In children, being sufficiently physically active, having low levels of screen-time and having a healthy diet are largely influenced by parenting practices. Children of parents applying positive ...parenting practices are at lower risk for overweight and obesity. Therefore, we investigated the effect of a health promoting online video intervention for parents ('Movie Models') on children's physical activity (PA), screen-time and healthy diet, and on specific parenting practices and parental self-efficacy related to these parenting practices. The online videos are delivered to parents of primary schoolchildren, and were based on real-life scenarios.
A two-armed, quasi experimental design was used. Parents of primary schoolchildren were recruited between November and December 2013 by spreading an appeal in social media, and by contacting primary schools. Participating parents were predominantly of high socio-economic status (SES) (83.1%), and only 6.8% of children were overweight/obese. Intervention group participants were invited to watch online videos for 4 weeks. Specific parenting practices, parental self-efficacy, PA, screen-time and healthy diet of the child were assessed at baseline (T0), at one (T1) and at four (T2) months post baseline. Repeated Measures (Multivariate) ANOVAs were used to examine intervention effects. The potential moderating effect of age and gender of the child and parental SES was also examined.
Between T0 and T2, no significant intervention effects were found on children's PA, screen-time or healthy diet. Most significant intervention effects were found for more complex parenting practices (e.g., an increase in motivating the child to eat fruit). Subgroup analyses showed that the intervention had more effect on the actual parenting practices related to PA, screen-time and healthy diet in parents of older children (10-12 years old), whereas intervention effects on parental self-efficacy related to those behaviors were stronger in parents of younger children (6-9 years old).
'Movie Models' was effective in increasing some important parenting practices and parental self-efficacy related to PA, screen-time and healthy diet in children. Therefore, the current study is an important first step in promoting effective parenting-related factors, and possibly increasing children's healthy diet and PA, and decreasing screen-time.
NCT02278809 in ClinicalTrials.gov on October 28, 2014 (retrospectively registered).
Globally most children do not engage in enough physical activity. Day length and weather conditions have been identified as determinants of physical activity, although how they may be overcome as ...barriers is not clear. We aim to examine if and how relationships between children's physical activity and weather and day length vary between countries and identify settings in which children were better able to maintain activity levels given the weather conditions they experienced.
In this repeated measures study, we used data from 23,451 participants in the International Children's Accelerometry Database (ICAD). Daily accelerometer-measured physical activity (counts per minute; cpm) was matched to local weather conditions and the relationships assessed using multilevel regression models. Multilevel models accounted for clustering of days within occasions within children within study-cities, and allowed us to explore if and how the relationships between weather variables and physical activity differ by setting.
Increased precipitation and wind speed were associated with decreased cpm while better visibility and more hours of daylight were associated with increased cpm. Models indicated that increases in these variables resulted in average changes in mean cpm of 7.6/h of day length, -13.2/cm precipitation, 10.3/10 km visibility and -10.3/10kph wind speed (all p < 0.01). Temperature showed a cubic relationship with cpm, although between 0 and 20 degrees C the relationship was broadly linear. Age showed interactions with temperature and precipitation, with the associations larger among younger children. In terms of geographic trends, participants from Northern European countries and Melbourne, Australia were the most active, and also better maintained their activity levels given the weather conditions they experienced compared to those in the US and Western Europe.
We found variation in the relationship between weather conditions and physical activity between ICAD studies and settings. Children in Northern Europe and Melbourne, Australia were not only more active on average, but also more active given the weather conditions they experienced. Future work should consider strategies to mitigate the impacts of weather conditions, especially among young children, and interventions involving changes to the physical environment should consider how they will operate in different weather conditions.
The behaviors physical education (PE) teachers engage in affect a number of important student outcomes. Therefore, it is essential to study the antecedents of these teaching behaviors.
Grounded in ...Self-Determination Theory, this cross-sectional study explored the relations between PE teachers' autonomous and controlled motivational orientations and a variety of observed need-supportive and need-thwarting teaching behaviors in 79 PE classes by means of regression analyses.
