Department of Family Medicine and Public Health, University of California San Diego, United States of America.
Department of Family Medicine and Public Health, University of California San Diego, United States of America.
Prev Med. 2019 Dec;129:105795. doi: 10.1016/j.ypmed.2019.105795. Epub 2019 Aug 7.
Children and adolescents gain more weight in the summer than the school year, and there are race/ethnic differences in this pattern. Youth physical activity is lower in the summer, and the main aim of the present study was to examine race/ethnic and sex differences in adolescent physical activity, sedentary behavior, and related variables, comparing the school-year and summer. Adolescents aged 11-17 years were recruited from lower-income areas of five states in 2017-2018, and n = 207 completed surveys in both the school-year and summer: 56 African Americans, 30 American Indians, 21 Asian/Pacific Islanders, 49 Latinos, and 51 White, non-Hispanics. Of these, n = 150 also had accelerometer data. Objectively-measured physical activity was lower in the summer, especially among American Indian, Asian/Pacific Islander, and Latino subgroups. Reported screen time was substantially higher in the summer (p < .04), with the biggest increase among African Americans. Reported enjoyment of physical activity was generally lower in the summer (p < .02), which could help explain reduced physical activity. Which race/ethnic groups were at higher risk in the summer varied for physical activity and screen time, so interventions should be tailored for each group. Improved strategies to increase physical activity in the summer, especially among higher-risk groups, could contribute to youth obesity control.
儿童和青少年在夏季的体重增长超过学年期间,而且这种模式存在种族/民族差异。夏季青少年的身体活动水平较低,本研究的主要目的是检查青少年身体活动、久坐行为和相关变量在学年和夏季的种族/民族和性别差异。2017-2018 年,从五个州的低收入地区招募了 11-17 岁的青少年,有 207 名青少年在学年和夏季都完成了调查:56 名非裔美国人、30 名美洲印第安人、21 名亚洲/太平洋岛民、49 名拉丁裔和 51 名白种人,非西班牙裔。其中,有 150 名还接受了加速度计数据测量。夏季的身体活动明显较低,尤其是在美洲印第安人、亚洲/太平洋岛民和拉丁裔亚群中。夏季的屏幕时间显著增加(p<.04),其中非裔美国人的增幅最大。夏季的身体活动享受程度普遍较低(p<.02),这可能有助于解释身体活动减少的原因。身体活动和屏幕时间方面,夏季哪些种族/民族群体的风险更高因群体而异,因此干预措施应针对每个群体进行定制。改进夏季增加身体活动的策略,特别是针对高风险群体,可以有助于控制青少年肥胖。