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Szpunar M, Bourke M, Vanderloo LM, Bruijns BA, Truelove S, Burke SM, Gilliland J, Irwin JD, Tucker P. Association Between Children's and Parents' Physical Activity During the COVID-19 Pandemic: A Cross-Lagged Analysis. J Phys Act Health 2024; 21:68-76. [PMID: 37922891 DOI: 10.1123/jpah.2023-0356] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2023] [Revised: 09/14/2023] [Accepted: 09/15/2023] [Indexed: 11/07/2023]
Abstract
BACKGROUND COVID-19 caused closures of movement supporting environments such as gyms and schools in Canada. This study evaluated the association between Ontario parents' and children's physical activity levels across time during COVID-19, controlling for variables that were identified as significant predictors of children's and parents' physical activity (e.g., children's age, parents' employment status). METHODS Parents (n = 243; mean age = 38.8 y) of children aged 12 and under (n = 408; mean age = 6.3 y) living in Ontario, Canada completed 2 online surveys, the first between August and December 2020 and the second between August and December 2021. At baseline, parents were asked to recall prepandemic physical activity levels. To determine the association between parent and child physical activity during COVID-19, a cross-lagged model was estimated to determine the cross-sectional and longitudinal associations between parents' and children's physical activity across time. RESULTS Bivariate associations revealed that parents' and children's physical activity levels were significantly related during lockdown and postlockdown but not prelockdown. The autoregressive paths from prelockdown to during lockdown were significant for children (β = 0.53, P < .001) and parents (β = 1.058, P < .001) as were the autoregressive paths from during lockdown to postlockdown for children (β = 0.61, P < .001) and parents (β = 0.48, P < .001). In fully adjusted models, the cross-lagged association between parents' physical activity prelockdowns was significantly positively associated with their children's physical activity during lockdowns (β = 0.19, P = .013). CONCLUSIONS Resources are needed to ensure that children and parents are obtaining sufficient levels of physical activity, particularly during a pandemic.
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Affiliation(s)
- Monika Szpunar
- Health and Rehabilitation Sciences Program, Faculty of Health Sciences, University of Western Ontario, London, ON, Canada
| | - Matthew Bourke
- School of Occupational Therapy, Faculty of Health Sciences, University of Western Ontario, London, ON, Canada
| | - Leigh M Vanderloo
- School of Occupational Therapy, Faculty of Health Sciences, University of Western Ontario, London, ON, Canada
- ParticipACTION, Toronto, ON, Canada
| | - Brianne A Bruijns
- School of Occupational Therapy, Faculty of Health Sciences, University of Western Ontario, London, ON, Canada
| | - Stephanie Truelove
- Member Interest Groups Section, Professional Development and Practice Support, College of Family Physicians of Canada, Mississauga, ON, Canada
| | - Shauna M Burke
- School of Health Studies, Faculty of Health Sciences, University of Western Ontario, London, ON, Canada
- Children's Health Research Institute, Lawson Health Research Institute, London, ON, Canada
| | - Jason Gilliland
- School of Health Studies, Faculty of Health Sciences, University of Western Ontario, London, ON, Canada
- Children's Health Research Institute, Lawson Health Research Institute, London, ON, Canada
- Department of Geography and Environment, University of Western Ontario, London, ON, Canada
- Department of Pediatrics, University of Western Ontario, London, ON, Canada
- Department of Epidemiology & Biostatistics, University of Western Ontario, London, ON, Canada
| | - Jennifer D Irwin
- School of Health Studies, Faculty of Health Sciences, University of Western Ontario, London, ON, Canada
| | - Patricia Tucker
- School of Occupational Therapy, Faculty of Health Sciences, University of Western Ontario, London, ON, Canada
- Children's Health Research Institute, Lawson Health Research Institute, London, ON, Canada
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Szpunar M, Bourke M, Vanderloo LM, Bruijns BA, Truelove S, Burke SM, Gilliland J, Irwin JD, Tucker P. Parent-Reported Changes in Ontario Children's Physical Activity Levels during the COVID-19 Pandemic. CHILDREN (BASEL, SWITZERLAND) 2023; 10:children10020221. [PMID: 36832350 PMCID: PMC9954678 DOI: 10.3390/children10020221] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/16/2022] [Revised: 01/19/2023] [Accepted: 01/21/2023] [Indexed: 01/28/2023]
Abstract
The COVID-19 pandemic resulted in closures of physical-activity-supporting environments, including playgrounds, outdoor recreation facilities (e.g., basketball courts), and community centers, which impacted children's movement opportunities. This study evaluated changes in Ontario children's physical activity levels during the COVID-19 pandemic and explored the impact of family sociodemographic markers on children's activity. Parents (n = 243; Mage = 38.8 years) of children aged 12 and under (n = 408; Mage = 6.7 years) living in Ontario, Canada, completed two online surveys between August and December 2020 (survey 1) and August and December 2021 (survey 2). Generalized linear mixed-effects models were used to estimate changes in the proportion of children who accumulated 60 min of physical activity per day pre-lockdown, during lockdown, and post-lockdown in Ontario. Results revealed a significant non-linear trajectory whereby the proportion of children achieving 60 min of physical activity per day pre-lockdown (63%) declined during lockdown (21%) and then increased post-lockdown (54%). Changes in the proportion of children engaging in 60 min of daily physical activity were moderated by several demographic variables. Efforts are needed to provide parents of young children with a wider variety of resources to ensure children are obtaining sufficient levels of physical activity regardless of the presence of community lockdowns.