Control-oriented teachers made less use of an overall need-supportive teaching style and provided less structure during the activity in particular, while they engaged in more need-thwarting teaching behavior in general and in more controlling and cold teaching behavior in particular.
Although autonomy-oriented teachers tended to display the opposite pattern of correlates, these associations were non-significant. As the current findings suggest that teachers' actual teaching behavior is rooted at least partly in their own dispositional motivational orientation, they may inform the design of effective continuous professional development programs and interventions aimed at enhancing teachers' need-supportive teaching. Directions for future research are discussed.
•Teachers' causality orientations are studied as antecedents of teaching behavior.•Observations of both need-supportive and need-thwarting behavior were used.•Controlled orientation related to both need support and need-thwarting.•Autonomy orientation did not relate to teaching behavior.•Attention is needed for control-oriented teachers when implementing interventions.
Abstract Too much sitting (extended sedentary time) is recognized as a public health concern in Europe and beyond. Time spent sedentary is influenced and conditioned by clusters of individual-level ...and contextual (upstream) factors. Identifying population subgroups that sit too much could help to develop targeted interventions to reduce sedentary time. We explored the relative importance of socio-demographic correlates of sedentary time in adults across Europe. We used data from 26,617 adults who participated in the 2013 Special Eurobarometer 412 “Sport and physical activity”. Participants from all 28 EU Member States were randomly selected and interviewed face-to-face. Self-reported sedentary time was dichotomized into sitting less or > 7.5 h/day. A Chi-squared Automatic Interaction Detection (CHAID) algorithm was used to create a tree that hierarchically partitions the data on the basis of the independent variables (i.e., socio-demographic factors) into homogeneous (sub)groups with regard to sedentary time. This allows for the tentative identification of population segments at risk for unhealthy sedentary behaviour. Overall, 18.5% of the respondents reported sitting > 7.5 h/day. Occupation was the primary discriminator. The subgroup most likely to engage in extensive sitting were higher educated, had white-collar jobs, reported no difficulties with paying bills, and used the internet frequently. Clear socio-demographic profiles were identified for adults across Europe who engage in extended sedentary time. Furthermore, physically active participants were consistently less likely to engage in longer daily sitting times. In general, those with more indicators of higher wealth were more likely to spend more time sitting.
Abstract Purpose To examine tracking of weekday and weekend screen time (ST; i.e., television TV and computer PC time) from early adolescence to early adulthood and to identify social ecological ...predictors of weekday and weekend ST among boys and girls separately. Methods Data were retrieved from elementary schools (n = 59) in Flanders (Belgium). At baseline, 1,957 children (age, 9.9 ± .43 years) and one of the parents filled out a questionnaire on sedentary behavior and individual, social, and environmental variables. After a 10-year follow-up period, six hundred fifty-five 20-year-olds (age, 19.9 ± .43 years) filled out an adapted questionnaire on sedentary behavior, of which 593 contained full data at baseline and follow-up. Multiple regressions were performed to examine predictors (baseline) of ST (follow-up), and logistic regressions were used to analyze tracking of ST. Results For boys, a consistent positive predictor of weekday and weekend TV and PC time at follow-up was ST at baseline ( p < .01). For girls, drinking more soda at baseline predicted more weekday and weekend TV and PC time at follow-up ( p ≤ .02). Some other individual variables also predicted ST in both boys and girls. Tracking was only found among boys; those exceeding the ST guideline at baseline were three to five times more likely to exceed this guideline at follow-up ( p ≤ .001). Tracking was not present among girls. Conclusions To minimize TV and PC time during early adulthood, interventions for adolescent boys should focus on minimizing ST. For girls, focus should be on healthy eating. However, more research is warranted to confirm these conclusions.
Co-participation in physical activity may be a useful strategy for increasing physical activity in mothers and their young children, yet little empirical evidence exists on this topic for young ...families. This study aimed to identify the prevalence of mother-child co-participation in physical activity and examine the association between co-participatory behaviours and objectively-assessed physical activity in young children and their mothers.
