ÖZET
Amaç:
Bu çalışma, düzenli fiziksel aktivite yapan ve yapmayan hafif düzeydeki zihinsel engelli çocukların uyku alışkanlıklarını ve yaşam kalitelerini belirlemek amacıyla yapılmıştır.
Yöntemler:
Bu tanımlayıcı çalışma, 126 çocuk ile Şubat-Haziran 2017 tarihleri arasında gerçekleştirilmiştir. Veriler, Çocuk Uyku Alışkanlıkları Anketi-Kısa Formu ve KIDSCREEN-27 kullanılarak toplanmıştır. Veriler, SPSS paket yazılımı kullanılarak analiz edilmiştir. Demografik özelliklerin tanımlayıcı özellikleri yüzdelik ve ortalama olarak verilmiştir. İki grubun karşılaştırılmasında ki-kare testi kullanıldı. Gruplar arası ölçümleri karşılaştırmak için bağımsız eşleştirilmiş örneklem t testi kullanıldı. Güven aralığı %95 idi; p<0,05 istatistiksel olarak anlamlı kabul edildi.
Bulgular:
Düzenli fiziksel aktivite yapan çocuklar Çocuk Uyku Alışkanlıkları Anketi-Kısa Formundan daha düşük puan aldı. Düzenli fiziksel aktivite yapmayan çocukların KIDSCREEN-27 ve alt ölçeklerinden düzenli fiziksel aktivite yapanlara göre daha düşük puan aldıkları saptandı. Genel duygulanım ve çocuğunuzun duyguları, arkadaşlar, okul ve öğrenme alt ölçek puan ortalamaları açısından iki grup arasındaki fark istatistiksel olarak anlamlı bulundu (p<0,05).
Sonuç:
Gruplar arasında uyku düzeni ve uyku alışkanlıkları açısından anlamlı bir fark bulunmadı. Düzenli fiziksel aktivite yapan zihinsel engelli çocukların daha yüksek yaşam kalitesine sahip oldukları saptandı.
References
1
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington, Virginia: American Psychiatric Publishing; 2013.
2
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th ed., text rev. Washington, D.C.: Author: 2000.
3
Blick RN, Saad AE, Goreczny AJ, Roman KL, Sorensen CH. Effects of declared levels of physical activity on quality of life of individuals with intellectual disabilities. Res Dev Disabil 2015;37:223-9.
4
Oeseburg B, Jansen DE, Dijkstra GJ, Groothoff JW, Reijneveld SA. Prevalence of chronic diseases in adolescents with intellectual disability. Res Dev Disabil 2010;31:698-704.
5
Oeseburg B, Dijkstra GJ, Groothoff JW, Reijneveld SA, Jansen DE. Prevalence of chronic health conditions in children with intellectual disability: a systematic literature review. Intellect Dev Disabil 2011;49:59-85.
6
Başgül ŞS, Üneri ÖŞ, Çakın-Memik N. Parents’ perception of the quality of life of children with intellectual disabilities. Turk J Pediatr 2011;53:541-6.
7
Durukan İ, Ceylan MF, Kara K, Erdem M, Akça ÖF, Türkay T. Intellectual retardasyonu olan çocuklarda yaşam kalitesi. Yeni Symposium 2011;49:43-50.
8
Biggs EE, Carter EW. Quality of life for transition-age youth with autism or intellectual disability. J Autism Dev Disord 2016;46:190-204.
9
Sundell AL, Angelhoff C. Sleep and its relation to health-related quality of life in 3–10-year-old children. BMC Public Health 2021;21:1043.
10
Ghanizadeh A, Faghih M. The impact of general medical condition on sleep in children with intellectual retardation. Sleep Breath 2011;15:57-62.
11
Köse S, Yılmaz H, Ocakoğlu FT, Özbaran NB. Sleep problems in children with autism spectrum disorder and intellectual disability without autism spectrum disorder. Sleep Med 2017;40:69-77.