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Affiliation(s)
- Monika Szpunar
- Health and Rehabilitation Sciences, Faculty of Health Sciences, University of Western Ontario, London, ON N6G 1H1, Canada
| | - Matthew Bourke
- School of Occupational Therapy, Faculty of Health Sciences, University of Western Ontario, London, ON N6G 1H1, Canada
| | - Leigh M. Vanderloo
- School of Occupational Therapy, Faculty of Health Sciences, University of Western Ontario, London, ON N6G 1H1, Canada
- ParticipACTION, 77 Bloor Street West, Suite 1205, Toronto, ON M5S 1M2, Canada
| | - Brianne A. Bruijns
- School of Occupational Therapy, Faculty of Health Sciences, University of Western Ontario, London, ON N6G 1H1, Canada
| | - Stephanie Truelove
- Member Interest Groups Section, Professional Development and Practice Support, College of Family Physicians of Canada, Mississauga, ON L4W 5A4, Canada
| | - Shauna M. Burke
- School of Health Studies, Faculty of Health Sciences, University of Western Ontario, London, ON N6G 1H1, Canada
- Children’s Health Research Institute, Lawson Health Research Institute, London, ON N6C 2R5, Canada
| | - Jason Gilliland
- School of Health Studies, Faculty of Health Sciences, University of Western Ontario, London, ON N6G 1H1, Canada
- Children’s Health Research Institute, Lawson Health Research Institute, London, ON N6C 2R5, Canada
- Department of Geography and Environment, University of Western Ontario, London, ON N6G 1H1, Canada
- Department of Pediatrics, University of Western Ontario, London, ON N6G 1H1, Canada
- Department of Epidemiology & Biostatistics, University of Western Ontario, London, ON N6G 1H1, Canada
| | - Jennifer D. Irwin
- School of Health Studies, Faculty of Health Sciences, University of Western Ontario, London, ON N6G 1H1, Canada
| | - Patricia Tucker
- School of Occupational Therapy, Faculty of Health Sciences, University of Western Ontario, London, ON N6G 1H1, Canada
- Children’s Health Research Institute, Lawson Health Research Institute, London, ON N6C 2R5, Canada
- Correspondence:
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Pellegrino A, Bacci S, Guido F, Zoppi A, Toncelli L, Stefani L, Boddi M, Modesti A, Modesti PA. Interaction between Geographical Areas and Family Environment of Dietary Habits, Physical Activity, Nutritional Knowledge and Obesity of Adolescents. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:1157. [PMID: 36673912 PMCID: PMC9859590 DOI: 10.3390/ijerph20021157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/11/2022] [Revised: 01/03/2023] [Accepted: 01/05/2023] [Indexed: 06/17/2023]
Abstract
There are marked differences in the regional distribution of childhood obesity in Italy. This study sought to investigate the interaction between geographical areas and family environment of dietary habits, physical activity, nutritional knowledge and obesity of adolescents. A cross-sectional study was conducted on 426 school-aged children and 298 parents residing in Central Italy (Florence, Tuscany) and Southern Italy (Corigliano, Calabria), in 2021. Survey questionnaire investigated anthropometry, eating behavior, nutritional knowledge and physical activity. BMI was determined and compared with reference percentile charts for adolescents. Multivariate regression analyses showed that: (1) an adolescent's BMI was directly influenced by their parents' BMI independently of parental nutritional knowledge and dietary or physical activity habits; (2) parents transmitted eating or physical activity habits to their children; (3) the geographic region of residence is not in itself an independent determinant of children's BMI. The clear message is that prevention of childhood obesity should consider family-based approaches. Parental obesity can be the point of convergence of the complex interactions between a parent's and child's habits and should be one of the most important factors to look for.
