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Shyleyko R, Luca P, Jackman M, Ho J. Reported barriers to physical activity and the role of built environment among overweight and obese youth attending a Canadian pediatric weight management clinic. Prev Med Rep 2023; 36:102488. [PMID: 38116277 PMCID: PMC10728311 DOI: 10.1016/j.pmedr.2023.102488] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2023] [Revised: 09/03/2023] [Accepted: 10/31/2023] [Indexed: 12/21/2023] Open
Abstract
Objective To assess activity levels and role of the built environment among overweight and obese youth referred to a pediatric weight management clinic. Design A cross-sectional study using a caregiver-administered survey was completed from October 2017 to February 2018. Results The study analyzed 210 surveys. Participants were 52 % male and average age was 11.6 years (3-18 years). Of those surveyed, 73 % of respondents reported ≥ 2 h of average daily screen time in the past 3 months, and 74 % of children partook in < 60 min of daily physical activity of any intensity. The most common location for physical activity was a recreational facility. The least common was nearby green spaces. Moreover, 77 % of caregivers felt that their child did not engage in enough physical activity, and the most common cited barrier was motivation. The built environment, however, was not cited as a barrier to active living as 90 % of caregivers reported their community was safe, and greater than 80 % of caregivers agreed their community was aesthetically beautiful, well connected with good infrastructure. The majority of commonly used spaces were located within 2 km of their home, however, it was uncommon for children to walk or bike to them. Conclusion Overweight and obese children referred to our clinic are not meeting national recommendations for physical activity and screen time. The built environment does not appear to be a large contributing factor to decreased physical activity in this population and the most common reason cited for lack of physical activity was motivation.
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Affiliation(s)
- Robert Shyleyko
- Department of Pediatrics, University of Calgary, Cumming School of Medicine, Calgary, Alberta, Canada
| | - Paola Luca
- Department of Pediatrics, Division of Pediatric Endocrinology, University of Calgary, Cumming School of Medicine, Calgary, Alberta, Canada
| | - Michelle Jackman
- Department of Pediatrics, University of Calgary, Cumming School of Medicine, Calgary, Alberta, Canada
| | - Josephine Ho
- Department of Pediatrics, Division of Pediatric Endocrinology, University of Calgary, Cumming School of Medicine, Calgary, Alberta, Canada
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Are neighborhood characteristics associated with physical activity levels among school children? MARMARA MEDICAL JOURNAL 2023. [DOI: 10.5472/marumj.1244381] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
Objective: The objective of this study was to determine the prevalence of insufficient physical activity (IPA) and neighborhood
characteristics associated with it, among school children. The impact of sociodemographic characteristics and ownership of electronic
devices on physical activity (PA) were also evaluated.
Materials and Methods: This was a cross-sectional study carried out among 5-7th grade students attending schools and their parents.
IPA was defined as having moderate-vigorous activity for 0.05).
Conclusion: The prevalence of IPA is alarmingly high among school children. The impact of neighborhood characteristics on PA might
be obscured since both variables were measured subjectively. Devices related information/communication technologies increase IPA;
we need to find novel ways to use these devices for PA promotion. There is also a need to increase structured PA opportunities.
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Wu S, Pan C, Yao L, Wu X. The Impact of the Urban Built Environment on the Play Behavior of Children with ASD. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:14752. [PMID: 36429471 PMCID: PMC9691239 DOI: 10.3390/ijerph192214752] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/07/2022] [Revised: 11/04/2022] [Accepted: 11/08/2022] [Indexed: 06/16/2023]
Abstract
Anxiety caused by the lack of social skills is the biggest problem faced by children with ASD. Playing can improve children's social skills and relieve anxiety. This study aimed to explore the influence of urban built environments on ASD children's play behavior. The participants in this study were 57 parents of children with ASD. An anonymous questionnaire was used to collect and analyze data. At the same time, retrospective semi-structured interviews with 31 parents of ASD children were performed to validate the data analysis results. The results showed that lower residential building density, higher residential greening and higher destination accessibility have positive effects on ASD children's play behavior. Excellent transportation facilities and high NDVI vegetation coverage have positive effects on the play behavior of children with ASD. More recreational facilities and recreational playability have positive impacts on the play behavior of children with ASD. The population density and number of children in the destination, as well as public facilities, influence the play behavior of children with ASD. The research results can promote the integration of this group into urban life and further promote social equity. At the same time, with the social needs of autistic children as an intermediary, it is expected to further explore new directions for sustainable urban development. Finally, combined with the research results, parents of ASD children are given proposals for how to increase the likelihood of children's play behavior by choosing appropriate urban built environments.
