Actividad física y sueño en un grupo de tres adolescentes con autismo (Physical activity and sleep in a group of three teenagers with autism)
DOI:
https://doi.org/10.47197/retos.v38i38.74586Palabras clave:
Actividad física, autismo, necesidades educativas especiales, sueño (Autism, physical activity, sleep, special education needs)Resumen
El propósito de este estudio fue comprobar si un aumento en el ejercicio físico podría mejorar el nivel de actividad física promedio y los patrones de sueño en adolescentes con autismo. La actividad física y el patrón de sueño se monitorearon en tres participantes con autismo mediante un acelerómetro triaxial. Los sujetos se sometieron a un programa para aumentar su actividad física a través de caminatas regulares, tres veces por semana durante un mes. Los resultados muestran niveles más altos de actividad física durante los "días de caminata" en comparación con los días sin esa actividad. La diferencia fue estadísticamente significativa y el efecto grande. Los participantes dormían más tiempo en los días con mayor actividad física (incluidos los "días de caminata"). La diferencia fue significativa, pero el efecto fue moderado. El programa de caminatas tuvo un efecto claro sobre el nivel de actividad física de los participantes, acercándolo a las recomendaciones internacionales, con una influencia positiva en su calidad de vida, mejorando su actividad física diaria y el tiempo de sueño.
Abstract. The purpose of this study was to find out if an increase in physical exercise could improve the level of average physical activity and sleep patterns in teenagers with autism. Physical activity and sleep pattern were monitored in three participants with autism by a triaxial accelerometer. They joint a programme to increase their physical activity thru regular walks - three times a week during a month. Results shew higher levels of physical activity during the 'walking days' compared the days without that activity. The difference was statistically significant and the effect large. The participants slept more time in the days with increased physical activity (including the ‘walking days’). The difference was significant, but the effect was moderate. The walking program had a clear effect on the level of physical activity in the participants getting them closer to the international recommendations, with positive influence on their quality of life, improving their daily physical activity and sleep.
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Aguilar-Farias, N., Martino-Fuentealba, P., & Chandia-Poblete, D. (2020). Correlates of device-measured physical activity, sedentary behaviour and sleeping in children aged 9-11 years. Retos: nuevas tendencias en educación física, deporte y recreación, 37(37), 1-10.
Allik, H., Larsson, J.-O., & Smedje, H. (2006). Sleep patterns of school-age children with Asperger syndrome or high-functioning autism. Journal of Autism and Developmental Disorders, 36(5), 585-595. http://dx.doi.org/10.1007/s10803-006-0099-9
Analog Devices, Inc. (2014). Reliability Handbook. Recuperado a partir de http://www.analog.com/media/en/technical-documentation/user-guides/UG-311.pdf
APA. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders, Fifth Edition, DSM-5. Arlington, VA, American Psychiatric Association
Barlow, D. H., Nock, M. K., & Hersen, M. (2008). Single Case Experimental Designs: Strategies for Studying Behavior Change (3 edition.). Boston: Pearson.
Barnes, D. (2019). Short Term Examination of Physical Activity and Sleep Quality with Children with Autism Spectrum Disorder. Honors Undergraduate Theses. 490. Extraído de https://stars.library.ucf.edu/honorstheses/490
Benson, S., Bender, A., Wickenheiser, H., Naylor, A., Clarke, M., Samuels, C., & Werthner, P. (2019). Differences in sleep patterns, sleepiness, and physical activity levels between young adults with autism spectrum disorder and typically developing controls. Developmental neurorehabilitation, 22(3), 164-173. https://doi.org/10.1080/17518423.2018.1501777
Brand, S., Jossen, S., Holsboer-Trachsler, E., Pühse, U., & Gerber, M. (2015). Impact of aerobic exercise on sleep and motor skills in children with autism spectrum disorders – a pilot study. Neuropsychiatric Disease and Treatment, 11, 1911-1920. https://doi.org/10.2147/NDT.S85650
Bruni, O., Ottaviano, S., Guidetti, V., Romoli, M., Innocenzi, M., Cortesi, F., & Giannotti, F. (1996). The Sleep Disturbance Scale for Children (SDSC) Construct ion and validation of an instrument to evaluate sleep disturbances in childhood and adolescence. Journal of Sleep Research, 5(4), 251-261. https://doi.org/10.1111/j.1365-2869.1996.00251.x
Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Hillsdale, N.J.: L. Erlbaum Associates.