12
Yıldırım Sarı H. Zihinsel yetersizliği olan çocuklarda uyku sorunları. Yeni Tıp Dergisi 2010;27:151-5.
13
Breslin J, Edgin JO, Bootzin RR, Goodwin J, Nadel L. Parental report of sleep problems in Down syndrome. J Intellect Disabil Res 2011;55:1086-91.
14
Piercy K, Troiano RP, Ballard RM, Carlson SA, Fulton J, Galuska DA, et al. The physical activity guidelines for Americans. JAMA 2018;320:2020-8.
15
Robertson J, Emerson E, Baines S, Hatton C. Self-reported participation in sport/exercise among adolescents and young adults with and without mild to moderate intellectual disability. J Phys Act Health 2018;15:247-54.
16
Boddy LM, Downs SJ, Knowles ZR, Fairclough SJ. Physical activity and play behaviours in children and young people with intellectual disabilities: a cross-sectional observational study. School Psychology International 2015;36:154-71.
17
Stanish HI, Curtin C, Must A, Phillips S, Maslin M, Bandini LG. Does physical activity differ between youth with and without intellectual disabilities? Disabil Health J 2019;12:503-8.
18
Yılmaz A, Şentürk U, Demir E. Content Analysis on Application for Physical Activity for People with Intellectual Disabilities. ASAS Journal 2015;3:312-27.
19
Özmert EN. Çocuk ve Ergenlerde Fiziksel Aktivite, T.C. Sağlık Bakanlığı Temel Sağlık Hizmetleri Genel Müdürlüğü, Kuban Matbaacılık ve Yayıncılık, Ankara: 2014. http://beslenme.gov.tr/content/files/basin_materyal/Fiziksel_aktivite_rehberi/1_cocuk_ergenler.pdf. 15.02.2018
20
World Health Organization. Physical activity. 2017 http://www.who.int/mediacentre/factsheets/fs385/en/. 14.08.2017).
21
Owens JA, Spirito A, McGuinn M. The children’s sleep habits questionnaire (CSHQ): psychometric properties of a survey instrument for school-aged children. Sleep 2000;23:1043-52.
22
Perdahlı Fiş N, Arman A, Ay P, Topuzoğlu A, Güler A, Gökçe İmren S, Ersu R, Berkem M. The Validity and Reliability of Turkish Version of Children’s Sleep Habits Questionnaire. Alpha Psychiatry 2010;11:151-60.
23
American Academy of Sleep Medicine. The International Classification of Sleep Disorders: Diagnostic and Coding Manual, 2nd edn (ICSD-2). Westchester, IL: American Academy of Sleep Medicine: 2005.
24
Baydur H, Ergin D, Gerçeklioğlu G, Eser E. Reliability and validity study of the KIDSCREEN health-related quality of life questionnaire in a Turkish child/adolescent population. Anatolian Journal of Psychiatry 2016;17:496-505.
25
Meral B, Fidan A. The Examination of psychometric properties of KIDSCREEN-short version on children with Autism in Turkey. International Journal on New Trends in Education and Their Implications 2013;4:151-9.
26
Wachob D, Lorenzi DG. Brief report: Influence of physical activity on sleep quality in children with Autism. J Autism Dev Disord 2015;45:2641-6.
27
Brand S, Gerber M, Beck J, Hatzinger M, Pühse U, Holsboer-Trachsler E. Exercising, sleep-EEG patterns, and psychological functioning are related among adolescents. World J Biol Psychiatry 2010;11:129-40.
28
Bülbül S, Kurt G, Ünlü E, Kırlı E. Sleep problems in adolescence and the effective factors. Cocuk Sagligi ve Hastaliklari Derg 2010;53:204-10.
29
Kalak N, Gerber M, Kirov M, Mikoteit T, Yordanova J, Pühse U et al. Daily morning running for 3 weeks ımproved sleep and psychological functioning in healthy adolescents compared with controls. J Adolesc Health 2012;51:615-22.
