视力残疾青少年身体活动及其与运动自我效能的相关性

doi:10.3969/j.issn.1006-9771.2023.03.015

《中国康复理论与实践》 ›› 2023, Vol. 29 ›› Issue (3): 349-355.doi: 10.3969/j.issn.1006-9771.2023.03.015

视力残疾青少年身体活动及其与运动自我效能的相关性

窦丽¹(), 陈华卫², 卢恩杰³, 侍崇艳⁴

1.南京林业大学体育部，江苏南京市 210037
2.南京航空航天大学体育部，江苏南京市 210016
3.南京市盲人学校，江苏南京市 210064
4.南京体育学院，江苏南京市 210014

收稿日期:2023-01-02 修回日期:2023-03-13 出版日期:2023-03-25 发布日期:2023-04-14
通讯作者: 窦丽 E-mail:511287020@qq.com
作者简介:窦丽(1979-)，女，汉族，江苏扬州市人，硕士，副教授，主要研究方向：体育保健与康复。
基金资助:
1.教育部人文社会科学研究青年基金项目(19YJC890008);2.江苏省教育厅哲学社会科学基金重大项目(2022SJZD085);3.江苏省社会科学基金一般项目(22TYB004)

Association between physical activity and exercise self-efficacy for adolescents with visual impairment

DOU Li¹(), CHEN Huawei², LU Enjie³, SHI Chongyan⁴

1. Department of Physical Education, Nanjing Forestry University, Nanjing, Jiangsu 210037, China
2. Department of Physical Education, Nanjing University of Aeronautics and Astronautics, Nanjing, Jiangsu 210016, China
3. Nanjing School for the Blind, Nanjing, Jiangsu 210064, China
4. Nanjing Sport Institute, Nanjing, Jiangsu 210014, China

Received:2023-01-02 Revised:2023-03-13 Published:2023-03-25 Online:2023-04-14
Contact: DOU Li E-mail:511287020@qq.com
Supported by:
Ministry of Education Humanities and Social Sciences Fund(19YJC890008);Education Department of Jiangsu Philosophy and Social Science Foundation (Key)(2022SJZD085);Jiangsu Social Science Foundation (General)(22TYB004)

摘要/Abstract

摘要：

目的研究视力残疾青少年日常身体活动、静坐水平及其与运动自我效能的关系，分析性别、年龄、体质量指数(BMI)、视力残疾程度和运动自我效能对身体活动的影响。

方法 2022年10月至12月，南京市盲人学校13~18岁视力残疾学生79例，采用加速度计测量身体活动，统计每天静坐时间(ST)、轻身体活动(LPA)和中高强度身体活动(MVPA)所占时间的百分比。在教师辅助下完成运动自我效能量表测评，以及身高和体质量测量。

结果视力残疾青少年每天LPA、MVPA、ST时间分别占(15.45±5.99)%、(4.55±2.15)%和(80.00±6.99)%；与女生相比，男生LPA较多(F = 5.330, P < 0.05)，ST较少(F = 5.760, P < 0.05)；与16~18岁学生相比，13~15岁学生MVPA较多(F = 11.292, P < 0.001)，ST较少(F = 8.279, P < 0.01)。运动自我效能评分与ST、LPA、MVPA、年龄相关(|r| > 0.254, P < 0.05)；多元线性回归分析显示，运动自我效能(β = 0.224)和年龄(β = -0.495)是MVPA的独立影响因素(P < 0.05)，可解释MVPA变异的34.7%。

结论 13~18岁视力残疾青少年以静坐生活方式为主，身体活动水平极低；提升运动自我效能可能有助于提高身体活动水平。

关键词: 视力残疾, 青少年, 身体活动, 运动自我效能

Abstract:

Objective To investigate the association between physical activity (PA), sedentary level and exercise self-efficacy for adolescents with visual impairment, and impacts of gender, age, body mass index (BMI), degree of visual impairment and exercise self-efficacy on PA.

