Regular Physical Activity and Related Correlates among Institutionalized Adults with Intellectual Disabilities

機構照護之智能障礙者規律身體活動與相關因素研究

林藍萍(Lan-Ping Lin) ； 賴韋如(Wei-Ju Lai) ； 姚仲徽(Chung-Hui Yao) ； 徐尚為(Shang-Wei Hsu) ； 黃暉庭(Hui-Ting Huang) ； 林金定(Jin-Ding Lin)

《健康促進研究與實務》 3卷2期 (2020/07) Pp. 11-20

https://doi.org/10.29442/HPRP.202007_3(2).0002

摘要

Physical inactivity has major effects on the prevalence of noncommunicable diseases and the general health of the population worldwide. The present paper aims to describe the profile and to analyze factors associated with regular physical activity among adults with intellectual disabilities cared for in welfare institutions in Taiwan. A total of 945 questionnaires were distributed to the seven welfare institutions in Taiwan; 804 valid questionnaires were returned (response rate = 85%). Those 804 participants (59.7% were men and 40.3% were women) who provided complete data regarding regular physical activity were included in the analyses. The results revealed that 24.6% of individuals with ID performed regular physical activity throughout the week, and the main types of physical activity included walking, stretching, house cleaning, health exercise, hiking, sports, Nordic walking, and gym exercise. The multiple logistic regression analysis revealed that those individuals with ID were less likely to implement regular physical activity if they were older, underweight, had multiple disabilities, and had a severe disability level. Finally, the present study suggests that the personal limitations of adults with intellectual disabilities cared for in welfare institutions should be considered when recommending physical activity strategies.

關鍵字

intellectual disability ； welfare institution ； physical activity ； health promotion

並列摘要

身體活動不足容易造成慢性疾病與對健康有不利之影響，本研究主要目的乃探討在身心障礙機構內，接受照顧之智能障礙者實施規律身體活動與相關因素研究。本研究以立意取樣選七家身心障礙福利機構參與本研究，主要母群為接受機構照顧之945位智能障礙者，透過其機構主要照顧者代為填答調查問卷，共有804份有效問卷（回覆率為85%），提供完整的規律身體活動相關資料以進行統計分析。研究結果顯示有24.6%的研究對象有規律身體活動習慣（每週至少三次，每次至少30分鐘以上），主要的身體活動類型包括散步、一般伸展運動、家事清潔、健康操、登山健行、打球、北歐式健走以及健身房運動。在從事規律身體活動之多變項邏輯式迴歸統計分析，發現年齡、BMI、多重障礙、身障等級為其主要影響因素。本研究建議身心障礙福利機構在推動健康促進策略時，應考量智能障礙者的個別差異因素，以利有效增加他們的身體活動。

並列關鍵字

智能障礙 ； 身障福利機構 ； 身體活動 ； 健康促進

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