| BMC Public Health | |
| Maternal awareness of young children’s physical activity: levels and cross-sectional correlates of overestimation | |
| Esther MF van Sluijs2  Cyrus Cooper4  Hazel M Inskip4  Keith M Godfrey3  Nicholas C Harvey4  Simon J Griffin2  Alison M McMinn2  Kathryn R Hesketh1  | |
| [1] UKCRC Centre for Diet and Activity Research, Institute of Public Health, University of Cambridge, Cambridge, UK;MRC Epidemiology Unit, University of Cambridge, Cambridge, UK;Southampton NIHR Biomedical Research Unit in Nutrition, Diet and Lifestyle, Southampton General Hospital, Southampton, UK;MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton General Hospital, Southampton, UK | |
| 关键词: Preschool children; Awareness; Physical activity; | |
| Others : 1161698 DOI : 10.1186/1471-2458-13-924 |
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| received in 2013-02-14, accepted in 2013-09-11, 发布年份 2013 | |
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【 摘 要 】
Background
Factors associated with parental awareness of children’s physical activity (PA) levels have not been explored in preschool-aged children. This paper investigates maternal awareness of preschool-aged children’s PA levels and determined correlates associated with maternal overestimation of PA.
Methods
Data from the Southampton Women’s Survey, a UK population-based study, were collected March 2006 through June 2009. Daily minutes of moderate-to-vigorous PA (MVPA) were derived using accelerometry in 478 4-year-old children. Mothers who were realistic or overestimated their child’s PA were identified. Log-binomial regression was used to analyse correlates of maternal overestimation of PA levels in children whose mothers perceived them to be active (n = 438).
Results
40.8% of children were classified as inactive: 89.7% of these were perceived to be active by their mothers (over-estimators). These mothers were more likely to think their child sometimes lacked skills required to be physically active (RR (95% CI) = 1.29(1.03-1.63)) and their child was more likely to attend nursery full-time (RR = 1.53(1.14-2.04)). They were less likely to have older children at home (RR = 0.71(0.56-0.90)).
Conclusions
Almost 90% of mothers of inactive preschool-aged children perceive their child to be active. Nursery-school attendance and having older siblings at home may be important to consider when designing behavioural interventions to increase PA in preschool children.
【 授权许可】
2013 Hesketh et al.; licensee BioMed Central Ltd.
【 预 览 】
| Files | Size | Format | View |
|---|---|---|---|
| 20150413040029339.pdf | 220KB |
【 参考文献 】
- [1]Berkey CS, Rockett HR, Field AE, Gillman MW, Frazier AL, Camargo CA Jr, Colditz GA: Activity, dietary intake, and weight changes in a longitudinal study of preadolescent and adolescent boys and girls. Pediatrics 2000, 105(4):E56.
- [2]Trost SG, Sirard JR, Dowda M, Pfeiffer KA, Pate RR: Physical activity in overweight and nonoverweight preschool children. Int J Obes Relat Metab Disord 2003, 27(7):834-839.
- [3]Andersen LB, Harro M, Sardinha LB, Froberg K, Ekelund U, Brage S, Anderssen SA: Physical activity and clustered cardiovascular risk in children: a cross-sectional study (The European Youth Heart Study). Lancet 2006, 368(9532):299-304.
- [4]Biddle SJ, Gorely T, Stensel DJ: Health-enhancing physical activity and sedentary behaviour in children and adolescents. J Sports Sci 2004, 22(8):679-701.
- [5]Fisher A, Reilly JJ, Kelly LA, Montgomery C, Williamson A, Paton JY, Grant S: Fundamental movement skills and habitual physical activity in young children. Med Sci Sports Exerc 2005, 37(4):684-688.
- [6]Strong WB, Malina RM, Blimkie CJ, Daniels SR, Dishman RK, Gutin B, Hergenroeder AC, Must A, Nixon PA, Pivarnik JM, et al.: Evidence based physical activity for school-age youth. J Pediatr 2005, 146(6):732-737.