One-hundred twenty-three 4-6 year-old children and their mothers were recruited from preschools in Belgium between November 2010 and January 2011. Mothers completed a questionnaire assessing the frequency of co-participation in five activities. Both mothers and children wore ActiGraph GT1M accelerometers concurrently for 7 days to assess the time spent in moderate-to vigorous-intensity physical activity (MVPA) and light- to vigorous-intensity physical activity (LMVPA). Descriptive statistics (means, frequencies) were used to determine the prevalence of co-participation. Separate multiple linear regression analyses examined the association between co-participation and mothers' and children's physical activity on weekdays and weekends.
Most mothers reported infrequent co-participation in physical activities with their children. On weekdays, walking or cycling for short trips was positively associated with children's MVPA while attending a park or similar more than once per week was negatively associated with children's MVPA and LMVPA. Going to an indoor play centre together once or more per week was negatively associated with mother's LMVPA. On weekends, walking or cycling with their child in their free time was positively associated with both children's and mothers' MVPA and childrens' LMVPA. Going to an indoor play centre together 1-3 times/month was negatively associated with children's weekend MVPA.
Reported rates of co-participation in mothers and their preschool children were low. The association with maternal and child physical activity may be dependent on the co-participatory behaviour assessed and may differ between weekday and weekends. Promoting walking and cycling together during leisure time may be an effective strategy to increase both preschool children's and mothers' MVPA.
Decreasing sedentary behaviour (SB) has emerged as a public health priority since prolonged sitting increases the risk of non-communicable diseases. Mostly, the independent association of factors ...with SB has been investigated, although lifestyle behaviours are conditioned by interdependent factors. Within the DEDIPAC Knowledge Hub, a system of sedentary behaviours (SOS)-framework was created to take interdependency among multiple factors into account. The SOS framework is based on a system approach and was developed by combining evidence synthesis and expert consensus. The present study conducted a Bayesian network analysis to investigate and map the interdependencies between factors associated with SB through the life-course from large scale empirical data.
Data from the Eurobarometer survey (80.2, 2013) that included the International physical activity questionnaire (IPAQ) short as well as socio-demographic information and questions on perceived environment, health, and psychosocial information were enriched with macro-level data from the Eurostat database. Overall, 33 factors were identified aligned to the SOS-framework to represent six clusters on the individual or regional level: 1) physical health and wellbeing, 2) social and cultural context, 3) built and natural environment, 4) psychology and behaviour, 5) institutional and home settings, 6) policy and economics. A Bayesian network analysis was conducted to investigate conditional associations among all factors and to determine their importance within these networks. Bayesian networks were estimated for the complete (23,865 EU-citizens with complete data) sample and for sex- and four age-specific subgroups. Distance and centrality were calculated to determine importance of factors within each network around SB.
In the young (15-25), adult (26-44), and middle-aged (45-64) groups occupational level was directly associated with SB for both, men and women. Consistently, social class and educational level were indirectly associated within male adult groups, while in women factors of the family context were indirectly associated with SB. Only in older adults, factors of the built environment were relevant with regard to SB, while factors of the home and institutional settings were less important compared to younger age groups.
Factors of the home and institutional settings as well as the social and cultural context were found to be important in the network of associations around SB supporting the priority for future research in these clusters. Particularly, occupational status was found to be the main driver of SB through the life-course. Investigating conditional associations by Bayesian networks gave a better understanding of the complex interplay of factors being associated with SB. This may provide detailed insights in the mechanisms behind the burden of SB to effectively inform policy makers for detailed intervention planning. However, considering the complexity of the issue, there is need for a more comprehensive system of data collection including objective measures of sedentary time.
