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以äžã«ãè«æã®Structured abstractïŒæ§é å ã¢ãã¹ãã©ã¯ãïŒã®äžäŸãã玹ä»ããããŸããæ§é åã¢ãã¹ãã©ã¯ãã¯è«æã®ã¢ãã¹ãã©ã¯ããç¹å®ã®é ç®ã«åããããããè«æã®èæ¯ãç®çãæ¹æ³ãçµæãçµè«ãªã©ãç°¡æœã«ãŸãšãããã®ã§ãã
è«æã¿ã€ãã«ïŒHow disability severity is associated with changes in physical activity and inactivity from adolescence to young adulthood
åºå±ïŒhttps://archpublichealth.biomedcentral.com/articles/10.1186/s13690-023-01043-0
1. Background
Disabilities may play a different role in determining peopleâs physical activity (PA) and physical inactivity (PI) levels when they go through multiple lifetime transitions (e.g., graduation, marriage) between adolescence and young adulthood. This study investigates how disability severity is associated with changes in PA and PI engagement levels, focusing on adolescence and young adulthood, when the patterns of PA and PI are usually formed.
èæ¯ (Background) ã»ã¯ã·ã§ã³ã§ã¯ãè«æã®ç ç©¶èæ¯ãç®çãç°¡æœã«èª¬æããŸãããã®è«æã§ã¯é害ã®éãã«ãã£ãŠãææ¥æããè¥å¹Žæäººæã«ãããŠã®å€æ§ãªäººçéçšïŒåæ¥ãçµå©ãªã©ïŒãçµéšããéã«ã人ã ã®èº«äœæŽ»åïŒPA: Physical activityïŒãšäžæŽ»åïŒPI: Physical Inactivity ïŒã®ã¬ãã«ã«ç°ãªã圱é¿ãäžããå¯èœæ§ãããããšã瀺åãããŠããŸãã
2. Methods
The study employed data from Waves 1 (adolescence) and 4 (young adulthood) of the National Longitudinal Study of Adolescent Health, which covers a total of 15,701 subjects. We first categorized subjects into 4 disability groups: no, minimal, mild, or moderate/severe disability and/or limitation. We then calculated the differences in PA and PI engagement levels between Waves 1 and 4 at the individual level to measure how much the PA and PI levels of individuals changed between adolescence and young adulthood. Finally, we used two separate multinomial logistic regression models for PA and PI to investigate the relationships between disability severity and the changes in PA and PI engagement levels between the two periods after controlling for multiple demographic (age, race, sex) and socioeconomic (household income level, education level) variables.
æ¹æ³ (Methods) ã»ã¯ã·ã§ã³ã§ã¯ãç ç©¶ã®ãã¶ã€ã³ã䜿çšããããŒã¿ã»ãããåææ¹æ³ãªã©ã«ã€ããŠèª¬æããŸãããã®ç ç©¶ã§ã¯ãNational Longitudinal Study of Adolescent Healthã®Waves 1ïŒææ¥æïŒããã³4ïŒè¥å¹ŽæäººæïŒã®ããŒã¿ã䜿çšããåèš15,701人ã®è¢«éšè ãåæããŠããŸãã
3. Results
We showed that individuals with minimal disabilities were more likely to decrease their PA levels during transitions from adolescence to young adulthood than those without disabilities.
Our findings also revealed that individuals with moderate to severe disabilities tended to have higher PI levels than individuals without disabilities when they were young adults. Furthermore, we found that people above the poverty level were more likely to increase their PA levels to a certain degree compared to people in the group below or near the poverty level.
ResultsïŒçµæïŒã»ã¯ã·ã§ã³ã§ã¯ãç ç©¶ã®çµæãæç€ºãããŸããèè ãã¡ã¯ã軜床ã®é害ãæã€äººã ã¯ãè¥è æããé幎æãžã®ç§»è¡æéã«ãããŠãèº«äœæŽ»åïŒPAïŒã®ã¬ãã«ãé害ã®ãªã人ã ã«æ¯ã¹ãŠäœäžããå¯èœæ§ãããããšã瀺ããŠããŸãã
4. Conclusions
Our study partially indicates that individuals with disabilities are more vulnerable to unhealthy lifestyles due to a lack of PA engagement and increased PI time compared to people without disabilities. We recommend that health agencies at the state and federal levels allocate more resources for individuals with disabilities to mitigate health disparities between those with and without disabilities.
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