Assessment & Research

Physical activity practice, body image and visual impairment: a comparison between Brazilian and Italian children and adolescents.

Greguol et al. (2014) · Research in developmental disabilities 2014
★ The Verdict

Youth with visual impairment who move more carry less weight and feel better about their looks—screen activity at every assessment.

✓ Read this if BCBAs working with school-age or teen clients who have visual impairment.
✗ Skip if Clinicians serving only fully sighted clients.

01Research in Context

01

What this study did

Márcia et al. (2014) asked kids and teens with visual impairment in Brazil and Italy about exercise, body image and weight. They used written surveys and height-weight checks. The goal was to see if activity level links to BMI and how kids feel about their bodies.

02

What they found

Brazilian youths with visual impairment had higher BMI and felt worse about their bodies than Italian peers. Within Brazil, the kids who moved more had lower BMI and liked their looks better. No numbers were given, but the pattern was clear.

03

How this fits with other research

Lin et al. (2010) saw the same link in Taiwanese teens with intellectual disability: caregiver support predicted activity, and active kids were rare. The new study widens the lens to visual impairment and adds body image.

Freeman et al. (2015) later showed adults with ID who exercised got out into the community more. Together these papers build a chain: more activity → better body image → more life participation across disabilities.

Whitehouse et al. (2014) warn that most accelerometer studies in youth with ID skip basic quality steps. Since Márcia’s team used surveys, not wearables, their data avoid those traps but still flag the same activity gap.

04

Why it matters

When you assess a child with visual impairment, ask two quick questions: ‘How many days a week do you play sport?’ and ‘How do you feel about your body?’ Low activity plus poor body image is a red flag for weight gain and low mood. No extra tools needed—just add these items to your intake form and you have a low-cost screen that guides referral to PE or counseling.

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Add two lines to your intake: ‘Days of sport/week’ and ‘Happy with body? Y/N’—flag scores below 3 and ‘No’ for follow-up.

02At a glance

Intervention
not applicable
Design
other
Sample size
41
Population
other
Finding
not reported

03Original abstract

The aim of this study was to analyze the physical activity and body image of children and adolescents with visual impairment (VI) in Brazil and Italy. For this, 41 children and adolescents with VI (19 Brazilian and 22 Italian) aged 10.22 ± 2.19 years old (18 girls and 23 boys) answered the Physical Activity Questionnaire for Children (PAQ-C), the Offer Self-Image Questionnaire (OSIQ), and an instrument with information about the disability, body weight and height. We analyzed the relationship between data from PAQ-C and OSIQ, as well as the gender, level of disability (blindness or low vision) and country using independent Mann-Whitney test. Body mass index (BMI) values were higher for Brazilian youths, with more than half of them classified as overweight and obese. Italian youths exhibited values of body image that were more positive and only 27% presented overweight or obesity. Blind children and adolescents were less active than those with low vision, but no differences were found between countries or genders. In Brazil, we detected significant correlations (p>0.05) between physical activity, body image and BMI, which more active youths presenting lower values of BMI and a better perception of body image. Physical activity seems to have a positive influence on body image and BMI for children and adolescents with VI, thus it should be encouraged especially for those with higher disability degrees.

Research in developmental disabilities, 2014 · doi:10.1016/j.ridd.2013.10.020