Department of Psychiatry & Human Behavior, Thomas Jefferson University, Philadelphia, PA 19207, USA.
Department of Human Sciences, The Ohio State University, Columbus, OH 43210, USA.
Int J Environ Res Public Health. 2022 Mar 22;19(7):3773. doi: 10.3390/ijerph19073773.
Background: The purpose of this study was to explore the associations between demographics, family exercise participation, family discouragement of exercise, and the children’s physical and sedentary behaviors to identify specific areas of physical activity intervention for children with parents engaged in medical weight management (MWM). Methods: Parents (n = 294) of children aged 2−18 years old were recruited from two university MWM programs to complete a one-time survey. Bivariate analyses tested associations. Results: Parents reported that sedentary activity was higher for children who identified as racial minorities (t(141) = −2.05, p < 0.05). Mobile phone and tablet use was higher for adolescents compared to school age and young children (H(2) = 10.96, p < 01) Exercise game use was higher for racial minority children compared to white children (U = 9440.5, z = 2.47, p ≤ 0.03). Male children (t(284) = 1.83, p < 0.07), children perceived to have a healthy weight status (t(120) = 4.68, p < 0.00), and younger children (t(289) = 1.79, p < 0.08) all engaged in more strenuous physical activity. Family exercise participation (t(162) = −2.93, p < 0.01) and family discouragement of exercise (U = 7813.50, z = −2.06, p ≤ 0.04) were significantly higher for children in racial minority families. Conclusions: Future work should determine methods to engage children and their parents participating in MWM in physical activities together to ensure that the changes the parents are making with MWM are sustainable.
本研究旨在探讨人口统计学特征、家庭运动参与、家庭对运动的劝阻与儿童身体活动和久坐行为之间的关系，以便确定针对参与医学体重管理（MWM）父母的子女的特定身体活动干预领域。方法：从两所大学的 MWM 项目中招募了 294 名 2-18 岁儿童的父母，让他们一次性完成一项调查。采用双变量分析测试关联。结果：父母报告说，种族少数群体的孩子久坐行为较多（t(141)=-2.05，p<0.05）。与学龄儿童和幼儿相比，青少年使用手机和平板电脑的时间更多（H(2)=10.96，p<0.01）。与白人儿童相比，少数族裔儿童使用运动游戏的频率更高（U=9440.5，z=2.47，p≤0.03）。男孩（t(284)=1.83，p<0.07）、被认为体重健康的儿童（t(120)=4.68，p<0.00）和年幼的儿童（t(289)=1.79，p<0.08）的身体活动都更剧烈。家庭运动参与（t(162)=-2.93，p<0.01）和家庭对运动的劝阻（U=7813.50，z=-2.06，p≤0.04）在少数族裔家庭的孩子中明显更高。结论：未来的工作应该确定让参与 MWM 的儿童及其父母一起参与身体活动的方法，以确保父母为 MWM 所做的改变是可持续的。
