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比利时儿童从小学过渡到中学期间身体活动的变化:学校环境起到了什么作用?

Changes in physical activity during the transition from primary to secondary school in Belgian children: what is the role of the school environment?

作者信息

De Meester Femke, Van Dyck Delfien, De Bourdeaudhuij Ilse, Deforche Benedicte, Cardon Greet

机构信息

Department of Movement and Sport Sciences, Faculty of Medicine and Health Sciences, Ghent University, Brussels, Belgium.

出版信息

BMC Public Health. 2014 Mar 19;14:261. doi: 10.1186/1471-2458-14-261.

Abstract

BACKGROUND

Key life periods have been associated with changes in physical activity (PA). This study investigated (1) how PA changes when primary school children transfer to secondary school, (2) if school environmental characteristics differ between primary and secondary schools and (3) if changes in school environmental characteristics can predict changes in PA in Belgian schoolchildren. Moderating effects of gender and the baseline level of PA were investigated for the first and third research question.

METHODS

In total, 736 children (10-13 years) of the last year of primary school participated in the first phase of this longitudinal study. Two years later, 502 of these children (68.2%) agreed to participate in the second phase. Accelerometers, pedometers and the Flemish Physical Activity Questionnaire were used to measure PA. School environmental characteristics were reported by the school principals. Cross-classified regression models were conducted to analyze the data.

RESULTS

Self-reported active transport to school and accelerometer weekday moderate to vigorous PA (MVPA) increased after the transition to secondary school while self-reported extracurricular PA and total PA decreased. Pedometer weekday step counts decreased, but this decrease was only apparent among those who achieved the PA guidelines in primary school.Secondary schools scored higher on the school environmental characteristics: provision of sports and PA during lunch break, active schoolyards and playgrounds and health education policy but lower on sports and PA after-school than primary schools. Changes in the school environmental characteristics: active commuting to school, active schoolyards and playgrounds and health education policy resulted in changes in self-reported extracurricular PA, total PA , pedometer/accelerometer determined step counts and accelerometer determined MVPA. Moderating effects were found for baseline PA and gender.

CONCLUSION

PA changed after the transition to secondary school. In general, secondary schools seem more likely to foster strategies to promote PA during school hours than primary schools who seem more likely to foster strategies to promote PA after school. Changes in school environmental characteristics may contribute to changes in PA. Thus, if confirmed in future studies, efforts are needed to implement these components in schools as early as possible to positively affect the change in PA.

摘要

背景

关键生命阶段与身体活动(PA)的变化有关。本研究调查了:(1)小学儿童升入中学时PA如何变化;(2)小学和中学的学校环境特征是否存在差异;(3)学校环境特征的变化是否能预测比利时学童PA的变化。针对第一个和第三个研究问题,研究了性别和PA基线水平的调节作用。

方法

共有736名小学六年级儿童参与了这项纵向研究的第一阶段。两年后,其中502名儿童(68.2%)同意参与第二阶段。使用加速度计、计步器和佛兰芒身体活动问卷来测量PA。学校校长报告学校环境特征。采用交叉分类回归模型分析数据。

结果

升入中学后,自我报告的步行上学和加速度计测量的工作日中度至剧烈身体活动(MVPA)增加,而自我报告课外PA和总PA减少。计步器测量的工作日步数减少,但这种减少仅在小学时达到PA指南的儿童中明显。中学在学校环境特征方面得分更高:午休期间提供体育和PA、活跃的校园和操场以及健康教育政策,但在课后体育和PA方面得分低于小学。学校环境特征的变化:步行上学、活跃的校园和操场以及健康教育政策导致自我报告的课外PA、总PA、计步器/加速度计测量的步数和加速度计测量的MVPA发生变化。发现了基线PA和性别的调节作用。

结论

升入中学后PA发生了变化。总体而言,中学似乎比小学更有可能培养在校期间促进PA的策略,而小学似乎更有可能培养课后促进PA的策略。学校环境特征的变化可能导致PA的变化。因此,如果在未来研究中得到证实,需要尽早在学校实施这些要素,以积极影响PA的变化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/def3/3995550/fc9787cc1f9a/1471-2458-14-261-1.jpg

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