Systematic Review of Effects of Physical Activity on Health-related Physical Fitness Among Children and Youth with Disabilities

장애 아동청소년의 건강관련 체력에 대한 신체활동의 효과성 고찰: 체계적 문헌조사

The purpose of the study was to identify available evidence related to physical activity interventions that were effective to improve health-related physical fitness levels of children and youth with disabilities. Studies were accumulated from multiple databases (i.e., ERIC, Child Development & Adolescent Studies, MEDLINE, SPORTDiscus with Full Text, and CINAHL Plus with Full Text). From the initial process, 1195 articles were identified and of those, 13 studies (n = 13) were analyzed. Based on the results, community-based physical activities were the most common environment of interventions followed by school-based and home-based. Further, the most improved health-related physical fitness outcomes were muscular strength, muscular endurance, and cardiorespiratory endurance while limited evidence on weight reduction was available. There is a need for more research on physical activity intervention which particularly improves health related physical fitness of children and youth with disabilities.

본 연구의 목적은 체계적 문헌조사를 통해 신체활동 프로그램이 장애 아동청소년의 건강관련체력에 미치는 효과성에 대해 알아보는데 있다. 논문 검색을 위해 ERIC, Child Development & Adolescent Studies, MEDLINE, SPORTDiscus with Full Text, and CINAHL Plus with Full Text 사용되었으며, 검색된 논문 1195편 중 연구 선별기준에 부합한 13편이 최종 선정되어 분석되었다. 논문분석 결과 가장 많이 나타난 신체활동 형태는 지역시설을 기반으로 한 신체활동 프로그램이었으며, 학교 체육과 가정 중심 신체활동이 다음을 이루었다. 또한 신체활동 프로그램을 통해 가장 뚜렷한 향상을 보인 건강관련 체력 요소는 근력 및 근지구력, 심폐지구력, 유연성으로 나타났다. 반면 신체구성과 체중에 감량에 관련하여 신체활동의 효과성은 제한적이었다.