Cohen, S., Conduit, R., Lockley, S., Rajaratnam, S. & Cornish, K. (2014). The relationship between sleep and behavior in autism spectrum disorder (ASD): a review. Journal of Neurodevelopmental Disorders, 6(44), 1-10.
Cortesi, F., Giannotti, F., Ivanenko, A., & Johnson, K. (2010). Sleep in children with autistic spectrum disorder. Sleep Medicine, 11(7), 659-664. https://doi.org/10.1016/j.sleep.2010.01.010
Díaz, I. A., Reche, M. P. C., Torres, J. M. T., & Rodríguez, J. M. R. (2019). Impacto de las apps móviles en la actividad física: un meta-análisis. Retos: nuevas tendencias en educación física, deporte y recreación, (36), 52-57.
Driver, H. S., & Taylor, S. R. (2000). Exercise and sleep. Sleep Medicine Reviews, 4(4), 387-402. https://doi.org/10.1053/smrv.2000.0110
El-Amrawy, F., & Nounou, M. I. (2015). Are Currently Available Wearable Devices for Activity Tracking and Heart Rate Monitoring Accurate, Precise, and Medically Beneficial? Healthcare Informatics Research, 21(4), 315-320. https://doi.org/10.4258/hir.2015.21.4.315
Fadini, C. C., Lamônica, D. A., Fett-Conte, A. C., Osório, E., Zuculo, G. M., Giacheti, C. M., & Pinato, L. (2015). Influence of sleep disorders on the behavior of individuals with autism spectrum disorder. Frontiers in Human Neuroscience, 347. https://doi.org/10.3389/fnhum.2015.00347
Fidan, T., Asfuroglu, B., & Yanardag, M. (2019). GP213 The effect of structured pyhsical activity on sleep and mental health in severe autistic children. ADC. 104(Suppl 3): A1–A428. http://dx.doi.org/10.1136/archdischild-2019-epa.272
Gail-Williams, P., Sears, L. L., &Allard, A. (2004). Sleep problems in children with autism. Journal of Sleep Research, 13(3), 265-268. https://doi.org/10.1111/j.1365-2869.2004.00405.x
Grupo de trabajo de la Guía de Práctica Clínica sobre Trastornos del Sueño en la Infancia y Adolescencia en Atención Primaria. (2011). GuíaSalud. Guías de Práctica Clínica en el Sistema Nacional de Salud - Qué ofrecemos. Guias de práctica clínica enn el SNS. Madrid: Ministerio de Ciencia e Innovación. Recuperado a partir de http://www.guiasalud.es/GPC/GPC_489_Trastorno_sue%C3%B1o_infadol_Lain_Entr_compl.pdf
Hodge, D., Carollo, T. M., Lewin, M., Hoffman, C. D., & Sweeney, D. P. (2014). Sleep patterns in children with and without autism spectrum disorders: Developmental comparisons. Research in Developmental Disabilities, 35(7), 1631-1638. https://doi.org/10.1016/j.ridd.2014.03.037
Kalak, N., Gerber, M., Kirov, R., Mikoteit, T., Yordanova, J., Pühse, U., Holsboer-Trachsler, E., et al. (2012). Daily morning running for 3 weeks improved sleep and psychological functioning in healthy adolescents compared with controls. The Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine, 51(6), 615-622. https://doi.org/10.1016/j.jadohealth.2012.02.020
Kazdin, A. E. (2001). Métodos de investigación en psicología clínica (3ª.ed.). México: Pearson Educación.
