1
|
Manzano-Sánchez D. Profile analysis through self-determination theory and intention to be physically active: differences according to gender and age. Front Psychol 2023; 14:1277532. [PMID: 37854139 PMCID: PMC10580080 DOI: 10.3389/fpsyg.2023.1277532] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2023] [Accepted: 08/31/2023] [Indexed: 10/20/2023] Open
Abstract
Introduction Physical Education in the current education system has various objectives,including educating students on the values of physical activity and increasing the physical activity levels of students. Objective The purpose of the present study is to analyze the motivational profiles of students, to understand which profiles have higher levels of responsibility, satisfaction of autonomy, competence, and social relationship needs; intention to be physically active; and perception of autonomy support. Methods A total of 752 students from Primary, Secondary, and Non-compulsory Education (M = 13.809; SD = 1.984, 47.9% boys and 52.1% girls), from different educational centers in Spain, participated in the study, to whom a series of questionnaires were administered to find out their values of the mentioned variables. The results established the existence of four profiles: "high quality," "low quality," "high quantity," and "low quantity" of motivation. Results The results reflect that the students of the "high quality" and "high quantity" profiles had higher values in all the variables in relation to the other two groups (except in amotivation and external regulation), discussing the differential analysis between the four groups. The group with the best results was the "high quantity" profile, as opposed to the "low quantity" profile. In turn, no differences were found according to gender, but according to the educational stage, the Primary Education stage was more related to the more self-determined profiles. Discussion and conclusion Therefore, it is necessary to look for more self-determined motivational profiles from an early age in order to improve levels of responsibility, perception of autonomy, satisfaction of basic psychological needs, and the intention to be physically active.
Collapse
|
2
|
Okely AD, Ghersi D, Loughran SP, Cliff DP, Shilton T, Jones RA, Stanley RM, Sherring J, Toms N, Eckermann S, Olds TS, Zhang Z, Parrish AM, Kervin L, Downie S, Salmon J, Bannerman C, Needham T, Marshall E, Kaufman J, Brown L, Wille J, Wood G, Lubans DR, Biddle SJH, Pill S, Hargreaves A, Jonas N, Schranz N, Campbell P, Ingram K, Dean H, Verrender A, Ellis Y, Chong KH, Dumuid D, Katzmarzyk PT, Draper CE, Lewthwaite H, Tremblay MS. A collaborative approach to adopting/adapting guidelines. The Australian 24-hour movement guidelines for children (5-12 years) and young people (13-17 years): An integration of physical activity, sedentary behaviour, and sleep. Int J Behav Nutr Phys Act 2022; 19:2. [PMID: 34991606 PMCID: PMC8734238 DOI: 10.1186/s12966-021-01236-2] [Citation(s) in RCA: 33] [Impact Index Per Article: 16.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2021] [Accepted: 12/08/2021] [Indexed: 12/20/2022] Open
Abstract
Abstract Background In 2018, the Australian Government updated the Australian Physical Activity and Sedentary Behaviour Guidelines for Children and Young People. A requirement of this update was the incorporation of a 24-hour approach to movement, recognising the importance of adequate sleep. The purpose of this paper was to describe how the updated Australian 24-Hour Movement Guidelines for Children and Young People (5 to 17 years): an integration of physical activity, sedentary behaviour and sleep were developed and the outcomes from this process. Methods The GRADE-ADOLOPMENT approach was used to develop the guidelines. A Leadership Group was formed, who identified existing credible guidelines. The Canadian 24-Hour Movement Guidelines for Children and Youth best met the criteria established by the Leadership Group. These guidelines were evaluated based on the evidence in the GRADE tables, summaries of findings tables and recommendations from the Canadian Guidelines. We conducted updates to each of the Canadian systematic reviews. A Guideline Development Group reviewed, separately and in combination, the evidence for each behaviour. A choice was then made to adopt or adapt the Canadian recommendations for each behaviour or create de novo recommendations. We then conducted an online survey (n=237) along with three focus groups (n=11 in total) and 13 key informant interviews. Stakeholders used these to provide feedback on the draft guidelines. Results Based on the evidence from the Canadian systematic reviews and the updated systematic reviews in Australia, the Guideline Development Group agreed to adopt the Canadian recommendations and, apart from some minor changes to the wording of good practice statements, maintain the wording of the guidelines, preamble, and title of the Canadian Guidelines. The Australian Guidelines provide evidence-informed recommendations for a healthy day (24-hours), integrating physical activity, sedentary behaviour (including limits to screen time), and sleep for children (5-12 years) and young people (13-17 years). Conclusions To our knowledge, this is only the second time the GRADE-ADOLOPMENT approach has been used to develop movement behaviour guidelines. The judgments of the Australian Guideline Development Group did not differ sufficiently to change the directions and strength of the recommendations and as such, the Canadian Guidelines were adopted with only very minor alterations. This allowed the Australian Guidelines to be developed in a shorter time frame and at a lower cost. We recommend the GRADE-ADOLOPMENT approach, especially if a credible set of guidelines that was developed using the GRADE approach is available with all supporting materials. Other countries may consider this approach when developing and/or revising national movement guidelines. Supplementary Information The online version contains supplementary material available at 10.1186/s12966-021-01236-2.
