Physical Activity in Children Aged 8-9 Years (SDG’s)

635 Understanding parent perceptions of healthy physical activity for their child with a chronic medical condition

Objectives: In this study we examined the moderation effects of child attributes on the relationship between parent perception of child coordination, physical activity (PA) parenting practices, child enjoyment of PA, and child PA participation and examined the mediation effects of PA par enting practices and child PA enjoyment on the association between parent perception of child coordination and PA participation. Methods: Parents (N = 120) provided consent and completed data about their children's PA and related correlates. We used linear regression to examine child sex, age, race, and weight status as moderators, and to examine parent support and child enjoyment as mediators of the relationship between child coordination and PA participation. Results: Child race (b = 0.70, 95% CI: 0.20, 1.20) and weight status (b = 0.52, 95% CI: 0.05, 0.99) moderated the relationship between child coordination and parent support of child PA. Parent support of child PA and child enjoyment fully mediated the relationship between child coordination and PA participation (95% CI: 0.08, 0.36), mediating 56% of the observed effect. Conclusions: Our findings suggest that future interventions need to examine parent and child attributes (eg, perception of child coordination and race/weight status) as effect modifiers of the relationship between PA parenting practices and child PA participation.

Our understanding of the longitudinal relationship between generalized self-efficacy (GSE) and physical activity in children and youth is limited. The purpose of this study was to investigate the effect of GSE towards physical activity on sedentary behaviours and physical activity in school-aged children over time. A total of 2278 nine-year-old children (1120 girls and 1158 boys) were recruited at baseline and followed for seven waves of data collection from 2005 to 2008. All children completed questionnaires at each wave assessing their GSE (adequacy, predilection, and enjoyment), sedentary behaviours, free play, and organized activity. Mixed-effects models were used to estimate changes in physical activity and GSE within individuals over time, controlling for gender and motor ability. The results showed that participation in free play significantly increased over time, whereas organized activity significantly decreased over the same period. Children with high perceived adequacy and predilection had higher free play and organized activity participation relative to other children over time. However, the effect of perceived adequacy diminished over time, while the gaps between groups with different levels of predilection widened over time. While sedentary behaviours were lower over time in children with high predilection, these behaviours were consistently higher in children with high enjoyment. The differences in sedentary behaviours between groups increased over time for both predilection and enjoyment. This study highlights the importance of different components of GSE on physical activity participation. In addition, interventions targeting the enhancement of predilection may facilitate physical activity and reduce sedentary behaviours.

BackgroundRecent studies have observed low levels of physical activity in children and adolescents worldwide. Physical activity interventions are increasingly carried out to counteract this development. The school environment is an ideal setting for such interventions to take place as large numbers of children and adolescents can be addressed. With the assumption that motivation is the key to initiate and sustain beneficial health behaviors, theory-based intervention studies apply motivational strategies to increase students’ participation in physical activity. The main objective of this systematic review will be to analyze the effects of school-based physical activity interventions on a variety of motivational outcomes towards physical activity in school-aged children and adolescents.MethodsComprehensive literature searches will be conducted in multiple electronic databases, including MEDLINE, Scopus, PsycINFO, ERIC, PSYNDEX, Physical Education Index, and SPORTDiscus. We will include randomized controlled trials (RCTs) and quasi-experimental studies examining the effects of school-based physical activity interventions (e.g., physical activity components during school lessons including physical education, or during morning, lunch and afternoon breaks). Primarily extracurricular physical activity interventions will not be considered. The primary outcomes will be students’ motivation, basic psychological needs, goal orientation, enjoyment, and motivational teaching climate in physical education. Secondary outcomes will be the students’ physical activity behaviors in-class, during school, and in leisure time. Only peer-reviewed articles published in English will be considered. Three reviewers will independently screen all citations and full-text articles, and two reviewers will abstract data. The quality of the included studies will be assessed with the Cochrane Collaboration’s tool for assessing risk of bias for RCTs and the GRADE methodology will be used to assess the certainty of the body of retreived evidence.DiscussionIn order to increase and maintain physical activity levels in children and adolescents, motivation towards physical activity should be sustained. It is anticipated that the results of this systematic review will provide information as to which strategies implemented in the school setting are effective in increasing students’ motivation towards physical activity, and hence increase their physical activity during school and after-school hours.Systematic review registrationPROSPERO CRD42018110306

The aim of this study of 56 children aged 6-9 years was to identify measures of physical activity that could be used in either clinical or population studies. Comparisons were made between four measures of physical activity: a three day parent-reported activity diary, a parent-reported physical activity questionnaire, the Tritrac-R3D™ accelerometer (worn three days) and physical activity energy expenditure calculated over 10 days by the doubly labeled water (DLW) technique. The strongest correlation between methods was for the diary and Tritrac-R3D™ during the two hour after-school period (1530-1730 hours) (r = 0.75, P < 0.0001). Activity level in this after-school period was positively correlated with average activity level over three days for both Tritrac-R3D™ (r = 0.53, P < 0.01) and diary (r = 0.54, P < 0.0001). No associations were found between measures of activity from DLW and activity measures from the Tritrac-R3D™, diary or questionnaire. These results suggest that the two hour after-school period is of high interest for future population studies of physical activity in school-age children.