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Affiliation(s)
- Shengzhen Wu
- College of Arts and Design, Jimei University, Xiamen 361000, China
| | - Chen Pan
- School of Art and Design, Guangdong University of Petrochemical Technology, Maoming 525000, China
| | - Lihao Yao
- College of Coastal Agricultural Sciences, Guangdong Ocean University, Zhanjiang 524000, China
- School of Architecture and Urban Planning, Zhuhai College of Science and Technology, Zhuhai 519041, China
| | - Xiaojing Wu
- Department of Economic Management, Fujian Economic and Trade School, Quanzhou 362000, China
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Roake J, Phelan S, Alarcon N, Keadle SK, Rethorst CD, Foster GD. Sitting Time, Type, and Context Among Long-Term Weight-Loss Maintainers. Obesity (Silver Spring) 2021; 29:1067-1073. [PMID: 34029443 DOI: 10.1002/oby.23148] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/11/2020] [Revised: 02/01/2021] [Accepted: 02/09/2021] [Indexed: 12/16/2022]
Abstract
OBJECTIVE This study aimed to investigate sitting time, the home sedentary environment, and physical activity among weight-loss maintainers in WW (formerly Weight Watchers). METHODS Participants were 4,305 weight-loss maintainers who had maintained ≥9.1 kg of weight loss (24.7 kg on average) for 3.3 years and had an average current BMI of 27.6 kg/m2 . A control group of weight-stable individuals with obesity (n = 619) had an average BMI of 38.9 kg/m2 . The Multicontext Sitting Time Questionnaire and Paffenbarger physical activity questionnaire were administered. RESULTS Weight-loss maintainers versus controls spent 3 hours less per day sitting during the week (10.9 vs. 13.9; η p 2 = 0.039; P = 0.0001) and weekends (9.7 vs. 12.6; η p 2 = 0.038). Weight-loss maintainers versus controls spent 1 hour less per day in non-work-related sitting using a computer or video games during the week (1.4 vs. 2.3; η p 2 = 0.03; P = 0.0001) and weekends (1.5 vs. 2.5; η p 2 = 0.03; P = 0.0001). Weight-loss maintainers versus controls had similar numbers of sedentary-promoting devices (15.8 vs. 14.8) and expended significantly more calories per week in physical activity (1,835 vs. 785; η p 2 = 0.036; P = 0.0001). CONCLUSIONS Weight-loss maintainers reported less time sitting than weight-stable individuals with obesity. Future research should test the efficacy of targeting sitting time to help promote long-term weight-loss maintenance.
