School of Population Health, UNSW Medicine & Health, UNSW Sydney, Australia.
School of Health and Society, Early Start, Illawarra Health and Medical Research Institute, University of Wollongong, Australia.
J Sci Med Sport. 2022 Nov;25(11):896-902. doi: 10.1016/j.jsams.2022.09.166. Epub 2022 Sep 16.
Physical activity is holistically linked to culture and wellbeing among Aboriginal and Torres Strait Islander peoples, the First Nation Peoples of Australia. Socioecological correlates of high physical activity among Indigenous children include living in a remote area and low screen time but little is known about early life determinants of physical activity. This paper examines sociodemographic, family, community, cultural, parent social and emotional wellbeing determinants of physical activity among Aboriginal and Torres Strait Islander children.
Longitudinal cohort study.
The Longitudinal Study of Indigenous Children, the largest First Nations child cohort study in the world, primarily collects data through parental report. Multiple logistic regression analyses examined Wave 1 (age 0-5 years) predictors of achieving ≥1 h/day of physical activity at Wave 9 (aged 8-13 years).
Of the 1181 children, 596 (50.5 %) achieved ≥1 h of physical activity every day. Achieving ≥1 h/day of physical activity at Wave 9 was associated with the following Wave 1 determinants: high parent social and emotional wellbeing (resilience; adjusted odds ratio 1.87 (95 % confidence interval: 1.32-2.65)), living in remote (odds ratio 3.66 (2.42-5.54)), regional (odds ratio 2.98 (2.13-4.18)) or low socioeconomic areas (odds ratio 1.85 (1.08-3.17)), main source of family income not wages/salaries (odds ratio 0.66 (0.46-0.97)), and if families played electronic games (odds ratio 0.72 (0.55-0.94)).
To achieve high physical activity levels among Aboriginal and Torres Strait Islander children, high parental culture specific social and emotional wellbeing and low family screen time in early life may compensate for apparently low socio-economic circumstances, including living in remote areas.
身体活动与澳大利亚原住民和托雷斯海峡岛民的文化和健康息息相关。社会生态因素与土著儿童的高身体活动水平相关,包括居住在偏远地区和屏幕时间较短,但对于身体活动的早期生活决定因素知之甚少。本文研究了社会人口统计学、家庭、社区、文化、父母社会和情感健康对澳大利亚原住民和托雷斯海峡岛民儿童身体活动的影响。
纵向队列研究。
世界上最大的原住民儿童队列研究——《原住民儿童纵向研究》,主要通过父母报告收集数据。多项逻辑回归分析检验了第 1 波(0-5 岁)对第 9 波(8-13 岁)实现≥1 小时/天身体活动的预测因素。
在 1181 名儿童中,有 596 名(50.5%)每天达到≥1 小时的身体活动量。第 9 波达到≥1 小时/天的身体活动量与以下第 1 波的决定因素相关:父母高社会和情感健康(适应力;调整后的优势比 1.87(95%置信区间:1.32-2.65))、居住在偏远地区(优势比 3.66(2.42-5.54))、地区(优势比 2.98(2.13-4.18))或低社会经济地区(优势比 1.85(1.08-3.17))、家庭收入的主要来源不是工资/薪水(优势比 0.66(0.46-0.97)),以及家庭是否玩电子游戏(优势比 0.72(0.55-0.94))。
为了使澳大利亚原住民和托雷斯海峡岛民儿童达到高水平的身体活动量,高父母文化特定的社会和情感健康以及低家庭屏幕时间可能会弥补社会经济条件较低的情况,包括居住在偏远地区。