- [7]Nader PR, Bradley RH, Houts RM, McRitchie SL, O'Brien M: Moderate-to-vigorous physical activity from ages 9 to 15 years. JAMA 2008, 300(3):295-305.
- [8]Janz KF, Dawson JD, Mahoney LT: Tracking physical fitness and physical activity from childhood to adolescence: the muscatine study. Med Sci Sports Exerc 2000, 32(7):1250-1257.
- [9]Tremblay MS, Leblanc AG, Carson V, Choquette L, Connor Gorber S, Dillman C, Duggan M, Gordon MJ, Hicks A, Janssen I, et al.: Canadian physical activity guidelines for the early years (aged 0–4 years). Appl Physiol Nutr Metab 2012, 37(2):345-356.
- [10]Department of Health and Aging: Get Up and Grow: Healthy Eating and Physical Activity for Early Childhood. Australia: Department for Health and Aging; 2010.
- [11]Department of Health: Start Active, Stay Active: A report on physical activity from the four home countries. London: Chief Medical Officer; 2011.
- [12]Reilly JJ: Low levels of objectively measured physical activity in preschoolers in child care. Med Sci Sports Exerc 2010, 42(3):502-507.
- [13]Hinkley T, Salmon J, Okely AD, Crawford D, Hesketh K: Preschoolers' physical activity, screen time, and compliance with recommendations. Med Sci Sports Exerc 2012, 44(3):458-465.
- [14]Vale S, Silva P, Santos R, Soares-Miranda L, Mota J: Compliance with physical activity guidelines in preschool children. J Sports Sci 2010, 28(6):603-608.
- [15]Collings PJ, Brage S, Ridgway CL, Harvey NC, Godfrey KM, Inskip HM, Cooper C, Wareham NJ, Ekelund U, the SWS Study Group: Physical activity intensity, sedentary time and body composition in preschoolers. Am J Clin Nutr 2012, 97(5):1020-1028.
- [16]Harvey NC, Cole ZA, Crozier SR, Kim M, Ntani G, Goodfellow L, Robinson SM, Inskip HM, Godfrey KM, Dennison EM, et al.: Physical activity, calcium intake and childhood bone mineral: a population-based cross-sectional study. Osteoporos Int 2012, 23(1):121-130.
- [17]Ward DS, Vaughn A, McWilliams C, Hales D: Interventions for increasing physical activity at child care. Med Sci Sports Exerc 2010, 42(3):526-534.
- [18]Hesketh KD, Campbell KJ: Interventions to prevent obesity in 0–5 year olds: an updated systematic review of the literature. Obesity 2010, 18(Suppl 1):S27-S35.
- [19]Oenema A, Brug J: Feedback strategies to raise awareness of personal dietary intake: results of a randomised controlled trial. Prev Med 2003, 36(4):429-439.
- [20]Ronda G, Van Assema P, Brug J: Stages of change, psychological factors and awareness of physical activity levels in The Netherlands. Health Promot Int 2001, 16(4):305-314.
- [21]van Sluijs EMF, Griffin SJ, van Poppel MNM: A cross-sectional study of awareness of physical activity: associations with personal, behavioral and psychosocial factors. Int J Behav Nutr Phys Act 2007, 4:53. BioMed Central Full Text
- [22]Watkinson C, van Sluijs EM, Sutton S, Hardeman W, Corder K, Griffin SJ: Overestimation of physical activity level is associated with lower BMI: a cross-sectional analysis. Int J Behav Nutr Phys Act 2010, 7:68. BioMed Central Full Text
- [23]Hinkley T, Crawford D, Salmon J, Okely AD, Hesketh K: Preschool children and physical activity: a review of correlates. Am J Prev Med 2008, 34(5):435-441.
