Suchergebnisse

AbstractBackgroundLeisure activity has been linked to optimal ageing outcomes, yet little is known about the type and level of leisure activity adults with Down syndrome currently engage in, and the factors that promote and hinder their leisure activities.Materials and MethodsA daily diary was utilized to provide an in‐depth description of the average daily leisure activity of 44 adults with Down syndrome (aged 25–56 years) across a typical 7‐day period. Factors related to participation, including initiators, social partners, settings and barriers, were examined.ResultsFindings indicated that the majority of adults with Down syndrome did not meet established physical leisure activity intensity recommendations (i.e., 150 min/week moderately active activity) and did not exceed levels of passive leisure (e.g., watching television) found in the general population (i.e., 2–3 hr/day). Adults with Down syndrome self‐initiated and self‐engaged in the majority of their leisure activity. Family members and paid staff allocated resources towards initiating and engaging as social partners in social and physical leisure, respectively.ConclusionsInterventions and support services should partner with family members and paid staff to foster participation in adaptive leisure activity, perhaps through the establishment of leisure activity as part of daily routines.

AbstractAdults with Down syndrome have an increased risk of aging‐related physical and mental health conditions and experience them at an earlier age than the general population. There is a need to investigate modifiable lifestyle factors that may reduce risk for these conditions. The present study investigated the associations between physical activity (i.e., sedentary behavior and moderate‐to‐vigorous activity) assessed via accelerometer across 7 days and caregiver‐reported physical and mental health of 66 nondemented middle‐aged adults with Down syndrome aged 25–55 years (52% female). Regression analyses indicated that more time spent in moderate intensity physical activity was associated with less risk of sleep apnea (β = −0.031, p = 0.004) and endocrine/metabolic conditions (β = −0.046, p = 0.009), and lower total number of physical health conditions (β = −0.110, p = 0.016) and anxiety disorders (β = −0.021, p = 0.049) after controlling for relevant sociodemographics. After also adjusting for body‐mass‐index (BMI), the association between time spent in moderate intensity physical activity and sleep apnea (β = −0.035, p = 0.002), endocrine/metabolic conditions (β = −0.033, p = 0.045) and total physical health (β = −0.091, p = 0.026) remained significant. Unexpectedly, time spent in sedentary behavior was negatively associated with musculoskeletal conditions (β = −0.017, p = 0.044). Findings indicate important associations between physical activity in everyday life and the physical and mental health of adults with Down syndrome. Social policies and interventions aimed at reducing time spent sitting around (i.e., sedentary behavior) and encouraging moderate‐to‐vigorous activity may be a low‐burden and low‐cost mechanism for fostering healthy physical and mental aging in the Down syndrome population.

Introduction: Inequalities are evident in early childhood caries rates with the socially disadvantaged experiencing greater burden of disease. This study builds on formative qualitative research, conducted in the Moreland/Hume local government areas of Melbourne, Victoria 2006–2009, in response to community concerns for oral health of children from refugee and migrant backgrounds. Development of the community-based intervention described here extends the partnership approach to cogeneration of contemporary evidence with continued and meaningful involvement of investigators, community, cultural and government partners. This trial aims to establish a model for child oral health promotion for culturally diverse communities in Australia. Methods and analysis: This is an exploratory trial implementing a community-based child oral health promotion intervention for Australian families from refugee and migrant backgrounds. Families from an Iraqi, Lebanese or Pakistani background with children aged 1–4 years, residing in metropolitan Melbourne, were invited to participate in the trial by peer educators from their respective communities using snowball and purposive sampling techniques. Target sample size was 600. Moreland, a culturally diverse, inner-urban metropolitan area of Melbourne, was chosen as the intervention site. The intervention comprised peer educator led community oral health education sessions and reorienting of dental health and family services through cultural Competency Organisational Review (CORe). Ethics and dissemination: Ethics approval for this trial was granted by the University of Melbourne Human Research Ethics Committee and the Department of Education and Early Childhood Development Research Committee. Study progress and output will be disseminated via periodic newsletters, peer-reviewed research papers, reports, community seminars and at National and International conferences.