THE RELATIONSHIP BETWEEN ADIPOSITY AND PHYSICAL ACTIVITY IN INDIVIDUALS WITH DOWN SYNDROME: A SYSTEMATIC REVIEW

Abstract

The aim of the study is to examine the articles written about the effects of physical activity on adiposity in individuals with Down Syndrome, to discuss the subject from a broader perspective and to present the information in these studies. While conducting a literature review for the study, it was carried out using PubMed, Scopus, Web of Science, Google Schooler databases. The keywords 'Down Syndrome, Adiposity, Physical Activity' were used during the literature review. Articles written in the last 10 years were included in the study. As a result of the literature review, 14 articles were included in this review study in creating the content of the research subject. When the articles included in this review study were examined, it was seen that the findings section of the study showed that the researchers produced mutually supportive results about the positive effects of exercise and sports on the positive effects of physical activity on obesity in people with Down Syndrome. In this context, due to the limited number of sample groups, there is a need to observe the studies related to adiposity and down syndrome in the literature and to increase the studies that are more comprehensive.

Keywords

• Down Syndrome
• Adiposity
• Physical Activity

Down Sendromlu Bireylerde Adipozite ve Fiziksel Aktivite İlişkisi: Sistematik Derleme

Abstract

Çalışmanın amacı, Down Sendromu olan bireylerde yapılan fiziksel aktivitenin adipozite üzerine etkileri ile ilgili yazılan makaleleri inceleyerek, konuyu daha geniş bir açıdan ele alıp bu çalışmalardaki bilgileri sunmaktır. Çalışma için literatür taraması yapılırken PubMed, Scopus, Web of Science, Google Schooler veri tabanları kullanılarak gerçekleştirilmiştir. 'Down Syndrome, Adiposity, Physical Activity' anahtar kelimeleri literatür taraması yapılırken kullanılmıştır. Çalışmaya son 10 yıl içerisinde yazılmış olan makaleler dahil edilmiştir. Literatür taraması sonucunda araştırma konusu içeriğini oluşturmada 14 makale bu derleme çalışmasına dahil edilmiştir. Bu derleme çalışmasına dahil olan makaleler incelendiğinde bulgular bölümünün egzersiz ve sporun Down Sendromu olan insanlarda fiziksel aktivitenin adipozite üzerine olumlu etkileri konusunda araştırmacıların birbirini destekler nitelikte olan sonuçlar ortaya çıkardıklarını ve sonuçların olumlu etkileri üzerine yapıldığı çalışmalarda görülmüştür. Bu bağlamda literatürde yer alan adipozite ile down sendromu ilişkili çalışmaların ve sonuçlarının örneklem grubu sayısındaki sınırlılık nedeniyle daha çok katılımcıların yer aldığı araştırmalarla gözlemlenmesi ve daha kapsamlı olan çalışmaların artırılmasına ihtiyaç duyulmaktadır.