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Affiliation(s)
- Alessio Pellegrino
- Sport Medicine Unit, Department of Experimental and Clinical Medicine, University of Florence, 50134 Florence, Italy
| | - Samuele Bacci
- Sport Medicine Unit, Department of Experimental and Clinical Medicine, University of Florence, 50134 Florence, Italy
| | - Francesco Guido
- Sport Medicine Unit, Department of Experimental and Clinical Medicine, University of Florence, 50134 Florence, Italy
| | - Andrea Zoppi
- Sport Medicine Unit, Department of Experimental and Clinical Medicine, University of Florence, 50134 Florence, Italy
| | - Loira Toncelli
- Sport Medicine Unit, Department of Experimental and Clinical Medicine, University of Florence, 50134 Florence, Italy
| | - Laura Stefani
- Sport Medicine Unit, Department of Experimental and Clinical Medicine, University of Florence, 50134 Florence, Italy
| | - Maria Boddi
- Sport Medicine Unit, Department of Experimental and Clinical Medicine, University of Florence, 50134 Florence, Italy
| | - Alessandra Modesti
- Department of Biomedical, Experimental and Clinical Sciences “Mario Serio”, University of Florence, 50134 Florence, Italy
| | - Pietro Amedeo Modesti
- Sport Medicine Unit, Department of Experimental and Clinical Medicine, University of Florence, 50134 Florence, Italy
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Pike Lacy AM, Eason CM, Chu EL, Stearns RL, Casa DJ. Youth Athletes' Parents' Perceptions and Knowledge of the Athletic Training Profession. J Athl Train 2023; 58:9-17. [PMID: 35380671 PMCID: PMC9913051 DOI: 10.4085/1062-6050-0368.21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
CONTEXT Parents have unique roles in advocating for their child's health and safety. Such advocacy can improve student-athletes' access to athletic trainers (ATs), yet few researchers have investigated the perceptions of student-athletes' parents regarding athletic training. OBJECTIVE To explore parents' perceptions of athletic training and evaluate their knowledge regarding the AT's role. DESIGN Concurrent mixed-methods study. SETTING Web-based questionnaire. PATIENTS OR OTHER PARTICIPANTS Parents affiliated with USA Football representing 36 states (n = 316: men = 53.5%, women = 46.1%; average age = 45.6 ± 6.2 years [age provided = 291]) were included. MAIN OUTCOME MEASURE(S) An online questionnaire was developed and distributed via Qualtrics. The questionnaire contained demographic questions, quantitative items assessing perceived value and knowledge of athletic training, and open-ended questions to provide opportunities for expansion. Descriptive statistics were calculated for the demographic data. Quantitative measures were presented as count and percentage responses. Open-ended responses were analyzed using the general inductive approach, and overall perceptions were supported with participant quotes. RESULTS Of 10 763 parents, 390 completed the questionnaire (3.6% response rate, 74.8% completion rate). Of the 390, 316 had a child in high school. Approximately 67% (n = 213) of respondents considered an AT a trusted source of medical information and "extremely valuable" to student-athletes' health and safety. The questionnaire response injury prevention was frequently recognized (n = 307, 97.2%) as a skill ATs perform, followed by first aid/wound care (91.8%) and therapeutic interventions (82.3%). Parents highlighted the AT's role in immediate care and attributed peace of mind and feelings of comfort to having a health care professional readily available for their children. CONCLUSIONS When asked directly and when discussing their effect on student-athlete health and safety, parents valued ATs. Though various qualifications of ATs were recognized, parents emphasized the importance of having someone immediately available to provide care if and when needed. Educational efforts should focus on ATs as the most qualified health care professionals to provide comprehensive medical care to student-athletes in both urgent and nonurgent situations.
