Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Sports Medicine - Open
Published in: Sports Medicine - Open 1/2018

Open Access 01-12-2018 | Original Research Article

Associations of sport participation with self-perception, exercise self-efficacy and quality of life among children and adolescents with a physical disability or chronic disease—a cross-sectional study

Authors: Saskia J. te Velde, Kristel Lankhorst, Maremka Zwinkels, Olaf Verschuren, Tim Takken, Janke de Groot, on behalf of the HAYS study group

Published in: Sports Medicine - Open | Issue 1/2018

Login to get access

Abstract

Background

Little evidence is available about how sports participation influences psychosocial health and quality of life in children and adolescents with a disability or chronic disease. Therefore, the aim of the current study is to assess the association of sports participation with psychosocial health and with quality of life, among children and adolescents with a disability.

Methods

In a cross-sectional study, 195 children and adolescents with physical disabilities or chronic diseases (11% cardiovascular, 5% pulmonary, 8% metabolic, 8% musculoskeletal/orthopaedic, 52% neuromuscular and 9% immunological diseases and 1% with cancer), aged 10–19 years, completed questionnaires to assess sports participation, health-related quality of life (DCGM-37), self-perceptions and global self-worth (SPPC or SPPA) and exercise self-efficacy.

Results

Regression analyses showed that those who reported to participate in sports at least twice a week had more beneficial scores on the various indicators compared to their peers who did not participate in sport or less than twice a week. Those participating in sports scored better on all scales of the DCGM-37 scale, on the scales for feelings of athletic competence and children but not adolescents participating in sports reported greater social acceptance. Finally, we found a strong association between sport participation and exercise self-efficacy.

