Outdoor Physical Activity and Play Among Canadian Children and Youth With Disabilities During the COVID-19 Pandemic: Findings From the National Physical Activity Measurement Study

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Kelly P. Arbour-Nicitopoulos Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, ON, Canada

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Raktim Mitra School of Urban and Regional Planning, Ryerson University, Toronto, ON, Canada

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Ritu Sharma Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, ON, Canada

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Sarah A. Moore School of Health and Human Performance, Dalhousie University, Halifax, NS, Canada

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This study explored the association between socioecological factors and outdoor physical activity (PA) and play in children with disabilities during the COVID-19 pandemic. Parents (N = 133) completed a survey to report changes in their child’s outdoor PA and play during the pandemic (from prepandemic levels), and child, household, and neighborhood environment factors. Children with a PA-supporting parent and from multichild and White households had lower odds of reporting decreased outdoor PA. Children from multichild, higher income, married couple households and a PA-supporting parent had lower odds of decreased outdoor play. Living in neighborhoods with higher urbanization (i.e., high dwelling density, street intersections, and land-use mix) was associated with greater odds of decreased outdoor PA and play. Future research that uses larger and more representative samples of children with disabilities is needed to test for the multivariate effects of socioecological variables on outdoor PA and play.

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  • Arakelyan, S., Maciver, D., Rush, R., O’Hare, A., & Forsyth, K. (2019). Family factors associated with participation of children with disabilities. Developmental Medicine and Child Neurology, 61(5), 514522. https://doi.org/10.1111/dmcn.14133

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Arbour-Nicitopoulos, K.P., James, M.E., Moore, S.A., Sharma, R., & Martin Ginis, K.A. (2022). Movement behaviours and health of children and youth with disabilities: Impact of the 2020 COVID-19 pandemic. Paediatrics & Child Health, 27(Suppl. 1), S66S71. https://doi.org/10.1093/pch/pxac007

    • Search Google Scholar
    • Export Citation
  • Armstrong, S., Wong, C.A., Perrin, E., Page, S., Sibley, L., & Skinner, A. (2018). Association of physical activity with income, race/ethnicity, and sex among adolescents and young adults in the United States: Findings from the National Health and Nutrition Examination Survey, 2007–2016. JAMA Pediatrics, 172(8), 732740. https://doi.org/10.1001/jamapediatrics.2018.1273

    • Search Google Scholar
    • Export Citation
  • Bassett-Gunter, R.L., Ruscitti, R., Latimer-Cheung, A.E., & Fraser-Thomas, J. (2017). Targeted physical activity messages for parents of children with disabilities: A qualitative investigation of parents’ informational needs and preferences. Research in Developmental Disabilities, 64, 3746. https://doi.org/10.1016/j.ridd.2017.02.016

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Bloemen, M.A.T., Verschuren, O., van Mechelen, C., Borst, H.E., de Leeuw, A.J., van der Hoef, M., & de Groot, J.F. (2015). Personal and environmental factors to consider when aiming to improve participation in physical activity in children with spina bifida: A qualitative study. BMC Neurology, 15, 11. https://doi.org/10.1186/s12883-015-0265-9

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Brown, D.M., Ross, T., Leo, J., Buliung, R., Shirazipour, C., Latimer-Cheung, A.E., & Arbour-Nicitopoulos, K.P. (2021). A scoping review of evidence-informed recommendations for designing inclusive playgrounds. Frontiers of Rehabilitation Sciences, 2, Article 664595. https://doi.org/10.3389/fresc.2021.664595

    • Search Google Scholar
    • Export Citation
  • Brussoni, M., Gibbons, R., Gray, C., Ishikawa, T., Beate Hansen Sandseter, E., Bienenstock, A., Chabot, G., Fuselli, P., Herrington, S., Janssen, I., Pickett, W., Power, M., Stanger, N., Sampson, M., & Tremblay, M. (2015). What is the relationship between risky outdoor play and health in children? A systematic review. International Journal of Environmental Research and Public Health, 12(6), 64236454. https://doi.org/10.3390/ijerph120606423

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Bulgarelli, D., Bianquin, N., Barron, C., & Emmett, M.-J. (2022). Outdoor play of children with and without disabilities. Insights from the COVID-19 pandemic in Ireland and Italy. European Journal of Special Needs Education. Advance online publication. https://doi.org/10.108008856257.2022.2089508

    • Search Google Scholar
    • Export Citation
  • Cacioppo, M., Bouvier, S., Bailly, R., Houx, L., Lempereur, M., Mensah-Gourmel, J., Kandalaft, C., Varengue, R., Chatelin, A., Vagnoni, J., Vuillerot, C., Gautheron, V., Dinomais, M., Dheilly, E., Brochard, S., Pons, C., & ECHO Group. (2020). Emerging health challenges for children with physical disabilities and their parents during the COVID-19 pandemic: The ECHO French survey. Annals of Physical & Rehabilitation Medicine, 18, 101429. https://doi/org.10.1016/j.rehab.2020.08.001

