Adult Health Behaviors Research Articles

Examining the Relationship Between Health Behaviors of Adults and Preschool Children.

Children aged two to five years old are influenced by the behaviors of their guardians and Early Care Education (ECE) teachers. This study aims to determine the relationship between adults' and children's health behaviors in home and ECE settings. This study is novel in examining this correlation between multiple environments. Surveys were conducted across 32 ECE centers. Guardians and teachers reported on their and their children's health behaviors within the home and ECE. Matched child-adult responses (n = 1,140) were analyzed from a representative sample of 32 ECE centers throughout Georgia. Frequency of consumption of fruits, vegetables, and water, as well as frequency of physical activity were measured. Spearman rho correlations were analyzed using SPSS software, with p < 0.05 indicating significance. Spearman rho correlations indicated significant positive correlations between guardian and child behavior (rho = 0.49 to 0.70, p < 0.001) for all data. Teacher and child correlations were inconsistently significant across categories (rho = -0.11 to 0.17, p < 0.001). The influence of guardian behavior modeling on child health outcomes is critical for improving ECE programming and child obesity outcomes. This research can be used to inform future health interventions for young children.

The moderating role of mental health on the association between COVID-related stress, isolation, and economic hardship and using substances to cope

Since young adulthood is a vulnerable period for adverse mental health experiences and high-risk substance use, it is critical to understand the impact of the COVID-19 pandemic on young adult mental health and substance use behaviors. Therefore, we determined whether the relationship between COVID-related stressors and using substances to cope with COVID-related social distancing and isolation was moderated by depression and anxiety among young adults. Data were from the Monitoring the Future (MTF) Vaping Supplement (total N = 1244). Logistic regressions assessed the relations between COVID-related stressors, depression, anxiety, demographic characteristics, and interactions between depression/anxiety and COVID-related stressors with vaping more, drinking more, and using marijuana to cope with COVID-related social distancing and isolation. Greater COVID-related stress due to social distancing was associated with vaping more to cope among those with more depression symptoms and drinking more to cope among those with more symptoms of anxiety. Similarly, COVID-related economic hardships were associated with using marijuana to cope among those with more symptoms of depression. However, feeling less COVID-related isolation and social distancing stress was linked to vaping and drinking more to cope, respectively, among those with more symptoms of depression. These findings suggest that the most vulnerable young adults are seeking substances to cope with the pandemic, while potentially experiencing co-occurring depression and anxiety along with COVID-related stressors. Therefore, intervention programs to support young adults who are struggling with their mental health in the aftermath of the pandemic as they transition into adulthood are critical.

Adapted motivational interviewing for brief healthcare consultations: A systematic review and meta-analysis of treatment fidelity in real-world evaluations of behaviour change counselling.

Behaviour change counselling (BCC) is an adaptation of motivational interviewing (MI) designed to maximize the effectiveness of time-limited health behaviour change consultations. To improve intervention quality and understanding of treatment effects, it is recommended that evaluations of health behaviour change interventions incorporate existing fidelity frameworks (e.g. The National Institutes of Health [NIH] Behaviour Change Consortium) and ensure that treatment fidelity is assessed and reported. This systematic review was designed to examine (a) adherence to NIH fidelity recommendations, (b) provider fidelity to BCC and (c) impact of these variables on the real-world effectiveness of BCC for adult health behaviours and outcomes. Searches of 10 electronic databases yielded 110 eligible publications describing 58 unique studies examining BCC delivered within real-world healthcare settings by existing providers. Mean study adherence to NIH fidelity recommendations was 63.31% (Range 26.83%-96.23%). Pooled effect size (Hedges g) for short-term and long-term outcomes was .19 (95% CI [.11, .27]) and .09 (95% CI [.04, .13]), respectively. In separate, random-effects meta-regressions, neither short-term nor long-term effect sizes were significantly modified by adherence to NIH fidelity recommendations. For the subgroup of short-term alcohol studies (n = 10), a significant inverse relationship was detected (Coefficient = -.0114, 95% CI [-.0187, -.0041], p = .0021). Inadequate and inconsistent reporting within the included studies precluded planned meta-regression between provider fidelity and BCC effect size. Further evidence is needed to clarify whether adherence to fidelity recommendations modifies intervention effects. Efforts to promote transparent consideration, evaluation and reporting of fidelity are urgently needed. Research and clinical implications are discussed.