- [24]De Craemer M, De Decker E, De Bourdeaudhuij I, Vereecken C, Deforche B, Manios Y, Cardon G: Correlates of energy balance-related behaviours in preschool children: a systematic review. Obes Rev 2012, 13(Suppl 1):13-28.
- [25]Corder K, van Sluijs EM, McMinn AM, Ekelund U, Cassidy A, Griffin SJ: Perception versus reality awareness of physical activity levels of British children. Am J Prev Med 2010, 38(1):1-8.
- [26]Corder K, Crespo NC, Van Sluijs EM, Lopez NV, Elder JP: Parent awareness of young children's physical activity. Prev Med 2012, 55(3):201-205.
- [27]Rhee KE, De Lago CW, Arscott-Mills T, Mehta SD, Davis RK: Factors associated with parental readiness to make changes for overweight children. Pediatrics 2005, 116(1):e94-e101.
- [28]van Sluijs EMF, McMinn AM, Griffin SJ: Effectiveness of interventions to promote physical activity in children and adolescents: systematic review of controlled trials. BMJ 2007, 335(7622):703-707.
- [29]Lee SW, Piersel WC: Reliability and reactivity of self-recording by preschool children. Psychol Rep 1989, 64(3 Pt 1):747-754.
- [30]Inskip HM, Godfrey KM, Robinson SM, Law CM, Barker DJ, Cooper C: Cohort profile: The Southampton Women's Survey. Int J Epidemiol 2006, 35(1):42-48.
- [31]McMinn AM, van Sluijs EM, Harvey NC, Cooper C, Inskip HM, Godfrey KM, Griffin SJ: Validation of a maternal questionnaire on correlates of physical activity in preschool children. Int J Behav Nutr Phys Act 2009, 6:81. BioMed Central Full Text
- [32]Corder K, Brage S, Mattocks C, Ness A, Riddoch C, Wareham N, Ekelund U: Comparison of two methods to assess PAEE during six activities in children. Med Sci Sports Exerc 2007, 39(12):2180-2188.
- [33]Adolph AL, Puyau MR, Vohra FA, Nicklas TA, Zakeri IF, Butte NF: Validation of uniaxial and triaxial accelerometers for the assessment of physical activity in preschool children. J Phys Act Health 2012, 9(7):944-953.
- [34]Corder K, Brage S, Wright A, Wareham N, Ekelund U: Validity of heart rate and accelerometry to assess physical activity energy expenditure with and without individual calibration in free-living adolescents. In Book of Abstracts of 13th Annual Congress of the European College of Sports Science: 9-12 July 2008. Edited by Cabri J, Alves F, Araújo D, Barreiros J, Diniz J, Veloso A. European College of Sport Science; 2008.
- [35]MRC Epidemiology Unit: MAHUffe. http://www.mrc-epid.cam.ac.uk/research/resources/materials-transfer-disclaimer/physical-activity-downloads/ webcite
- [36]Choi L, Liu Z, Matthews CE, Buchowski MS: Validation of accelerometer wear and nonwear time classification algorithm. Med Sci Sports Exerc 2011, 43(2):357-364.
- [37]Corder K, Brage S, Wareham NJ, Ekelund U: Comparison of PAEE from combined and separate heart rate and movement models in children. Med Sci Sports Exerc 2005, 37(10):1761-1767.
- [38]Ridgway CL, Brage S, Sharp SJ, Corder K, Westgate KL, van Sluijs EM, Goodyer IM, Hallal PC, Anderssen SA, Sardinha LB, et al.: Does birth weight influence physical activity in youth? A combined analysis of four studies using objectively measured physical activity. PLoS One 2011, 6(1):e16125.
- [39]Clark J, Clements R, Guddemi M, Morgan D, Pica R, Pivarnik J, Rudisill M, Small E, Virgilio S: Active Start: A Statement of Physical Activity Guidelines for Children From Birth to Age 5. Sewickley: National Association for Sport and Physical Education; 2009:17.