Kelly, J. M., Strecker, R. E., & Bianchi, M. T. (2012). Recent Developments in Home Sleep-Monitoring Devices. International Scholarly Research Notices, 2012, e768794. http://dx.doi.org/10.5402/2012/768794
Krakowiak, P., Goodlin-Jones, B., Hertz-Picciotto, I., Croen, L. A., & Hansen, R. L. (2008). Sleep problems in children with autism spectrum disorders, developmental delays, and typical development: a population-based study. Journal of Sleep Research, 17(2), 197-206. https://doi.org/10.1111/j.1365-2869.2008.00650.x
Kubitz, K. A., Landers, D. M., Petruzzello, S. J., & Han, M. (1996). The effects of acute and chronic exercise on sleep. A meta-analytic review. Sports Medicine (Auckland, N.Z.), 21(4), 277-291. https://doi.org/10.2165/00007256-199621040-00004
Kummer, A., Barbosa, I., Rodrigues, D., Rocha, N., Rafael, M., Pfeilsticker, L., Silva, A., et al. (2016). Frequency of overweight and obesity in children and adolescents with autism and attention deficit/hyperactivity disorder. Revista Paulista de Pediatria, 34(1), 71-77. https://dx.doi.org/10.1016/j.rppede.2015.12.006
Lang, C., Brand, S., Feldmeth, A. K., Holsboer-Trachsler, E., Pühse, U., & Gerber, M. (2013). Increased self-reported and objectively assessed physical activity predict sleep quality among adolescents. Physiology & Behavior, 120, 46-53. https://doi.org/10.1016/j.physbeh.2013.07.001
Lee, H., Kim, S., & Kim, D. (2014). Effects of exercise with or without light exposure on sleep quality and hormone reponses. Journal of Exercise Nutrition & Biochemistry, 18(3), 293-299. https://doi.org/10.5717/jenb.2014.18.3.293
Lenhard, W. & Lenhard, A. (2016). Berechnung von Effektstärken. Abgerufen unter: https://www.psychometrica.de/effektstaerke.html. Dettelbach: Psychometrica. DOI: 10.13140/RG.2.1.3478.4245
Leyfer, O. T., Folstein, S. E., Bacalman, S., Davis, N. O., Dinh, E., Morgan, J., ... & Lainhart, J. E. (2006). Comorbid psychiatric disorders in children with autism: interview development and rates of disorders. Journal of autism and developmental disorders, 36(7), 849-861. https://doi.org/10.1007/s10803-006-0123-0
Liss, M., Mailloux, J., & Erchull, M. J. (2008). The relationships between sensory processing sensitivity, alexithymia, autism, depression, and anxiety. Personality and individual differences, 45(3), 255-259. https://dx.doi.org/10.1016/j.paid.2008.04.009
Liu, X., Hubbard, J. A., Fabes, R. A., & Adam, J. B. (2006). Sleep disturbances and correlates of children with autism spectrum disorders. Child Psychiatry and Human Development, 37(2), 179-191. https://doi.org/10.1007/s10578-006-0028-3
Malow, B. A., Byars, K., Johnson, K., Weiss, S., Bernal, P., Goldman, S. E., Panzer, R., et al. (2012). A practice pathway for the identification, evaluation, and management of insomnia in children and adolescents with autism spectrum disorders. Pediatrics, 130 Suppl 2, S106-124. https://doi.org/10.1542/peds.2012-0900I
Malow, B. A., Katz, T., Reynolds, A. M., Shui, A., Carno, M., Connolly, H. V., Coury, D., et al. (2016). Sleep Difficulties and Medications in Children With Autism Spectrum Disorders: A Registry Study. Pediatrics, 137 Suppl 2, S98-S104. https://doi.org/10.1542/peds.2015-2851H