Collapse
Affiliation(s)
- Anthony D Okely
- Faculty of Arts, Social Sciences and Humanities, School of Health and Society, University of Wollongong, Wollongong, NSW, 2522, Australia. .,Illawarra Health and Medical Research Institute, Wollongong, Australia.
| | - Davina Ghersi
- Research Policy and Translation, National Health and Medical Research Council, Canberra, Australia.,National Health & Medical Research Council Clinical Trials Centre, Sydney Medical School, University of Sydney, Sydney, Australia
| | - Sarah P Loughran
- Faculty of Arts, Social Sciences and Humanities, School of Health and Society, University of Wollongong, Wollongong, NSW, 2522, Australia.,Illawarra Health and Medical Research Institute, Wollongong, Australia
| | - Dylan P Cliff
- Faculty of Arts, Social Sciences and Humanities, School of Health and Society, University of Wollongong, Wollongong, NSW, 2522, Australia.,Illawarra Health and Medical Research Institute, Wollongong, Australia
| | - Trevor Shilton
- National Heart Foundation (WA), 334 Rokeby Road, Subiaco, Australia
| | - Rachel A Jones
- Faculty of Arts, Social Sciences and Humanities, School of Health and Society, University of Wollongong, Wollongong, NSW, 2522, Australia.,Illawarra Health and Medical Research Institute, Wollongong, Australia
| | - Rebecca M Stanley
- Faculty of Arts, Social Sciences and Humanities, School of Health and Society, University of Wollongong, Wollongong, NSW, 2522, Australia.,Illawarra Health and Medical Research Institute, Wollongong, Australia
| | - Julie Sherring
- Faculty of Arts, Social Sciences and Humanities, School of Health and Society, University of Wollongong, Wollongong, NSW, 2522, Australia
| | - Natalie Toms
- Preventive Programs, Commonwealth Department of Health, Canberra, Australia
| | - Simon Eckermann
- Australian Health Services Research Institute, University of Wollongong, Wollongong, Australia
| | - Timothy S Olds
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), Allied Health and Human Performance, University of South Australia, Adelaide, Australia
| | - Zhiguang Zhang
- Faculty of Arts, Social Sciences and Humanities, School of Health and Society, University of Wollongong, Wollongong, NSW, 2522, Australia
| | - Anne-Maree Parrish
- Faculty of Arts, Social Sciences and Humanities, School of Health and Society, University of Wollongong, Wollongong, NSW, 2522, Australia
| | - Lisa Kervin
- Faculty of Arts, Social Sciences and Humanities, School of Health and Society, University of Wollongong, Wollongong, NSW, 2522, Australia
| | - Sandra Downie
- Preventive Programs, Commonwealth Department of Health, Canberra, Australia
| | - Jo Salmon
- Institute for Physical Activity and Nutrition (IPAN), Deakin University, Melbourne, Australia
| | | | | | | | - Jordy Kaufman
- Swinburne University of Technology, Melbourne, Australia
| | - Layne Brown
- Faculty of Arts, Social Sciences and Humanities, School of Health and Society, University of Wollongong, Wollongong, NSW, 2522, Australia
| | - Janecke Wille
- Federation of Ethnic Communities Council of Australia (FECCA), Canberra, Australia
| | - Greg Wood
- Australian Sports Commission, Leederville, Western Australia
| | - David R Lubans
- Priority Research Centre for Physical Activity and Nutrition, School of Education, University of Newcastle, Newcastle, Australia
| | - Stuart J H Biddle
- Centre for Health Research, University of Southern Queensland, Springfield Central, Toowoomba, Australia
| | - Shane Pill
- The Australian Council for Health, Physical Education and Recreation (ACHPER), Wayville, Australia and Flinders University, Adelaide, South Australia