Keywords

• Down Sendrom
• Adipozite
• Fiziksel Aktivite

References

1. Bertapelli, F., Pitetti, K. H., Agiovlasitis, S.ve Guerra-Junior, G. (2016). Obesity in individuals with Down syndrome: A systematic review. Research in Developmental Disabilities, 57, 181-192. https://doi.org/10.1016/j.ridd.2016.07.005
2. Booth, F. W., Roberts, C. K.ve Laye, M. J. (2012). Lack of exercise is a major cause of chronic diseases. Comprehensive Physiology, 2(2), 1143–1211. https://doi.org/10.1002/cphy.c110025
3. Bull, M. J. (2020). Down syndrome. New England Journal of Medicine, 382(24), 2344-2352. https://doi.org/10.1056/NEJMra1713977
4. Dahan-Oliel, N., Shikako-Thomas, K.ve Majnemer, A. (2012). Intervention in motor development in children with Down syndrome: A systematic review. Developmental Medicine ve Child Neurology, 54(3), 197–211. https://doi.org/10.1111/j.1469-8749.2011.04160.x
5. Dodd, D., Helsel, B., Bodde, A. E., Danon, J. C., Sherman, J. R., Donnelly, J. E., Washburn, R. A.ve Ptomey, L. T. (2023). The association of increased body mass index on cardiorespiratory fitness, physical activity, and cognition in adults with down syndrome. Disability and health journal, 16(4), 101497. https://doi.org/10.1016/j.dhjo.2023.101497
6. El, Ç., Hüzmeli, E. D.ve Gökçek, Ö. (2020). Investigation of the relationship between physical activity and body mass index in children with Down syndrome.
7. Fernhall, B., Mendonca, G. V.ve Baynard, T. (2006). Obesity and physical activity in persons with Down syndrome: A review. Obesity Reviews, 7(4), 311-318. https://doi.org/10.1111/j.1467-789X.2006.00236.x
8. Fox, B., Moffett, G. E., Kinnison, C., Brooks, G.ve Case, L. E. (2019). Physical Activity Levels of Children With Down Syndrome. Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association, 31(1), 33–41. https://doi.org/10.1097/PEP.0000000000000556