Mazurek, M. O., & Petroski, G. F. (2015). Sleep problems in children with autism spectrum disorder: examining the contributions of sensory over-responsivity and anxiety. Sleep Medicine, 16(2), 270-279. https://doi.org/10.1016/j.sleep.2014.11.006
Mazurek, M. O., & Sohl, K. (2016). Sleep and Behavioral Problems in Children with Autism Spectrum Disorder. Journal of Autism and Developmental Disorders, 46(6), 1906-1915. https://doi.org/10.1007/s10803-016-2723-7
Meltzer, L. J. (2008). Brief Report: Sleep in Parents of Children with Autism Spectrum Disorders. Journal of Pediatric Psychology, 33(4), 380-386. https://doi.org/10.1093/jpepsy/jsn005
Memari, A. H., Panahi, N., Ranjbar, E., Moshayedi, P., Shafiei, M., Kordi, R., & Ziaee, V. (2015). Children with Autism Spectrum Disorder and Patterns of Participation in Daily Physical and Play Activities. Neurology Research International, 2015, e531906. https://doi.org/10.1155/2015/531906
Miano, S., & Ferri, R. (2010). Epidemiology and management of insomnia in children with autistic spectrum disorders. Paediatric Drugs, 12(2), 75-84. https://doi.org/10.2165/11316140-000000000-00000
Oviedo, N., Manuel-Apolinar, L., de la Chesnaye, E., & Guerra-Araiza, C. (2015). Aspectos genéticos y neuroendocrinos en el trastorno del espectro autista. Boletín médico del Hospital Infantil de México, 72(1), 5-14. DOI: https://doi.org/10.1016/j.bmhimx.2015.01.010
Pan, C.-Y. (2008). Objectively measured physical activity between children with autism spectrum disorders and children without disabilities during inclusive recess settings in Taiwan. Journal of Autism and Developmental Disorders, 38(7), 1292-1301. doi:10.1007/s10803-007-0518-6
Pan, C.-Y. (2010). Effects of water exercise swimming program on aquatic skills and social behaviors in children with autism spectrum disorders. Autism, 14(1), 9-28. https://doi.org/10.1177/1362361309339496
Pan, C.-Y., & Frey, G. C. (2006). Physical activity patterns in youth with autism spectrum disorders. Journal of Autism and Developmental Disorders, 36(5), 597-606. https://doi.org/10.1007/s10803-006-0101-6
Pérez-Villena, A., Soto-Insuga, V., Castaño-De la Mota, C., Martín-Del Valle, F., Pons-Rodríguez, M., Losada-Del Pozo, R., Moreno-Acero, N.,….& Merino-Andreu, M. (2016). Importancia de los problemas de sueño en los niños con cefalea y otros trastornos del neurodesarrollo en las consultas de neuropediatría. Revista de Neurología, 62(2), 61-67. https://doi.org/10.33588/rn.6202.2015295
Richdale, A. L., & Schreck, K. A. (2009). Sleep problems in autism spectrum disorders: prevalence, nature, & possible biopsychosocial aetiologies. Sleep medicine reviews, 13(6), 403-411. https://doi.org/10.1016 / j.smrv.2009.02.003
Richdale, A., Francis, A., Gavidia-Payne, S., & Cotton, S. (2000). Stress, behaviour, and sleep problems in children with an intellectual disability. Journal of Intellectual & Developmental Disability, 25(2), 147-161. https://doi.org/10.1080/13269780050033562
Román, P. Á. L., Salvador, M. S., Sánchez, J. S., & Pinillos, F. G. (2019). Low level of physical fitness is an early feature in preschool children with autism. Retos: nuevas tendencias en educación física, deporte y recreación, (35), 348-350.
