Carlson Jordan A, Schipperijn Jasper, Kerr Jacqueline, Saelens Brian E, Natarajan Loki, Frank Lawrence D, Glanz Karen, Conway Terry L, Chapman Jim E, Cain Kelli L, Sallis James F
Center for Children's Healthy Lifestyles and Nutrition, Children's Mercy Hospital, Kansas City, Missouri;
Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark;
Pediatrics. 2016 Jan;137(1). doi: 10.1542/peds.2015-2430. Epub 2015 Dec 8.
To compare adolescents' physical activity at home, near home, at school, near school, and at other locations.
Adolescents (N = 549) were ages 12 to 16 years (49.9% girls, 31.3% nonwhite or Hispanic) from 447 census block groups in 2 US regions. Accelerometers and Global Positioning System devices assessed minutes of and proportion of time spent in moderate to vigorous physical activity (MVPA) in each of the 5 locations. Mixed-effects regression compared MVPA across locations and demographic factors.
Forty-two percent of adolescents' overall MVPA occurred at school, 18.7% at home, 18.3% in other (nonhome, nonschool) locations, and 20.6% near home or school. Youth had 10 more minutes (30% more) of overall MVPA on school days than on nonschool days. However, the percentage of location time spent in MVPA was lowest at school (4.8% on school days) and highest near home and near school (9.5%-10.4%). Girls had 2.6 to 5.5 fewer minutes per day of MVPA than boys in all locations except near school.
Although a majority of adolescents' physical activity occurred at school, the low proportion of active time relative to the large amount of time spent at school suggests potential for increasing school-based activity. Increasing time spent in the neighborhood appears promising for increasing overall physical activity, because a high proportion of neighborhood time was active. Increasing youth physical activity to support metabolic health requires strategies for increasing use of physical activity-supportive locations (eg, neighborhoods) and environmental and program improvements in unsupportive locations (eg, schools, homes).
比较青少年在家、家附近、学校、学校附近及其他场所的身体活动情况。
来自美国2个地区447个普查街区组的12至16岁青少年(N = 549)(49.9%为女孩,31.3%为非白人或西班牙裔)。加速度计和全球定位系统设备评估了在这5个场所中进行中度至剧烈身体活动(MVPA)的分钟数和时间比例。混合效应回归比较了不同场所和人口统计学因素下的MVPA情况。
青少年总体MVPA的42%发生在学校,18.7%在家,18.3%在其他(非家、非学校)场所,20.6%在家或学校附近。青少年在上学日的总体MVPA比非上学日多10分钟(多30%)。然而,在MVPA中花费的场所时间百分比在学校最低(上学日为4.8%),在家和学校附近最高(9.5%-10.4%)。除学校附近外,在所有场所女孩每天的MVPA比男孩少2.6至5.5分钟。
尽管青少年的大部分身体活动发生在学校,但相对于在学校花费的大量时间,活跃时间比例较低表明增加校内活动具有潜力。增加在社区的时间似乎有望增加总体身体活动,因为社区时间中有很大比例是活跃的。增加青少年身体活动以支持代谢健康需要采取策略增加对支持身体活动场所(如社区)的利用,并改善不支持身体活动场所(如学校、家庭)的环境和项目。