School of Public Health, University of Alberta, Edmonton, AB.
Can J Public Health. 2012 Jun 12;103(4):e277-81. doi: 10.1007/BF03404235.
To determine whether parental beliefs and support for physical activity (PA) are associated with normal-weight and overweight children's self-reported PA and body weight using a population-based approach.
We analyzed cross-sectional survey data from 6,585 students and their parents in Alberta, Canada, collected in 2008 and 2010. Parental beliefs and support were collected through questions on "care about staying fit", "encourage PA" and "engage in PA with their child". Children's PA was self-reported. Body mass index was calculated from measured height and weight. We applied random effects models to assess: 1) the association of parental beliefs and support with children's PA; 2) differences in the associations for normal-weight and overweight children; 3) the association of parental beliefs and support with overweight.
Parental care, encouragement, and engagement in PA were independently and positively associated with PA among both normal-weight and overweight children. Relative to children whose parents encouraged them "quite a lot", those whose parents encouraged them "very much" were 22% less likely to be overweight (OR=0.78, 95% CI: 0.68-0.89).
Health promotion strategies that target parents to encourage and engage in PA with their children may increase activity levels and reduce overweight among children.
采用基于人群的方法,确定父母对身体活动(PA)的信念和支持是否与正常体重和超重儿童的自我报告的 PA 和体重有关。
我们分析了 2008 年和 2010 年在加拿大艾伯塔省收集的 6585 名学生及其父母的横断面调查数据。通过关于“关心保持健康”、“鼓励 PA”和“与孩子一起进行 PA”的问题收集父母的信念和支持。儿童的 PA 是自我报告的。体重指数是根据测量的身高和体重计算得出的。我们应用随机效应模型评估:1)父母的信念和支持与儿童 PA 的关系;2)正常体重和超重儿童之间关联的差异;3)父母的信念和支持与超重的关系。
父母对 PA 的关心、鼓励和参与与正常体重和超重儿童的 PA 独立且呈正相关。与父母鼓励他们“相当多”的儿童相比,父母鼓励他们“非常多”的儿童超重的可能性低 22%(OR=0.78,95%CI:0.68-0.89)。
针对父母鼓励和参与孩子 PA 的健康促进策略可能会提高活动水平并减少儿童超重。