Health behaviors of adults living in Turkey during the covid-19 pandemic: A cross-sectional study

Objective: It is thought that the restrictions that significantly disrupt the routine life of individuals during the Covid-19 pandemic process pose a potential threat to their health behaviors. This research was conducted to identify adults’ health behaviors during the process of the Covid-19 pandemic. Method: The descriptive and cross-sectional study was conducted with 508 adults residing in Turkey, who were not diagnosed with Covid-19, between October and December 2020. Data were collected using the Personal Information Form and the Health Promoting Lifestyle Profile-II. Results: The mean of adults’ Health-Promoting Lifestyle Profile-II scores was found as 123.96±23.75 points, and adults obtained the lowest and highest mean scores successively from the Physical Activity Sub-scale and the Spiritual Growth Sub-scale of the Health Promoting Lifestyle Profile-II. Besides, it was identified that, first, adults with incomes below expenses obtained a lower mean Health-Promoting Lifestyle Profile-II score than those with incomes equaling expenses and those with incomes above expenses, second, adults residing in the district obtained a lower mean Health-Promoting Lifestyle Profile-II score than those residing in the province center, and third, adults perceiving their health as good obtained a lower mean Health-Promoting Lifestyle Profile-II score than those perceiving their health as satisfactory were statistically significant. Conclusion: It was discerned that adults performed health behaviors inadequately during the process of the Covid-19 pandemic, and income level, place of residence, and health perception affected adults’ health behaviors.

Effects of Exercise Behavior, Social Cohesion, and Social Support on Health Behaviors in Older Adults: Intervention in a Multi-Component Exercise Program

Effects of Exercise Behavior, Social Cohesion, and Social Support on Health Behaviors in Older Adults: Intervention in a Multi-Component Exercise Program

Hope and healthy lifestyle behaviors in older adulthood

Objectives Hope has been associated with better health and social well-being outcomes, including emotional adjustment, positive affect, life satisfaction, reduced risk of all-cause mortality, and increased physical activity, yet how hope as a construct impacts these health benefits in older adults is not very well-understood. This study examined: (1) the relationship between hope and health behaviors in older adults; (2) how this relationship may differ across different socio-demographic groups; and (3) how hope relates to perceived future selves among older adults. Methods The study used cross-sectional data from 711 community-dwelling adults aged ≥55 years (280 men, 431 women). Survey measures included the Snyder Adult Dispositional Hope Scale (ADHS) and the Herth Hope Index (HHI), a health behaviors checklist, self-reported health, and a future self-scale. Data were analyzed using bivariate and multiple regressions. Results Hope was positively associated with healthy behaviors in older adults. Participants with higher levels of hope also reported more positive future selves and better health. The associations were similar across different racial/ethnic groups. Conclusions This study fills an important gap in our understanding of hope and its association with health behaviors in community-dwelling older adults. These findings highlight a need to promote hope in older adults in order to enhance their sense of well-being.

Using Integrated Intervention Strategies for Improvement of Health Behavior: A Case Study Across Community Health Service in Indonesia

Health behaviour in hypertension sufferers, a non-communicable disease (NCDs), becomes a serious health problem if it is not followed by good knowledge and treatment skills. Improvement of this condition requires several interventions that must be integrated but require scientific evidence. This research aims to prove scientifically and provide solutions to improve health behaviour problems at risk in society. We used some interventions that were applied and integrated with community health service based on a mutual agreement: health education, group therapy, and the promotion of physical exercise. The number of research subjects was 53 adults at risk of hypertension in Wedomartani Village, Sleman, Yogyakarta. Data collection was carried out in June-July 2022 and used interview and observation techniques using outcome indicators, knowledge level and health maintenance skills. The results showed an increase of 32.0% in knowledge and health maintenance of 36.0% for non-communicable disease prevention behaviour by making warm water therapy combined with basil leaf infusion to lower blood pressure. There is an increased understanding of the processing of meat ingredients and the calculation of healthy eating portions. Likewise, there was an increase in the subjects’ activity to participate in physical exercise activities for hypertension exercise. The result was a decreasing prevalence of hypertension -24.5%. This study concluded that the combination of the three intervention strategies that have been given could be a choice of solution to the problem of health behaviour in adults with a risk of hypertension.

