Measuring physical fitness in Persons with Severe/Profound ...

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Chapter 8Heart Rate Pattern as an Indicator of Physicalactivity in persons with Profound Intellectual,and Multiple Disabilities.A. WaningeA.A.J. van der PuttenR.E. StewartB.SteenbergenR. van WijckC.P. van der SchansSubmittedChapter 8 | 121
AbstractBackground As physical fitness is related to physical activity, it is important to gain insight into thephysical activity levels of persons with Profound Intellectual and Multiple Disabilities (PIMD). Heartrate monitoring may be used as an indicator of activity levels, yet a correct method for datingheart rate patterns of subjects with PIMD has so far not been researched.Objective The purpose of this study was twofold. First, this study examines the activity levelsof persons with Profound Intellectual and Multiple Disabilities (PIMD) based on their heart ratepatterns, contrasted against American College of Sports Medicine (ACSM) guidelines of healthyphysical activity. Second, this study describes the relation between various covariates and heartrate patterns and proposes adherent classification.Method Using a heart rate monitor, heart rate patterns of 24 subjects with PIMD were measuredduring 6 days. Heart rate intensity was calculated using heart rate reserves. Physical activitylevels were also measured with questionnaires. Data were analyzed using multilevel analysis.Results The results show that the mean heart rate zone of the participants over six days is3.196, indicating 32 % of the heart rate reserve. The intensity ranged over a heart rate reservefrom 1 to 62 %. Wide ranges in heart rate between participants and within one day have beenshown. However, between days we found small ranges in heart rate. Heart rate monitoring is areliable measurement for measuring physical activity. Participants could be classified in 4 classesaccording to heart rate. Time of day, physical activity and age have significant influence on heartrate.Conclusions In conclusion, persons with PIMD are not sufficiently physically active based on theguidelines of ACSM. Heart rate monitoring seems to be a reliable indicator of physical activity,but exploration of the other influential factors, such as emotions and personal factors, isrecommended.122 | Chapter 8
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Measuring physical fitnessin person
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Rijksuniversiteit GroningenMeasurin
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Chapter 1IntroductionChapter 1 | 9
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overweight [15]. This prevalence is
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Theoretical framework of the studyI
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Components of physical fitnessThe a
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Therefore, a study is put forward w
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2002;40:436-444.19 Temple VA, Frey
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Chapter 2Feasibility and reliabilit
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IntroductionPhysical fitness and he
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GMFCS was presented to the investig
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Body weightTo determine the body we
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Table 1 Results of Wilcoxon rank te
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Calculation of heightThe mean (SD)
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DiscussionThe results of our study
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References1 Bouchard C, Shepard RJ,
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37 Rimmer J, Kelly LE, Rosentswieg
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Chapter 3Measuring waist circumfere
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IntroductionChildren and adults wit
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participants. These calculations as
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Data analysisThe data were analyzed
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Table 2. Simple regression analysis
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Chapter 4Feasibility and reliabilit
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IntroductionPeople with intellectua
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Eighty representatives gave permiss
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3) The measurement procedure: The m
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and whether motivation influenced t
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Table 3. Mean peak heart rate achie
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AcknowledgementsThis research was f
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21 Hopkins WG, Gaeta H, Thomas AC,
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Chapter 5Psychometric quality of a
Page 72 and 73: IntroductionIntellectual disability
Page 74 and 75: Exclusion criteria were mental or p
Page 76 and 77: participant had fulfilled the task.
Page 78 and 79: Table 2. Descriptive results peak h
Page 80 and 81: Table 3. Test-retest reliability of
Page 82 and 83: Table 4. Correlation scored motivat
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Page 86 and 87: References1 Schalock R, Brown I, Br
Page 88 and 89: 37 Stanish HI, Temple VA, Frey GC.
Page 90 and 91: Chapter 6Feasibility and reliabilit
Page 92 and 93: IntroductionLocomotor skills in peo
Page 94 and 95: this study was to evaluate the feas
Page 96 and 97: obtained from the legal representat
Page 98 and 99: Modified Berg Balance Scale scoresI
Page 100 and 101: Modified Berg Balance Scale scoresT
Page 102 and 103: References1 Van Erkelens-Zwets JHJ
Page 104 and 105: 39 Dorai-Raj S. Binomial Confidence
Page 106 and 107: Chapter 7Feasibility, test-retest r
Page 108 and 109: IntroductionPersons with profound i
Page 110 and 111: DesignThe muscle tone and spasticit
Page 112 and 113: Interrater reliabilityFirstly, to d
Page 114 and 115: Table 3. Summary of the statistical
Page 116 and 117: Table 6. Summary of the statistical
Page 118 and 119: RecommendationsThe feasibility of c
Page 120 and 121: 18 Gielen EJJM. Is spasticiteit te
Page 124 and 125: IntroductionIt is important to gain
Page 126 and 127: 48 persons18 persons lacked permiss
Page 128 and 129: Furthermore, the mean and the range
Page 130 and 131: Table 3. Day-to-day outline of the
Page 132 and 133: Relation between heart rate pattern
Page 134 and 135: patterns in this study we can concl
Page 136 and 137: References1 Emerson E. Underweight,
Page 138 and 139: 38 Multilevel Models Project (2004)
Page 140 and 141: Chapter 9General DiscussionChapter
Page 142 and 143: on this. To sum up, testing in pers
Page 144 and 145: for future research it is recommend
Page 146 and 147: studies. Randomized Controlled Tria
Page 148 and 149: of these individuals require more?
Page 150 and 151: 19 Lahtinen U, Rintala P, Malin A.
Page 152 and 153: SummarySummary | 151
Page 154 and 155: problems in both locomotor skills a
Page 156 and 157: subjects are to be applied to perso
Page 158 and 159: may be an indicator of activity lev
Page 160 and 161: SamenvattingSamenvatting | 159
Page 162 and 163: InleidingVoldoende bewegen en fithe
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Page 166 and 167: Hieruit bleek, dat de motivatie van
Page 168 and 169: Verder is duidelijk geworden dat me
Page 170 and 171: DankwoordDankwoord | 169
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De leden van de leescommissie, prof
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Judith van der Boom, dank je wel vo
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Dankwoord | 175
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Curriculum vitaeCurriculum vitae |
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Curriculum vitae | 179
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