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Family physical activity and sedentary environments and weight change in children
Anna Timperio1, Jo Salmon, Kylie Ball
1Centre for Physical Activity and Nutrition Research, Deakin University, Burwood, Australia. anna.timperio@deakin.edu.au
Insights
Family physical activity and home environment influence children's BMI changes. Sibling activity and home equipment can help prevent weight gain in children transitioning to adolescence.
Area of Science:
- Pediatric obesity research
- Childhood and adolescent health
- Family health behaviors
Background:
- Childhood obesity is a growing public health concern.
- Understanding factors influencing body mass index (BMI) changes during childhood is crucial.
- The transition from childhood to adolescence is a critical period for weight management.
Purpose of the Study:
- To investigate the relationship between family physical activity and sedentary environment and changes in body mass index (BMI) z-scores in 10-12-year-old children.
- To identify specific family and home environmental factors associated with BMI z-score changes over three years.
Main Methods:
- A longitudinal study followed 152 boys and 192 girls aged 10-12 years for three years.
- Height and weight were measured at baseline and follow-up to calculate BMI z-scores.
- Parental questionnaires assessed family physical activity, sedentary environment, and home physical environment at baseline.
Main Results:
- At baseline, 29.6% of boys and 21.9% of girls were overweight or obese.
- Girls showed a significant increase in BMI z-scores over three years.
- For boys, more sedentary items at home correlated with increased BMI z-scores.
- For girls, sibling physical activity and home physical activity equipment were associated with decreased BMI z-scores.
Conclusions:
- Sibling physical activity and home environmental factors promoting physical activity are important for preventing childhood weight gain.
- Interventions targeting the home environment and encouraging sibling involvement in physical activity may help manage weight during the transition to adolescence.
Objective:
To examine associations between family physical activity and sedentary environment and changes in body mass index (BMI) z-scores among 10-12-year-old children over three years.
Method:
Design. Longitudinal (three-year follow-up). Subjects. In total, 152 boys and 192 girls aged 10-12 years at baseline.
Measurements:
Measured height and weight at baseline and follow-up (weight status, BMI z-scores); aspects of the family physical activity and sedentary environment (parental and sibling modelling, reinforcement, social support, family-related barriers, rules/restrictions, home physical environment) measured with a questionnaire completed by parents at baseline.
Results:
At baseline, 29.6% of boys and 21.9% of girls were overweight or obese, and mean (standard deviation, SD) BMI z-scores were 0.44 (0.99) and 0.28 (0.89), respectively. There was a significant change in BMI z-score among girls (mean change = 0.19, SD = 0.55, p < 0.001), but not boys. Among boys, the number of items at home able to be used for sedentary behaviour (B = 0.11, p = 0.037) was associated with relatively greater increases in BMI z-score. Among girls, sibling engagement in physical activity at least three times/wk (B = -0.17, p = 0.010) and the number of physical activity equipment items at home (B = -0.05, p = 0.018) were associated with relatively greater decreases in BMI z-score.
Conclusion:
Sibling physical activity and environmental stimuli for sedentary behaviours and physical activity within the home may be important targets for prevention of weight gain during the transition from childhood to adolescence.
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