Corder Kirsten, Atkin Andrew J, Ekelund Ulf, van Sluijs Esther M F
MRC Epidemiology Unit, University of Cambridge Addenbrookes Hospital, Box 285, Hills Road, Cambridge CB2 0QQ, UK.
BMC Public Health. 2013 Aug 5;13:718. doi: 10.1186/1471-2458-13-718.
Few large studies have examined adolescents' views about increasing their physical activity (PA) to inform PA promotion. We assessed adolescent preference for activity type, co-participants, timing and location of PA promotion and examined patterns in their views by population subgroup.
Participants (n=457) (Mean ± SD age: 14.3 ± 0.3 years; 45.2% male) responded to questionnaire items: "What activities would you like to try or do more often?" (yes/no to 6 activity types e.g. team sports) and "I would like to do more PA …" followed by options regarding co-participants, timing and PA location (agree/disagree to 10 items). Anthropometry, demographics, accelerometer- and questionnaire-derived PA were obtained. Logistic regression was used to examine differences in views by subgroup (sex, weight status, objective PA level, parental education (SES)).
Most adolescents wanted to increase participation in ≥ 1 type of PA (94.4%). Gym use (56.7%) and team sports (50.6%) were most popular. Girls were less likely to choose racquet sports (vs. boys OR; 95% CI 0.6;0.4-0.9) but more likely to select dancing (40.3;17.8-91.1). Preference for participation was positively associated with existing participation in a similar activity (all p<0.02). More adolescents wanted to increase PA with friends (88.8%) than family (63.5%). A leisure centre was most popular for increased participation (81.0%), followed by home (70.0%). Participation during school time was less popular among girls (vs. boys: 0.6;0.4-0.9) and more popular among low SES participants (vs. high: 1.6;1.1-2.4). Overweight/obese adolescents were less likely to choose participation with friends (vs. normal weight 0.5;0.3-0.9).
Targeting adolescent PA promotion by subgroup and providing choice of PA type, co-participants, timing and PA location appears promising. Adolescents want to do more types of PA more often; interventions could increase opportunities and support to facilitate this.
很少有大型研究探讨青少年对于增加身体活动（PA）以促进 PA 的看法。我们评估了青少年对活动类型、共同参与者、PA 促进的时间和地点的偏好，并按人群亚组研究了他们看法的模式。
参与者（n = 457）（平均 ± 标准差年龄：14.3 ± 0.3 岁；45.2% 为男性）回答问卷项目：“你想尝试或更频繁进行哪些活动？”（对 6 种活动类型回答是/否，例如团队运动）以及“我想增加 PA……”，随后是关于共同参与者、时间和 PA 地点的选项（对 10 个项目回答同意/不同意）。获取了人体测量学、人口统计学、通过加速度计和问卷得出的 PA 数据。使用逻辑回归来研究亚组（性别、体重状况、客观 PA 水平、父母教育程度（社会经济地位））在看法上的差异。
大多数青少年希望增加参与≥1 种类型的 PA（94.4%）。使用健身房（56.7%）和团队运动（50.6%）最受欢迎。女孩选择球拍类运动的可能性低于男孩（与男孩相比，比值比；95% 置信区间 0.6；0.4 - 0.9），但选择跳舞的可能性更高（40.3；17.8 - 91.1）。参与偏好与类似活动的现有参与呈正相关（所有 p < 0.02）。更多青少年希望与朋友一起增加 PA（88.8%），而不是与家人（63.5%）。休闲中心对于增加参与最受欢迎（81.0%），其次是家中（70.0%）。在上学时间参与在女孩中不太受欢迎（与男孩相比：0.6；0.4 - 0.9），而在低社会经济地位参与者中更受欢迎（与高社会经济地位相比：1.6；1.1 - 2.4）。超重/肥胖青少年选择与朋友一起参与的可能性低于正常体重青少年（与正常体重相比 0.5；0.3 - 0.9）。
按亚组针对青少年 PA 促进并提供 PA 类型、共同参与者、时间和 PA 地点的选择似乎很有前景。青少年希望更频繁地进行更多类型的 PA；干预措施可以增加机会并提供支持以促成此事。