| | | | - Natalie Jonas
- Australian Curriculum, Assessment and Reporting Authority (ACARA), SA, Sydney, Australia
| | - Natasha Schranz
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), Allied Health and Human Performance, University of South Australia, Adelaide, Australia.,Active Healthy Kids Australia, Adelaide, Australia and National Heart Foundation, Adelaide, South Australia
| | - Perry Campbell
- Australian Children's Education & Care Quality Authority (ACECQA), Sydney, Australia
| | - Karen Ingram
- NSW Education Standards Authority (NESA), Sydney, Australia
| | - Hayley Dean
- NSW Education Standards Authority (NESA), Sydney, Australia
| | - Adam Verrender
- Faculty of Arts, Social Sciences and Humanities, School of Health and Society, University of Wollongong, Wollongong, NSW, 2522, Australia
| | - Yvonne Ellis
- Faculty of Arts, Social Sciences and Humanities, School of Health and Society, University of Wollongong, Wollongong, NSW, 2522, Australia
| | - Kar Hau Chong
- Faculty of Arts, Social Sciences and Humanities, School of Health and Society, University of Wollongong, Wollongong, NSW, 2522, Australia
| | - Dorothea Dumuid
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), Allied Health and Human Performance, University of South Australia, Adelaide, Australia
| | | | - Catherine E Draper
- SAMRC/Wits Developmental Pathways for Health, University of the Witwatersrand, Johannesburg, South Africa
| | - Hayley Lewthwaite
- Australian Health Services Research Institute, University of Wollongong, Wollongong, Australia
| | - Mark S Tremblay
- Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, Canada
| |
Collapse
|
3
|
Burns RD, Pfledderer CD, Fu Y. Adolescent Health Behaviors and Difficulty Concentrating, Remembering, and Making Decisions. Am J Lifestyle Med 2021; 15:664-672. [PMID: 34916887 PMCID: PMC8669897 DOI: 10.1177/1559827619860067] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2019] [Revised: 05/22/2019] [Accepted: 06/07/2019] [Indexed: 12/16/2022] Open
Abstract
The purpose of this study was to examine the associations among physical activity, dietary behaviors, and other salient health behaviors such as smoking, alcohol consumption, and sleeping with self-reported adolescent mental health on the 2017 National Youth Risk Behavior Survey (YBRS). A multistage cluster sampling procedure was employed to yield a representative sample of US adolescents. The number of sampled adolescents with usable data was 14 765. Weighted logistic regression models were employed to examine the predictive utility of independent health behaviors associating with reported mental health problems (difficulty concentrating, remembering, or making decisions), and meeting multiple health behavior criteria with reported mental health problems adjusting for age, sex, body mass index percentile, and race/ethnicity. Meeting physical activity guidelines, consuming breakfast every day, not smoking and/or consuming alcohol in the past 30 days, and sleeping at least 8 hours per night independently associated with lower odds of mental health problems (P < .01). For every one additional positive health behavior met, there were significantly lower odds of reported mental health problems (OR = 0.73, 95%CI 0.68-0.78, P < .001). Meeting salient positive health behavior criteria and meeting multiple positive health behavior criteria associated with lower odds of self-reported difficulty concentrating, remembering, or making decisions on the 2017 National YRBS.
