Examining the Relationship Between Physical Activity Levels and Family Quality of Life of Children with Down Syndrome

Öz

The purpose of this study is to examine the relationship between the physical activity levels of children with down syndrome and their family quality of life. The research was designed in the relational screening model, one of the quantitative research methods. 60 parents (mother: 44, father: 16) who reside in Adıyaman and have children with down syndrome participated in the research. "Leisure Time Exercise Survey" and "Beach Center Family Quality of Life Scale" were used as data collection tools in the research. Simple linear regression analysis was used in the analysis of the data. The research results showed that the physical activity level of children with down syndrome was a significant predictor of the overall family quality of life and the sub-dimensions of family life quality: parenting, emotional competence, physical/financial/material adequacy and disability-related support. On the other hand, it was determined that there was no predictive relationship between the physical activity level of children with down syndrome and family interaction, which is the sub-dimension of family quality of life. In the context of these results, it is recommended to organize physical activities with the participation of other members of the family in order to improve the family life quality of children with down syndrome and family interaction, which is an important component of family life quality.

Anahtar Kelimeler

• Down syndrome
• Family quality of life
• Physical activity

Down Sendromu Olan Çocukların Fiziksel Aktivite Düzeyleri ile Aile Yaşam Kaliteleri Arasındaki İlişkinin İncelenmesi

Öz

Bu araştırmanın amacı, down sendromu olan çocukların fiziksel aktivite düzeyleri ile aile yaşam kaliteleri arasındaki ilişkinin incelenmesidir. Araştırma, nicel araştırma yöntemlerinden ilişkisel tarama modelinde tasarlanmıştır. Araştırmaya Adıyaman ilinde ikamet eden ve down sendromu olan çocuğa sahip 60 ebeveyn (anne: 44, baba: 16) katılmıştır. Araştırmada veri toplama aracı olarak "Serbest Zaman Egzersiz Anketi" ve "Beach Center Aile Yaşam Kalitesi Ölçeği" kullanılmıştır. Verilerin analizinde basit doğrusal regresyon analizinden yararlanılmıştır. Araştırma sonuçları, down sendromu olan çocukların fiziksel aktivite düzeyinin aile yaşam kalitesi geneli ile aile yaşam kalitesi alt boyutları olan ebeveynlik, duygusal yeterlik, fiziksel/finansal/materyal yeterliği ve yetersizliğe ilişkin desteğin anlamlı bir yordayıcısı olduğunu göstermiştir. Buna karşın, down sendromu olan çocukların fiziksel aktivite düzeyi ile aile yaşam kalitesi alt boyutu olan aile etkileşimi arasında yordayıcı bir ilişki olmadığı belirlenmiştir. Bu sonuçlar bağlamında, down sendromu olan çocukların aile yaşam kalitelerini ve aile yaşam kalitelerinin önemli bir bileşeni olan aile etkileşimini geliştirmek için ailenin diğer üyelerinin de katılımının sağlandığı fiziksel aktivitelerin düzenlenmesi önerilmektedir.