Methods From October to December, 2022, 79 students aged 13 to 18 years with visual impairment from Nanjing School for the Blind were measured PA and sedentary level with accelerometer. The average percentage of daily sedentary time (ST), light physical activity (LPA) and moderate-to-vigorous physical activity (MVPA) were recorded. The students fininshed the Exercise Self-Efficacy Questionnaire with the help of teachers, and their height and body mass was measured.

Results The average percentage of daily LPA, MVPA and ST was (15.45±5.99)%, (4.55±2.15)% and (80.00±6.99)%, respectively. Compared with the girls, the boys spent more time in LPA (F = 5.330, P < 0.05) and less in ST (F = 5.760, P < 0.05). Compared with students aged 16 to 18 years, those aged 13 to 15 years spent more time in MVPA (F= 11.292, P < 0.001) and less in ST (F= 8.279, P < 0.01). The score of exercise self-efficacy correlated with ST, LPA, MVPA and age (|r| > 0.254, P < 0.05). The result of multiple linear regression showed that the exercise self-efficacy (β = 0.224) and age (β = -0.495) were the independently factors related with MVPA, which explained 34.7% of MVPA variation.

Conclusion Adolescents with visual impairment aged 13 to 18 years spend more time in sedentary, and their PA level is very low. Improvement of exercise self-efficacy may help to improve PA level of them.

Key words: visual impairment, adolescents, physical activity, exercise self-efficacy

中图分类号:

窦丽, 陈华卫, 卢恩杰, 侍崇艳. 视力残疾青少年身体活动及其与运动自我效能的相关性[J]. 《中国康复理论与实践》, 2023, 29(3): 349-355.

DOU Li, CHEN Huawei, LU Enjie, SHI Chongyan. Association between physical activity and exercise self-efficacy for adolescents with visual impairment[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(3): 349-355.

