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. 2022 Oct 10:10:981128.
doi: 10.3389/fpubh.2022.981128. eCollection 2022.

Associations of emotional/behavioral problems with accelerometer-measured sedentary behavior, physical activity and step counts in children with autism spectrum disorder

Hailin Li  1 , Bijun Shi  2 , Xin Wang  1 , Muqing Cao  1 , Jiajie Chen  1 , Siyu Liu  1 , Xiaoling Zhan  1 , Chengkai Jin  1 , Zhaohuan Gui  1 , Jin Jing  1 , Yanna Zhu  2
Affiliations

Associations of emotional/behavioral problems with accelerometer-measured sedentary behavior, physical activity and step counts in children with autism spectrum disorder

Hailin Li et al. Front Public Health. .

Abstract

Background: The evidence for associations of emotional/behavioral status with sedentary behavior (SB), physical activity (PA) and step counts is scarce in children with autism spectrum disorder (ASD). Also, ASD-related deficiencies may affect actual levels of PA. We aimed to describe accelerometer-measured SB, PA and step counts in children with ASD, and to examine the associations of emotional/behavioral problems with SB, PA and step counts after assessing associations between accelerometer-measured SB, PA and step counts and ASD-related deficiencies.

Methods: A total of 93 ASD children, aged 6-9 years, were recruited from the Center for Child and Adolescent Psychology and Behavioral Development of Sun Yat-sen University in Guangzhou, China. Participants wore an accelerometer for seven consecutive days. Of the original 93, 78 participants' accelerometer-measured valid PA were obtained, and the data were shown as time spent in SB, light, moderate, moderate-to-vigorous and vigorous PA, and step counts. Participants' emotional/behavioral problems were assessed via the Strengths and Difficulties Questionnaire (SDQ), and anxiety symptoms were evaluated by the Screen for Child Anxiety Related Emotional Disorders (SCARED). ASD-associated deficiencies include restricted repetitive behaviors (Repetitive Behavior Scale-Revised), poor social competence (Social Responsiveness Scale Second Edition) and motor development restrictions (Developmental Coordination Disorder Questionnaire).

Results: Of the 78 participants, daily vigorous PA (VPA) and moderate-to-vigorous PA (MVPA) averaged 15.62 and 51.95 min, respectively. After adjustment for covariates, SDQ emotional symptoms (β = -0.060, p = 0.028) were inversely associated with the average daily minutes in VPA. Meanwhile, SDQ emotional symptoms (β = -0.033, p = 0.016) were inversely associated with the average daily MVPA minutes in the crude model. After adjustment for covariates, SCARED somatic/panic (β = -0.007, p = 0.040) and generalized anxiety (β = -0.025, p = 0.014) were negatively associated with the average daily VPA minutes; SCARED total anxiety (β = -0.006, p = 0.029) was conversely associated with daily MVPA duration. After adjustment for covariates, no significant associations between accelerometer-measured SB, PA and step counts and ASD-related deficiencies were found (p > 0.05).

Conclusions: Accelerometer-measured SB, PA and step counts showed no associations with ASD-related deficiencies. On this basis, we further found that the emotional symptoms were inversely associated with VPA and MVPA. These results emphasize the importance of VPA and MVPA in children with ASD. The longitudinally investigations on the directionality of these associations between emotional symptoms with VPA and MVPA are needed in the future.

Keywords: accelerometer-measured; autism spectrum disorder; emotional/behavioral problems; physical activity; sedentary behavior; step counts.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Flow diagram of study participant enrollment. IPAQ-SF, International Physical Activity Questionnaire-Short Form.
See this image and copyright information in PMC

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References

    1. Comparan-Meza M, Vargas de la Cruz I, Jauregui-Huerta F, Gonzalez-Castañeda RE, Gonzalez-Perez O, Galvez-Contreras AY. Biopsychological correlates of repetitive and restricted behaviors in autism spectrum disorders. Brain Behav. (2021) 11:e2341. 10.1002/brb3.2341 - DOI - PMC - PubMed
    1. Totsika V, Hastings RP, Emerson E, Lancaster GA, Berridge DM, A. population-based investigation of behavioral and emotional problems and maternal mental health: associations with autism spectrum disorder and intellectual disability. J Child Psychol Psychiatry. (2011) 52:91–9. 10.1111/j.1469-7610.2010.02295.x - DOI - PubMed
    1. Ooi YP, Tan ZJ, Lim CX, Goh TJ, Sung M. Prevalence of behavioral and emotional problems in children with high-functioning autism spectrum disorders. Aust N Z J Psychiatry. (2011) 45:370–5. 10.3109/00048674.2010.534071 - DOI - PubMed
    1. Maskey M, Warnell F, Parr JR, Le Couteur A, McConachie H. Emotional and behavioral problems in children with autism spectrum disorder. J Autism Dev Disord. (2013) 43:851–9. 10.1007/s10803-012-1622-9 - DOI - PubMed
    1. Saito A, Stickley A, Haraguchi H, Takahashi H, Ishitobi M, Kamio Y. Association between autistic traits in preschool children and later emotional/behavioral outcomes. J Autism Dev Disord. (2017) 47:3333–46. 10.1007/s10803-017-3245-7 - DOI - PMC - PubMed

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