Abstract
Background: Sedentary behaviour contributes to non-communicable diseases, which account for almost 71% of world deaths. Of these, cardiovascular disease is one of the largest causes of preventable death. It is not yet fully understood what level of sedentary behaviour is safe. People with an intellectual disability have poorer health than the general population with higher rates of multi-morbidity, obesity and inactivity. There is a paucity of evidence on whether this poorer health is due to sedentary behaviour or physical inactivity. This systematic review will investigate the sedentary behaviour levels of adults with an intellectual disability. Method: The PRISMA-P framework will be applied to achieve high-quality articles. An extensive search will be conducted in Medline, Embase, psycINFO and Cinahl and grey literature sources. All articles will be independently reviewed by two reviewers and a third to resolve disputes. Initially, the articles will be reviewed by title and abstract and then the full article will be reviewed using stringent inclusion criteria. All article data will be summarised in a standardised tabular format. The National Institute of Health's quality assessment tool will be used to assess article quality. GRADE will be used to assess the quality of the evidence. The primary outcome of interest is the prevalence of sedentary behaviour levels for people with an intellectual disability. The definition of sedentary behaviour to be used for the purposes of this study is: 'low physical activity as identified by metabolic equivalent (MET) or step levels or as measured by the Rapid Assessment of Physical activity questionnaire (RAPA) or the International Physical Activity questionnaire (IPAQ) or sitting for more than 3 hours per day'. Conclusion: This systematic review will provide a critical insight into the prevalence of sedentary behaviour in adults with an intellectual disability.
Highlights
Rationale According to the World Health Organisation (WHO, 2013), non-communicable diseases account for almost 71% of world deaths
Self-reported studies have shown that high levels of sedentary behaviour, even if minimum exercise guidelines are met, show increased metabolic risk (Patel et al, 2010)
The IDS-TILDA study found that overweight and obesity in people with intellectual disability (ID) increased from 66% in wave2 to 79.7% in wave3 and that 64% of participants considered themselves to be at the right weight (Burke et al, 2017)
Summary
Any reports and responses or comments on the article can be found at the end of the article. Author roles: Lynch L: Conceptualization, Formal Analysis, Investigation, Methodology, Validation, Writing – Original Draft Preparation, Writing – Review & Editing; McCarron M: Funding Acquisition, Project Administration, Supervision, Writing – Review & Editing; McCallion P: Project Administration, Supervision, Writing – Review & Editing; Burke E: Project Administration, Supervision, Writing – Review & Editing. How to cite this article: Lynch L, McCarron M, McCallion P and Burke E.
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