30
Feng Q, Zhang Q-l, Du Y, Ye Y-l, He. Q-q Associations of physical activity, screen time with depression, anxiety and sleep quality among Chinese college freshmen. PLoS One 2014;9:e100914.
31
Temel F, Hancı P, Kasapoğlu T, Kıla RM, Sarıkaya MS, Özcebe H. The sleep quality of students in a vocational high school in Ankara and the influecing factors. Cocuk Sagligi ve Hastaliklari Derg 2010;53:122-31.
32
Aktaş H, Şaşmaz CT, Kılınçer A, Mert E, Gülbol S, Külekçioğlu D, et al. Study on the factors related to physical activity levels and sleep quality in adults. Mersin Univ Saglık Bilim Derg 2015;8:60-70.
33
Brand S, Jossen S, Holsboer-Trachsler E, Pühse U, Gerber M. Impact of aerobic exercise on sleep and motor skills in children with Autism Spectrum Disorders - a pilot study. Neuropsychiatr Dis Treat 2015;11:1911-20.
34
Dodds CB, Bjornson KF, Sweeney JK, Narayanan UN. The effect of supported physical activity on parental-reported sleep qualities and pain severity in children with medical complexity. J Pediatr Rehabil Med 2016;9:195-206.
35
Baldursdottir B, Taehtinen RE, Sigfusdottir ID, Krettek A, Valdimarsdottir HB. Impact of a physical activity intervention on adolescents’ subjective sleep quality: a pilot study. Glob Health Promot 2017;24:14-22.
36
İlhan EL, Kırımoğlu H, Filazoğlu Cokluk G. Zihinsel engelli çocuklarda düzenli olarak yapılan beden eğitimi ve spor aktivitelerinin yaşam kalitesine etkisinin incelenmesi. Nigde University Journal of Physical Education and Sport Sciences 2013;7:1-8.
37
Top E, Akıl M. The Effect of 10-Week Swimming Exercise on Life Qualities of Individuals with Mild Intellectual Disability and Their Families. Journal of Sports and Performance Researches 2017;8:53-61.
38
Bayazıt B, Meriç B, Aydın M, Seyrek E. The Effect of the Psychomotor Features of the Entertaining Fun Athletics Training Programme on Mentally Retarded Children who can be Trained. SPORMETRE Beden Eğitimi ve Spor Bilimleri Dergisi 2007;4:173-6.
39
İlhan EL, Kırımoğlu H, Tunçel M, Altun M. The Effect Of Special Athletics Training To Self-Care Skills’ Level On Mentally Retarded Children. KEFAD 2015;6:145-60.
40
Vogt T, Schneider S, Abeln V, Anneken V, Strüder HK. Exercise, mood and cognitive performance in intellectual disability-A neurophysiological approach. Behav Brain Res 2012;226:473-80.
41
Çokluk GF, Kırımoğlu H, Öz AŞ, İlhan EL. The effects of physical education and sports on the self-concept of the children with mild intellectual disabilities. IntJSCS 2015;3:55-72.
42
Aslan Ş, Çalışkan T. Comparison of Anger Status Between Before and after the Exercise and Sports Game Program in Intellectual Disablity. ATABESBD 2017;19:32-40.
43
Grandisson M, Te´treault S, Freeman AR. Enabling integration in sports for adolescents with intellectual disabilities. J Appl Res Intellect Disabil 2012;25:217-30.
44
McConkey R, Dowling S, Hassan D, Menke S. Promoting social inclusion through unified Sports for youth with intellectual disabilities: a five nation study. J Intellect Disabil Res 2013;10:923-35.
45
Yarımkaya E. The effect of the peer-mediated adapted physical activities on the socialization level of the students with moderate ıntellectual disabilities. Kastamonu Education Journal 2018;26:335-44.
46
Saygılı G, Atay E, Eraslan M, Hekim M. Investigation of the Relationship Between Personality Features and Academic Achievement of Students Doing and Don’t Sport Regularly. Kastamonu Eğitim Dergisi 2015;23:161-70.