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Affiliation(s)
- Alicia M. Pike Lacy
- School of Kinesiology, Physical Education, and Athletic Training, University of Maine, Orono
| | - Christianne M. Eason
- Korey Stringer Institute, Department of Kinesiology, University of Connecticut, Storrs
| | - Emily L. Chu
- School of Medicine, University of Connecticut, Farmington
| | - Rebecca L. Stearns
- Korey Stringer Institute, Department of Kinesiology, University of Connecticut, Storrs
| | - Douglas J. Casa
- Korey Stringer Institute, Department of Kinesiology, University of Connecticut, Storrs
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5
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Szpunar M, Vanderloo LM, Bruijns BA, Truelove S, Burke SM, Gilliland J, Irwin JD, Tucker P. Parents' Attitudes Regarding Their Children's Play and Sport During COVID-19. HEALTH EDUCATION & BEHAVIOR 2022; 49:934-948. [PMID: 35972189 PMCID: PMC9574894 DOI: 10.1177/10901981221116789] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The COVID-19 pandemic and associated public health measures have interrupted the daily routines of parents and children. The purpose of this study was to explore parents' attitudes regarding their children's play/sport during COVID-19. A secondary objective was to explore the influence of parent demographics and parent-reported physical activity levels and risk tolerance on these attitudes. Ontario parents of children aged 12 and younger completed an online survey (August-December 2020) that assessed their attitudes (grouped by support, safety and socialization-related attitudes; n = 14 items) regarding their child(ren)'s play/sport, their physical activity levels (n = 2 items), and demographic details (n = 16 items). Two open-ended items were used to gather a deeper understanding of attitudes. Parents' tolerance for risk was measured via the validated Tolerance of Risk in Play Scale. Descriptive statistics were calculated to describe attitudes and risk tolerance. Least Absolute Shrinkage and Selection Operator regressions were conducted to examine factors influencing parents' attitudes. Multiple linear models were computed using the identified predictors for each attitude category. Deductive content analysis was undertaken on open-ended responses. Participants (n = 819) reported the highest scores for safety-related attitude items (M = 3.54, SD = .63) followed by socialization and support, which all influenced attitudes regarding children's play/sport (p < .05). Demographics and parents' physical activity levels were identified as important predictors of parents' attitudes. Qualitative data revealed that parents had mixed levels of comfort with respect to their children's return to play/sport. Findings from this study reveal that increased support is needed to guide future play/sport decision-making.
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Affiliation(s)
| | - Leigh M Vanderloo
- University of Western Ontario, London, Ontario, Canada.,ParticipACTION, Toronto, Ontario, Canada
| | | | | | - Shauna M Burke
- University of Western Ontario, London, Ontario, Canada.,Lawson Health Research Institute, London, Ontario, Canada
| | - Jason Gilliland
- University of Western Ontario, London, Ontario, Canada.,Lawson Health Research Institute, London, Ontario, Canada
| | | | - Patricia Tucker
- University of Western Ontario, London, Ontario, Canada.,Lawson Health Research Institute, London, Ontario, Canada
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6
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Physical Activity, Screen Time, Sedentary and Sleeping Habits of Polish Preschoolers during the COVID-19 Pandemic and WHO's Recommendations: An Observational Cohort Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182111173. [PMID: 34769692 PMCID: PMC8583704 DOI: 10.3390/ijerph182111173] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/14/2021] [Revised: 10/16/2021] [Accepted: 10/20/2021] [Indexed: 11/17/2022]
Abstract
BACKGROUND Restrictions related to the COVID-19 pandemic may lead to a significant decrease in physical activity, an increase in sedentary behavior, and thus also such things as screen time or a change in health behavior patterns. The survey aimed to compare levels of physical activity, screen time, hours spent sitting and sleeping time among Polish children aged 3-5 years of age before and during the COVID-19 pandemic. METHODS We identified 3000 respondents under five years of age, at Polish kindergartens. The questionnaire consists of 62 questions according to the recommendations of health behavior in school-aged children. The questionnaire was completed by the parents of these children. RESULTS Only 30.77% of children complied with WHO criteria before the pandemic. During the pandemic, the percentage of children meeting the recommendations for physical activity decreased even more. Children spent much more time in a sitting position before the restrictions. The children slept as recommended 10-13 h a day, and the pandemic caused an increase in sleep duration of 10-18%. Most children had a limited time allowed for the use of electronic devices already before the pandemic, but during the pandemic the results negatively decreased by 71.54%. CONCLUSIONS The results clearly indicate decreased physical activity and increased screen time. It is also crucial to develop recommendations for prevention management strategies of sedentary lifestyles in the youngest group.