图/表 3

表1

表2

表3

参考文献 45

[1]	CASPERSEN C J, CHRISTENSON P. Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research[J]. Public Health Rep (1974-), 1985, 100(2): 126-131.
[2]	杨同念, 肖辉. 残疾儿童青少年身体活动及其健康效果:系统综述的系统综述[J]. 中国康复理论与实践, 2022, 28(11): 1299-1308. doi: 10.3969/j.issn.1006-9771.2022.11.009
	YANG T N, XIAO H. Physical activity and its health benefits for children and adolescents with disabilities: a systematic review of systematic reviews[J]. Chin J Rehabil Theory Pract, 2022, 28(11): 1299-1308.
[3]	GINIS K, PLOEG H, CHARLIE F, et al. Participation of people living with disabilities in physical activity: a global perspective[J]. Lancet (London, England), 2021, 398(10298): 443-455. doi: 10.1016/S0140-6736(21)01164-8
[4]	中华人民共和国国家质量监督检验检疫总局, 中国国家标准化管理委员会. 残疾人残疾分类和分级:GB/T26341-2010[S]. 北京: 中国标准出版社, 2011.
	General Administration of Quality Supervision, Inspection and Quarantine of the People's Republic of China, Standardization Administration of the People's Republic of China. Classification and grading criteria of disability:GB/T26341-2010 [S]. Beijing: Standards Press of China, 2011.
[5]	第二次全国残疾人抽样调查发布主要数据公报全国残疾人总数已达8296万[J]. 中国残疾人, 2006(12): 5.
[6]	陈婷, 谢甘霖, 叶文文, 等. 特殊教育学校视力障碍学生视觉相关生活质量调查[J]. 中国康复理论与实践, 2022, 28(1): 119-124. doi: 10.3969/j.issn.1006-9771.2022.01.018
	CHEN T, XIE G L, YE W W, et al. Survey on vision-related quality of life for visual impairment students in special school[J]. Chin J Rehabil Theory Pract, 2022, 28(1): 119-124.
[7]	ROGGE A K, HAMACHER D, CAPPAGLI G, et al. Balance, gait, and navigation performance are related to physical exercise in blind and visually impaired children and adolescents[J]. Exp Brain Res, 2021, 239(4): 1111-1123. doi: 10.1007/s00221-021-06038-3
[8]	TAO R, LIANG S, BAO C, et al. Relationships between physical activity, sedentary behavior and anxiety in Chinese children with visual impairment: a cross-lagged analysis[J]. J Dev Phys Disabil, 2022. https://doi.org/10.1007/s10882-022-09879-0.
[9]	SMITH L, JACKSON S E, PARDHAN S, et al. Visual impairment and objectively measured physical activity and sedentary behaviour in US adolescents and adults: a cross-sectional study[J]. BMJ Open, 2019, 9(4): 1-9. doi: 10.1136/bmjopen-2019-030833
[10]	LONGMUIR P E, BAR-OR O. Factors influencing the physical activity levels of youths with physical and sensory disabilities[J]. Adapt Phys Activ Q, 2010, 17(1): 40-53.
[11]	AUGESTAD L B, JIANG L. Physical activity, physical fitness, and body composition among children and young adults with visual impairments: a systematic review[J]. Br J Vis Impair, 2015, 33(3): 167-182. doi: 10.1177/0264619615599813
[12]	HAEGELE J A, PORRETTA D. Physical activity and school-age individuals with visual impairments: a literature review[J]. Adapt Phys Activ Q, 2015, 32(1): 68-82.
[13]	LI Q D, KUANG X M, QI J. Correlates of physical activity of children and adolescents with visual impairments: a systematic review[J]. Curr Pharm Design, 2020, 26(39): 5002-5011. doi: 10.2174/1381612826666200518110241
[14]	齐静, 许瑾瑜, 邵伟德. 视力障碍儿童青少年身体活动研究进展:基于1981-2021年中英文文献的范围综述[J]. 上海体育学院学报, 2022, 46(3): 26-38.
	QI J, XU J Y, SHAO W D. Scoping review of studies exploring physical activity among children and adolescents with visual impairment from 1981 to 2021[J]. J Shanghai Univ Sport, 2022, 46(3): 26-38.
[15]	MOTL R W. Chapter 2: Theoretical models for understanding physical activity behavior among children and adolescents: social cognitive theory and self-determination theory[J]. J Teach Phys Educ, 2007, 26(4): 350-357.
[16]	HAEGELE J A, HODGE S R, KOZUB F M. Beliefs about physical activity and sedentary behaviors of adults with visual impairments[J]. Disabl Health J, 2017, 10(4): 571-579.
[17]	HAEGELE J A, BRIAN A S, LIEBERMAN L J. Social cognitive theory determinants of physical activity in adults with visual impairments[J]. J Dev Phys Disabil, 2017, 29(6): 911-923. doi: 10.1007/s10882-017-9562-0
[18]	BANDURA A. Social cognitive theory: an agentive perspective[J]. Annu Rev Psychol, 2001, 52(1): 1-26. doi: 10.1146/psych.2001.52.issue-1
[19]	亓圣华. 残疾学生羞耻感与体育锻炼的关系研究[J]. 北京体育大学学报, 2014, 37(1): 92-96.
	QI S H. Study on the relationship between sense of shame of disabled student and their physical exercise[J]. J Beijing Sport Univ, 2014, 37(1): 92-96.
[20]	HAEGELE J A, KIRK T N, ZHU X. Self-efficacy and physical activity among adults with visual impairments[J]. Disabil Health J, 2018, 11(2): 324-329. doi: S1936-6574(17)30210-8 pmid: 29126897
[21]	HAEGELE J A, PORRETTA D L. A theory-based physical education intervention for adolescents with visual impairments[J]. J Visual Impair Blind, 2017, 112(1): 77-84.
[22]	VOSKUIL V R, ROBBINS L B. Youth physical activity self-efficacy: a concept analysis[J]. J Adv Nurs, 2015, 71(9): 2002-2019. doi: 10.1111/jan.12658 pmid: 25823520
[23]	EVENSON K R, CATELLIER D J, GILL K, et al. Calibration of two objective measures of physical activity for children[J]. J Sport Sci, 2008, 26(14): 1557-1565. doi: 10.1080/02640410802334196 pmid: 18949660
