{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T16:14:55Z","timestamp":1778084095173,"version":"3.51.4"},"reference-count":30,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T00:00:00Z","timestamp":1765497600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T00:00:00Z","timestamp":1765497600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100003170","name":"Stiftelsen f\u00f6r Kunskaps- och Kompetensutveckling","doi-asserted-by":"publisher","award":["20180040"],"award-info":[{"award-number":["20180040"]}],"id":[{"id":"10.13039\/501100003170","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Evidence on physical activity (PA), sedentary time, and fitness in adolescents with impairments has been limited. We aimed to compare outcomes in Swedish adolescents with and without impairments and between impairment types.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross\u2010sectional study, from September to December 2019, comprised of adolescents from 34 mainstream schools within 3\u2009h' drive of Stockholm, Sweden. Parents reported impairment status. PA and sedentary time were measured with accelerometers during school and leisure time on weekdays and weekends. Fitness was estimated using the Ekblom\u2010Bak submaximal cycle test, sports participation was self\u2010reported and multilevel mixed models were used for analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We enrolled 972 adolescents (51% girls), with a mean age of 13.4\u2009\u00b1\u20090.3\u2009years. Just under a third (31%) had impairments. Adolescents with impairments showed lower PA levels, less adherence to recommendations, lower fitness and less participation in organised sports than those without impairments. Those with learning or visual impairments engaged in less vigorous activity and the former had lower fitness levels.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Adolescents with impairments were less physically active, more sedentary and had lower fitness than peers without impairments. This emphasises the need for equitable opportunities for PA, to support long\u2010term health and well\u2010being in adolescents with impairments.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/apa.70415","type":"journal-article","created":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T04:15:17Z","timestamp":1765599317000},"page":"873-881","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Swedish Adolescents With Impairments Showed Lower Levels of Physical Activity, Fitness and Sports Participation"],"prefix":"10.1111","volume":"115","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8079-0596","authenticated-orcid":false,"given":"Karin","family":"Kjellenberg","sequence":"first","affiliation":[{"name":"Department of Physical Activity and Health The Swedish School of Sport and Health Sciences  Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kwok","family":"Ng","sequence":"additional","affiliation":[{"name":"Faculty of Education University of Turku  Rauma Finland"},{"name":"Department of Physical Education and Sport Sciences University of Limerick, Physical Activity for Health Research Cluster  Limerick Ireland"},{"name":"Institute of Sports Science and Innovation Lithuanian Sports University  Kaunas Lithuania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Bjerkefors","sequence":"additional","affiliation":[{"name":"Department of Physiology, Nutrition and Biomechanics The Swedish School of Sport and Health Sciences  Stockholm Sweden"},{"name":"Department of Neuroscience Karolinska Institutet  Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie Lund","family":"Ohlsson","sequence":"additional","affiliation":[{"name":"Department of Physiology, Nutrition and Biomechanics The Swedish 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