Department of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands; The Generation R Study Group, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands.
Department of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands.
Health Place. 2019 Jul;58:102151. doi: 10.1016/j.healthplace.2019.102151. Epub 2019 Jun 22.
We used the introduction of dedicated physical activity (PA) spaces in Rotterdam, the Netherlands, to study the impact of reducing distance to dedicated PA spaces on outdoor play and sedentary behavior, and to evaluate if these effects were similar between population subgroups.
We included 1841 Dutch children from the Generation R Study who participated at two subsequent measurement waves when the children were, on average, 6.0 and 9.7 years old. None of these children lived within 600 m of a dedicated PA space at baseline, and during follow-up 171 children became exposed to 13 new PA spaces within 600 m from home. Individual-level fixed-effects models were used to evaluate changes in distances (determined by Geographical Information Systems (GIS)) from home to the nearest new dedicated PA space, to parent-reported outdoor play and sedentary behavior.
The introduction of a dedicated PA space within 600 m from home, and the reduction of the distance per 100 m, did not affect outdoor play or sedentary behaviors. At p < 0.1, significant interaction terms were found between the introduction of the PA spaces and indicators of family socioeconomic position. Although not statistically significant, stratified analyses showed a consistent pattern, suggesting that reducing the distance to the nearest PA space increased outdoor play for children from parents with lower levels of education. However, they also showed a non-significant increase in sedentary behaviors for children from families with net household income below average Dutch income, and for children from a non-Dutch ethnicity.
Introducing dedicated PA spaces may be a promising approach to increase outdoor play for children from more socioeconomically disadvantaged families, but larger studies are needed to contribute to the evidence.
我们利用荷兰鹿特丹引入专用体育活动（PA）场地的机会，研究了减少到达专用 PA 场地的距离对户外游戏和久坐行为的影响，并评估了这些影响在人群亚组之间是否相似。
我们纳入了来自“世代研究”的 1841 名荷兰儿童，这些儿童在两次后续测量时参与研究，平均年龄分别为 6.0 岁和 9.7 岁。这些儿童在基线时均不住在距离专用 PA 场地 600m 以内，在随访期间，有 171 名儿童居住的地方距离新的专用 PA 场地 600m 以内。使用个体水平固定效应模型评估了距离（由地理信息系统（GIS）确定）从家到最近的新专用 PA 场地的变化，以及父母报告的户外游戏和久坐行为的变化。
距离家 600m 以内引入专用 PA 场地以及每减少 100m 距离，均不会影响户外游戏或久坐行为。在 p 值<0.1 时，发现引入 PA 场地与家庭社会经济地位指标之间存在显著的交互作用。虽然没有统计学意义，但分层分析显示出一致的模式，表明减少到最近 PA 场地的距离增加了来自教育程度较低的父母的孩子的户外游戏时间。然而，它们还显示出来自收入低于荷兰平均水平的家庭的孩子以及非荷兰裔孩子的久坐行为有非显著增加。
引入专用 PA 场地可能是增加来自社会经济地位较低家庭的孩子户外游戏时间的一种有前景的方法，但需要更大的研究来为这一证据做出贡献。
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