Collapse
Affiliation(s)
- Ryan D. Burns
- Ryan D. Burns, PhD, Department of Health, Kinesiology, and Recreation, University of Utah, 250 South 1850 East Room 251, Salt Lake City, UT 84111;
| | - Christopher D. Pfledderer
- Department of Health, Kinesiology, and Recreation, University of Utah, Salt Lake City, Utah (RDB, CDP)
- School of Community Health Sciences, University of Nevada Reno, Reno, Nevada (YF)
| | - You Fu
- Department of Health, Kinesiology, and Recreation, University of Utah, Salt Lake City, Utah (RDB, CDP)
- School of Community Health Sciences, University of Nevada Reno, Reno, Nevada (YF)
| |
Collapse
|
4
|
Carrello J, Lung T, Killedar A, Baur LA, Hayes A. Relationship between obesity and school absenteeism in Australian children: Implications for carer productivity. Obes Res Clin Pract 2021; 15:587-592. [PMID: 34625400 DOI: 10.1016/j.orcp.2021.09.006] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/15/2021] [Revised: 09/15/2021] [Accepted: 09/17/2021] [Indexed: 10/20/2022]
Abstract
BACKGROUND Economic evaluations of childhood obesity interventions are often used to assist decision making when presented with alternative course of action. Including indirect costs related to productivity losses is recommended; in children this would include school absenteeism. Our aim was to determine the association between school absenteeism and weight status among Australian children and estimate the indirect costs of this. METHODS We used data from a nationally representative sample of 8551 Australian children in the Longitudinal study of Australian Children (LSAC) with follow-up between 2006 and 2018. A mixed-effects negative binomial regression model was used to investigate the relationship between school absenteeism and weight status, controlling for age, sex, socio-economic position, indigenous status, rural/remote status and long-term medical conditions. We used average daily wages for the year 2018 to value the indirect costs of school absenteeism (through caregiver lost productivity). RESULTS Australian children with obesity aged 6-13 years missed on average an extra day of school annually compared to children of a healthy weight (p = 0.004), while adolescents with obesity aged 14-17 years missed on average an extra 0.69 days of school annually (p = 0.006). The estimated national cost for children with obesity aged 6-13 years was approximately $64 million AUD ($43 million USD) or $338 AUD ($230 USD) per child through caregiver lost productivity in 2018. CONCLUSIONS There is a small but significant association between school absenteeism and childhood obesity in Australia which is estimated to generate a considerable national cost through caregiver productivity losses. Our results will assist health economists evaluating childhood obesity interventions capture the full extent of the associated costs with this condition.
Collapse
Affiliation(s)
- Joseph Carrello
- Sydney School of Public Health, Faculty of Medicine and Health, University of Sydney, NSW, Australia.
| | - Thomas Lung
- Sydney School of Public Health, Faculty of Medicine and Health, University of Sydney, NSW, Australia; The George Institute for Global Health, The University of New South Wales, Sydney, NSW, Australia
| | - Anagha Killedar
- Sydney School of Public Health, Faculty of Medicine and Health, University of Sydney, NSW, Australia
| | - Louise A Baur
- The University of Sydney, Children's Hospital Westmead Clinical School, Westmead, Australia; Weight Management Services, The Children's Hospital at Westmead, Westmead, Australia
| | - Alison Hayes
- Sydney School of Public Health, Faculty of Medicine and Health, University of Sydney, NSW, Australia
| |
Collapse
|
5
|
Cvetković B, Cvetković M, Petrušič T, Đorđić V, Bubanj S, Popović B, Andrašić S, Buišić S, Bogataj Š. Nutrition and Physical Activity Behavior in 11-14-Year-Old Schoolchildren in Serbia. CHILDREN-BASEL 2021; 8:children8080625. [PMID: 34438516 PMCID: PMC8394318 DOI: 10.3390/children8080625] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/02/2021] [Revised: 07/16/2021] [Accepted: 07/20/2021] [Indexed: 11/16/2022]
Abstract
Regular physical activity and healthy diet have a significant positive impact on children’s health. Lack of physical activity increases the risk of various diseases, while obesity has become an alarming health problem worldwide. The aim of this study is to investigate the patterns of physical activity and diet among 11–14-year-old school children in Serbia. The sample included 623 primary school children, of whom 333 were boys (53.45%) and 290 were girls (46.55%). The children were also divided according to their age/grade: fifth grade/11 years (24.40% (n = 152; M = 84, F = 68)), sixth grade/12 years (25.68% (n = 160; M = 91, F = 69)), seventh grade/13 years (26.81% (n = 167; M = 83, F = 84)) and eighth grade/14 years (23.11% (n = 144; M = 75, F = 69)). Children’s lifestyle was assessed using two subscales of questionnaires based on the Health-Promoting Lifestyle Profile model II. The Mann–Whitney U test showed no statistically significant difference between boys and girls in the variables Nutrition (p = 0.81) and Physical Activity (p = 0.91). The Kruskal–Wallis test was applied and showed no statistically significant differences between children of different ages, regardless of gender, in the variable Nutrition (p = 0.63). However, differences were evident in the variable Physical Activity (p < 0.001), with the highest mean scores recorded in 12- and 13-year-old children and the lowest in 14-year-old children. Additionally, no statistically significant differences were found among boys as a function of age in the variables Nutrition (p = 0.55) and Physical Activity (p = 0.15), nor among girls in the variable Nutrition (p = 0.43), but in the variable Physical Activity (p = 0.01). In general, it can be concluded that the older primary school children have relatively satisfactory dietary and physical activity habits, but that these behaviors decrease with age, especially the level of physical activity. There is a need for better and more effective education of children about the benefits and importance of proper nutrition and regular physical activity.
