Kwon Soyang, Janz Kathleen F, Letuchy Elena M, Burns Trudy L, Levy Steven M
Ann & Robert H. Lurie Children's Hospital of Chicago Stanley Manne Children's Research Institute, 225 E Chicago Ave. Box 157, Chicago, IL, 60611, USA.
University of Iowa Department of Health and Human Physiology, 130 Field House, Iowa City, IA, 52242, USA.
Int J Behav Nutr Phys Act. 2016 May 6;13:58. doi: 10.1186/s12966-016-0383-9.
Parental characteristics that influence child physical activity (PA) behavior often co-occur. An analytic approach that considers these co-occurring patterns can help researchers better understand the overall context of parental influence. The study aims were to: (1) identify diverse patterns of the relationships among parental characteristics, (2) examine the influence of these parental patterns on child sport participation and moderate-to vigorous-intensity PA (MVPA) trajectories during childhood and adolescence, and (3) examine whether family support mediates the influence of the parental patterns on child sport participation and MVPA trajectories.
We used data from 408 Iowa Bone Development Study cohort families (97% Caucasians; 65 % mothers with a 4-year college degree). From ages 5 to 19 years, the cohort participated in seven accelerometry assessments, reported sports participation every 6 months, and reported perceived family support for PA at age 15. Parents reported family income, education level, and regular PA participation in high school and adulthood. Structural equation modeling was conducted to identify the latent classes represented among these parental characteristics. Sex-adjusted multivariable logistic regression analyses were conducted to predict sports participation trajectories and MVPA trajectories by latent class and family support.
Three parent latent classes were identified: higher family socioeconomic status (SES) and regular PA in both high school and adulthood by both the father and mother (Group 1); lower family SES and regular PA in high school by the father (Group 2); and lower family SES and no regular PA in high school by the father (Group 3). Sex-adjusted ORs of the "drop-out from sports participation" pattern for the children in Groups 1 and 2, compared to Group 3, were 0.38 (95% CI = 0.20, 0.72) and 0.51 (95% CI = 0.26, 1.00), respectively. Sex-adjusted ORs of the "decreasing from moderate MVPA" pattern for the children in Groups 1 and 2, compared to Group 3, were 0.29 (95% CI = 0.11, 0.75) and 1.16 (95% CI = 0.40, 3.37), respectively. Adding family support to the logistic regression model only slightly changed the ORs.
The findings from this study suggest that among lower SES families, the father's role may be important to promote youth to sustain sports participation.
影响儿童身体活动(PA)行为的父母特征往往同时出现。一种考虑这些同时出现模式的分析方法可以帮助研究人员更好地理解父母影响的整体背景。本研究的目的是:(1)识别父母特征之间的不同关系模式;(2)研究这些父母模式对儿童在童年和青少年时期的体育参与和中度至剧烈强度身体活动(MVPA)轨迹的影响;(3)研究家庭支持是否介导父母模式对儿童体育参与和MVPA轨迹的影响。
我们使用了来自408个爱荷华骨骼发育研究队列家庭的数据(97%为白种人;65%的母亲拥有四年制大学学位)。从5岁到19岁,该队列参加了七次加速度计评估,每6个月报告一次体育参与情况,并在15岁时报告对PA的家庭支持感知情况。父母报告了家庭收入、教育水平以及在高中和成年期的常规PA参与情况。进行结构方程模型分析以识别这些父母特征中所代表的潜在类别。进行了性别调整的多变量逻辑回归分析,以按潜在类别和家庭支持预测体育参与轨迹和MVPA轨迹。
识别出了三种父母潜在类别:父母在高中和成年期家庭社会经济地位(SES)较高且有常规PA参与(第1组);父亲在高中家庭SES较低且有常规PA参与(第2组);父亲在高中家庭SES较低且无常规PA参与(第3组)。与第3组相比,第1组和第2组儿童“退出体育参与”模式的性别调整OR分别为0.38(95%CI = 0.20,0.72)和0.51(95%CI = 0.26,1.00)。与第3组相比,第1组和第2组儿童“从中度MVPA下降”模式的性别调整OR分别为0.29(95%CI = 0.11,0.75)和1.16(95%CI = 0.40,3.37)。在逻辑回归模型中加入家庭支持仅使OR略有变化。
本研究结果表明,在社会经济地位较低的家庭中,父亲的角色对于促进青少年持续参与体育活动可能很重要。