Conclusions

This study provides the first indications that participating in sports is beneficial for psychosocial health among children and adolescents with a disability. However, more insight is needed in the direction of the relationships.
Literature
1.
2.
Kubota Y, Evenson KR, MacLehose RF, Roetker NS, Joshu CE, Folsom AR. Physical activity and lifetime risk of cardiovascular disease and Cancer. Med Sci Sport Exerc. 2017;49:1599–605.
3.
Alves AJ, Viana JL, Cavalcante SL, Oliveira NL, Duarte JA, Mota J, et al. Physical activity in primary and secondary prevention of cardiovascular disease: overview updated. World J Cardiol. 2016;8:575–83.CrossRefPubMedPubMedCentral
4.
Samitz G, Egger M, Zwahlen M. Domains of physical activity and all-cause mortality: systematic review and dose-response meta-analysis of cohort studies. Int J Epidemiol. 2011;40:1382–400.CrossRefPubMed
5.
Eime RM, Harvey JT, Brown WJ, Payne WR. Does sports club participation contribute to health-related quality of life? Med Sci Sport Exerc. 2010;42:1022–8.CrossRef
6.
Street G, James R, Cutt H. The relationship between organised physical recreation and mental health. Heal Promot J Aust. 2007;18:236–9.CrossRef
7.
Seippel Ø. The Meanings of Sport: Fun, Health, Beauty or Community? The Meanings of Sport: Fun, Health, Beauty or Community? Sport Soc. 2017;9:51–70.CrossRef
8.
Eime RM, Young JA, Harvey JT, Charity MJ, Payne WR. A systematic review of the psychological and social benefits of participation in sport for adults: informing development of a conceptual model of health through sport. Int J Behav Nutr Phys Act. 2013;10:135.CrossRefPubMedPubMedCentral
9.
Sahlin KB, Lexell J. Impact of organized sports on activity, participation, and quality of life in people with neurologic disabilities. PM R. 2015;7:1081–8.CrossRefPubMed
10.
Mitchell TMDF, Barlow CEMS. Review of the role of exercise in improving quality of life in healthy individuals and in those with chronic diseases. Curr Sports Med Rep. 2011;10:211–6.CrossRefPubMed
11.
Bullinger M, Schmidt S, Petersen C. Assessing quality of life of children with chronic health conditions and disabilities: a European approach. Int J Rehabil Res. 2002;25:197–206.CrossRefPubMed
12.
Crosbie A. The effect of physical training in children with asthma on pulmonary function, aerobic capacity and health-related quality of life: a systematic review of randomized control trials. Pediatr Exerc Sci. 2012;24:472–89.CrossRefPubMed
13.
Kotte EMW, De Groot JF, Winkler AMF, Huijgen BCH, Takken T. Effects of the fitkids exercise therapy program on health-related fitness, walking capacity, and health-related quality of life. Phys Ther. 2014;94:1306–18.CrossRefPubMed
14.
Koldoff EA, Holtzclaw BJ. Physical activity among adolescents with cerebral palsy: an integrative review. J. Pediatr. Nurs. 2015;30:e105–17. Elsevier Inc.CrossRefPubMed
15.
Kotte EMW, Winkler AMF, Takken T. Fitkids exercise therapy program in the Netherlands. Pediatr Phys Ther. 2013;25:7–13.CrossRefPubMed
16.
Neter JE, Schokker DF, de Jong E, Renders CM, Seidell JC, Visscher TLS. The prevalence of overweight and obesity and its determinants in children with and without disabilities. J Pediatr. 2011;158:735–9.CrossRefPubMed
17.
Carlon SL, Taylor NF, Dodd KJ, Shields N. Differences in habitual physical activity levels of young people with cerebral palsy and their typically developing peers: a systematic review. Disabil Rehabil. 2013;35:647–55.CrossRefPubMed
18.
Dahan-Oliel N, Shikako-Thomas K, Majnemer A. Quality of life and leisure participation in children with neurodevelopmental disabilities: a thematic analysis of the literature. Qual Life Res. 2012;21:427–39.CrossRefPubMed
19.
Rimmer JA, Rowland JL, Rimmer JA, Rowland JL. Physical activity for youth with disabilities: a critical need in an underserved population. Dev Neurorehabil. 2008;11:141–8.CrossRefPubMed
20.
Buffart LM, Roebroeck ME, Rol M, Stam HJ, Van Den Berg-Emons RJG. Netherlands transition research group south-west. Triad of physical activity, aerobic fitness and obesity in adolescents and young adults with myelomeningocele. J Rehabil Med. 2008;40:70–5.CrossRefPubMed