[24]	SIT C H P, HUANG W Y, YU J J, et al. Accelerometer-assessed physical activity and sedentary time at school for children with disabilities: seasonal variation[J]. Int J Environ Res Public Health, 2019, 16(17): 3163-3169. doi: 10.3390/ijerph16173163
[25]	PIRASTEH A, HIDARNIA A, ASGHARI A, et al. Development and validation of psychosocial determinants measures of physical activity among Iranian adolescent girls[J]. BMC Public Health, 2008, 8(1): 1-10. doi: 10.1186/1471-2458-8-1
[26]	HAEGELE J A, AIGNER C J, HEALY S. Physical activity, body mass index, and health status among youth with severe visual impairments aged 13-17 years in the United States[J]. Disabil Health J, 2019, 12(1): 24-28. doi: S1936-6574(18)30097-9 pmid: 30031773
[27]	WRZESIŃSKA M, LIPERT A, URZĘDOWICZ B, et al. Self-reported physical activity using International Physical Activity Questionnaire in adolescents and young adults with visual impairment[J]. Disabil Health J, 2018, 11(1): 20-30. doi: S1936-6574(17)30111-5 pmid: 28606706
[28]	HOUWEN S, HARTMAN E, VISSCHER C. Physical activity and motor skills in children with and without visual impairments[J]. Med Sci Sports Exerc, 2009, 41(1): 103-109.
[29]	徐文红, 王丽娟. 视力障碍青少年身体活动水平和久坐时间调查[J]. 中国学校卫生, 2020, 41(2): 4-6.
	XU W H, WANG L J. Accelerometer-assessed physical activity and sedentary time in Chinese adolescents with visual impairments[J]. School Health Chin, 2020, 41(2): 4-6.
[30]	QI J, XU W H, WANG L J, et al. Accelerometer-assessed habitual physical activity and sedentary time of Chinese children and adolescents with visual impairments[J]. J Visual Impair Blind, 2020, 114(5): 421-431.
[31]	MARTIN GINIS K A, LATIMER-CHEUNG A E, WEST C R. Commentary on "the first global physical activity and sedentary behavior guidelines for people living with disability"[J]. J Phys Act Health, 2021, 18(4): 348-349. doi: 10.1123/jpah.2020-0871 pmid: 33741746
[32]	CARTY C, VAN DER PLOEG H P, BIDDLE S J H, et al. The first global physical activity and sedentary behavior guidelines for people living with disability[J]. J Phys Act Health, 2021, 18(1): 86-93. doi: 10.1123/jpah.2020-0629 pmid: 33395628
[33]	ASLAN U B, CALIK B B, KITIS A. The effect of gender and level of vision on the physical activity level of children and adolescents with visual impairment[J]. Res Dev Disabil, 2012, 33(6): 1799-1804. doi: 10.1016/j.ridd.2012.05.005 pmid: 22699253
[34]	KOZUB F M, OH H K. An exploratory study of physical activity levels in children and adolescents with visual impairments[J]. Clin Kinesiol, 2004, 58(3): 1-7.
[35]	OH H, OZTURK M, KOZUB F. Physical activity and social engagement patterns during physical education of youth with visual impairments[J]. Review, 2004, 34(1): 39-48.
[36]	BLOEMEN M A, BACKX F J, TAKKEN T, et al. Factors associated with physical activity in children and adolescents with a physical disability: a systematic review[J]. Dev Med Child Neurol, 2015, 57(2): 137-148. doi: 10.1111/dmcn.12624 pmid: 25403649
[37]	KOOIJMANS H, POST M, MOTAZEDI E, et al. Exercise self-efficacy is weakly related to engagement in physical activity in persons with long-standing spinal cord injury[J]. Disabil Rehabil, 2020, 42(20): 2903-2909. doi: 10.1080/09638288.2019.1574914 pmid: 30907149
[38]	TATSUTA W, INAYAMA T, YAMANAKA E, et al. Assessment of physical activity and related factors among adults with visual impairments in Japan[J]. Int J Environ Res Public Health, 2022, 19(4): 2244. doi: 10.3390/ijerph19042244
[39]	王超, 贺刚, 李建忠, 等. 残疾青少年体力活动水平及其与运动自我效能的关系:基于加速度计的初步研究[J]. 首都体育学院学报, 2016, 28(4): 380-384.
	WANG C, HE G, LI J Z, et al. Physical activity levels and exercise self-efficay in adolescents with disability: a preliminary study using accelerometry[J]. J Capital Univ Phys Educ Sports, 2016, 28(4): 380-384.
[40]	ALEKSANDRA L, CAO D S, NATALIE M, et al. Intentions, planning, and self-efficacy predict physical activity in Chinese and Polish adolescents: two moderated mediation analyses[J]. Int J Clin Hlth Psyc, 2010, 10(2): 265-278.
[41]	BAUMAN A E, REIS R S, SALLIS J F, et al. Correlates of physical activity: Why are some people physically active and others not?[J]. Lancet, 2012, 380(9838): 258-271. doi: 10.1016/S0140-6736(12)60735-1 pmid: 22818938
[42]	WILLIAMS S L, FRENCH D P. What are the most effective intervention techniques for changing physical activity self-efficacy and physical activity behaviour--and are they the same?[J]. Health Educ Res, 2011, 26(2): 308-322. doi: 10.1093/her/cyr005 pmid: 21321008
[43]	MOTL R W, MCAULEY E, SNOOK E M, et al. Physical activity and quality of life in multiple sclerosis: intermediary roles of disability, fatigue, mood, pain, self-efficacy and social support[J]. Psychol Health Med, 2009, 14(1): 111-124. doi: 10.1080/13548500802241902 pmid: 19085318
[44]	PLOTNIKOFF R C, COSTIGAN S A, KARUNAMUNI N, et al. Social cognitive theories used to explain physical activity behavior in adolescents: a systematic review and meta-analysis[J]. Prev Med, 2013, 56(5): 245-253. doi: 10.1016/j.ypmed.2013.01.013 pmid: 23370047
[45]	HAEGELE J A, ZHU X. Physical activity, self-efficacy and health-related quality of life among adults with visual impairments[J]. Disabil Rehabil, 2021, 43(4): 530-536. doi: 10.1080/09638288.2019.1631397