Santos, R. V. T., Tufik, S., & Mello, M. T. D. (2007). Exercise, sleep and cytokines: Is there a relation? Sleep Medicine Reviews, 11(3), 231-239. https://doi.org/10.1016/j.smrv.2007.03.003
Schreck, K. A., Williams, K., & Smith, A. F. (2004). A comparison of eating behaviors between children with and without autism. Journal of autism and developmental disorders, 34(4), 433-438. https://doi.org/10.1023/B:JADD.0000037419.78531.86
Sikora, D. M., Johnson, K., Clemons, T., & Katz, T. (2012). The Relationship Between Sleep Problems and Daytime Behavior in Children of Different Ages With Autism Spectrum Disorders. PEDIATRICS, 130(Supplement), S83-S90. https://doi.org/10.1542/peds.2012-0900F
Souders, M. C., Mason, T. B. A., Valladares, O., Bucan, M., Levy, S. E., Mandell, D. S., Weaver, T. E., & Pinto-Martín, J. (2009). Sleep behaviors and sleep quality in children with autism spectrum disorders. Sleep, 32(12), 1566-1578. https://doi.org/10.1093/sleep/32.12.1556
Spratt, E. G., Nicholas, J. S., Brady, K. T., Carpenter, L. A., Hatcher, C. R., Meekins, K. A., ... & Charles, J. M. (2012). Enhanced cortisol response to stress in children in autism. Journal of autism and developmental disorders, 42(1), 75-81. https://doi.org/10.1007/s10803-011-1214-0
Stewart, M. E., Barnard, L., Pearson, J., Hasan, R., & O’Brien, G. (2006). Presentation of depression in autism and Asperger syndrome: A review. Autism, 10(1), 103-116. https://doi.org/10.1177/1362361306062013
Tam, K., & Cheung, S. (2018). Validation of Electronic Activity Monitor Devices During Treadmill Walking. Telemedicine and e-Health, 24(10), 782-789. https://doi.org/10.1089/tmj.2017.0263
Tam, M., & Cheung, S. (2019). Validation of consumer wearable activity tracker as step measurement in free-living conditions. Finnish Journal of EHealth and EWelfare, 11(1-2), 68-75. https://doi.org/10.23996/fjhw.76673
Tse, C., Lee, H., Chan, K., Edgar, B, Wilkinson-Smith, A., & Lai, W. (2019). Examining the impact of physical activity on sleep quality and executive functions in children with autism spectrum disorder: A randomized controlled trial. Autism, 1362361318823910. https://doi.org/10.1177/1362361318823910
Tudor-Locke, C., & Bassett, D. R. (2004). How many steps/day are enough? Preliminary pedometer indices for public health. Sports Medicine (Auckland, N.Z.), 34(1), 1-8. https://doi.org/10.2165 / 00007256-200434010-00001
Veqar, Z., & Hussain, E. (2012). Sleep Quality Improvement and Exercise: A Review. International Journal of Scientific and Research Publications, 2(8). Extraído de http://www.ijsrp.org/research-paper-0812.php?rp=P07117
Wachob, D., & Lorenzi, D. G. (2015). Brief Report: Influence of Physical Activity on Sleep Quality in Children with Autism. Journal of Autism and Developmental Disorders, 45(8), 2641-2646. https://doi.org/10.1007/s10803-015-2424-7
White, S. W., Oswald, D., Ollendick, T., & Scahill, L. (2009). Anxiety in children and adolescents with autism spectrum disorders. Clinical psychology review, 29(3), 216-229. https://doi.org/10.1016 / j.cpr.2009.01.003
Wilson, E. (2019). The Effect of Swimming Exercise on Amount and Quality of Sleep for Children with Autism Spectrum Disorder. Williams Honors College, Honors Research Projects. 986. Extraído de https://ideaexchange.uakron.edu/honors_research_projects/986
Xie, J., Wen, D., Liang, L., Jia, Y., Gao, L., & Lei, J. (2018). Evaluación de la validez de los dispositivos portátiles comunes actuales en el seguimiento de la actividad física en diversas actividades físicas: estudio comparativo. JMIR mHealth y uHealth, 6(4), e94 https://doi.org/10.2196/mhealth.9754
Yanardag, M., Yilmaz, I., & Aras, Ö. (2010). Approaches to the Teaching Exercise and Sports for the Children with Autism. International Journal of Early Childhood Special Education, 2(3). https://doi.org/10.20489/intjecse.30327
Zafeiriou, D. I., Ververi, A., & Vargiami, E. (2007). Childhood autism and associated comorbidities. Brain and Development, 29(5), 257-272. https://doi.org/10.1016/j.braindev.2006.09.003
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