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7
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Xu L, Rogers CR, Halliday TM, Wu Q, Wilmouth L. Correlates of Physical Activity, Psychosocial Factors, and Home Environment Exposure among U.S. Adolescents: Insights for Cancer Risk Reduction from the FLASHE Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17165753. [PMID: 32784865 PMCID: PMC7459931 DOI: 10.3390/ijerph17165753] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/07/2020] [Revised: 08/04/2020] [Accepted: 08/05/2020] [Indexed: 11/16/2022]
Abstract
BACKGROUND AND AIMS Physical activity (PA) can bring numerous health benefits to adolescents and can largely aid in reducing the various types of cancer risks in their lifespans. However, few adolescents meet the physical activity guidelines recommended by the National Cancer Institute in the United States. Our study aimed to examine the multilevel determinants potentially influencing adolescent's PA participation. METHODS A secondary analysis of physical activity, home and school neighborhood, and other psychosocial data from 1504 dyads of adolescents and their parents who participated in the 2014 Family Life, Activity, Sun, Health, and Eating (FLASHE) study was performed. Analysis of variance and general linear model analyses were used to examine the correlates. RESULTS General linear modeling revealed that younger adolescents participated in greater levels of PA than older adolescents (p < 0.001). Adolescents whose parents reported meeting PA guidelines participated in greater amounts of PA (p < 0.001). Parental support of adolescent PA (p < 0.001) was also predictive of adolescent PA levels. Furthermore, parents who reported meeting moderate-to-vigorous physical activity (MVPA) guidelines were more likely to have teenagers that engaged in higher amounts of PA (p < 0.001). DISCUSSION AND CONCLUSIONS Our findings imply a dynamic relationship between adolescent and parent MVPA levels. Interventions focused on increasing parental MVPA and encouraging parents to engage in promoting PA are merited in order to aid in increasing PA among adolescents while reducing the cancer risk.
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Affiliation(s)
- Lei Xu
- Department of Health Education and Promotion, East Carolina University, Greenville, NC 27834, USA
- Correspondence: ; Tel.: +1-(252)-328-1611
| | - Charles R. Rogers
- Department of Family & Preventive Medicine, University of Utah School of Medicine, Salt Lake City, UT 84112, USA;
| | - Tanya M. Halliday
- Department of Health, Kinesiology, and Recreation, University of Utah, Salt Lake City, UT 84112, USA;
| | - Qiang Wu
- Department of Biostatistics, Brody School of Medicine, East Carolina University, Greenville, NC 27834, USA;
| | - Logan Wilmouth
- Department of Public Health, Brody School of Medicine, East Carolina University, Greenville, NC 27834, USA;
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Moral-García JE, Urchaga-Litago JD, Ramos-Morcillo AJ, Maneiro R. Relationship of Parental Support on Healthy Habits, School Motivations and Academic Performance in Adolescents. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E882. [PMID: 32023826 PMCID: PMC7037333 DOI: 10.3390/ijerph17030882] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/24/2019] [Revised: 01/27/2020] [Accepted: 01/29/2020] [Indexed: 12/11/2022]
Abstract
The objective of the study was to analyze how parental support relates to the physical activity practice, satisfaction with sports, level of physical activity, academic performance and alcohol consumption. Descriptive cross-sectional study, with 1100 adolescents (12-16 years old), where the factors related to parental support, gender and age acted as independent variables, and satisfaction with sport, level of physical activity (PA), academic performance and alcohol consumption acted as dependent variables. A multivariate statistical analysis was conducted. Adolescents with little parental support show (p < 0.001) more boredom, less fun, worse academic performance and higher alcohol consumption. Gender shows differences (p < 0.001) experiencing girls more boredom, less fun, less PA practice and higher academic performance than boys. Age establishes (p < 0.01) that older adolescents (15-16 years old) experience more boredom, less fun, less PA practice, lower academic performance and higher alcohol consumption than young boys and girls (12-14 years old). Parental support towards PA practice improves healthy habits, benefits academic performance and school satisfaction with physical and sports activity.