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Affiliation(s)
- James Roake
- Department of Kinesiology & Public Health & The Center for Health Research, California Polytechnic State University, San Luis Obispo, California, USA
| | - Suzanne Phelan
- Department of Kinesiology & Public Health & The Center for Health Research, California Polytechnic State University, San Luis Obispo, California, USA
| | - Noemi Alarcon
- Department of Kinesiology & Public Health & The Center for Health Research, California Polytechnic State University, San Luis Obispo, California, USA
| | - Sarah K Keadle
- Department of Kinesiology & Public Health & The Center for Health Research, California Polytechnic State University, San Luis Obispo, California, USA
| | | | - Gary D Foster
- WW International, Inc., New York, New York, USA
- Center for Weight and Eating Disorders, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
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Roberts JD, Tehrani SO, Isom R, Stone EA, Brachman ML, Garcia VN. Case-comparison study protocol for gauging effects of neighbourhood trends and sickness: examining the perceptions of transit-Induced gentrification in Prince George's County. BMJ Open 2020; 10:e039733. [PMID: 33046474 PMCID: PMC7552829 DOI: 10.1136/bmjopen-2020-039733] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
INTRODUCTION Impoverished neighbourhoods and communities of colour often bear the brunt of unintended transit-oriented development (TOD) impacts. These impacts have been known to come in the form of transit-induced gentrification (TIG), a socioeconomic by-product of TOD defined as a phenomenon that occurs when the provision of transit service, particularly light rail transit (LRT), 'up-scales' nearby neighbourhood(s) and displaces existing residents. Consequently, TIG or even the perception of TIG can impact health outcomes (eg, anxiety) and social determinants of health (SDOH) (eg, crime). METHODS/ANALYSIS In 2022, the purple line (PL), a 16.2 mile LRT line, is opening in Prince George's County, Maryland, a suburb of Washington, DC, comprised of over 80% African American and Hispanic residents. By taking advantage of this natural experiment, we are proposing the GENTS (Gauging Effects of Neighborhood Trends and Sickness: Examining the Perceptions of Transit-Induced Gentrification in Prince George's County) Study in order to evaluate perceived TIG and associated health outcome and SDOH changes, at two points in time, among Prince George's County adults in a prospective case-comparison design during the pre-PL LRT period. Descriptive analysis and latent growth curve modelling will be used to examine these changes over time. ETHICS AND DISSEMINATION Ethics approval has been granted by the University of Maryland Institutional Review Board. The GENTS Study will identify temporal changes in perceived TIG, health outcomes and SDOH among case and comparison residents before the completion and operation of the PL LRT, an under researched period of TOD. The dissemination of GENTS Study findings will be able to address research questions and policy issues that are specifically tailored to PG County while also providing more effective procedural solutions for other regions undergoing TOD and TIG risks.
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Affiliation(s)
- Jennifer D Roberts
- Kinesiology, University of Maryland at College Park, College Park, Maryland, USA
| | - Shadi O Tehrani
- School of Architecture and Environmental Design, Iran University of Science and Technology, Tehran, Islamic Republic of Iran
| | - Roger Isom
- Kinesiology, University of Maryland at College Park, College Park, Maryland, USA
| | - Eric A Stone
- Kinesiology, University of Maryland at College Park, College Park, Maryland, USA
| | - Micah L Brachman
- Geographical Sciences, University of Maryland at College Park, College Park, Maryland, USA
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Sociodemographic and Environmental Determinants of Indoor Versus Outdoor Active Play Among Children Living in the Washington, DC Area. J Phys Act Health 2020; 16:581-585. [PMID: 31170859 DOI: 10.1123/jpah.2019-0142] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2019] [Accepted: 03/15/2019] [Indexed: 11/18/2022]
Abstract
BACKGROUND Sociodemographic and environmental factors play important roles in determining both indoor and outdoor play activities in children. METHODS The Built Environment and Active Play Study assessed neighborhood playability for children (7-12 y), based on parental report of their children's active play behaviors, neighborhood characteristics, and geographic locations. Simple logistic regression modeling tested the associations between sociodemographic characteristics and the frequency of and access to venues for indoor and outdoor play. RESULTS Children of higher socioeconomic status were almost 3 times more likely to live more than a 30-minute walk from indoor recreational facilities compared with their less affluent peers (odds ratio [OR] = 2.9; 95% confidence interval [CI], 1.2-6.8). Non-Hispanic black children were less likely to live more than 30 minutes from indoor facilities (OR = 0.21; 95% CI, 0.08-0.57) and more were likely to engage in indoor activity (OR = 3.40; 95% CI, 1.17-9.88) than were white children. Boys were substantially more likely to play outdoors at a playing fields compared with girls (OR = 5.37; 95% CI, 2.10-13.69). CONCLUSIONS Findings from this study could be used to enhance indoor and outdoor activity spaces for children and to reduce disparities in access to such spaces.
