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父母支持与儿童客观测量的身体活动:一项为期一年的整群随机对照疗效试验。

Parental Support and Objectively Measured Physical Activity in Children: A Yearlong Cluster-Randomized Controlled Efficacy Trial.

作者信息

Laukkanen Arto, Pesola Arto J, Finni Taija, Sääkslahti Arja

机构信息

a University of Jyväskylä.

出版信息

Res Q Exerc Sport. 2017 Sep;88(3):293-306. doi: 10.1080/02701367.2017.1329924. Epub 2017 Jun 6.

DOI:10.1080/02701367.2017.1329924
PMID:28586293
Abstract

PURPOSE

We studied whether physical activity (PA) counseling for parents influenced the level of parental support of children's PA and leisure-time PA in children of different levels of initial parental support. We hypothesized that the initial level of parental support would moderate the intervention efficacy.

METHOD

Children (n = 44, M = 6.09 ± 1.17 years) and their parents (n = 61) randomly assigned to an intervention group received counseling for 6 months. Children in the control group (n = 47, M = 6.12 ± 1.11 years) and their parents (n = 63) did not receive any counseling. Parental support was assessed using the Family Physical Activity Environment Questionnaire, and children's leisure-time PA was recorded using triaxial accelerometers at baseline, at 6 months, and at 12 months. The efficacy of the intervention was tested by linear mixed-effects modeling adjusted for confounding variables (Model 1) and additionally for children's participation in organized PA or sports (Model 2).

RESULTS

Parents within the lowest initial parental support intervention tertile significantly increased their support, and their children's mean level of leisure-time PA significantly improved compared with the corresponding controls during the counseling period. On the other hand, intervention was found to have an unfavorable influence especially in the PA of children of initially highly supportive parents.

CONCLUSION

Targeting PA counseling for parents with low support of their children's PA could contribute to better family-based PA counseling efficacy.

摘要

目的

我们研究了针对父母的体育活动(PA)咨询是否会影响不同初始父母支持水平的儿童的父母对其体育活动的支持程度以及儿童的休闲时间体育活动。我们假设父母支持的初始水平会调节干预效果。

方法

随机分配到干预组的儿童(n = 44,M = 6.09 ± 1.17岁)及其父母(n = 61)接受了6个月的咨询。对照组的儿童(n = 47,M = 6.12 ± 1.11岁)及其父母(n = 63)未接受任何咨询。使用家庭体育活动环境问卷评估父母的支持程度,并在基线、6个月和12个月时使用三轴加速度计记录儿童的休闲时间体育活动。通过针对混杂变量进行调整的线性混合效应模型(模型1)以及另外针对儿童参与有组织的体育活动或运动情况进行调整的模型(模型2)来测试干预效果。

结果

在咨询期间,初始父母支持水平最低的干预三分位数组中的父母显著增加了他们的支持,并且与相应的对照组相比,他们孩子的休闲时间体育活动平均水平显著提高。另一方面,发现干预尤其对初始父母支持度高的孩子的体育活动有不利影响。

结论

针对对孩子体育活动支持度低的父母进行体育活动咨询,可能有助于提高基于家庭的体育活动咨询效果。

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