    • Search Google Scholar
    • Export Citation
  • Caldwell, H.A., Faulkner, G., Tremblay, M.S., et al. (2022). Regional differences in movement behaviours of children and youth during the second wave of the COVID-19 pandemic in Canada: Follow-up from a national study. Canadian Journal of Public Health, 113, 535546. https://doi.org/10.17269/s41997-022-00644-6

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Canadian Institute for Health Information. (2022, January 13). COVID-19 intervention timeline in Canada. https://www.cihi.ca/en/covid-19-intervention-timeline-in-canada

    • Search Google Scholar
    • Export Citation
  • Canadian Tire Jumpstart Charities. (2021, June 16). State of sport report: March 2021. https://cdn.shopify.com/s/files/1/0122/8124/9892/files/Jumpstart_State_of_Sport_Report_March_2021.pdf?v=1616793836

    • Search Google Scholar
    • Export Citation
  • Canadian Urban Environmental Health Research Consortium. (2020a, May 10). Distance to Roads (2020). [Computer file]. https://www.canuedata.ca/

    • Search Google Scholar
    • Export Citation
  • Canadian Urban Environmental Health Research Consortium. (2020b, May 10). The Canadian active living environments index (Can-ALE) (2018) [Computer file]. https://www.canuedata.ca/

    • Search Google Scholar
    • Export Citation
  • Canadian Urban Environmental Health Research Consortium. (2022a). The Canadian Active Living Environments Index (Can-ALE) metadata. Retrieved December 15, 2022, from https://www.canuedata.ca/

    • Search Google Scholar
    • Export Citation
  • Canadian Urban Environmental Health Research Consortium. (2022b). CANCUE metadata—neighbourhood proximity to roads. Retrieved December 15, 2022, from https://www.canuedata.ca/

    • Search Google Scholar
    • Export Citation
  • Carson, V., Chaput, J.P., Janssen, I., & Tremblay, M.S. (2017). Health associations with meeting new 24-hour movement guidelines for Canadian children and youth. Preventive Medicine, 95, 713. https://doi.org/10.1016/j.ypmed.2016.12.005

    • PubMed
    • Search Google Scholar
    • Export Citation
  • de Lannoy, L., Rhodes, R.E., Moore, S.A., Faulkner, G.E., & Tremblay, M.S. (2020). Regional differences in access to the outdoors and outdoor play of Canadian children and youth during the COVID-19 outbreak. Canadian Journal of Public Health, 111, 988994. https://doi.org/10.17269/s41997-020-00412-4

    • Search Google Scholar
    • Export Citation
  • Ewing, R., & Cervero, R. (2010). Travel and the built environment. Journal of the American Planning Association, 76(3), 265294. https://doi.org/10.1080/01944361003766766

    • Search Google Scholar
    • Export Citation
  • Faulkner, G.E., Mitra, R., Buliung, R., Fusco, C., & Stone, M. (2015). Children’s outdoor playtime, physical activity, and parental perceptions of the neighbourhood environment. International Journal of Play, 4(1), 8497. https://doi.org/10.1080/21594937.2015.1017303

    • Search Google Scholar
    • Export Citation
  • Garcia, J.M., Lawrence, S., Brazendale, K., Leahy, N., & Fukuda, M.S. (2020). Brief report: The impact of the COVID-19 pandemic on health behaviors in adolescents with autism spectrum disorder. Disability and Health, 14(2), Article 101021. https://doi.org/10.1016/j.dhjo.2020.101021

    • Search Google Scholar
    • Export Citation
  • Goodwin, D.L., & Ebert, A. (2018). Physical activity for disabled youth: Hidden parental labor. Adapted Physical Activity Quarterly, 35(4), 342360. https://doi.org/10.1123/apaq.2017-0110

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Government of Canada. (2022, July 6). COVID-19 and people with disabilities in Canada. https://www.canada.ca/en/public-health/services/diseases/2019-novel-coronavirus-infection/guidance-documents/people-with-disabilities.html

    • Search Google Scholar
    • Export Citation
  • Government of Ontario. (2021, February 12). Guidance for facilities for sports and recreational fitness activities during COVID-19 provincewide shutdown for persons with disabilities. https://www.ontario.ca/page/guidance-facilities-sports-and-recreational-fitness-activities-during-covid-19-provincewide-shutdown

    • Search Google Scholar
    • Export Citation
  • Gray, C., Gibbons, R., Larouche, R., Beate Hansen Sandseter, E., Bienenstock, A., Brussoni, M., Chabot, G., Herrington, S., Janssen, I., Pickett, W., Power, M., Stanger, N., Sampson, M., & Tremblay, M. (2015). What is the relationship between outdoor time and physical activity, sedentary behaviour, and physical fitness in children? A systematic review. International Journal of Environmental Research and Public Health, 12(6), 64556474. https://doi.org/10.3390/ijerph120606455