- [40]Wareham NJ, Jakes RW, Rennie KL, Schuit J, Mitchell J, Hennings S, Day NE: Validity and repeatability of a simple index derived from the short physical activity questionnaire used in the European Prospective Investigation into Cancer and Nutrition (EPIC) study. Public Health Nutr 2003, 6(4):407-413.
- [41]Harvey NC, Mahon PA, Robinson SM, Nisbet CE, Javaid MK, Crozier SR, Inskip HM, Godfrey KM, Arden NK, Dennison EM, et al.: Different indices of fetal growth predict bone size and volumetric density at 4 years of age. J Bone Miner Res 2010, 25(4):920-927.
- [42]Cole TJ: The LMS method for constructing normalized growth standards. Eur J Clin Nutr 1990, 44(1):45-60.
- [43]Zocchetti C, Consonni D, Bertazzi PA: Estimation of prevalence rate ratios from cross-sectional data. Int J Epidemiol 1995, 24(5):1064-1067.
- [44]Wacholder S: Binomial regression in GLIM: estimating risk ratios and risk differences. Am J Epidemiol 1986, 123(1):174-184.
- [45]Traissac P, Martin-Prevel Y, Delpeuch F, Maire B: [Logistic regression vs other generalized linear models to estimate prevalence rate ratios]. Rev Epidemiol Sante Publique 1999, 47(6):593-604.
- [46]Barros AJ, Hirakata VN: Alternatives for logistic regression in cross-sectional studies: an empirical comparison of models that directly estimate the prevalence ratio. BMC Med Res Methodol 2003, 3:21. BioMed Central Full Text
- [47]Miettinen OS, Cook EF: Confounding: essence and detection. Am J Epidemiol 1981, 114(4):593-603.
- [48]Axelson O, Fredriksson M, Ekberg K: Use of the prevalence ratio v the prevalence odds ratio as a measure of risk in cross sectional studies. Occup Environ Med 1994, 51(8):574.
- [49]Lechner L, Bolman C, Van Dijke M: Factors related to misperception of physical activity in The Netherlands and implications for health promotion programmes. Health Promot Int 2006, 21(2):104-112.
- [50]Oliver M, Schofield GM, Kolt GS: Physical activity in preschoolers: understanding prevalence and measurement issues. Sports Med 2007, 37(12):1045-1070.
- [51]Sallis JF, Prochaska JJ, Taylor WC: A review of correlates of physical activity of children and adolescents. Med Sci Sports Exerc 2000, 32(5):963-975.
- [52]Hesketh K, Crawford D, Salmon J: Children's television viewing and objectively measured physical activity: associations with family circumstance. Int J Behav Nutr Phys Act 2006, 3:36. BioMed Central Full Text
- [53]Statistics on obesity, physical activity and diet: England. 2008. http://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles/obesity/statistics-on-obesity-physical-activity-and-diet-england-january webcite
- [54]Taylor RW, Murdoch L, Carter P, Gerrard DF, Williams SM, Taylor BJ: Longitudinal study of physical activity and inactivity in preschoolers: the FLAME study. Med Sci Sports Exerc 2009 2009, 41(1):96-102.
- [55]Lubans DR, Morgan PJ, Tudor-Locke C: A systematic review of studies using pedometers to promote physical activity among youth. Prev Med 2009, 48(4):307-315.
- [56]Corder K, Ekelund U, Steele RM, Wareham NJ, Brage S: Assessment of physical activity in youth. J Appl Physiol 2008, 105(3):977-987.
- [57]Reilly JJ, Jackson DM, Montgomery C, Kelly LA, Slater C, Grant S, Paton JY: Total energy expenditure and physical activity in young Scottish children: mixed longitudinal study. Lancet 2004, 363(9404):211-212.
- [58]Estimated resident population by ethnic group and sex (experimental statistics). http://www.southampton.gov.uk/living/statsresearch/2011census/2011ethnicity.aspx webcite
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