Collapse
Affiliation(s)
- Biljana Cvetković
- Institute of Food Technology in Novi Sad, University of Novi Sad, Bulevar Cara Lazara 1, 21101 Novi Sad, Serbia;
| | - Milan Cvetković
- Faculty of Sport and Physical Education, University of Novi Sad, 21101 Novi Sad, Serbia; (M.C.); (V.Đ.); (B.P.)
| | - Tanja Petrušič
- Faculty of Education, University of Ljubljana, 1000 Ljubljana, Slovenia;
| | - Višnja Đorđić
- Faculty of Sport and Physical Education, University of Novi Sad, 21101 Novi Sad, Serbia; (M.C.); (V.Đ.); (B.P.)
| | - Saša Bubanj
- Faculty of Sport and Physical Education, University of Niš, 18000 Niš, Serbia;
| | - Boris Popović
- Faculty of Sport and Physical Education, University of Novi Sad, 21101 Novi Sad, Serbia; (M.C.); (V.Đ.); (B.P.)
| | - Slobodan Andrašić
- Faculty of Economics, University of Novi Sad, 24000 Subotica, Serbia;
| | - Svetlana Buišić
- Faculty of Education in Sombor, University of Novi Sad, 21101 Novi Sad, Serbia;
| | - Špela Bogataj
- Department of Nephrology, University Medical Centre, 1000 Ljubljana, Slovenia
- Faculty of Sport, University of Ljubljana, 1000 Ljubljana, Slovenia
- Correspondence:
| |
Collapse
|
6
|
Nigg CR, Wunsch K, Nigg C, Niessner C, Jekauc D, Schmidt SCE, Woll A. Are Physical Activity, Screen Time, and Mental Health Related During Childhood, Preadolescence, and Adolescence? 11-Year Results From the German Motorik-Modul Longitudinal Study. Am J Epidemiol 2021; 190:220-229. [PMID: 33524119 DOI: 10.1093/aje/kwaa192] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2019] [Revised: 08/26/2020] [Accepted: 08/28/2020] [Indexed: 11/14/2022] Open
Abstract
Mental health (MH) and behavioral health are fundamental to a good quality of life. Only a few studies have investigated the association between behavioral health (e.g., physical activity (PA), screen time (ST)) and MH from childhood to adolescence. Therefore, we investigated the relationships of PA and ST with MH by sex in an 11-year longitudinal cohort study of German schoolchildren during 2003-2017. A subsample (n = 686; 55.2% female) of participants from the German Motorik-Modul (MoMo) Longitudinal Study who participated in all 3 measurement phases (mean ages: time 1 (baseline; 2003-2006), 5.57 (standard deviation (SD), 1.00) years; time 2 (wave 1; 2009-2012), 11.85 (SD, 1.03) years; time 3 (wave 2; 2014-2017), 16.86 (SD, 1.04) years) were analyzed with regard to PA, ST, and MH (emotional symptoms, conduct problems, hyperactivity/inattention, peer relationship problems, prosocial behavior, and overall strengths and difficulties). Path panel prediction models were fitted with time 1, time 2, and time 3 PA, ST, and MH indicators. PA predicted less television (TV)/video watching in females, and TV/video watching predicted personal computer (PC)/Internet use in both sexes. Behavior and MH results suggested that, for females, higher TV/video watching and PC/Internet use was related to higher MH challenges over the course of maturation. Some preadolescent males' MH challenges increased ST (TV/video watching and PC/Internet use) in adolescence. Researchers should explore innovative and effective methods for reducing childhood ST, especially among females with early signs of MH issues, and addressing preadolescent males' MH challenges.