Background Sedentary behavior (too much sitting) has deleterious health consequences that are distinct from lack of physical activity (too little exercise). Purpose This study aimed to examine the ...associations of neighborhood walkability and sociodemographic factors with adults' self-reported and objectively assessed sedentary time. Methods This Belgian cross-sectional study was conducted between May 2007 and September 2008. Twenty-four neighborhoods were stratified on GIS-based walkability and neighborhood SES. In all, 1200 adults (aged 20–65 years; 50 per neighborhood; 42.7 SD=12.6 years; 47.9% men) completed a sociodemographic survey and the International Physical Activity Questionnaire. They also wore an accelerometer for 7 days: Sedentary time was identified as accelerometer counts of less than 100 per minute. Statistical analyses were performed in 2009, using multilevel regression models, adjusted for physical activity levels and individual SES. Results Residents of high-walkable neighborhoods reported more sitting time than those of low-walkable neighborhoods (439.8 vs 403.4 minutes/day of daily sitting time, p <0.05). Living in high-walkable versus low-walkable neighborhoods was also associated with 2.9% more accelerometer-measured overall sedentary time ( p <0.001). Being male, younger, unemployed, more highly educated, having a white-collar job (analysis for employed adults only), and living without children were all significantly associated with more sitting time. Conclusions Contrary to expectations, living in a high-walkable neighborhood was associated with higher levels of sedentary time. If future studies in other contexts confirm these associations, environmental and policy innovations aiming to promote physical activity may need to address the potential negative health impact of sedentary behavior.
Nature relatedness can be associated with health-related outcomes. This study aims to evaluate the associations of nature relatedness with physical activity and sedentary behavior.
A cross-sectional ...study involving 9-12 year old children living in Cuenca, Ecuador, was conducted between October 2018 and March 2019. Questionnaires were used to evaluate physical activity (PAQ-C), out-of-school sedentary behavior, nature relatedness and wellbeing. Associations of nature relatedness with physical activity, and sedentary behavior were evaluated using linear regression models or tobit regressions adjusted by age, sex, school type, wellbeing, and body mass index z-score.
A total of 1028 children were surveyed (average age:10.4±1.22 years, 52% female.). Nature relatedness was positively associated with physical activity (β = 0.07; CI 95%: 0.05-0.09; p < 0.001) and non-screen-related sedentary leisure (β = 3.77 minutes; CI 95%: 0.76-6.68; p < 0.05); it was negatively associated with screen time (β = -5.59 minutes; CI 95%: -10.53-0.65; p < 0.05).
Findings suggest that nature relatedness is associated with physical activity and some sedentary behaviors among Ecuadorian school-age children. The promotion of nature relatedness has the potential to improve health.
Since physical activity levels in older adolescents have the potential to be increased by stimulating active transportation to school (ATS), the most important correlates of ATS should be determined ...before developing interventions, especially in those adolescents for whom the distance to school is feasible for active commuting. The main aims of this study were to determine criterion distances for ATS in Belgian older adolescents, to examine multidimensional correlates of ATS in adolescents living within a feasible distance from school and to investigate the associations of ATS with total physical activity and with other physical activities besides ATS.
In total, 1281 older adolescents (17-18 years) from 20 general secondary schools in East- and West-Flanders completed a questionnaire on physical activity behaviors, demographic factors and psychosocial and physical environmental correlates of physical activity. Distance to school was objectively measured using Routenet online route planner.
In total, 58.4% of the participants commuted actively to school. The criterion distance for ATS could be set at eight kilometers for cycling and two kilometers for walking. For those adolescents living within a feasible distance for ATS, gender, smoking status, walkability of the neighborhood and social modeling were associated with transportation mode choice. ATS was positively associated with total physical activity, but not significantly related to min/week of other physical activities.
For older adolescents living within eight kilometers of their school, interventions taking into account the correlates found to be related to ATS could possibly be effective to enhance ATS and to increase total physical activity levels. In the context of the overall physical activity decline in adolescence, also interventions targeting physical activity behaviors of adolescents living further away from school might be needed, but these interventions should probably emphasize alternative strategies.