Review question / Objective: The purpose of this systematic review is to examine studies that have assessed the effectiveness of health promotion programs with parental or family involvement for increasing moderate-to-vigorous physical activity in school-aged children. Condition being studied: Research has shown that parental or family support is positively associated with overall physical activity in children and young people. However, little is known about the differential effect of involving parents and family members when implementing interventions for promoting physical activity in children and adolescents compared with strategies that only rely on actions focused on the individuals or school environments. Information sources: A search strategy for articles will be carried out in the following databases: Embase, Pubmed, SPORTDiscus, Scopus and CINAHL. Also, a search from gray literature (academic google, Open Gray) and references from the articles found in the first stage will be conducted.

PurposeParents are important agents in the physical activity socializing process in children. The present study aims to examine the parental mediatory role in children's physical activity participation via a youth physical activity promotion (YPAP) model.Design/methodology/approachA total of 872 Hong Kong Chinese children (aged ten to 13) in ten schools were invited to participate in the study. Their physical self‐perception, physical activity perception, parental influence, and physical activity level were assessed. Structural equation modelling was employed to examine the relationship among the variables.FindingsThe final model accounted for 18 per cent of the variance in children's physical activity participation. Parental influence imposed a direct (β=0.19) and indirect effect on children's physical activity participation through the children's physical activity perception (β=0.33) and physical self‐perceptions (β=0.19).Research limitations/implicationsThis study involved a cross‐sectional design and data were collected over a single time frame; a cause‐and‐effect relationship among variables could not be drawn.Originality/valueThe present study emphasizes how parental influence is related to children's physical participation. The information is useful for health professionals in the design of intervention programs to promote children's physical activity participation.

Status and Potential of Community-Engaged Research to Investigate Physical Activity Interventions for Children with Autism Spectrum Disorder in Chinese-American Communities

High prevalence of physical inactivity and obesity in children and adolescents has become a global problem. This systematic review aimed to examine the existing literature regarding the factors that influence participation in physical activity (PA) in children and adolescents with reference to the social ecological model (SEM) proposed by McLeroy et al. (1988). The SEM provides a framework under which the influencing factors are categorized into five levels: intrapersonal, interpersonal, organizational, community, and public policy. A systematic search of relevant literature published before July 2020 was conducted through Ebsco, ProQuest, PubMed Central, Scopus, and Web of Science. A total of fourteen studies met the inclusion criteria. The selected articles were all of high quality as assessed using the Mixed Methods Appraisal Tool (2018). The results indicated that gender, age, ethnicity, and self-concept were the most common influencing factors at the intrapersonal level. At the interpersonal and organization levels, supports from friends, parents, and teachers were positive predictors of students’ PA participation. Accessibility of facilities and safe neighborhoods was a crucial factor that influenced children and adolescents’ participation in PA at the community level. Future studies on the effective types of policies or practices that could successfully promote facilities’ accessibility and improve neighborhood safety are required. The outcomes of this systematic review are expected to inform practice and support the development and implementation of sound policies for the promotion of PA participation in children or adolescents from a comprehensive social ecological viewpoint.

Addressing Racial/Ethnic Differences in Age-Related Declines in Physical Activity During Adolescence

