Determining the Fitness Level of People with Down Syndrome Living in Kosovo Based on the ALPHA Protocol

Yıl 2024, , 1265 - 1274, 25.11.2024

Milaim Berisha , Taner Atasoy , Abedin Bahtiri Agron Thaqi

https://doi.org/10.33438/ijdshs.1540841

Öz

Purpose: This study aimed to establish national norm values for body composition and fitness levels among individuals with Down syndrome. It also aimed to investigate gender differences in body composition features and fitness parameters, analyze the impact of the region where individuals with Down syndrome reside, and compare their fitness levels with international peers. Methods: The sample included 81 participants, 40 females (height: 146.6±4.88 cm, weight: 63.6±16.4 kg) and 41 males (height: 157.4±6.21 cm, weight: 66.8±14.8 kg). To assess the physical fitness levels of the participants with Down syndrome, a modified version of the ALPHA testing protocol was used. Findings: The results demonstrated significant gender differences (p<0.05) in body composition and fitness parameters, with males generally exhibiting better outcomes compared to females. Moreover, significant disparities (p<0.05) in body composition and fitness parameters were observed among individuals with Down syndrome residing in different regions of Kosovo. Noteworthy gender disparities exist in terms of body composition and physical fitness metrics, with male participants achieving superior results compared to their female counterparts. Furthermore, noticeable variations were observed among the regional Down syndrome centers, with participants from older centers displaying improved fitness metrics and body composition features compared to those from newly established facilities. Conclusion: Gender differences in body composition and fitness were evident, with males outperforming females, except in muscle mass. Future studies should explore fitness and health barriers in Kosovo's DS population, with a focus on improving physical activity through tailored strategies.