Can healthcare apps and smart speakers improve the health behavior and depression of older adults? A quasi-experimental study.

This study identified the effects of applying information and communication technologies (ICT) to the health management of older adults aged 65 or older. Older adults registered at public health centers were provided with the health management app "Health Today" and a smart speaker for 6 months to perform assigned healthcare missions. The program was conducted for 6 months by dividing participants into two groups: one that received both the health management app and the smart speaker, and another that used only the health management app. Depression, self-efficacy, number of days of moderate-intensity exercise, relative grip strength, balance tests, and five-times-sit-to-stand tests were measured during the pre- and post-evaluation. Both groups showed a positive health status and behavioral changes at post-evaluation. However, no reduced depression was observed due to communication and music listening functions in the group that was additionally provided smart speakers. ICT use in healthcare can be beneficial for older adults. However, whether these devices meet the purpose of the national health project must be determined, and an effect evaluation must be undertaken prior to providing these ICT devices for the health management of older adults in the public domain.

Child psychological well-being and adult health behavior and body mass index.

Psychological well-being (PWB) is linked with health behaviors among adults, but it is unclear if childhood PWB prospectively predicts healthy adulthood biobehavioral profiles. Such evidence may identify developmental windows for establishing positive health trajectories across the lifespan. Using data spanning 30 years, we investigated whether PWB at age 11 was associated with health behaviors and body mass index (BMI) at ages 33 and 42. We hypothesized children with higher versus lower PWB would engage in healthier behaviors, have lower BMI in adulthood, and be more likely to maintain optimal levels over time. Data were from 4,728 participants of the 1958 National Child Development Study. At age 11, participants wrote an essay about how they imagined their lives at age 25. Two judges rated each essay for multiple facets of PWB, which were combined into a summary score (Cronbach's α = .91). At ages 33 and 42, participants reported on cigarette smoking, physical activity, and diet; BMI was also assessed. Regression models evaluated PWB's association with adult outcomes at each follow-up, and with patterns over time. Child PWB was unassociated with smoking in adulthood. However, greater child PWB was associated with healthier adult physical activity, diet, and BMI when adjusting for sex. Child PWB was associated with the likelihood of maintaining optimal BMI in adulthood, but not with maintaining healthy behaviors. Some associations were not independent of other childhood covariates. Early life lays the foundation for lifelong health. Childhood PWB may contribute to healthier behaviors and BMI in adulthood. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Promoting Healthy Behaviors in Older Adults to Optimize Health-Promoting Lifestyle: An Intervention Study.

Introduction: Exercise intervention is the easiest and most effective way to promote human health. This study combined technology and exercise to improve the health behavior of the older adults through a physical activity intervention and to enhance a health-promoting lifestyle. Materials and methods: A quasi-experimental research method was used to openly recruit 120 healthy male and female older adults over 65 years old (average age of males: 71.6 ± 1.25 years; average age of females: 72.3 ± 1.28 years), all of whom wore smart bracelets. The participants were monitored by special personnel during the same period of walking every Monday to Friday. All participants recorded their daily steps, distance walked, and calorie consumption data for a period of 8 weeks. Results: After 8 weeks of walking, all participants showed a positive medium−high correlation of various factors between healthy behaviors and the health-promoting lifestyle scales. In the post-tests of each factor of two scales, males had the highest correlation between regular physical activity and physical activity, and females had the highest correlation between regular physical activity and social support. The variabilities in the explanatory power of the health behaviors of males and females on the health-promoting lifestyle were R2 = 70.9% (p < 0.01) and R2 = 74.1% (p < 0.01), indicating that the variables of healthy behaviors have a positive effect on health-promoting lifestyles in male and female older adults. Conclusions: Walking interventions positively affect the health behaviors of older adults and encourage health-promoting lifestyles. The value of this study is in its contribution to health promotion and public health recommendations for older adults.