Collapse
|
7
|
Reynolds AN, Diep Pham HT, Montez J, Mann J. Dietary fibre intake in childhood or adolescence and subsequent health outcomes: A systematic review of prospective observational studies. Diabetes Obes Metab 2020; 22:2460-2467. [PMID: 32844565 PMCID: PMC7756362 DOI: 10.1111/dom.14176] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/16/2020] [Revised: 08/07/2020] [Accepted: 08/23/2020] [Indexed: 12/14/2022]
Abstract
AIM To determine whether higher fibre intakes during childhood or adolescence effect a broad range of intermediate markers of cardiometabolic risk or other health related issues. MATERIALS AND METHODS We used online searches up to January 2020 and manual searches to identify prospective observational studies reporting on childhood or adolescent intakes of dietary fibre, vegetables, fruit and refined or whole grains. Outcomes measured later in life were body weight, blood lipids, blood pressure, glycaemia, bone health, cognition, growth and bowel habits. Potential age-specific ranges for dietary fibre were extrapolated from published adult data. RESULTS We identified 45 publications reporting on 44 354 participants from 30 cohort studies. Mean age at dietary assessment varied from 1 to 19.3 years. Follow-up duration varied from 4 months to 27 years. Although well-conducted studies reported improvements in body weight, blood lipids and glycaemia, the diverse nature of studies precluded meta analysis. The quality of evidence was very low to low given the limited data available per outcome and the inability to synthesize results from multiple studies. Potential dietary fibre intake begins at 13-16 g a day for 2-year-olds and increases until the age of 10 years, when values are comparable with an adult range of 25-30 g a day. CONCLUSIONS Given the inconsistency in findings from cohort studies other than an absence of detrimental effects, it seems appropriate that recommendations regarding childhood fibre intake are extrapolated from relevant adult data.
Collapse
Affiliation(s)
| | | | - Jason Montez
- Department of Nutriton and Food SafetyWorld Health OrganizationGenevaSwitzerland
| | - Jim Mann
- Department of MedicineUniversity of OtagoDunedinNew Zealand
- Edgar Diabetes and Obesity Research CentreUniversity of OtagoDunedinNew Zealand
| |
Collapse
|
8
|
Zhang T, Lu G, Wu XY. Associations between physical activity, sedentary behaviour and self-rated health among the general population of children and adolescents: a systematic review and meta-analysis. BMC Public Health 2020; 20:1343. [PMID: 32883275 PMCID: PMC7650260 DOI: 10.1186/s12889-020-09447-1] [Citation(s) in RCA: 30] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2020] [Accepted: 08/25/2020] [Indexed: 01/02/2023] Open
Abstract
Background Self-rated health (SRH) is an indicator that captures a person’s perception of their overall health status. The relationship between physical activity (PA), sedentary behaviour (SB) and SRH has been investigated in systematic reviews among adult and elderly populations. No systematic review to date has synthesized the relationship between PA, SB and SRH among children and adolescents. The purpose of this systematic review and meta-analysis was to synthesize the associations between PA, SB and SRH in the general population of children and adolescents and to investigate the dose-response relationship between PA, SB and SRH. Methods We conducted a computer search for English language studies in the databases of MEDLINE, EMBASE and PSYCINFO that were published between 1946 and 2019. We searched PubMed, Google Scholar, and the references of the identified publications for additional studies. A meta-analysis was employed to synthesize the associations between PA, SB respectively and SRH. The dose-response association was tested using a random effects meta-regression model. The review was reported following the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. Results Sixty-eight published articles were included in the final review, including 59 cross-sectional and nine longitudinal studies. We found evidence that PA was associated with better SRH, and SB was associated with lower SRH among children and adolescents. A dose-response relationship between PA and SRH was observed, where a higher level of PA was associated with better SRH than a lower level of PA. The relationship between PA, SB and SRH was observed in both boys and girls, and did not show a significant gender difference. Conclusions The findings in the systematic review suggest that health intervention programmes targeting promoting PA and reducing SB among children and adolescents may enhance their overall health status. Future research is needed to expand prospective cohort and intervention studies to address directionality and causality in the relationships between PA, SB and SRH among children and youth. Trial registration PROSPERO - CRD42019142244. Registered on October 18, 2019.
