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课间体育活动:平衡社会差异的关键要素。

Physical Activity at School Recess: A Key Element in Balancing Social Disparities.

机构信息

Department of Physiology, Faculty of Medicine and Nursing, University of the Basque Country (UPV/EHU), Barrio Sarriena s/n, Leioa, Bizkaia, 48940, Spain.

Department of Nursing I, Faculty of Medicine and Nursing, University of the Basque Country (UPV/EHU), Barrio Sarriena s/n, Leioa, Bizkaia, 48940, Spain.

出版信息

J Sch Health. 2022 Oct;92(10):1005-1012. doi: 10.1111/josh.13234. Epub 2022 Aug 11.

DOI:10.1111/josh.13234
PMID:35953301
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9545753/
Abstract

BACKGROUND

Since children are generally not achieving desirable levels of physical activity (PA), schools can provide an opportunity to increase their active time. This study aimed to describe individual- and social-level variables associated with PA at school recess in a culturally diverse primary school.

METHODS

This observational cross-sectional study included 131 children attending primary school. PA data were measured via accelerometry during school recess and analyzed in relation to data on sociodemographics, anthropometrics, and PA outside school. Data were analyzed using generalized linear modeling and logistic regression.

FINDINGS

Girls were more sedentary and engaged in less moderate to vigorous physical activity (MVPA) than boys (p < .001), while older girls were less active than younger girls (p < .001). Also, non-Caucasian children were less sedentary (p < .001) and engaged in more MVPA (p = .007). Belonging to ethnic minorities was also associated with lower socioeconomic status, higher body mass index, and less PA outside of school and on weekends.

CONCLUSIONS

Girls (especially older girls) and children from lower socioeconomic contexts should be prioritized when promoting PA.

IMPLICATIONS FOR SCHOOL HEALTH POLICY

School recess can be used as an effective strategy aimed at increasing PA and reducing social inequalities.

摘要

背景

由于儿童普遍无法达到理想的身体活动(PA)水平,学校可以提供一个增加他们活跃时间的机会。本研究旨在描述与文化多元化小学课间休息时 PA 相关的个体和社会层面的变量。

方法

本观察性横断面研究纳入了 131 名小学生。通过加速度计在课间休息期间测量 PA 数据,并分析与社会人口统计学、人体测量学和校外 PA 相关的数据。使用广义线性模型和逻辑回归进行数据分析。

结果

女孩比男孩更久坐,参与的中高强度体力活动(MVPA)更少(p<0.001),而年龄较大的女孩比年龄较小的女孩更不活跃(p<0.001)。此外,非白种儿童更不易久坐(p<0.001),参与更多的 MVPA(p=0.007)。属于少数民族也与较低的社会经济地位、较高的体重指数以及校外和周末较少的 PA 有关。

结论

在促进 PA 时,应优先考虑女孩(尤其是年龄较大的女孩)和来自社会经济背景较低的儿童。

学校健康政策的影响

课间休息可以作为一种有效的策略,旨在增加 PA 并减少社会不平等。

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Income-based inequalities in self-reported moderate-to-vigorous physical activity among adolescents in England and the USA: a cross-sectional study.基于收入的青少年自报中高强度身体活动的不平等:一项横断面研究。
BMJ Open. 2021 Feb 15;11(2):e040540. doi: 10.1136/bmjopen-2020-040540.
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Evidence-Based Overview of Accelerometer-Measured Physical Activity during School Recess: An Updated Systematic Review.基于证据的学校课间休息期间加速度计测量的身体活动概述:更新的系统评价。
Int J Environ Res Public Health. 2021 Jan 12;18(2):578. doi: 10.3390/ijerph18020578.
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Understanding School-Aged Childhood Obesity of Body Mass Index: Application of the Social-Ecological Framework.理解学龄期儿童体重指数肥胖问题:社会生态框架的应用
Children (Basel). 2020 Sep 13;7(9):134. doi: 10.3390/children7090134.
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Variations in accelerometry measured physical activity and sedentary time across Europe - harmonized analyses of 47,497 children and adolescents.欧洲各国间基于加速度计的体力活动和久坐时间的变化 - 47497 名儿童和青少年的综合分析
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