特征		n	佩戴时间 /min	LPA /%	MVPA /%	ST /%	运动自我效能	F值^a	P值^a	F值^b	P值^b	F值^c	P值^c	F值^d	P值^d
总体		79	529.83±43.22	15.45±5.99	4.55±2.15	80.00±6.99	2.62±0.90
性别	男	46	532.76±38.57	16.73±6.60	4.82±2.25	78.45±7.59	2.66±0.90	5.330	0.024	1.726	0.193	5.760	0.019	0.186	0.667
性别	女	33	525.74±49.31	13.66±4.53	4.18±1.98	82.16±5.44	2.57±0.91
年龄	13~15岁	40	529.94±42.46	16.46±6.06	5.69±2.17	77.85±7.05	2.84±1.00	2.351	0.129	11.292	< 0.001	8.279	0.005	4.907	0.030
年龄	16~18岁	39	529.72±44.54	14.11±5.82	3.39±1.39	82.08±6.27	2.40±0.74
BMI	偏瘦	2	527.09±14.54	22.91±1.27	3.01±0.27	74.09±0.99	3.08±0.59	1.630	0.203	0.576	0.565	0.761	0.467	1.118	0.332
	正常	59	531.10±42.24	15.32±5.77	4.64±1.87	80.04±6.72	2.68±0.83
	超重/肥胖	18	525.99±49.48	15.04±6.67	4.45±3.01	80.52±8.08	2.37±1.10
残疾程度	盲	55	534.59±44.90	14.41±5.82	3.39±1.39	82.80±6.27	2.52±0.85	0.076	0.784	3.257	0.075	0.615	0.435	2.348	0.130
残疾程度	低视力	24	518.93±37.74	15.73±6.07	5.21±2.76	79.06±7.04	2.85±0.98