Anahtar Kelimeler

• Down sendromu
• Aile yaşam kalitesi
• Fiziksel aktivite

Kaynakça

1. AlAhmari, F. S., Alageel, A. F., Aldosari, M. A., & Bagha, M. Y. (2022). The Quality of life of parents of children with down syndrome in a tertiary care hospital: A Qualitative research study at Saudi Arabia. Annals of Medicine and Surgery, 81, 1-5. https://doi.org/10.1016/j.amsu.2022.104428
2. Alqahtani, A. S., Algabbani, M. F., Alhammad, S. A., Alwadeai, K. S., & Alhusaini, A. (2024). Physical activity status and its association with quality of life among children with down syndrome in Saudi Arabia: A Comparative cross-sectional study. Plos one, 19(2), Article e0297111. https://doi.org/10.1371/journal.pone.0297111
3. Alghamdi, S., Banakhar, M., Badr, H., & Alsulami, S. (2021). Physical activity among children with down syndrome: Maternal perception. International Journal of Qualitative Studies on Health and Well-being, 16(1), 1-10. https://doi.org/10.1080/17482631.2021.1932701
4. Alrayes, N., Issa, N. M., Alghubayshi, O. Y., Al‐Amaa, J. Y., Alsabban, A. H., Al Shaer, D. S., Alyoubi, R. A., Nasser, K. K., & Alkhiary, Y. M. (2024). Quality of life in children with down syndrome and its association with parent and child demographic characteristics: Parent‐reported measures. Molecular Genetics & Genomic Medicine, 12(1), 1-20. https://doi.org/10.1002/mgg3.2337
5. Belcher, B. R., Zink, J., Azad, A., Campbell, C. E., Chakravartti, S. P., & Herting, M. M. (2021). The Roles of physical activity, exercise, and fitness in promoting resilience during adolescence: Effects on mental well-being and brain development. Biological Psychiatry: Cognitive Neuroscience and Neuroimaging, 6(2), 225-237. https://doi.org/10.1016/j.bpsc.2020.08.005
6. Bendak, L. (2018). Using physical activities for improving spatial relations of students with down Syndrome. World Family Medicine/Middle East Journal of Family Medicine, 16(8), 38-45. https://doi.org/https://doi.org/10.5742/MEWFM.2018.93487
7. Bull M. J. (2020). Down syndrome. New England Journal of Medicine, 382, 2344-2352. https://doi.org/10.1056/NEJMra1706537
8. Büyüköztürk, Ş., Kılıç Çakmak, E., Akgün, Ö.E., Karadeniz, Ş., & Demirel, F. (2014). Bilimsel araştırma yöntemleri. Pegem Akademi.