Supplemental Material for Child Psychological Well-Being and Adult Health Behavior and Body Mass Index

Supplemental Material for Child Psychological Well-Being and Adult Health Behavior and Body Mass Index

The joint effect between fetal growth and health behaviors on the risk of cardiovascular diseases in young adulthood

To investigate the individual and the joint effect of impaired fetal growth and adult health behaviors on the risk of cardiovascular diseases (CVDs). A total of 15,618 individuals were included from three sub-cohorts of the Stockholm Public Health Cohort. Data on participants' birthweight and gestational age were retrieved from the Medical Birth Register. Data on the diagnoses of CVDs were extracted from the Swedish National Patient Register and the Cause of Death Register. Data on health behaviors were identified from self-reported questionnaires, and health behavioral profile was defined based on the recommendations of the American Health Association. The associations of fetal growth and health behaviors with the risk of CVDs were analyzed using Cox proportional hazard model. Individuals born small for gestational age (SGA) had a higher risk of CVDs than those born appropriate for gestational age (AGA), and the adjusted hazard ratio (HR) and 95% confidence interval (CI) was 1.88 (1.44, 2.47). Participants born SGA and having poor health behavioral profile in adulthood had a higher risk of CVDs than those born AGA and having ideal health behaviors with adjusted HR (95% CI) being 3.58 (1.95, 6.56). Impaired fetal growth was associated with an increased risk of CVDs in adulthood, and the risk was highest in individuals with both impaired fetal growth and poor health behaviors in adulthood.

Shared Activities With Parents During Adolescence Predicts Health Risk Across Multiple Biological Systems 22 Years Later.

Although affectively focused dimensions of social relationships are associated with differences in health risk, less research has considered nonaffective features of relationships, such as engaging in shared activities. This study sought to test whether adolescents who engaged in more shared activities with their parents had lower health risk in early midlife across multiple biological markers. Using data from a nationally representative study ( N = 4801), prospective associations between shared activities with parents during adolescence and health risk classifications for measures of inflammation, renal function, glucose homeostasis, and cholesterol 22 years later were examined, along with the potentially confounding roles of childhood socioeconomic status and parent-child relationship satisfaction. Exploratory analyses considered possible indirect effects of cigarette use, alcohol use, and body mass index in adulthood. Engaging in more shared activities with parents was associated with a reduced likelihood of being classified in a high-risk health category for markers of inflammation ( B = -0.02, standard error [SE] = 0.01, p = .040), renal function ( B = -0.08, SE = 002, p = .001), glucose ( B = -0.06, SE = 0.23, p = .011), and high-density lipoprotein ( B = - 0.03, SE = 0.01, p = .021), and overall allostatic load ( B = - 0.02, SE = 0.02, p = .001), beyond demographic and health covariates. Controlling for parental income and relationship satisfaction largely did not affect observed associations. Exploratory tests of indirect effects imply that health behaviors in adulthood may partially account for observed associations. Engaging in more shared activities predicted more optimal health classifications 22 years later, suggesting that the amount of contact between parents and teenagers may have long-lasting beneficial health effects. Furthermore, consideration of nonaffective dimensions of family relationships may provide additional insight into associations between social relationships and health.

GRANDPARENTS’ EDUCATION IS ASSOCIATED WITH GRANDCHILDREN’S EPIGENETIC AGE IN THE NGHS STUDY

Abstract We leveraged information solicited from three generations (grandparents, mothers, and grandchildren) to examine the association between mothers’ childhood SES (based on grandparents’ educational attainment) and their children’s epigenetic age and whether the association was mediated by mothers’ life course socioeconomic and health-related factors. Mothers were recruited to the NHLBI Growth and Health Study when they were 9 or 10 and followed for ten consecutive years (1987-1998). Grandparents reported their highest education during the baseline interviews. Mothers were then re-contacted three decades later (ages 37-42) to participate in the National Growth and Health Study (NGHS), and health information of their youngest children (i.e., grandchildren; N = 241, ages 2-17) were collected, including their saliva samples to calculate epigenetic age. Two epigenetic ages were estimated (Horvath and Hannum), and DNA methylation age accelerations (DNAmAAs) were calculated using residuals from regressing chronologic age on each epigenetic age metrics. Mothers’ life course socioeconomic and health-related mediators included childhood BMI trajectories (from age 9 to 19), highest education level, adult health behavior, and adult c-reactive protein (CRP). Adjusted for age and sex, grandchildren with college degree grandparents showed significantly slower Horvath’s DNAmAA than those with no college degree. The association between grandparent’s education level and grandchildren’s DNAmAA was partially mediated by mothers’ life course socioeconomic and health-related factors, especially mothers’ education, health behavior, and CRP. Grandparents’ educational attainment is a critical socioeconomic context of mothers’ early rearing, and it might have a long-lasting impact on their grandchildren’s epigenetic marker.