21.
Rimmer JH, Riley B, Wang E, Rauworth A, Jurkowski J. Physical Activity Participation Among Persons with Disabilities. Am. J. Prev. Med. Introd. 2004;26:419–25.CrossRef
22.
Sawin KJ, Bellin MH. Quality of life in individuals with spina bifida: a research update. Dev Disabil Res Rev. 2010;16:47–59.CrossRefPubMed
23.
Ferguson MK, Kovacs AH. Quality of life in children and young adults with cardiac conditions. Curr Opin Cardiol. 2013;28:115–21.CrossRefPubMed
24.
Houben-van Herten M, Bai G, Hafkamp E, Landgraf JM, Raat H. Determinants of health-related quality of life in school-aged children: a general population study in the Netherlands. PLoS One. 2015;10:1–13.
25.
Dinomais M, Gambart G, Bruneau A, Bontoux L, Deries X, Tessiot C, et al. Social functioning and self-esteem in young people with disabilities participating in adapted competitive sport. Neuropediatrics. 2010;41:49–54.CrossRefPubMed
26.
Abdou Y, Erpelding OM. Contribution of taking part in sport to the association between physical activity and quality of life. Qual Life Res. 2013;22:2021–9.CrossRef
27.
Drakouli M, Petsios K, Giannakopoulou M, Patiraki E, Matziou V, et al. Determinants of quality of life in children and adolescents with CHD: a systematic review. Cardiol. Young. 2015;25:1027–36.CrossRefPubMed
28.
Balaguer I, Atienza-Gonzalez FL, Duda JL. Self-perceptions, self-worth and sport participation in adolescents. Span J Psychol. 2012;15:624–30.CrossRefPubMed
29.
Babic MJ, Morgan PJ, Plotnikoff RC, Lonsdale C, White RL, Lubans DR. Physical activity and physical self-concept in youth: systematic review and meta-analysis. Sport Med. 2014;44:1589–601.CrossRef
30.
Hausenblas HA, Fallon EA. Exercise and body image: a meta-analysis. Psychol Health. 2006;21:33–47.CrossRef
31.
Lankhorst K, van der Ende-Kastelijn K, de Groot J, Zwinkels M, Verschuren O, Backx F, et al. Health in Adapted Youth Sports Study (HAYS): health effects of sports participation in children and adolescents with a chronic disease or physical disability. Springerplus. 2015;4:796. Springer International PublishingCrossRefPubMedPubMedCentral
32.
Zwinkels M, Verschuren O, Lankhorst K, van der Ende-Kastelijn K, de Groot J, Backx F, et al. Sport-2-Stay-Fit study: Health effects of after-school sport participation in children and adolescents with a chronic disease or physical disability. BMC Sports Sci. Med. Rehabil. 2015;7:22.CrossRefPubMedPubMedCentral
33.
de Hollander EL, Milder I, Proper K. Beweeg- en sportgedrag van mensen met een chronische aandoening of lichamelijke beperking. Rijksinstituut voor Volksgezondheid en Milieu. Bilthoven; 2015.
34.
Kemper HCG, Ooijendijk WT, Stiggelbout M. Consensus over de Nederlandse norm voor gezond bewegen (consensus about the Dutch norm for physical activity). Tijdschr voor Sport Geneeskd. 2000;78:180–3.
35.
Van Brussel M, Van Der Net J, Hulzebos E, Helders PJM, Takken T. The Utrecht approach to exercise in chronic childhood conditions: the decade in review. Pediatr Phys Ther. 2011;
36.
Verschuren O, Peterson MD, Balemans ACJ, Hurvitz EA. Exercise and physical activity recommendations for people with cerebral palsy. Dev. Med. Child Neurol. 2016;58:798–808.
37.
Mueller-Godeffroy E, Thyen U, Bullinger M. Health-related quality of life in children and adolescents with cerebral palsy: a secondary analysis of the DISABKIDS questionnaire in the field-study cerebral palsy subgroup. Neuropediatrics. 2016;47:97–106.CrossRefPubMed
38.
Froisland DH, Markestad T, Wentzel-Larsen T, Skrivarhaug T, Dahl-Jorgensen K, Graue M. Reliability and validity of the Norwegian child and parent versions of the DISABKIDS Chronic Generic Module (DCGM-37) and Diabetes-Specific Module (DSM-10). Health Qual. Life Outcomes. 2012;10:19. BioMed Central LtdCrossRefPubMedPubMedCentral
39.
Simeoni MC, Schmidt S, Muehlan H, Debensason D, Bullinger M, Petersen C, et al. Field testing of a European quality of life instrument for children and adolescents with chronic conditions: the 37-item DISABKIDS chronic generic module. Qual Life Res. 2007;16:881–93.CrossRefPubMed
40.
