Physical activity levels in children with sensory problems: Cross-sectional analyses from the Millennium Cohort Study

Williams, Genevieve; Aggio, Daniel; Stubbs, Brendon; Pardhan, Shahina; Gardner, Benjamin; Smıth, Lee

doi:10.1016/j.dhjo.2017.07.002

Cited by 11 publications

(21 citation statements)

References 27 publications

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“…Similar findings were found for the variable ‘recognition of friends across street’ and ‘reading ordinary newspaper’ 14. The present authors have also found similar associations in young people 15. These findings are of importance owing to a high prevalence of reduced eyesight.…”

Section: Introductionsupporting

confidence: 88%

Visual impairment and objectively measured physical activity and sedentary behaviour in US adolescents and adults: a cross-sectional study

et al. 2019

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ObjectivesTo compare levels of physical activity and sedentary time in a representative sample of US adolescents and adults with and without visual impairment.DesignCross-sectional analyses were carried out using data from the National Health and Nutrition Examination Survey.ParticipantsThe study population consisted of 6001 participants (adolescents n=1766, adults n=4235). The present analysis aggregated data from 2003 to 2004 and 2005–2006.MeasuresObjective physical activity and sedentary behaviour assessment was conducted over 7 days. Distance visual acuity was measured for each eye in all participants 12 years and older. Participants’ vision was categorised as: normal vision, uncorrected refractive error, non-refractive visual impairment. We estimated the sex-specific linear associations between presenting vision and objectively measured physical activity and sedentary patterns using adjusted generalised linear models in adolescents and adults.Results and conclusionsAdolescents with uncorrected refractive error and non-refractive visual impairment did not accumulate higher levels of sedentary time or lower levels of moderate-to-vigorous physical activity (MVPA) compared with those with normal vision. We observed no association between vision status and accelerometer measured MVPA in adults aged 20–49 years. We observed more time spent sedentary among females 20–49 years old with non-refractive visual impairment compared with those presenting normal vision (mean difference 329.8 min/week, 95% CI: 12.5 to 647.0). Adults 50 years and older with non-refractive visual impairment appeared to accumulate less lifestyle physical activity, particularly in women (mean difference −82.8 min/week, 95% CI: −147.8 to −17.8). Adult women with non-refractive visual impairment have lower levels of lifestyle physical activity and higher levels of sedentary time than those with normal vision. Taken together, these findings highlight the need for interventions to promote physical activity and reduce sedentary time in adult populations with visual impairment, specifically adult women.

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Section: Introductionsupporting

confidence: 88%

Visual impairment and objectively measured physical activity and sedentary behaviour in US adolescents and adults: a cross-sectional study

et al. 2019

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“…We assumed a causal pathway for the association between visual impairment and mortality as depicted in Figure 1, based on previous studies [5,6,7,8,9,12,13,14,19,20,21,22], to assess the independent association by identifying potential confounders and mediators. In brief, we selected older age, systematic diseases and conditions (body mass index, waist circumference, systolic and diastolic blood pressure, serum levels of fasting glucose, creatinine, aspartate aminotransferase, alanine aminotransferase, and gamma glutamyltransferase, and history of stroke, heart disease, hypertension, type 2 diabetes, dyslipidemia, and other diseases including cancer), income, residing area, and lifestyle factors (smoking status and alcohol consumption) as potential confounders, which could affect both visual function and mortality and possibly bias the results.…”

Section: Methodsmentioning

confidence: 99%

“…After identifying the potential confounders, we adjusted them in further analyses. We did not adjust for physical activity in the main models because physical activity may mediate the association between visual function and mortality partially (Figure 1) [5,19,21] and the association between visual impairment and mortality could be underestimated when adjusting for physical activity. Detailed information on selected covariates is presented in the Supplementary Material.…”

Section: Methodsmentioning

confidence: 99%

Modification of the Association between Visual Impairment and Mortality by Physical Activity: A Cohort Study among the Korean National Health Examinees

Kim

Park

Kim

et al. 2019

IJERPH

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The association between visual impairment and higher mortality remains unclear. In addition, evidence is lacking on the interaction between visual function and physical activity on mortality. We used data of individuals with no disability or with visual impairment among those who participated in the National Health Screening Program in Korea in 2009 or 2010. We constructed Cox proportional hazard models adjusted for potential confounders to evaluate the independent association between visual impairment and mortality. More severe visual impairment was associated with higher all-cause mortality (p-value for trend = 0.03) and mortality due to cardiovascular diseases (p-value for trend = 0.02) and that due to other diseases (p-value for trend = 0.01). We found an interaction on an additive scale between visual impairment and no physical activity on all-cause mortality (relative excess risk due to interaction = 1.34, 95% confidence interval: 0.37, 2.30, p-value = 0.01). When we stratified the study population by physical activity, the association between visual impairment and mortality was only found among individuals who did not engage in regular physical activity (p-value for trend = 0.01). We found an independent association between visual impairment and mortality and modification of this association by physical activity.

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“…Similarly, another study, with a sample of 6001 participants residing in the United States of America (USA), also suggests that visual impairment is associated with lower levels of physical activity [13]. Research has also found that children with low vision do less physical activity than those with good vision [14,15,16,17,18].…”

Section: Introductionmentioning

confidence: 99%

The Association between Difficulty Seeing and Physical Activity among 17,777 Adults Residing in Spain

Sánchez

Grabovac

Pizzol³

et al. 2019

IJERPH

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This is the first representative population-based study exploring the association between difficulty seeing (i.e., low vision) and physical activity in Spain. Cross-sectional data from the Spanish National Health Survey 2017 were analysed (n = 17,777, ≥15 years; 52% females). Difficulty seeing was self-reported in response to the question ‘‘Do you have difficulty seeing?” The international physical activity questionnaire (IPAQ) short form was used to measure level of physical activity. Multivariable logistic regression was used to assess associations overall and by age group (15–49, 50–64, ≥65 years). Covariates included in the analysis were sex, age, education, marital status, use of glasses or contact lenses, cataracts, diabetes, obesity, hypertension, smoking and alcohol consumption. The overall prevalence of difficulty seeing was 11%, and the overall prevalence of participating in less than 600 metabolic equivalent (MET)-min/week of physical activity was 30.2%. After adjustment for covariates, difficulty seeing was associated with significantly higher odds of performing less than 600 MET-min/week of physical activity with the odds ratio (OR) = 1.222 (95% confidence interval = 1.099–1.357). Considering the impact on health and quality of life due to reduced physical activity in people with difficulty seeing, at least 600 MET-min/week of physical activity should be promoted to this population.

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Physical activity levels in children with sensory problems: Cross-sectional analyses from the Millennium Cohort Study

Abstract: Children with visual problems affecting both eyes, but not one eye, are likely to have lower levels of physical activity. Strategies to promote physical activity in children with visual problems are warranted.

Cited by 11 publications

References 27 publications

Visual impairment and objectively measured physical activity and sedentary behaviour in US adolescents and adults: a cross-sectional study

Visual impairment and objectively measured physical activity and sedentary behaviour in US adolescents and adults: a cross-sectional study

Modification of the Association between Visual Impairment and Mortality by Physical Activity: A Cohort Study among the Korean National Health Examinees

The Association between Difficulty Seeing and Physical Activity among 17,777 Adults Residing in Spain

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