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Jia P, Xue H, Cheng X, Wang Y, Wang Y. Association of neighborhood built environments with childhood obesity: Evidence from a 9-year longitudinal, nationally representative survey in the US. ENVIRONMENT INTERNATIONAL 2019; 128:158-164. [PMID: 31055202 DOI: 10.1016/j.envint.2019.03.067] [Citation(s) in RCA: 44] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/15/2019] [Revised: 03/27/2019] [Accepted: 03/28/2019] [Indexed: 05/23/2023]
Abstract
BACKGROUND The built environment is an important contributor to childhood obesity; however, large-scale and longitudinal studies designed to examine their associations remain limited. This study aimed to examine whether walkable neighborhoods were associated with childhood obesity risk over a 9-year period. METHODS We used data collected in the US nationally representative Early Childhood Longitudinal Study - Kindergarten (ECLS-K) Cohort, with 9440 kindergarteners followed up until their 8th grade (1998-2007). Four built environmental variables, street intersection density, residential density, fitness facility density, and recreational facility density, were calculated from national census, business, and road network datasets, and then matched with ECLS-K samples. Mixed-effect models were performed to estimate associations between built environments and child weight status. RESULTS Children who experienced increased intersection density during 1998-2007 had a lower BMI in 2007 (β = -0.49, p < 0.01), especially girls (β = -0.79, p < 0.01) and suburban children (β = -0.66, p < 0.05). They also had lower obesity risk in 2007 (OR = 0.79 [95% CI = 0.66-0.94]), especially girls (OR = 0.68 [95% CI = 0.52-0.88]). Girls and boys who lived in neighborhoods with the higher (but not highest) residential density in 1998 showed lower obesity risk (OR = 0.54 [95% CI = 0.30-0.98]) and overweight risk (OR = 0.54 [95% CI = 0.30-0.95]) in 2007, respectively. CONCLUSIONS National data indicate that in the US greater walkability in residential neighborhoods may lead to lower child BMI and obesity risk after nine years, and the association was stronger among girls and in suburban regions. This provides useful evidence for future obesity prevention and urban planning.
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Affiliation(s)
- Peng Jia
- Department of Earth Observation Science, Faculty of Geo-information Science and Earth Observation (ITC), University of Twente, Enschede 7500 AE, Netherlands; International Initiative on Spatial Lifecourse Epidemiology (ISLE).
| | - Hong Xue
- Department of Health Behavior and Policy, School of Medicine, Virginia Commonwealth University, Richmond, Virginia 23298, USA
| | - Xi Cheng
- Department of Geography, University at Buffalo, The State University of New York, NY, USA
| | - Yaogang Wang
- Department of Health Service Management, School of Public Health, Tianjin Medical University, Tianjin 300070, China
| | - Youfa Wang
- Department of Nutrition and Health Sciences, College of Health, Ball State University, Muncie, IN 47306, USA; Systems-Oriented Global Childhood Obesity Intervention Program, Fisher Institute of Health and Well-Being, College of Health, Ball State University, Muncie, IN 47306, USA.
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8
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Do Not Forget About Public Transportation: Analysis of the Association of Active Transportation to School Among Washington, DC Area Children With Parental Perceived Built Environment Measures. J Phys Act Health 2018; 15:474-482. [PMID: 29570001 DOI: 10.1123/jpah.2017-0266] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
BACKGROUND Although the active transportation (AT) indicator received an F grade on the 2016 US Report Card on Physical Activity for Children and Youth, this AT assessment excluded public transportation. An objective of the Built Environment and Active Play Study was to assess youth AT, including public transportation, among Washington, DC area children in relation to parental perceptions of neighborhood built environment (BE) variables. METHODS Questionnaires were mailed to 2000 parents of children aged 7-12 years. AT to school (ATS) was assessed with the question: "In an average school week, how many days does your child use each of the following ways to get to and from school? (a) Walk; (b) Bike; (c) Car; (d) Bus or Metro." Parental perceived BE data were obtained through questionnaire items, and logistic regression was conducted to determine if BE variables were associated with youth ATS. RESULTS The sample included 144 children (50% female; average age 9.7 years; 56.3% white; 23.7% African American; 10.4% Asian American). Over 30% used ATS-public transportation 5 days per week, and nearly 13% used ATS-walking daily. Parental perceived BE variables significantly predicted youth ATS-walking and ATS-public transportation. CONCLUSIONS ATS-public transportation is common among Washington, DC area youth, and parental perceptions of BE can significantly predict ATS.
