title: Physical activity levels of children in special schools.
abstract: OBJECTIVE
  Children's physical activity (PA) has been studied extensively, but little information is available on those with disabilities. We sought to examine the PA of children with disabilities during physical education (PE) and recess while simultaneously documenting environmental conditions.
  
  
  METHODS
  Five schools designed for students with four types of special needs (physical disability, mild intellectual disability, hearing impairment, and visual impairment) participated. We used the System for Observing Fitness Instruction Time (SOFIT) to code the PA of children in grades 4 to 6 during both PE and recess and to document teacher behavior and lesson context in PE. Observations were conducted during 2 school days over a 2-week period.
  
  
  RESULTS
  Children accrued little moderate-to-vigorous physical activity (MVPA) during PE (7.8 min) and recess (8.9 min). Activity levels varied across disability types, with differences attributed to lesson context and teacher behavior. Children with physical disabilities were the least active during both PE and recess.
  
  
  CONCLUSIONS
  Children with disabilities accrue little PA at school. Increased PE frequency and lesson intensity, more PA opportunities during non-structured school time, and collaborations with home and community agencies are needed to reach PA recommendations.
authors.affiliation: The University of Hong Kong, Institute of Human Performance, Pokfulam, Hong Kong. sithp@hku.hk
authors.forename: Cindy H P
authors.initials: CH
authors.lastname: Sit
authors.forename: Alison
authors.initials: A
authors.lastname: McManus
authors.forename: Thomas L
authors.initials: TL
authors.lastname: McKenzie
authors.forename: John
authors.initials: J
authors.lastname: Lian
mesh_terms: D002648:Child; D003430:Cross-Sectional Studies; D019988:Children with Disabilities / Q000706:statistics & numerical data*; D004519:Education, Special / Q000706:statistics & numerical data*; D015444:Exercise; D005260:Female; D006301:Health Services Needs and Demand; D006306:Health Surveys; D006723:Hong Kong; D006801:Humans; D008297:Male; D010806:Physical Education and Training / Q000706:statistics & numerical data*