Walsh Adam D, Crawford David, Cameron Adrian J, Campbell Karen J, Hesketh Kylie D
Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, 1 Gheringhap Street, Geelong, 3220, VIC, Australia.
School of Health and Social Development, Deakin University, Burwood, Australia.
BMC Public Health. 2017 Jul 5;17(1):628. doi: 10.1186/s12889-017-4545-8.
Early childhood (under five years of age) is a critical developmental period when children's physical activity behaviours are shaped and when physical activity patterns begin to emerge. Physical activity levels track from early childhood through to adolescence with low levels of physical activity associated with poorer health. The aims of this study were to examine cross-sectional and longitudinal associations between the physical activity levels of fathers and their children at the ages of 20 months, 3.5 and 5 years, and to investigate whether these associations differed based on paternal body mass index (BMI) and education.
The Melbourne Infant Feeding Activity and Nutrition Trial (InFANT) Program was a cluster randomized-controlled trial delivered to pre-existing first-time parent groups. Physical activity levels of fathers and their first-born children were assessed using the Active Australia Survey and ActiGraph accelerometers respectively. Cross-sectional associations between father and child physical activity behaviours were assessed at each time point. Longitudinal associations between father and child physical activity were also investigated from child age 20 months to both 3.5 and 5 years. Additional stratified analyses were conducted based on paternal BMI and paternal education as a proxy for socioeconomic position (SEP). Data from the control and interventions groups were pooled and all analyses adjusted for intervention status, clustering by first-time parent group and accelerometer wear time.
Physical activity levels of fathers and their children at child age 20 months were not associated cross-sectionally or longitudinally at child age 3.5 and 5 years. Positive associations were observed between light physical activity of healthy weight fathers and children at age 3.5 years. Inverse associations were observed for moderate/vigorous physical activity between fathers and children at age 5 years, including between overweight/obese fathers and their children at this age in stratified analyses.
There were no clear associations between the physical activity of fathers and children. Future research should include the use of more robust measures of physical activity among fathers to allow in-depth assessment of their physical activity behaviours. Investigation of well-defined correlates of physical activity in young children is warranted to confirm these findings and further progress research in this field.
幼儿期(五岁以下)是儿童身体活动行为形成以及身体活动模式开始显现的关键发育阶段。从幼儿期到青春期,身体活动水平具有连续性,低水平的身体活动与较差的健康状况相关。本研究的目的是检验父亲及其子女在20个月、3.5岁和5岁时身体活动水平之间的横断面和纵向关联,并调查这些关联是否因父亲的体重指数(BMI)和教育程度而异。
墨尔本婴儿喂养活动与营养试验(InFANT)项目是一项针对已有的初为父母群体开展的整群随机对照试验。分别使用澳大利亚积极生活方式调查和ActiGraph加速度计评估父亲及其头胎子女的身体活动水平。在每个时间点评估父亲与子女身体活动行为之间的横断面关联。还研究了从儿童20个月到3.5岁和5岁时父亲与子女身体活动的纵向关联。基于父亲的BMI和作为社会经济地位(SEP)代理指标的父亲教育程度进行了额外的分层分析。将对照组和干预组的数据合并,并对所有分析进行干预状态、初为父母群体聚类和加速度计佩戴时间的校正。
在儿童20个月时,父亲及其子女的身体活动水平在儿童3.5岁和5岁时,无论是横断面还是纵向均无关联。在3.5岁时,观察到健康体重父亲的轻度身体活动与子女之间存在正相关。在5岁时,观察到父亲与子女之间的中度/剧烈身体活动存在负相关,在分层分析中,包括超重/肥胖父亲与其子女在这个年龄段也是如此。
父亲与子女的身体活动之间没有明确的关联。未来的研究应包括使用更可靠的父亲身体活动测量方法,以便深入评估他们的身体活动行为。有必要对幼儿身体活动的明确相关因素进行调查,以证实这些发现并推动该领域的进一步研究。