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Affiliation(s)
- José Enrique Moral-García
- Physical Activity and Sports Sciences, Faculty of Education, Pontifical University of Salamanca, Calle Henry Collet, 52-70, 37007 Salamanca, Spain;
| | - José David Urchaga-Litago
- Faculty of Communication, Pontifical University of Salamanca, Calle Henry Collet, 90-98, 37007 Salamanca, Spain
| | | | - Rubén Maneiro
- Physical Activity and Sports Sciences, Faculty of Education, Pontifical University of Salamanca, Calle Henry Collet, 52-70, 37007 Salamanca, Spain;
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9
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Golalizadeh D, Toopchizadeh V, Fasaie N, Dolatkhah N. Body composition indices in a sample of female adolescents with postural deformity: a case control study. BMC Res Notes 2019; 12:754. [PMID: 31747969 PMCID: PMC6865060 DOI: 10.1186/s13104-019-4794-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2019] [Accepted: 11/11/2019] [Indexed: 11/10/2022] Open
Abstract
Objectives Normal posture is considered to be an indicative of good musculoskeletal health in school aged adolescents. Little is known about the body composition indices in relation with postural deformities in adolescents. The aim of this study was to assess relation of body composition analysis indices with postural deformities in a sample of female high school adolescents. Results In this case–control study, 37 eligible female adolescents with any postural deformities and 33 normal posture subjects enrolled in the study by random cluster sampling. Body composition analysis performed by bioelectrical impedance analysis (BIA) method to quantity body fat mass (BFM), soft lean mass (SLM) and lean body mass (LBM). The binary logistic regressions were performed to evaluate the associations of body composition indices which were significantly different between two groups at significance level of 0.05 with postural disorders in the two groups. There was no significant difference between subjects with postural disorders with their normal controls concerning demographic variables. We observed an inverse association between postural deformity risk and LBM (OR = 0.803; 95% CI 0.690–0.934) and SLM (OR = 0.774; 95% CI 0.649–0.922) after adjusting the analysis by height of participants.
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Affiliation(s)
- Dina Golalizadeh
- Faculty of Medicine, Tabriz University of Medical Science, Tabriz, Iran
| | - Vahideh Toopchizadeh
- Physical Medicine and Rehabilitation Research Center, Aging Research Institute, Tabriz University of Medical Science, Tabriz, Iran
| | - Negar Fasaie
- Faculty of Medicine, Tabriz University of Medical Science, Tabriz, Iran
| | - Neda Dolatkhah
- Physical Medicine and Rehabilitation Research Center, Aging Research Institute, Tabriz University of Medical Science, Tabriz, Iran.
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Wada K, Yamakawa M, Konishi K, Goto Y, Mizuta F, Koda S, Uji T, Tamura T, Nakamura K, Tsuji M, Nagai H, Itakura N, Harada K, Takahara O, Yamanaka H, Nagata C. Associations of Cell Phone Use and Screen Viewing with Overweight in Children. Child Obes 2019; 15:417-425. [PMID: 31298567 DOI: 10.1089/chi.2018.0312] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
Background: Effects of using mobile devices on childhood obesity have not been well studied. We aimed to ascertain whether cell phone use and screen viewing are associated with excess body weight in a cross-sectional study of Japanese school children. Methods: Subjects were 3141 students, ages 6 to 7 years, who participated in the Hekinan Children's Study conducted during 2011-2015. Participants were asked to submit a parent-administered questionnaire on child and parent demographics, health status, and lifestyles, including cell phone use and screen time. Heights and weights were measured at the schools. Being overweight was defined according to the cutoff point for children specified by the Extended International Obesity Task Force. Among 2596 analytic children, the odds ratios (ORs) for being overweight were estimated according to cell phone use, time spent watching television, and time spent on games and computers using the logistic regression models. Analyses were conducted after adjustments for potential confounders, including dietary intake, physical activities, sleep duration, and quality of sleep. Results: After multivariate adjustments, cell phone users were found to have an OR of 1.74 for being overweight compared with nonusers. Cell phone use of longer duration was associated with higher risk of being overweight (trend p = 0.018). Time spent watching television was positively associated with the risk of being overweight (trend p = 0.003). Conclusions: Just as earlier studies have shown for television viewing, cell phone use might be a risk factor related to being overweight among children.