Harter S. The self-perception profile for children: revision of the perceived competence scale for children. Manual. Denver, CO: University of Denver; 1985.
41.
Veerman JWE, Treffers DA, Van der Bergh BRH, Ten Brink LT. Competentiebelevingsschaal voor kinderen. Amsterdam: Harcourt Test Publishers; 2004.
42.
Veerman JW, Ten Brink LT. Veerman measuring childrens self-concept factorial validity. J Pers Assess. 1996;67:142–54.CrossRefPubMed
43.
Treffers, Goedhardt AW, Veerman JW, Van den bergh BRH, Ackaert L, de Rycke L. Handleiding Competentie Belevingsschaal voor Adolescenten. Lisse: Swets Test Publishers; 2002.
44.
Nooijen CFJ, Post MWM, Spijkerman DCM, Bergen MP, Stam HJ, Van Den Berg-Emons RJG. Exercise self-efficacy in persons with spinal cord injury: psychometric properties of the Dutch translation of the exercise self-efficacy scale. J Rehabil Med. 2013;45:347–50.CrossRefPubMed
45.
Kroll T, Kehn M, Ho P-S, Groah S. The SCI exercise self-efficacy scale (ESES): development and psychometric properties. Int J Behav Nutr Phys Act. 2007;4:34.CrossRefPubMedPubMedCentral
46.
Bandura A. Health promotion from the perspective of social cognitive theory; 2012. p. 37–41.
47.
Bandura A. Self-efficacy. The exercise of control. New York: Freeman; 1997.
48.
Durstine LJ, Moore GE, Painter P, Roberts SO. ACSM’s exercise management for persons with chronic diseases and disabilities. 3rd ed. Champaign: Humen Kinetics; 2009.
49.
Yazicioglu K, Yavuz F, Goktepe AS, Tan AK. Influence of adapted sports on quality of life and life satisfaction in sport participants and non-sport participants with physical disabilities. Disabil. Health J. 2012;5:249–53.CrossRefPubMed
50.
Groff DG, Lundberg NR, Zabriskie RB. Influence of adapted sport on quality of life: perceptions of athletes with cerebral palsy. Disabil Rehabil. 2009;31:318–26.CrossRefPubMed
51.
Dodge T, Lambert ÆSF. Positive self-beliefs as a mediator of the relationship between adolescents’ sports participation and health in young adulthood. J Youth Adolesc. 2009;38:813–25.CrossRefPubMed
52.
Shapiro DR, Martin JJ. The relationships among sport self-perceptions and social well-being in athletes with physical disabilities. Disabil Health J Elsevier Inc. 2014;7:42–8.CrossRef
53.
Plotnikoff RC, Costigan SA, Karunamuni N, Lubans DR. Social cognitive theories used to explain physical activity behavior in adolescents: a systematic review and meta-analysis. Prev Med. 2013;56:245–53.CrossRefPubMed
54.
Baca CB, Vickrey BG, Hays RD, Vassar SD, Berg AT. Differences in child versus parent reports of the child’s health-related quality of life in children with epilepsy and healthy siblings. Value Heal. 2010;13:778–86. International Society for Pharmacoeconomics and Outcomes Research (ISPOR)CrossRef
Metadata
Title
Associations of sport participation with self-perception, exercise self-efficacy and quality of life among children and adolescents with a physical disability or chronic disease—a cross-sectional study
Authors
Saskia J. te Velde
Kristel Lankhorst
Maremka Zwinkels
Olaf Verschuren
Tim Takken
Janke de Groot
on behalf of the HAYS study group
Publication date
01-12-2018
Publisher
Springer International Publishing
Published in
Sports Medicine - Open / Issue 1/2018
Print ISSN: 2199-1170
Electronic ISSN: 2198-9761
DOI
https://doi.org/10.1186/s40798-018-0152-1

Other articles of this Issue 1/2018

Sports Medicine - Open 1/2018 Go to the issue

Systematic Review

Weekly Training Frequency Effects on Strength Gain: A Meta-Analysis

Original Research Article

Frequency of Self-Reported Concussion Amongst Professional and Semi-Professional Footballers in Ireland During the 2014 Season: a Cross-Sectional Study

Commentary

The breathless swimmer: could this be swimming-induced pulmonary edema?

Current Opinion

Parkour as a Donor Sport for Athletic Development in Youth Team Sports: Insights Through an Ecological Dynamics Lens

Original Research Article

A video review of multiple concussion signs in National Rugby League match play

Current Opinion

The Current State of Subjective Training Load Monitoring—a Practical Perspective and Call to Action