相关性		ST	LPA	MVPA	BMI	年龄	性别	残疾程度	佩戴时间
运动自我效能	r值^a	-0.336	0.254	0.386	-0.084	-0.313	0.049	0.172	0.157
	P值^a	0.002	0.024	< 0.001	0.460	0.005	0.667	0.130	0.168
	r值^b	-0.233	0.187	0.239
	P值^b	0.046	0.110	0.040

自变量	B	SE	β	t值	P值
性别	0.249	0.418	0.057	0.597	0.552
年龄	-2.116	0.432	-0.495	-4.897	< 0.001
残疾程度	0.690	0.448	0.148	1.541	0.128
BMI	0.065	0.075	0.089	0.865	0.390
运动自我效能	0.587	0.230	0.244	2.552	0.013

视力残疾青少年身体活动及其与运动自我效能的相关性

Association between physical activity and exercise self-efficacy for adolescents with visual impairment

RichHTML

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

图/表 3

参考文献 45

相关文章 15

Metrics

本文评价

推荐阅读 0

[1]	罗丽华, 王雨生, 李剑锋, 董继革. 术后早期综合康复对儿童青少年肱骨髁上骨折伴尺神经损伤的效果[J]. 《中国康复理论与实践》, 2024, 30(1): 105-110.
[2]	孙莹, 张强, 章鑫鑫, 王若晨. 视力障碍青少年心理韧性特点的质性研究[J]. 《中国康复理论与实践》, 2024, 30(1): 29-35.
[3]	闻嘉宁, 金秋艳, 张琦, 李杰, 司琦. 认知参与型身体活动对发展儿童青少年执行功能的效果：基于ICF的系统综述[J]. 《中国康复理论与实践》, 2024, 30(1): 44-53.
[4]	张婧雅, 邹敏, 孙宏伟, 孙昌隆, 朱峻同. 听障儿童青少年焦虑或抑郁情绪心理干预效果的系统综述[J]. 《中国康复理论与实践》, 2023, 29(9): 1004-1011.
[5]	王俊宇, 杨永, 袁逊, 谢婷, 庄洁. 高强度间歇训练对健康儿童青少年执行功能效果的系统综述[J]. 《中国康复理论与实践》, 2023, 29(9): 1012-1020.
[6]	杨亚茹, 杨剑. 基于WHO-HPS架构学校身体活动相关健康服务及其健康效益：系统综述的系统综述[J]. 《中国康复理论与实践》, 2023, 29(9): 1040-1047.
[7]	石孝宇, 杨剑. 适用于残疾儿童青少年身体活动测量报告工具结构、内容及心理测量特性的系统综述[J]. 《中国康复理论与实践》, 2023, 29(6): 621-629.
[8]	刘辉, 尹航, 贾绍辉, 邱服冰. 适用于残疾儿童青少年运动功能和运动能力测量工具的结构、内容和心理测量特性的系统综述[J]. 《中国康复理论与实践》, 2023, 29(6): 630-638.
[9]	蒋长好, 高晓妍. 短时身体活动对儿童认知功能影响的系统综述[J]. 《中国康复理论与实践》, 2023, 29(6): 667-672.
[10]	袁媛, 杨剑. 社区老年人身体活动融合慢性病管理的健康效益：Scoping综述[J]. 《中国康复理论与实践》, 2023, 29(5): 541-550.
[11]	张雪茹, 陈思齐, 胡伟斌, 刘巧云. 基于ICF-CY的残疾儿童综合性口语沟通功能调查[J]. 《中国康复理论与实践》, 2023, 29(3): 320-325.
[12]	宋贝贝, 刘辉, 柏开祥. 基于ICF-CY残疾儿童青少年运动功能评价量表内容和心理测量指标的Scoping综述[J]. 《中国康复理论与实践》, 2023, 29(2): 182-192.
[13]	石孝宇, 杨剑. 脊髓损伤患者适应性身体活动及其健康效益：基于ICF的Scoping综述[J]. 《中国康复理论与实践》, 2023, 29(12): 1395-1404.
[14]	王玉昌, 吴月, 付亏杰, 王正辉, 王亚洲, 郭学军, 庞伟. 基于ICF-CY平衡姿态悬吊治疗方案的设计[J]. 《中国康复理论与实践》, 2023, 29(11): 1316-1326.
[15]	王馨婷, 杨剑. 孤独症谱系障碍儿童结构化身体活动方案及其健康效益的系统综述[J]. 《中国康复理论与实践》, 2023, 29(10): 1117-1124.