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Roberts JD, Rodkey L, Grisham C, Ray R. The Influence of Family Dog Ownership and Parental Perceived Built Environment Measures on Children's Physical Activity within the Washington, DC Area. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2017; 14:ijerph14111398. [PMID: 29144433 PMCID: PMC5708037 DOI: 10.3390/ijerph14111398] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/17/2017] [Revised: 11/10/2017] [Accepted: 11/14/2017] [Indexed: 12/20/2022]
Abstract
Sedentary behavior and physical inactivity are significant contributors to youth obesity in the United States. Neighborhood dog walking is an outlet for physical activity (PA). Therefore, understanding the relationship between built environment, dog ownership, and youth PA is essential. This study examined the influence of dog ownership and parental built environment perceptions on children’s PA in the Washington, D.C. area. In 2014, questionnaires were mailed to 2000 parents to assess family dog ownership; children’s outdoor dog walking or playing; and parental perceived built environment measures. Chi-square analyses examined differences in parental perceived built environment measures between children with and without family dogs. The sample included 144 children (50% female; average-age 9.7 years; 56.3% White; 23.7% African-American; 10.4% Asian-American; 29.9% owned dog). Only 13% and 5.6% of the children walked or played outdoors with the dog daily, respectively. A significantly greater proportion (p-value < 0.05) of parents who owned dogs recognized and observed some home built environment measures (e.g., traffic speed on most streets is 30 mph or less) that were PA -promoting for their children. Findings suggest that dog ownership may provide more positive parental perceptions of the neighborhood built environment, which supports children’s outdoor PA through dog walking and playing.
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Affiliation(s)
- Jennifer D Roberts
- Department of Kinesiology, School of Public Health, University of Maryland, College Park, MD 20742, USA.
| | - Lindsey Rodkey
- Department of Kinesiology, School of Public Health, University of Maryland, College Park, MD 20742, USA.
| | - Cortney Grisham
- College of Science and Mathematics, Austin Peay State University, Clarksville, TN 37044, USA.
| | - Rashawn Ray
- Department of Sociology, University of Maryland, College Park, MD 20742, USA.
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Arcury TA, Suerken CK, Ip EH, Moore JB, Quandt SA. Residential Environment for Outdoor Play Among Children in Latino Farmworker Families. J Immigr Minor Health 2017; 19:267-274. [PMID: 27485188 PMCID: PMC5290218 DOI: 10.1007/s10903-016-0473-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Child health and development benefit from physical activity. This analysis describes the residential play environment for children aged 2-4 years in farmworker families, their parent-reported levels of play and media time, and the association of residential environment with play and media time. Mothers with a child aged 2-4 years in farmworker families (n = 248) completed interviews over 2 years. Outcome measures were daily outdoor play time and media time. Measures of the residential environment included physical and social components. The mean min/day for outdoor play was 81.8 (SD 57.3) at baseline, 111.4 (SD 90.1) at year 1 follow-up, and 103.6 (SD 76.2) at year 2 follow-up. The mean media min/day at baseline was 83.8 (SD 64.3), 93.7 (SD 80.3) min/day at year 1 follow-up, and 59.9 min/day (SD (45.6) at year 2 follow-up. One additional person per bedroom was associated with 6 fewer min/day with media. The addition of each age appropriate toy was associated with an additional 12.3 min/day of outdoor play. An additional type of inappropriate media was associated with 6.8 more min/day with media. These results suggest changes to the residential environment to improve physical activity among children in Latino farmworker families.