UTILIZING COMMUNITY ANALYSIS TO INCREASE AWARENESS OF HEALTH DISPARITIES IN OLDER OKLAHOMANS

Abstract Where we live affects us. The state of Oklahoma consistently ranks in the bottom ten percent for health outcomes, health policies, and health behaviors of older adults. Physical therapy students in Oklahoma must recognize the impact that social determinants of health have on older adults in order to fully meet the needs of their future patients. Prior to final clinical experiences, third-year Doctor of Physical Therapy students explore these concepts through individual community analysis projects in urban and rural communities across the state. The students visit their chosen community to assess access to transportation services, food, housing, and healthcare-specific to older adults. Additionally, students explore opportunities for exercise classes targeted toward older adults and the walkability of the community. Students come away with a better understanding of the wide array of social determinants of health experienced by older adults in Oklahoma and learn of opportunities to advocate for future patients in their communities.

LIFE-COURSE MULTI-DISCIPLINARY PREDICTORS OF DEMENTIA AMONG OLDER ADULTS

Abstract The incidence of dementia is rapidly increasing. Identifying risk factors for dementia may help improve risk assessment, increase awareness for risk reduction, and identify potential targets for interventions. We use a life-course multi-disciplinary modeling framework to examine leading predictors of incident dementia (ID). We use the Health and Retirement Study (HRS) to measure 57 exposures across 7 different domains: (1) demographic, (2) adverse childhood socioeconomic and psychosocial, (3) adverse adulthood experiences, (4) adult socioeconomic status, (5) health behaviors, (6) social connections, and (7) adult psychological conditions. Our outcome is ID (over 8-years) operationalized using Langa-Weir classification for adults aged 65+ years who meet criteria for cognitively normal at the baseline when all exposures are measured (Nf 1,622 in testing set and Nf1,460 in validation set). We compare standard methods (Logistic regression) with machine learning (ML) approaches (Lasso, Random Forest) in identifying highly predictive exposures across the risk domains of interest. Standard methods identified lower education, childhood financial duress, and pessimism as among the leading factors associated with ID. Psychological factors explained the highest variance for ID, followed by adult socioeconomic and adverse childhood factors. However, ML techniques differed in their identification of (1) predictors and (2) factors predictive importance. The findings emphasize the importance of upstream risk factors and the long-reach of childhood experiences on cognitive health. The ML approaches highlight the importance of life-course multi-disciplinary frameworks for improving dementia risk assessment. Further investigations are needed to identify how complex interactions of life-course risk factors can be addressed through interventions.

Long-term health effects of childhood parental income

While research on the link between socio-economic status and health spans several decades, our understanding of this relationship is still severely constrained. We estimate the long-term effects of parental income from birth to age 18 on health and risky health behaviors in adulthood. We use over 4 decades of data from the Panel Study of Income Dynamics, from 1968 to 2017, to construct a unique data set that links 49,459 person-year outcomes in adulthood, to several parental and family level variables when they were born and throughout their childhood. To mitigate concerns that parental income is likely correlated with unobserved factors that determine children's outcomes in adulthood, we estimate an instrumental variables model. We construct a simulated income variable that is used to instrument for parental income. This approach breaks the link between an individual's own parental income and unobserved characteristics that are possibly correlated with their health in the long run. We find that a $10,000 increase in annual parental income increases the likelihood of very good or excellent health in adulthood by 3.7%, reduces the likelihood of physical limitation by 10.3%, and reduces the likelihood of smoking and the number of cigarettes smoked per day by 12.7% and 16.7%, respectively. We also find that the pathways by which income improves health are increased education, employment, annual hours worked, pre-tax hourly earnings and pre-tax annual earnings. Our results highlight the lasting impact of economic resources in childhood and the importance of growing up in a financially stable environment.

