡眠延迟时间较长.
- 观察到与年龄相关的MVPA下降,ASD的年轻儿童与年长儿童相比,活动差异较小.
结论:
- 与神经类型同龄人相比,患有自闭症的儿童和青少年表现出较低的体力活动水平和较差的睡眠质量.
- 中度至强度体力活动 (MVPA) 的差异受年龄的影响.
- 这些发现强调了公共卫生倡议的重要性,以解决和减少青少年患有自闭症的健康差异.
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