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Affiliation(s)
- Thomas A Arcury
- Department of Family and Community Medicine, Medical Center Boulevard, Wake Forest School of Medicine, Winston-Salem, NC, 27157-1084, USA.
| | - Cynthia K Suerken
- Division of Public Health Sciences, Department of Biostatistical Sciences, Wake Forest School of Medicine, Winston-Salem, NC, USA
| | - Edward H Ip
- Division of Public Health Sciences, Department of Biostatistical Sciences, Wake Forest School of Medicine, Winston-Salem, NC, USA
| | - Justin B Moore
- Department of Family and Community Medicine, Medical Center Boulevard, Wake Forest School of Medicine, Winston-Salem, NC, 27157-1084, USA
| | - Sara A Quandt
- Division of Public Health Sciences, Department of Epidemiology and Prevention, Wake Forest School of Medicine, Winston-Salem, NC, USA
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Roberts JD, Rodkey L, Ray R, Knight B, Saelens BE. Electronic media time and sedentary behaviors in children: Findings from the Built Environment and Active Play Study in the Washington DC area. Prev Med Rep 2017; 6:149-156. [PMID: 28316911 PMCID: PMC5350570 DOI: 10.1016/j.pmedr.2017.02.021] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2016] [Revised: 02/15/2017] [Accepted: 02/18/2017] [Indexed: 11/04/2022] Open
Abstract
An objective of the Built Environment and Active Play (BEAP) Study was to examine whether home built environment, bedroom electronic presence, parental rules and demographics predicted children's sedentary behavior (SB). In 2014, BEAP Study questionnaires were mailed to 2000 parents of children (7–12 years) within the Washington DC area. SB-Duration (hours/day) and SB-Frequency (days/week) were assessed by two questions with multiple subparts relating to SB activity type (e.g. car riding) and SB companionship (e.g. friends). Built environment, bedroom electronic presence, parental rules and demographic data were obtained through questionnaire items and ordered logistic regression models were used to examine whether these variables were associated with SB. Study sample included 144 children (female (50%); average age (9.7 years); White (56.3%); Black/African-American (23.7%); Asian-Americans (10.4%)). Nearly 40% of the sample reported daily solitary SB with car riding being the most frequently reported type of SB. Children living on streets without a dead-end/cul-de-sac exhibited a higher odds in SB-Duration using electric media [2.61 (CI: 1.31, 5.18)] and having no television in a child's bedroom was associated with a lower odds in SB-Frequency [0.048 (CI: 0.006, 0.393)] and SB-Duration [0.085 (CI: 0.018, 0.395)]. Non-Hispanic/Latino children were also found to have higher odds in solitary SB-Frequency when parental rules of electronic use were modeled [8.56 (CI: 1.11, 66.01)]. Based on results from this cross-sectional study, home neighborhood built environment, bedroom electronic presence and absence of parental rules can significantly predict children's SB. Children living on streets without dead-end/cul-de-sac exhibited sedentary behavior. Car riding most frequently reported type of daily sedentary behavior. Bedroom electronics and lack of parental rules associated with sedentary behavior.
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Affiliation(s)
- Jennifer D Roberts
- Department of Kinesiology, School of Public Health, University of Maryland, College Park, MD, USA
| | - Lindsey Rodkey
- Department of Kinesiology, School of Public Health, University of Maryland, College Park, MD, USA
| | - Rashawn Ray
- Department of Sociology, University of Maryland, College Park, MD, USA
| | - Brandon Knight
- Department of Preventive Medicine and Biometrics, F. Edward Hebert School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD, USA
| | - Brian E Saelens
- Department of Pediatrics, University of Washington, Seattle, WA, USA; Department of Psychiatry & Behavioral Sciences, University of Washington, Seattle, WA, USA; Seattle Children's Research Institute, Seattle, WA, USA
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12
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Remmers T, Van Kann D, Thijs C, de Vries S, Kremers S. Playability of school-environments and after-school physical activity among 8-11 year-old children: specificity of time and place. Int J Behav Nutr Phys Act 2016; 13:82. [PMID: 27421643 PMCID: PMC4946175 DOI: 10.1186/s12966-016-0407-5] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2016] [Accepted: 06/28/2016] [Indexed: 11/12/2022] Open
Abstract
Background Physical Activity (PA) occurs in several behavioral domains (e.g., sports, active transport), and is affected by distinct environmental factors. By filtering objective PA using children’s school schedules, daily PA can be separated into more conceptually meaningful domains. We used an ecological design to investigate associations between “playability” of 21 school-environments and children’s objectively measured after-school PA. We also examined to what extent distinct time-periods after-school and the distance from children’s residence to their school influenced this association. Methods PA was measured in 587 8–11 year-old children by accelerometers, and separated in four two-hour time-periods after-school. For each school-environment, standardized playability-scores were calculated based on standardized audits within 800 m network buffers around each school. Schools and children’s residences were geocoded, and we classified each child to be residing in 400, 800, 1600, or >1600 m crow-fly buffers from their school. The influence of network-distance buffers was also examined using the same approach. Results Playability was associated with light PA and moderate-to-vigorous PA after-school, especially in the time-period directly after-school and among children who lived within 800 m from their school. Playability explained approximately 30 % of the after-school PA variance between schools. Greater distance from children’s residence to their school weakened the association between playability of the school-environments and after-school PA. Conclusions This study demonstrated that relationships between the conceptually matched physical environment and PA can be revealed and made plausible with increasing specificity in time and distance.