BackgroundParents can influence their children's physical activity participation and screen time.This study examined the relative significance of perceived parental barriers and self-efficacy in relation to children's physical activity participation and screen time viewing. The associations between these factors and the behaviours were analysed.MethodsCross-sectional population survey in New South Wales, Australia of parents of pre-school (N = 764), younger (Kindergarten, Grades 2 and 4; N = 1557) and older children (Grades 6, 8 and 10; N = 1665). Parents reported barriers and self-efficacy to influence their child's physical activity and screen time behaviours in a range of circumstances. Differences were examined by child's sex and age group, household income, maternal education and location of residence. The duration of physical activity and screen viewing was measured by parental report for pre-school and younger children and self-report for older children. Associations between parental factors and children's organised, non-organised and total activity and screen time were analysed.ResultsCost, lack of opportunities for participation and transport problems were the barriers most often reported, particularly by low income parents and those in rural areas. The number of barriers was inversely related to children's time spent in organised activity, but not their non-organised activity. Higher parental self-efficacy was positively associated with organised physical activity in the younger and older children's groups and the non-organised activity of older children. School-age children (younger and older groups) were less likely to meet physical activity guidelines when parents reported ≥4 barriers (OR 3.76, 95% CI 1.25-11.34 and OR 3.72, 95% CI 1.71-8.11 respectively). Low parental self-efficacy was also associated with the likelihood of children exceeding screen time guidelines for each age group (pre-school OR 0.62, 95% CI 0.43-0.87; young children OR 0.56, 95% CI 0.39-0.80; and older children OR 0.57, 95% CI 0.43-0.74).ConclusionParental barriers are associated with the time that children spend in both active and sedentary pursuits. These findings highlight family, economic and environmental factors that should be addressed in programs to promote child physical activity and tackle sedentary behaviour.

Are children and adolescents less active if parents restrict their physical activity and active transport due to perceived risk?

Background Since the outbreak and global spread ofCOVID-19, countries rapidly introduced a range of preventative measures and isolation protocols to ensure safety, which ultimately led to the implementation of total lockdowns. As a result, children lost access to spaces where they typically engage in physical activity and were required to stay indoors. Objective The objective of this study is to assess the impact of the COVID-19 pandemic on children's physical activity levels and analyze the factors influencing their physical activity during this period. Methods Parents from various Emirates participated in an online survey to evaluate changes in their children's physical activity during the COVID-19 lockdown compared to the pre-lockdown period. The survey included questions about time spent on sedentary activities, general physical activity, and specific play behaviors before and during the lockdown. It also assessed the parents' own physical activity and their involvement in their children's activities. The relationships between these behaviors, as well as demographic and environmental factors, were analyzed. Results The study included 272 parents who completed an online survey about their child's physical activity during the COVID-19 lockdown. Many parents reported significant changes in their children's physical activity and screen time. Specifically, 89 (32.7%) observed a major decrease in physical activity, while 77 (28.3%) noted a minor decrease. Regarding screen time, 79 (29.0%) of parents reported a major increase, and 87 (32.0%) saw a minor increase. Key factors influencing children's physical activity were identified. Most notably, parents' own activity levels had a significant impact on their children's activity (p < 0.001). Additionally, children living in villas were more active than those living in apartments or traditional houses (p = 0.007), and UAE national children were slightly more active than non-nationals (p = 0.023). Conclusion This study demonstrated the significant impact of the COVID-19 lockdown on children's activity and emphasized the importance of parental involvement in supporting their children's activity levels. It highlights the need for increased attention during the recovery phase from this crisis and calls for the development of strategies and guidelines to prevent similar challenges in future pandemics or similar emergencies.

Culinary Health Education and Fitness (C.H.E.F.): A Large-Scale Program to Reduce Rural Health Disparity Through Networking and Relationship Building

LANGUAGE NOTE | Document text in English; abstract also in Chinese.&#x0D; This study examines the parental concerns in facilitating their children's physical activity participation in Hong Kong. By adopting a qualitative approach, 22 parents (10 fathers and 12 mothers), randomly chosen from in a larger study examining 802 (aged 9 to 16) children’s physical activity engagement, were invited for a semi-structured interview. It is believed that these parents could represent the typicality of Hong Kong parents in increasing our understanding of the study's focus. Interview data were analyzed by using an open coding system to identify meaningful pieces of information within the comprehensive text segment (Tesch, 1990). Three themes emerged from the interview data and results in relation to Confucianism showed that parental long working hours, safety issues and over emphasize in children's academic pursuits were found to be their major concerns in facilitating children's further engagement in physical activities. Specifically, fathers and mothers were found to differ in their safety concerns for their children's physical activity involvement. Future interventions aiming at solving the suggested parental concerns could increase children's physical activity participation.&#x0D; 採用質化研究之方法，本研究旨在探討二十二名香港家長於促進學童參與體育活動的考慮因素。研究發現考慮因素包括：家長的工作時間、家長對學童參與體育活動的安全性及家長過份重視學業成績。研究結果建議，為要進一步促進學童參與體育活動，必須透過有效解決家長對學童於參予體育活動的考慮因素。(一)加強家長對帶有危險性的運動的知識 (二)政府及學校團體應增加對家庭運動的支持 (三)透過工作坊，讓家長了解學業與運動並存對學童身心發展的重要性。