Anahtar Kelimeler

Body composition, Disabled people, Motoric tests, Norm values

Kaynakça

• Berisha, M., & Çilli, M. (2018). Normative values for physical fitness in children aged 11-17 in Kosovo. Pedagogics, Psychology, Medical-Biological Problems of Physical Training and Sports, (1), 17-27. [CrossRef].
• Berisha, M., & Çilli, M. (2020). Physical Fitness Norms In Students Aged 8-17 In Kosovo (ISBN: 978-620-0-78866-5, p 256). Lampert Academic Publishing, Latvia.
• Brantmüller, É., Gyuró, M., & Karácsony, I. (2015). Development of walking and self-sufficiency ability related to nutrition among people with Down syndrome. Pract. Theory Syst. Educ, 10, 165-176. [CrossRef].
• Centers for Disease Control and Prevention. (2010). Strategies to improve the quality of physical education. Atlanta, GA: Author.
• Collins, K., & Staples, K. (2017). The role of physical activity in improving physical fitness in children with intellectual and developmental disabilities. Research in Developmental Disabilities, 69, 49-60. [PubMed].
• Cowley, P. M., Ploutz-Snyder, L. L., Baynard, T., Heffernan, K., Jae, S. Y., Hsu, S., & Fernhall, B. (2010). Physical fitness predicts functional tasks in individuals with Down syndrome. Med Sci Sports Exerc, 42(2), 388-393. [PubMed].
• Ferrero‐Hernández, P., Farías‐Valenzuela, C., Ferrari, G., Espoz‐Lazo, S., Álvarez‐Arangua, S., & Valdivia‐Moral, P. (2023). Cut‐off points for isometric handgrip and low limb explosive strength in relation to indicators of overweight/obesity in people with intellectual disabilities: analysis by age groups. Journal of Intellectual Disability Research, 67(11), 1124-1135. [PubMed].
• Ferry, B., Gavris, M., Tifrea, C., Serbanoiu, S., Pop, A. C., Bembea, M., & Courteix, D. (2014). The bone tissue of children and adolescents with Down syndrome is sensitive to mechanical stress in certain skeletal locations: a 1-year physical training program study. Research in Developmental Disabilities, 35(9), 2077-2084. [PubMed].
• Franceschi, C., Garagnani, P., Gensous, N., Bacalini, M. G., Conte, M., & Salvioli, S. (2019). Accelerated bio-cognitive aging in Down syndrome: State of the art and possible deceleration strategies. Aging Cell, 18(3), e12903. [CrossRef].
• González‐Agüero, A., Vicente‐Rodríguez, G., Gómez‐Cabello, A., Ara, I., Moreno, L. A., & Casajús, J. A. (2012). A 21‐week bone deposition promoting exercise programme increases bone mass in young people with Down syndrome. Developmental Medicine & Child Neurology, 54(6), 552-556. [CrossRef].
• Jacinto, M., Matos, R., Gomes, B., Caseiro, A., Antunes, R., Monteiro, D., ... & Campos, M. J. (2023). Physical fitness variables, general health, dementia and quality of life in individuals with intellectual and developmental disabilities: A cross-sectional study. Healthcare, 11(19), 2688. [PubMed].
• Ruiz, J. R., Castro-Piñero, J., & España-Romero, V. (2011). Reliability of the Alpha Health-Related Fitness Test Battery in adolescents with Down syndrome. Journal of Strength and Conditioning Research, 27(11), 3221-3224. [PubMed].
• Martin Ginis, K. A., Ma, J. K., Latimer-Cheung, A. E., & Rimmer, J. H. (2016). A systematic review of review articles addressing factors related to physical activity participation among children and adults with physical disabilities. Health Psychology Review, 10(4), 478-494.
• Méndez-Giménez, A., Cecchini-Estrada, J. A., & Fernhall, B. (2019). Physical fitness differences between young males and females with Down syndrome. Research in Developmental Disabilities, 89, 48-54. [PubMed]
• Must, A., Phillips, S. M., Carol, C., & Bandini, L. G. (2015). Barriers to physical activity in children with autism spectrum disorders: Relationship to physical activity and screen time. Journal of Physical Activity & Health, 12(4), 529. [PubMed].
• Nhantumbo, L., Saranga, S., Prista, A., Basso, L., & Maia, J. (2012). Allometric study of functional fitness of children and adolescents in a rural area of Mozambique. Brazilian Journal of Kinanthropometry and Human Performance, 14(5), 508-516. [CrossRef].
• Oppewal, A., & Hilgenkamp, T. I. M. (2020). Adding meaning to physical fitness test results in individuals with intellectual disabilities. Disability and Rehabilitation, 42(10), 1406-1413. [PubMed].
• Pan, C. Y., Hsu, P. J., Chung, I. C., Hung, C. S., Liu, Y. J., & Lo, S. Y. (2015). Physical activity during the segmented school day in adolescents with and without autism spectrum disorders. Research in Autism Spectrum Disorders, 15, 21-28. [CrossRef].
• Podstawski, R., Markowski, P., Clark, C. C., Choszcz, D., Ihász, F., Stojiljković, S., & Gronek, P. (2019). International standards for the 3-minute burpee test: High-intensity motor performance. Journal of Human Kinetics, 69, 137-147. [PubMed].
• Schultz, E. E., Sergi, K., Twietmeyer, G., Oreskovic, N. M., & Agiovlasitis, S. (2023). Factors that influence physical activity in individuals with Down syndrome: Perspectives of guardians and health professionals. Adapted Physical Activity Quarterly, 40(4), 587-606. [PubMed].
• Shields, N., Synnot, A. J., & Barr, M. (2012). Perceived barriers and facilitators to physical activity for children with disability: A systematic review. British Journal of Sports Medicine, 46(14), 989-997. [PubMed].
• Tejero-Gonzalez, C. M., Martinez-Gomez, D., Bayon-Serna, J., Izquierdo-Gomez, R., Castro-Pinero, J., & Veiga, O. L. (2013). Reliability of the ALPHA health-related fitness test battery in adolescents with Down syndrome. Journal of Strength & Conditioning Research, 27(11), 3221-3224. [CrossRef].
• Tishukaj, F., Shalaj, I., Gjaka, M., Ademi, B., Ahmetxhekaj, R., Bachl, N., & Wessner, B. (2017). Physical fitness and anthropometric characteristics among adolescents living in urban or rural areas of Kosovo. BMC Public Health, 17(1), 1-15. [CrossRef].
• Toptaş Demirci, P. And Dolaş, Ş. (2023). Effects of Social Isolation During COVID-19 Quarantine on Older Adults' Physical Activity Level and Health. Int. J. Act. Health Aging,1(1):14-20. [CrossRef].
• Ungurean, B. C., Cojocariu, A., Abalașei, B. A., Popescu, L., Puni, A. R., Stoica, M., & Pârvu, C. (2022). The analysis of the correlations between BMI and body composition among children with and without intellectual disability. Children, 9(5), 582. [PubMed].
• Whooten, R., Schmitt, J., & Schwartz, A. (2018). Endocrine manifestations of Down syndrome. Current Opinion in Endocrinology, Diabetes, and Obesity, 25(1), 61-66. [PubMed].
• Winnick, J. P., & Short, F. X. (2001). Physical fitness tests for youth with special needs: Brockport Test Manual. Manole: São Paulo, Brazil. ISBN 978-85-204-1168-1. [CrossRef].
• World Health Organization. (2010). Global recommendations on physical activity for health. World Health Organization. [PubMed].
• Yamashita, Y. (2023). The 3-minute burpee test: A minimalistic alternative to the conventional estimated oxygen uptake test. Cureus, 15(3). [PubMed].
• Zemel, B. S., Pipan, M., Stallings, V. A., & Hall, W. (2004). Growth charts for children with Down syndrome in the United States. Pediatrics, 113(6), 170-173.[PubMed].