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Affiliation(s)
- Teun Remmers
- Department of Epidemiology, Maastricht University (Medical Center+), CAPHRI School for Public Health and Primary Care, P.O. Box 616, 6200MD, Maastricht, The Netherlands.
| | - Dave Van Kann
- Department of Health Promotion, Maastricht University (Medical Center+), CAPHRI School for Public Health and Primary Care, Maastricht, The Netherlands
| | - Carel Thijs
- Department of Epidemiology, Maastricht University (Medical Center+), CAPHRI School for Public Health and Primary Care, P.O. Box 616, 6200MD, Maastricht, The Netherlands
| | - Sanne de Vries
- The Hague University of Applied Sciences, Research group Healthy Lifestyle in a Supporting Environment, The Hague, The Netherlands
| | - Stef Kremers
- Department of Health Promotion, Maastricht University (Medical Center+), NUTRIM School for Nutrition and Translational Research in Metabolism, Maastricht, The Netherlands
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Roberts JD, Knight B, Ray R, Saelens BE. Parental perceived built environment measures and active play in Washington DC metropolitan children. Prev Med Rep 2016; 3:373-8. [PMID: 27419039 PMCID: PMC4929179 DOI: 10.1016/j.pmedr.2016.04.001] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2015] [Revised: 04/01/2016] [Accepted: 04/20/2016] [Indexed: 12/04/2022] Open
Abstract
OBJECTIVE Previous research identified associations between perceived built environment and adult physical activity; however, fewer studies have explored associations in children. The Built Environment and Active Play (BEAP) Study examined relationships between children's active play and parental perceptions of home neighborhood built environments within the Washington, DC metropolitan area (DMV). METHODS With this cross-sectional study, a questionnaire was administered in 2014 to parents of children (7-12 years old) residing in the DMV. Data were collected on children's active play, home built environment parental perceptions, and demographics. Active play response data were dichotomized by whether the child did or did not meet the 60-min/day Physical Activity Guidelines for Americans (PAGAs) recommendation. Perceived home neighborhood built environment data were also dichotomized. Chi-square tests determined differences in parental perceived built environment measures between active and non-active child groups. Logistic regression assessed the association of parental perceived built environment variables with active play while adjusting for demographic variables. RESULTS The BEAP Study population (n = 144) included a uniquely diverse population of children with 23.7% African Americans and 10.4% Asian Americans. A statistically significant greater proportion of active children's parents agreed with the importance of neighborhood esthetics, active play areas, walkability and safety as compared to the parents of non-active children. Fully adjusted logistic regression models demonstrated that some parental perceived built environment measures (e.g. access to play equipment) were predictors of their children meeting the 60-min/day PAGA recommendation. CONCLUSION Our findings support the important role of home neighborhood built environment perceptions on childhood active play.
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Affiliation(s)
- Jennifer D. Roberts
- Department of Kinesiology, School of Public Health, University of Maryland, College Park, MD, USA
| | - Brandon Knight
- Department of Preventive Medicine and Biometrics, F. Edward Hebert School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD, USA
| | - Rashawn Ray
- Department of Sociology, University of Maryland, College Park, MD, USA
| | - Brian E. Saelens
- Departments of Pediatrics and Psychiatry & Behavioral Sciences, University of Washington and Seattle Children's Research Institute, Seattle, Washington, USA
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