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Guthold, R., Stevens, G.A., Riley, L.M., & Bull, F.C. (2020). Global trends in insufficient physical activity among adolescents: A pooled analysis of 298 population-based surveys with 1.6 million participants. The Lancet Child & Adolescent, 4, 2335. https://doi.org/10.1016/S2352-4642(19)30323-2

    • Search Google Scholar
    • Export Citation
  • Herrington, S., & Pickett, W. (n.d.). Position statement on active outdoor play. Outdoor Play Canada. https://www.outdoorplaycanada.ca/position-statement-on-active-outdoor-play/

    • Search Google Scholar
    • Export Citation
  • Loh, V.H.Y., Veitch, J., Salmon, J., Cerin, E., Thornton, L., Mavoa, S., Villanueva, K., & Timperio, A. (2019). Built environment and physical activity among adolescents: The moderating effects of neighborhood safety and social support. International Journal of Behavioral Nutrition & Physical Activity, 16(1), 132. https://doi.org/10.1186/s12966-019-0898-y

    • Search Google Scholar
    • Export Citation
  • 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), 478494. https://doi.org/10.1080/17437199.2016.1198240

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Mitra, R., Moore, S.A., Gillespie, M., Faulkner, G., Vanderloo, L.M., Chulak-Bozzer, T., Rhodes, R.E., Brussoni, M., & Tremblay, M.S. (2020). Healthy movement behaviours in children and youth during the COVID-19 pandemic: Exploring the role of the neighbourhood environment. Health Place, 65, Article 102418. https://doi.org/10.1016/j.healthplace.2020.102418

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Moore, S.A., Faulkner, G., Rhodes, R.E., Brussoni, M., Chulak-Bozzer, T., Ferguson, L.J., Mitra, R., O’Reilly, N., Spence, J.C., Vanderloo, L.M., & Tremblay, M.S. (2020). Impact of the COVID-19 virus outbreak on movement and play behaviours of Canadian children and youth: A national survey. International Journal of Behavioral Nutrition & Physical Activity, 17, 85. https://doi.org/10.1186/s12966-020-00987-8

    • Search Google Scholar
    • Export Citation
  • Moore, S.A., Sharma, R., Martin Ginis, K.A., & Arbour-Nicitopoulos, K.P. (2021). Adverse effects of the COVID-19 pandemic on movement and play behaviours of children and youth living with disabilities: Findings from the National Physical Activity Measurement (NPAM) study. International Journal of Environmental Research and Public Health, 18, Article 12950. https://doi.org/10.3390/ijerph182412950

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Oliver, M., Mavoa, S., Badland, H., Parker, K., Donovan, P., Keatns, R.A., Lin, E.-Y., Witten, K. (2015). Associations between the neighbourhood built environment and out of school physical activity and active travel: An examination from the Kids in the City study. Health & Place, 36, 5764. https://doi.org/10.1016/j.healthplace.2015.09.005

    • Search Google Scholar
    • Export Citation
  • Ross, N., Wasfi, R., Herrmann, T., & Gleckner, W. (2018). Canadian Active Living Environments Database (Can-ALE) User Manual & Technical Document. Geo-Social Determinants of Health Research Group, Department of Geography, McGill University. Retrieved December 15, 2022, from http://canue.ca/wp-content/uploads/2018/03/CanALE_UserGuide.pdf

    • Search Google Scholar
    • Export Citation
  • Sanyaolu, A., Okorie, C., Marinkovic, A., Patidar, R., Younis, K., Desai, P., Hosein, Z., Padda, I., Mangat, J., & Altaf, M. (2020). Cormobidity and its impact on patients with COVID-19. SN Comprehensive Clinical Medicine, 2(8), 10691076. https://doi.org/10.1007/s42399-020-00363-4

    • Search Google Scholar
    • Export Citation
  • Shields, N., & Synnot, A. (2016). Perceived barriers and facilitators to participation in physical activity for children with disability: A qualitative study. BMC Pediatrics, 16, 9. https://doi.org/10.1186/s12887-016-0544-7

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Solar, O., & Irwin, A. (2010). A conceptual framework for action on the social determinants of health. Discussion Paper Series on Social Determinants of Health, 2 (Policy and Practice).

    • Search Google Scholar
    • Export Citation
  • Theis, N., Campbell, N., De Leeuw, J., Owen, M., & Schenke, K.C. (2021). The effects of COVID-19 restrictions on physical activity and mental health of children and young adults with physical and/or intellectual disabilities. Disability and Health, 14(3), Article 101064. https://doi.org/10.1016/j.dhjo.2021.101064

    • Search Google Scholar
    • Export Citation
  • Vogt, A.L., Zajchowski, C.A.B., & Hill, E.L. (2022). A ramp that leads to nothing: Outdoor recreation experiences of children with physical disabilities during the COVID-19 pandemic. Leisure Studies, 41(5), 742752. https://doi.org/10.1080/02614367.2022.2049629

    • Search Google Scholar
    • Export Citation
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