Tudor-Locke C, Ainsworth B E, Popkin B M
Prevention Research Center, Norman J. Arnold School of Public Health, University of South Carolina, Columbia 29206, USA.
Sports Med. 2001;31(5):309-13. doi: 10.2165/00007256-200131050-00001.
The assessment and promotion of childrens' healthful physical activity is important: (i) to combat the international obesity epidemic that extends to childhood; and (ii) to establish an early habit of lifestyle physical activity that can be sustained into adolescence and adulthood. The primary focus of both assessment and promotion efforts has been on in-school physical education classes and, to a lesser extent, out-of-school structured exercise, sport and play. A potential source of continuous moderate activity, active commuting to school by means of walking or by bicycle, has been largely ignored in surveys of physical activity. Suggestive evidence of steep declines in the amount of childrens' destination walking can be gleaned from national transportation surveys. At the same time, there has been a dramatic increase in the reported use of motorised vehicles, including the use for chauffeuring children. There is very little evidence to support or refute active commuting to school as an important source of childrens' physical activity; however, this is largely because it has been overlooked in the stampede to assess time in more vigorous activities. The promotion of active commuting to school must be considered in the context of parents' real and perceived concerns for their children's personal and pedestrian safety. We certainly do not have a full understanding at this time of all the factors related to decisions about transportation mode, whether by child, parent, community, or school. Such information is necessary if successful and sustainable interventions can be implemented, important transport policy decisions can be made, and community and school designs can be modified. Practice rarely waits for research, however, and there are numerous examples of innovative programming, policies and environmental designs occurring internationally that can serve as natural experiments for enterprising researchers willing to push the envelope of our understanding of active commuting and childrens' physical activity. Since we know so little, there is much to learn.
(i)应对蔓延至儿童群体的国际肥胖流行趋势;(ii)培养早期生活方式中的身体活动习惯,使其延续至青少年期及成年期。评估和促进工作的主要重点一直是校内体育课,在较小程度上也包括校外有组织的锻炼、运动和玩耍。在身体活动调查中,步行或骑自行车主动上学这种持续适度活动的潜在来源在很大程度上被忽视了。从全国交通调查中可以收集到一些提示性证据,表明儿童步行上学的次数急剧下降。与此同时,报告显示机动车的使用大幅增加,包括接送孩子。几乎没有证据支持或反驳主动上学通勤是儿童身体活动的重要来源这一观点;然而,这很大程度上是因为在急于评估更剧烈活动时间的过程中,它被忽视了。在考虑推广主动上学通勤时,必须顾及家长对孩子个人安全和行人安全的实际担忧及感知到的担忧。目前,我们肯定尚未完全了解与交通方式决策相关的所有因素,无论是孩子、家长、社区还是学校做出的决策。如果要实施成功且可持续的干预措施、做出重要的交通政策决策以及修改社区和学校设计,此类信息是必要的。然而,实践很少等待研究结果,国际上有许多创新项目、政策和环境设计的例子,对于愿意突破我们对主动通勤和儿童身体活动理解局限的有进取心的研究人员来说,这些可作为自然实验。鉴于我们所知甚少,还有很多需要学习的地方。