Collapse
Affiliation(s)
- Tong Zhang
- School of Public Health, Weifang Medical University, 7166 Baotong West Street, Weifang, 261053, Shandong, China
| | - Guohua Lu
- School of Public Health, Weifang Medical University, 7166 Baotong West Street, Weifang, 261053, Shandong, China
| | - Xiu Yun Wu
- School of Public Health, Weifang Medical University, 7166 Baotong West Street, Weifang, 261053, Shandong, China.
| |
Collapse
|
9
|
Faught EL, Qian W, Carson VL, Storey KE, Faulkner G, Veugelers PJ, Leatherdale ST. The longitudinal impact of diet, physical activity, sleep, and screen time on Canadian adolescents' academic achievement: An analysis from the COMPASS study. Prev Med 2019; 125:24-31. [PMID: 31108133 DOI: 10.1016/j.ypmed.2019.05.007] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/05/2018] [Revised: 05/10/2019] [Accepted: 05/16/2019] [Indexed: 11/28/2022]
Abstract
Adequate amounts of physical activity, sleep, and screen time along with a healthy diet have been demonstrated to have positive associations with academic achievement. No longitudinal study has investigated the simultaneous relationship between all of these behaviours and academic achievement. Data from 11,016 adolescent participants of the COMPASS study in Alberta and Ontario were analysed. Students self-reported their adherence to Canadian recommendations for health behaviours and academic achievement in Math and English on school-based surveys administered in the 2015/16 and 2016/17 waves of COMPASS. Multinomial generalized estimating equations were used to evaluate the association between longitudinal changes in adherence to recommendations and academic achievement at follow-up. Models were adjusted for self-reported sociodemographic information, body weight status, and baseline academic achievement. Students who adhered to a greater number of recommendations performed better than students who adhered to fewer recommendations. Meeting recommendations for Meat and Alternatives (protein-rich foods) and screen time were consistently associated with higher academic achievement compared to students who did not meet these recommendations. A change from not meeting recommendations for Vegetables and Fruit to meeting the recommendation in the following year was associated with higher achievement in both subjects. There was no association between sleep behaviours or physical activity and academic achievement. Results indicate that adherence to recommendations for protein-rich foods, screen time, and vegetables and fruit show promise as behavioural targets for higher academic achievement among youth. Further study using objectives measurements of behaviours and further consideration of socioeconomic variables is merited.
Collapse
Affiliation(s)
- E L Faught
- School of Public Health, University of Alberta, 3-50 University Terrace, 8303-112 Street NW, Edmonton, AB T6G 2T4, Canada.
| | - W Qian
- School of Public Health and Health Systems, University of Waterloo, 200 University Avenue West, Waterloo, Ontario N2L 3G1, Canada.
| | - V L Carson
- Faculty of Kinesiology, Sport, and Recreation, University of Alberta, 1-151 University Hall, Van Vliet Complex, 116 Street and 85 Avenue, Edmonton, AB T6G 2R3, Canada.
| | - K E Storey
- School of Public Health, University of Alberta, 3-50 University Terrace, 8303-112 Street NW, Edmonton, AB T6G 2T4, Canada.
| | - G Faulkner
- Faculty of Education, School of Kinesiology, Lower Mall Research Station Room 337, 2259 Lower Mall, Vancouver, BC V6T 1Z3, Canada.
| | - P J Veugelers
- School of Public Health, University of Alberta, 3-50 University Terrace, 8303-112 Street NW, Edmonton, AB T6G 2T4, Canada.
| | - S T Leatherdale
- School of Public Health and Health Systems, University of Waterloo, 200 University Avenue West, Waterloo, Ontario N2L 3G1, Canada.
| |
Collapse
|
10
|
An R, Yan H, Shi X, Yang Y. Childhood obesity and school absenteeism: a systematic review and meta-analysis. Obes Rev 2017; 18:1412-1424. [PMID: 28925105 DOI: 10.1111/obr.12599] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/23/2017] [Revised: 07/11/2017] [Accepted: 07/13/2017] [Indexed: 12/01/2022]
Abstract
Regular school attendance is a key determinant of student's academic achievement and psychosocial development. Obesity may affect children's school attendance through its detrimental impact on their physical and mental health. A literature search was conducted in the PubMed, Web of Science and Cochrane Library for articles published until April 2017 that examined the relationship between unhealthy body weight and school absenteeism among children and adolescents. Thirteen studies total (10 cross-sectional and three longitudinal) conducted in seven countries were identified. The mean and median sample sizes were 24,861 and 3,113, respectively. Ten studies objectively measured children's height and weight, and three were based on parents' self-report. Four studies measured absenteeism using school administrative data, and nine administered questionnaires on children's parents. Among them, 11 reported a statistically significant positive association between childhood overweight/obesity and school absence, whereas two reported null effect. The meta-analysis found that the odds of being absent from school was 27% and 54% higher among children with overweight and obesity than among their normal weight counterparts, respectively. Future studies should adopt an experimental study design and accurate measures on school attendance and delineate the underlining pathways linking childhood obesity to school absenteeism through obesity-related illnesses and psychosocial problems.