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Affiliation(s)
- Keiko Wada
- Department of Epidemiology and Preventive Medicine, Graduate School of Medicine, Gifu University, Gifu, Japan
| | - Michiyo Yamakawa
- Department of Epidemiology and Preventive Medicine, Graduate School of Medicine, Gifu University, Gifu, Japan
| | - Kie Konishi
- Department of Epidemiology and Preventive Medicine, Graduate School of Medicine, Gifu University, Gifu, Japan
| | - Yuko Goto
- Department of Epidemiology and Preventive Medicine, Graduate School of Medicine, Gifu University, Gifu, Japan
| | - Fumi Mizuta
- Department of Epidemiology and Preventive Medicine, Graduate School of Medicine, Gifu University, Gifu, Japan
| | - Sachi Koda
- Department of Epidemiology and Preventive Medicine, Graduate School of Medicine, Gifu University, Gifu, Japan
| | - Takahiro Uji
- Department of Epidemiology and Preventive Medicine, Graduate School of Medicine, Gifu University, Gifu, Japan
| | - Takashi Tamura
- Department of Preventive Medicine, Graduate School of Medicine, Nagoya University, Nagoya, Japan
| | - Kozue Nakamura
- Department of Epidemiology and Preventive Medicine, Graduate School of Medicine, Gifu University, Gifu, Japan.,Gifu City Healthcare Center, Gifu, Japan
| | - Michiko Tsuji
- Department of Epidemiology and Preventive Medicine, Graduate School of Medicine, Gifu University, Gifu, Japan.,Department of Food Science and Nutrition, Nagoya Women's University, Nagoya, Japan
| | | | | | - Kou Harada
- Hekinan Medical Association, Hekinan, Japan
| | | | | | - Chisato Nagata
- Department of Epidemiology and Preventive Medicine, Graduate School of Medicine, Gifu University, Gifu, Japan
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11
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Brzęk A, Knapik A, Sołtys J, Gallert-Kopyto W, Famuła-Wąż A, Plinta R. Body posture and physical activity in children diagnosed with asthma and allergies symptoms: A report from randomized observational studies. Medicine (Baltimore) 2019; 98:e14449. [PMID: 30762756 PMCID: PMC6408120 DOI: 10.1097/md.0000000000014449] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
Asthma and body posture abnormalities in children and young people are major epidemiological problems worldwide. Asthma among children and adolescents, its relations with physical activity (PA) and PA relations with body posture were and are still being investigated.The aim of this study was to investigate how body posture is shaped in children diagnosed with asthma symptoms and whether body posture is associated with PA. The study involved 192 children. The main group consisted of 90 children diagnosed with asthma and allergies symptoms age 9 to 12 years old (x = 10.75 ± 1.08). The control group included 102 healthy children at the similar age (x = 10.64 ± 1.1). The level of activity has been assessed on the basis of a questionnaire and body posture assessments were done using a plumb line, pediscoliometer, digital inclinometer.Comparison of percentage of respondents fitting into body posture norms clearly indicates higher value in the group classified as active. In the group of participants diagnosed with asthma, percentage differences of participants with good body posture (without postural defects) were statistically significant. Among healthy children, percentages of the participants were higher in active children than in inactive children.Body posture is directly related to PA and the lack of activity affects disturbances within posturometric parameters. Prevention of body posture abnormalities is worth promoting in groups of children, also with various diseases including asthma and allergies symptoms.
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Affiliation(s)
- Anna Brzęk
- School of Health Sciences in Katowice, Department of Physiotherapy
| | - Andrzej Knapik
- School of Health Sciences in Katowice, Department of Adapted Physical Activity and Sport
| | - Jacek Sołtys
- School of Health Sciences in Katowice, Department of Physiotherapy
| | - Weronika Gallert-Kopyto
- School of Health Sciences in Katowice, Department of Kinesiology, Chair of Physiotherapy, Medical University of Silesia in Katowice, Poland
| | - Anna Famuła-Wąż
- School of Health Sciences in Katowice, Department of Physiotherapy
| | - Ryszard Plinta
- School of Health Sciences in Katowice, Department of Adapted Physical Activity and Sport
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