title: Factors associated with meeting physical activity guidelines by adults with intellectual and developmental disabilities.
abstract: BACKGROUND
  Many individuals with intellectual and developmental disabilities (IDD) have sedentary lifestyles.
  
  
  OBJECTIVE
  (a) compare adults with IDD with the general adult population on adherence to U.S. physical activity (PA) guidelines, and (b) determine what factors predict adherence to PA guidelines by adults with IDD.
  
  
  METHODS
  We compared adults with IDD from the 2011-2012 National Core Indicators Adult Consumer Survey (NCI-ACS) with the general U.S. population on meeting PA guidelines. We examined the association of demographic, diagnostic, mobility, health and community participation variables with meeting PA guidelines by adults with IDD.
  
  
  RESULTS
  The rate for adults with IDD meeting PA guidelines (13.5%) was less than half that of the general population (30.8%). Among adults with IDD, at-risk groups included those with more severe disability, Down syndrome, mobility impairments, obesity, poor health, mental illness, no independent access to community exercise, and less frequent participation in community exercise. Going out for exercise was the only form of community participation associated with meeting PA guidelines. People who accessed the community for exercise independently (i.e., alone) were more likely to meet PA guidelines.
  
  
  CONCLUSIONS
  Interventions aimed at increasing PA for people with IDD should consider these factors in their design.
authors.affiliation: University of Sydney, Centre for Disability Research and Policy, 75 East Street, PO Box 170, Lidcombe, NSW, 1825, Australia. Electronic address: roger.stancliffe@sydney.edu.au.
authors.forename: Roger J
authors.initials: RJ
authors.lastname: Stancliffe
authors.affiliation: Research and Training Center on Community Living, University of Minnesota, Pattee Hall, 150 Pillsbury Ave SE, Minneapolis, MN, 55455, USA. Electronic address: LLA@umn.edu.
authors.forename: Lynda L
authors.initials: LL
authors.lastname: Anderson
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002658:Developmental Disabilities; D004314:Down Syndrome / Q000453:epidemiology; D015444:Exercise; D005260:Female; D019983:Guideline Adherence; D017408:Guidelines as Topic; D006304:Health Status; D006801:Humans; D008607:Intellectual Disability; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology; D008875:Middle Aged; D051346:Mobility Limitation; D009765:Obesity / Q000453:epidemiology; D010349:Patient Compliance; D012307:Risk Factors; D012720:Severity of Illness Index; D058992:Social Participation; D012944:Social Support; D011795:Surveys and Questionnaires; D014481:United States; D055815:Young Adult
keywords: Community living; Community participation; Exercise; Intellectual disabilities; NCI; National core indicators; Physical activity