Collapse
Affiliation(s)
- R An
- Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Champaign, IL, USA
| | - H Yan
- Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Champaign, IL, USA
| | - X Shi
- Nanjing Sport Institute, Nanjing, Jiangsu, China
| | - Y Yang
- Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Champaign, IL, USA
| |
Collapse
|
11
|
Burrows T, Goldman S, Pursey K, Lim R. Is there an association between dietary intake and academic achievement: a systematic review. J Hum Nutr Diet 2016; 30:117-140. [DOI: 10.1111/jhn.12407] [Citation(s) in RCA: 84] [Impact Index Per Article: 10.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- T. Burrows
- School of Health Sciences; Faculty of Health and Medicine; University of Newcastle; NSW Australia
| | - S. Goldman
- School of Health Sciences; Faculty of Health and Medicine; University of Newcastle; NSW Australia
| | - K. Pursey
- School of Health Sciences; Faculty of Health and Medicine; University of Newcastle; NSW Australia
| | - R. Lim
- School of Biomedical Sciences and Pharmacy; Faculty of Health and Medicine; University of Newcastle; NSW Australia
| |
Collapse
|
12
|
Voráčová J, Sigmund E, Sigmundová D, Kalman M. Changes in Eating Behaviours among Czech Children and Adolescents from 2002 to 2014 (HBSC Study). INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2015; 12:15888-99. [PMID: 26694428 PMCID: PMC4690964 DOI: 10.3390/ijerph121215028] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/22/2015] [Revised: 12/06/2015] [Accepted: 12/10/2015] [Indexed: 01/28/2023]
Abstract
Many children skip breakfast, consume soft drinks/sweets and do not eat the recommended amounts of fruit and vegetables. Poor eating habits in children tend to be carried over into adulthood. The changes in eating behaviours of Czech 11-, 13- and 15-year-old children were examined by frequency of breakfast (on weekdays and weekends), fruit, vegetable, sweet and soft drink consumption using data obtained from the Health Behaviour in School-aged Children (HBSC) surveys in 2002, 2006, 2010 and 2014. Logistic regression was used to analyze changes in eating behaviours. The findings showed a significant increase (only in girls, p ≤ 0.001) in prevalence of breakfast consumption (on weekdays) and a decrease in daily consumption of soft drinks (in boys and girls, p ≤ 0.001), sweets (in boys and girls, p ≤ 0.01) and fruit (in boys, p ≤ 0.01; in girls, p ≤ 0.001) between 2002 and 2014. Daily vegetable and breakfast on weekends consumption remained statistically unchanged over time. More frequent daily fruit, vegetable and breakfast (on weekends) consumption was reported by girls and younger children, whereas daily soft drink intake was more prevalent in boys and older children. There is a need for re-evaluation of current policies and new initiatives to improve the eating habits of Czech children.
Collapse
Affiliation(s)
- Jaroslava Voráčová
- Institute of Active Lifestyle, Faculty of Physical Culture, Palacký University Olomouc, Tr. Miru 117, Olomouc 77111, Czech Republic.
| | - Erik Sigmund
- Institute of Active Lifestyle, Faculty of Physical Culture, Palacký University Olomouc, Tr. Miru 117, Olomouc 77111, Czech Republic.
| | - Dagmar Sigmundová
- Institute of Active Lifestyle, Faculty of Physical Culture, Palacký University Olomouc, Tr. Miru 117, Olomouc 77111, Czech Republic.
| | - Michal Kalman
- Institute of Active Lifestyle, Faculty of Physical Culture, Palacký University Olomouc, Tr. Miru 117, Olomouc 77111, Czech Republic.
| |
Collapse
|