Institute of Active Lifestyle, Faculty of Physical Culture, Palacký University Olomouc, Tr. Miru 117, 77111, Olomouc, Czech Republic.
Department of Health Systems Management, Faculty of Health Sciences, Ariel University, Ariel, Israel.
Int J Public Health. 2019 Sep;64(7):1049-1058. doi: 10.1007/s00038-019-01271-8. Epub 2019 Jul 5.
The aim of the study was to determine secular trends in vigorous physical activity (VPA) among adolescents in relation to family affluence across 34 countries.
This study used data from the Health Behaviour in School-aged Children (HBSC) study from 34 countries in Europe and North America. Adolescents (N = 501,647) aged 11, 13 and 15 years across three survey cycles (2006, 2010, 2014) self-reported data on VPA and a family affluence scale (FAS) using standardized questionnaires.
A significant increase in VPA was found in low-FAS boys (girls) in four (10) countries and a decrease in four (three) countries. In high-FAS boys (girls), a significant increase was observed in nine (11) countries and a decrease in two(three) countries. An overall significant increase in meeting the VPA recommendations was found in high-FAS boys (OR 1.11; 95% CI 1.06-1.16) and in all FAS groups in girls, with the largest effect being found among high-FAS girls (OR 1.24; 95% CI 1.18-1.30).
A country-specific increase in VPA was observed primarily in the medium- and high-FAS categories. This study suggests a need to focus on increasing VPA efforts, especially in low- and medium-FAS boys.
本研究旨在确定与家庭富裕程度相关的 34 个国家青少年剧烈体力活动（VPA）的长期趋势。
本研究使用了来自欧洲和北美的 34 个国家的“青少年健康行为纵向研究（HBSC）”的数据。3 个调查周期（2006 年、2010 年和 2014 年）中，11、13 和 15 岁的青少年（N=501647）使用标准化问卷自我报告 VPA 和家庭富裕程度量表（FAS）的数据。
在四个（10%）国家，低 FAS 男孩（女孩）的 VPA 显著增加，而在四个（3%）国家则减少。在高 FAS 男孩（女孩）中，九个（11%）国家的 VPA 显著增加，两个（3%）国家的 VPA 减少。在高 FAS 男孩（OR 1.11；95%CI 1.06-1.16）和所有 FAS 组的女孩中，总体上显著增加了达到 VPA 推荐量，其中高 FAS 女孩的效果最大（OR 1.24；95%CI 1.18-1.30）。
观察到 VPA 在中高 FAS 类别中呈现出特定国家的增加。本研究表明，需要特别关注增加低和中 FAS 男孩的 VPA 努力。