9. Card, N. A. (2012). Applied meta-analysis for social science research. Guilford.
10. Cohen, L., Manion, L. ve Morrison, K. (2007). Research methods in education. Routledge.
11. Chandolias, K., Konstantinidou, E., Bikis, E., Hourlia, A., Besios, T., & Tsigaras, G. (2021). The Effectiveness of 6 months hydrotherapy program based on halliwick concept on the respiratory system of down syndrome children. Journal of Biosciences and Medicines, 9(3), 20-26. https://doi.org/10.4236/jbm.2021.93003
12. Esentürk, O. K., & Yarımkaya, E. (2021). Otizm spektrum bozukluğu olan çocuğa sahip annelerin uyguladığı uyarlanmış fiziksel aktivitelerin annelerin yaşam kalitesine etkisi. Ankara Üniversitesi Eğitim Bilimleri Fakültesi Özel Eğitim Dergisi, 22(2), 343-367. https://doi.org/10.21565/ozelegitimdergisi.686849
13. Forseth B., Carlson J. A., Willis E. A., Helsel B. C., Ptomey L. T. (2022). A Comparison of accelerometer cut-points for measuring physical activity and sedentary time in adolescents with down syndrome. Research in Developmental Disabilities, 120, 104126. https://doi.org/10.1016/j.ridd.2021.104126
14. Frederiksen, L. E., Ernst, A., Brix, N., Braskhøj Lauridsen, L. L., Roos, L., Ramlau-Hansen, C. H., & Ekelund, C. K. (2018). Risk of adverse pregnancy outcomes at advanced maternal age. Obstetrics and Gynecology, 131(3), 457-463. https://doi.org/10.1097/AOG.0000000000002504
15. Godin, G., & Shephard, R. J. (1985). A Simple method to assess exercise behavior in the community. Canadian Journal of Applied Sport Science, 10(3), 141-146.
16. Hardee, J. P., & Fetters, L. (2017). The Effect of exercise intervention on daily life activities and social participation in individuals with down syndrome: A Systematic review. Research in Developmental Disabilities, 62, 81-103. https://doi.org/10.1016/j.ridd.2017.01.011
17. Hoffman, L., Marquis, J., Poston, D., Summers, J. A., & Turnbull, A. (2006). Assessing family outcomes: Psychometric evaluation of the beach center family quality of life scale. Journal of Marriage and Family, 68(4), 1069-1083. https://doi.org/10.1111/j.1741-3737.2006.00314.x
18. Hutzler, Y., & Korsensky, O. (2010). Motivational correlates of physical activity in persons with an intellectual disability: A Systematic literature review. Journal of Intellectual Disability Research, 54(9), 767-78. https://doi.org/10.1111/j.1365-2788.2010.01313.x
19. Ingersoll, B., & Hambrick, D. Z. (2011). The Relationship between the broader autismphenotype, child severity, and stres and depression in parents of children with autism spectrum disorders. Research in Autism Spectrum Disorders, 5(1), 337-344. https://doi.org/10.1016/j.rasd.2010.04.017
20. İlhan, E. L., Yarımkaya, E., ve Esentürk, O. K. (2024). Özel gereksinimli bireyler için uyarlanmış beden eğitimi ve spor. Pegem Akademi.
21. İlhan, E. L., Yarımkaya, E., & Esentürk, O. K. (2016). The Effect of mother-participated sports activities on the awareness levels of Turkish mothers having children with intellectual disabilities towards the effect of sports: A Pilot study. International Journal of Developmental Disabilities, 63(2), 124-129. https://doi.org/10.1080/20473869.2016.1147679
22. Jain, P. D., Nayak, A., Karnad, S. D., & Doctor, K. N. (2021). Gross motor dysfunction and balance impairments in children and adolescents with down syndrome: A Systematic review. Clinical and experimental pediatrics, 65(3), 142-149 https://doi.org/10.3345/cep.2021.00479
23. Karasar, N. (2011). Bilimsel araştırma yöntemi. Nobel Akademik Yayıncılık.
24. Lee, A., Knafl, K., & Van Riper, M. (2021). Family variables and quality of life in children with down syndrome: A Scoping review. International Journal of Environmental Research and Public Health, 18(2), 1-27. https://doi.org/10.3390/ijerph18020419
25. Lee, G. K., Lopata, C., Volker, M. A., Thomeer, M. L., Nida, R. E., Toomey, J. A., Chow, S. Y., & Smerbeck, A. M. (2009). Health-related quality of life of parents of children with high-functioning autism spectrum disorders. Focus on Autism and Other Developmental Disabilities, 24(4), 227-239. https://doi.org/10.1177/1088357609347371
26. Melo, G. L. R., Neto, I. V. D. S., Fonseca, E. F. D., Stone, W., & Nascimento, D. D. C. (2022). Resistance training and down syndrome: A Narrative review on considerations for exercise prescription and safety. Frontiers in Physiology, 13, 1-17. https://doi.org/10.3389/fphys.2022.948439