Household Physical Activity for Adults in the Context of the Pandemic: A Systematic Review

Background: People were isolated at home during the COVID-19 pandemic and were restricted from going outside, leaving them with the option of physical activity at home. The purpose of this paper is to examine how home isolation during an epidemic changes adult lifestyle and health behaviors and the role of physical activity during home isolation in improving adult dysphoria. Methods: Four major databases were searched and the 21 final included papers on home physical activity during the epidemic were evaluated. The literature was analyzed and evaluated using generalization, summarization, analysis, and evaluation methods. The findings revealed that home isolation during the epidemic changed the lifestyle and physical activity behavior of adults. Participation in physical activity varied among different levels of the population during home isolation for the epidemic. In addition, physical activity in home isolation during the epidemic helped improve adults’ poor mood. The negative impact of prolonged home isolation on the health of the global population cannot be ignored, and more encouragement should be given to diversified indoor physical activities to maintain physical and mental health. In addition, there is a need to develop more personalized technology tools for physical activity supervision regarding use.

Risk factors for natural menopause before the age of 45: evidence from two British population-based birth cohort studies

BackgroundMenopause that occurs before the age of 45 and is not medically induced (referred to here as ‘early natural menopause’) affects around one in 10 women and has serious health consequences. These consequences include increased risk of all-cause mortality, cardiovascular disease, osteoporosis, and type 2 diabetes.MethodsWe investigate risk factors for the onset of natural menopause before the age of 45 in two population-based prospective cohort studies in Britain: the 1958 cohort following 8959 women and the 1970 cohort following 8655 women. These studies follow women from birth to adulthood, and we use harmonized data on birth and early life characteristics, reproductive health, health behaviour, and socioeconomic characteristics for 6805 women who were pre-menopausal, peri-menopausal or had undergone natural menopause. Of these 6805 women, 3614 participated in the 1958 cohort (of which 368 had early menopause) and 3191 participated in the 1970 cohort (of which 206 had early menopause). Taking a life course approach, we focus on three distinct life stages - birth/early life, childhood, and early adulthood - to understand when risk factors are most harmful. Respecting the temporal sequence of exposures, we use a series of multivariable logistic regression models to estimate associations between early menopause and each potential risk factor adjusted for confounders.ResultsWe find that early menopause is influenced by circumstances at birth. Women born in lower social class families, whose mother smoked during the pregnancy or who were breastfed 1 month or less were more likely to undergo early menopause. Early menopause is also associated with poorer cognitive ability and smoking in childhood. Adult health behaviour also matters. Smoking is positively correlated with early menopause, while regular exercise and moderate frequency of alcohol drinking in women’s early thirties are associated with reduced risk of early menopause. The occurrence of gynaecological problems by women’s early thirties is also linked to early menopause.ConclusionsWe demonstrate that characteristics at different periods of life are associated with early menopause. Some of these associations relate to modifiable behaviours and thus the risks of early menopause and the adverse health outcomes associated with it may be preventable.

The Effects and Types of Parental Involvement in School-Based Sport and Health Programs Still Represent a Knowledge Gap: A Systematic Review.

Background: Health-related behaviours and attitudes acquired in childhood significantly shape health behaviours in adulthood and play an important role in preventing children from becoming overweight. Interventions incorporating parental involvement can provide outstanding support in shaping a child’s health-related behaviour. However, parental involvement has not been investigated from the perspective of efficacy except for obesity. Therefore, this systematic review investigates school-based physical activity intervention programmes incorporating parental involvement. We aim to explore the impact of these programmes and the parental involvement they provide on behaviours that influence child health, which are essential for preventing children and adults from becoming overweight and promoting health-conscious lifestyles. Methods: This systematic literature review follows PRISMA guidelines. The EBSCO Discovery Service Search Engine was used for searching for literature. Papers included met the following inclusion criteria: (1) reported original, empirical research or systematic review published in a peer-reviewed journal; (2) primary or secondary school age (6–18 years) as the target population; (3) examined school-based sport or health prevention and intervention programs; (4) only healthy children and youth in the indicated age group; (5) school-based prevention or intervention program; (6) examines parental involvement; (7) in the English language, and (8) in disciplines of education, psychology, social work, sociology, social sciences and humanities. Results: An extremely limited number of interventions of sufficient quality address the role of parental involvement (N = 17). The forms of parental involvement show a huge variety, ranging from leaflets, home packs, sports organisations “forced” by the pandemic, parent meetings, programmes, courses, and school programmes with diverse children over several months (cooking together, gardening, playing sports together, etc.). Therefore, it is difficult to measure their effectiveness and impact. Conclusions: The impact of parental involvement on children’s health behaviour, especially physical activity and nutrition, as two of the most important factors in preventing them from becoming overweight, are unclear, and other correlations, e.g., academic achievement, are scarce.