9. Hardy, O., Worley, G., Lee, M. M., Chaing, S., Mackey, J., Crissman, B.ve Kishnani, P. S. (2004). Hypothyroidism in Down syndrome: screening guidelines and testing methodology. American journal of medical genetics. Part A, 124A(4), 436–437. https://doi.org/10.1002/ajmg.a.20356
10. Jensen, M. P., Smith, A. E., Bombardier, C. H., Yorkston, K. M., Miró, J.ve Molton, I. R. (2014). Social support, depression, and physical disability: age and diagnostic group effects. Disability and Health Journal, 7(2), 164–172. https://doi.org/10.1016/j.dhjo.2013.11.001
11. Kerr, S., Malkova, D.ve Roberts, J. (2013). Muscle tone and motor development in children with Down syndrome. Developmental Medicine ve Child Neurology, 55(7), 611-618. https://doi.org/10.1111/dmcn.12112
12. Lancioni, G. E., Singh, N. N.ve O’Reilly, M. F. (2006). Assessing the effects of stimulation versus microswitch-based programmes on indices of happiness of students with multiple disabilities. Journal of Intellectual Disability Research, 50(10), 739–747. https://doi.org/10.1111/j.1365-2788.2006.00839.x
13. Magni, P., Ruscica, M., Dozio, E., Roti, E., Licastro, F., Motta, M.ve Corsi, M. M. (2004). Free and bound leptin in prepubertal children with Down's syndrome and different degrees of adiposity. European journal of clinical nutrition, 58(11), 1547–1549. https://doi.org/10.1038/sj.ejcn.1602000
14. Nickerson, B. S., Esco, M. R., Bicard, S. C., Russell, A. R., Williford, H. N.ve Schaefer, G. (2015). Validity of the body adiposity index in adults with Down syndrome. Research in developmental disabilities, 38, 92–96. https://doi.org/10.1016/j.ridd.2014.12.010
15. Nuttall, F. Q. (2015). Body mass index: Obesity, BMI, and health: A critical review. Nutrition Today, 50(3), 117-128. https://doi.org/10.1097/NT.0000000000000092
16. O' Shea, M., O' Shea, C., Gibson, L., Leo, J.ve Carty, C. (2018). The prevalence of obesity in children and young people with Down syndrome. Journal of applied research in intellectual disabilities : JARID, 31(6), 1225–1229. https://doi.org/10.1111/jar.12465
17. Ouchi, N., Parker, J. L., Lugus, J. J.ve Walsh, K. (2011). Adipokines in inflammation and metabolic disease. Nature Reviews Immunology, 11(2), 85-97. https://doi.org/10.1038/nri2921
18. Pitchford, E. A., Adkins, C., Hasson, R. E., Hornyak, J. E.ve Ulrich, D. A. (2018). Association between Physical Activity and Adiposity in Adolescents with Down Syndrome. Medicine and science in sports and exercise, 50(4), 667–674. https://doi.org/10.1249/MSS.0000000000001502
19. Prentice, A. M.ve Jebb, S. A. (2001). Beyond body mass index. Obesity Reviews, 2(3), 141-147. https://doi.org/10.1046/j.1467-789x.2001.00028.x
20. Pueschel, S. M., Walton-Bowen, K.ve Pezzullo, J. C. (1990). Medical care and clinical characteristics of persons with Down syndrome. Journal of Developmental ve Behavioral Pediatrics, 11(6), 302-306. https://doi.org/10.1097/00004703-199012000-00004
21. Rimmer, J. H.ve Yamaki, K. (2006). Obesity and intellectual disability. Mental retardation and developmental disabilities research reviews, 12(1), 22–27. https://doi.org/10.1002/mrdd.20091
22. Roizen, N. J.ve Patterson, D. (2003). Down's syndrome. The Lancet, 361(9365), 1281-1289. https://doi.org/10.1016/S0140-6736(03)12987-X
23. Rosen, E. D.ve Spiegelman, B. M. (2014). What we talk about when we talk about fat. Cell, 156(1-2), 20-44. https://doi.org/10.1016/j.cell.2013.12.012
24. Saltiel, A. R.ve Olefsky, J. M. (2017). Inflammatory mechanisms linking obesity and metabolic disease. The Journal of Clinical Investigation, 127(1), 1-4. https://doi.org/10.1172/JCI92035
25. Shields, N., Hussey, J., Murphy, J., Gormley, J.ve Hoey, H. (2017). An exploratory study of the association between physical activity, cardiovascular fitness and body size in children with Down syndrome. Developmental Neurorehabilitation, 20, 92- 98.
26. Uçak, S. (2024). Down Sendromunda Tıbbi Beslenme Tedavisi. İstanbul Sabahattin Zaim Üniversitesi Fen Bilimleri Enstitüsü Dergisi, 6(1), 18-25. https://doi.org/10.47769/izufbed.1374117
27. Warburton, D. E., Nicol, C. W.ve Bredin, S. S. (2006). Health benefits of physical activity: The evidence. CMAJ, 174(6), 801–809. https://doi.org/10.1503/cmaj.051351
28. World Health Organization (WHO). (2020). Obesity and overweight. Retrieved from https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
29. World Health Organization (WHO). (2020). Physical activity. https://www.who.int/news-room/fact-sheets/detail/physical-activity
30. Xanthopoulos, M. S., Walega, R., Xiao, R., Pipan, M. E., Cochrane, C. I., Zemel, B. S., Kelly, A.ve Magge, S. N. (2023). Physical Activity in Youth with Down Syndrome and Its Relationship with Adiposity. Journal of developmental and behavioral pediatrics: JDBP, 44(6), e436–e443. https://doi.org/10.1097/DBP.0000000000001192
31. Yahia, S., El-Farahaty, R., El-Gilany, A. H., Shoaib, R., Ramadan, R.ve Salem, N. (2021). Serum adiponectin, body adiposity and metabolic parameters in obese Egyptian children with Down syndrome. Journal of pediatric endocrinology ve metabolism 34(11), 1401–1410. https://doi.org/10.1515/jpem-2021-0324
32. Yamanaka, E., Inayama, T., Ohkawara, K., Okazaki, K.ve Kita, I. (2020). The association between obesity and sedentary behavior or daily physical activity among children with Down's syndrome aged 7-12 years in Japan: A cross-sectional study. Heliyon, 6(9), e04861. https://doi.org/10.1016/j.heliyon.2020.e04861
33. Yılmaz, M.ve Kanık, A. (2018). Down sendromlu çocuklarda beslenme ve obezite risk faktörleri. Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 4(2), 89-97.
34. Yilmaz, S.ve Kara, Ö. (2019). Effects of physical activity on psychosocial well-being in children with Down syndrome. Journal of Intellectual Disability Research, 63(4), 330–341. https://doi.org/10.1111/jir.12592