27. Meral, B. F., & Cavkaytar, A. (2013). Beach center aile yaşam kalitesi ölçeğinin Türkçe uyarlama, geçerlik ve güvenirlik çalışması. Eğitim ve Bilim, 38(170), 48-60.
28. Munoz-Llerena, A., Ladron-de-Guevara, L., Medina-Rebollo, D., & Alcaraz-Rodriguez, V. (2024). Impact of physical activity on autonomy and quality of life in ındividuals with down syndrome: A Systematic review. Healthcare, 12(2), 1-23. https://doi.org/10.3390/healthcare12020181
29. Oreskovic, N. M., Cottrell, C., Torres, A., Patsiogiannis, V., Santoro, S., Nichols, D., Cynthia, M., & Skotko, B. G. (2020). Physical activity patterns in adults with down syndrome. Journal of Applied Research in Intellectual Disabilities, 33(6), 1457-1464. https://doi.org/10.1111/jar.12773
30. Pastor-Cerezuela, G., Fernández-Andrés, M. I., Pérez-Molina, D., & Tijeras-Iborra, A. (2021). Parental stress and resilience in autism spectrum disorder and down syndrome. Journal of Family Issues, 42(1), 3-26. https://doi.org/10.1177/0192513X20910192
31. Patton, M. Q. (2014). Nitel araştırma ve değerlendirme yöntemleri. Çev. Edt.: Bütün, M., & Demir, S. B. Pegem Akademi.
32. Pitchford, E. A., Siebert, E., Hamm, J., & Yun, J. (2016). Parental perceptions of physical activity benefits for youth with developmental disabilities. American Journal on Intellectual and Developmental Disabilities, 121(1), 25-32. https://doi.org/https://doi.org/10.1352/1944-7558-121.1.25
33. Pitetti, K., Baynard, T., & Agiovlasitis, S. (2013). Children and adolescents with down syndrome, physical fitness and physical activity. Journal of Sport and Health Science, 2(1), 47-57. https://doi.org/10.1016/j.jshs.2012.10.004
34. Rodríguez-Grande, E. I., Buitrago-López, A., Torres-Narváez, M. R., Serrano-Villar, Y., Verdugo-Paiva, F., & Ávila, C. (2022). Therapeutic exercise to improve motor function among children with down syndrome aged 0 to 3 years: A Systematic literature review and meta analysis. Scientific reports, 12(1), 1-11. https://doi.org/10.1038/s41598-022-16332-x
35. Shields, N., Hussey, J., Murphy, J., Gormley, J., & Hoey, H. (2015). An Exploratory study of the association between physical activity, cardiovascular fitness and body size in children with down syndrome. Developmental Neurorehabilitation, 20(2), 92-98. https://doi.org/10.3109/17518423.2015.1077901
36. Sollerhed, A. C., & Hedov, G. (2021). Active parents-active children-a study among families with children and adolescents with down syndrome. International Journal of Environmental Research and Public Health, 18(2), 1-13. https://doi.org/10.3390/ijerph18020660
37. Solomon, R., Van Egeren, L. A., Mahoney, G., Huber, M. S. Q., & Zimmerman, P. (2014). Play project home consultation intervention program for young children with autism spectrum disorders: A Randomized controlled trial. Journal of Developmental and Behavioral Pediatrics, 35(8), 475-485. https://doi.org/10.1097/DBP.000000000000009
38. Suarez-Villadat, B., Villagra, A., Veiga, O. L., Cabanas-Sanchez, V., & Izquierdo-Gomez, R. (2021). Prospective associations of physical activity and health-related physical fitness in adolescents with down syndrome: The Up & down longitudinal study. International Journal of Environmental Research and Public Health, 18(11), 1-11. https://doi.org/10.3390/ijerph18115521
39. Yarımkaya, E., Esentürk, O. K., & İlhan, E. L. (2020). The Effects of family-mediated physical activities on communication skills of a student with autism spectrum disorders: A Pilot study. International Journal of Disabilities Sports and Health Sciences, 3(1), 52-65. https://doi.org/10.33438/ijdshs.733754
40. Yarımkaya, E., İlhan, E. L., & Karasu, N. (2017). Akran aracılı uyarlanmış fiziksel aktivitelere katılan otizm spektrum bozukluğu olan bir bireyin iletişim becerilerindeki değişimlerin incelenmesi. Ankara Üniversitesi Eğitim Bilimleri Fakültesi Özel Eğitim Dergisi, 18(2), 225-252. https://doi.org/10.21565/ozelegitimdergisi.319423
41. Yerlisu-Lapa, T., Certel, Z., Kaplan, K., & Yağar, G. 2016. The Validity and reliability study of leisure time exercise questionnaire for adolescents. Journal of Research in Education and Teaching, 5, 1-9.
42. Yılmaz, A., & Şahin, M. (2022). Down sendromlu bireylerin sosyal gelişimlerinde sporun etkisi: Dolayoba bütünleşik fiziksel aktivite merkezi örneği. Avrasya Sosyal ve Ekonomi Araştırmaları Dergisi, 9(1), 319-331.