Department of Health Promotion and Behavioral Sciences, Michael & Susan Dell Center for Healthy Living, University of Texas Health Science Center Houston (UTHealth Houston) School of Public Health in Austin, Austin, TX, United States.
Department of Psychology, The University of Texas at San Antonio, San Antonio, TX, United States.
Front Public Health. 2024 May 20;12:1352644. doi: 10.3389/fpubh.2024.1352644. eCollection 2024.
Less than one-quarter of US children meet physical activity (PA) guidelines. Understanding the context in which PA occurs and how these contexts may play a role in meeting PA guidelines is an essential step toward developing effective behavioral interventions. The purpose of this study was to examine associations between PA context (sports participation, participation in other organized physical activities, active travel to school, and outdoor play) and the number of days children met PA guidelines in a representative sample of children living in Texas.
We analyzed cross-sectional data from a statewide sample of fourth-grade children in Texas who completed the 2019-2020 Texas School Physical Activity and Nutrition (Texas SPAN) survey. The Texas SPAN survey was designed to monitor the statewide prevalence of overweight/obesity among school children and assess habitual self-reported obesity-related behaviors, including diet and PA. Weighted Poisson regression models were employed to examine the associations between PA contexts (sports participation, participation in other organized physical activities, active travel to school, and outdoor play) and the number of days children met PA guidelines, adjusting for sex, race/ethnicity, overweight/obesity, urban-rural status, and economic disadvantage.
A total of 16.7% of fourth-grade children met physical activity guidelines every day during the week (mean age = 9.4 ± 0.6 years; female = 48.7, 51.8% Hispanic, mean days meeting PA guideline = 3.6 ± 2.3 days). One in ten (11.2%) children did not meet daily PA guidelines on any day of the week, and 72.1% met them between 1 and 6 days. Participating in sports (b = 0.22, 95%CI:0.14, 0.30), any other organized physical activities (b=0.13, 95%CI:0.017, 0.19), and playing outdoors 1-3 days (b = 0.25, 95%CI:0.04, 0.46) and 4-7 days in the past week (b = 0.77, 95%CI:0.57, 0.97) was significantly and positively associated with the number of days children met PA guidelines.
Participating in sports, participating in other organized physical activities, and playing outdoors may beneficially influence the number of days children meet PA guidelines. PA programs should consider these contextual factors and investigate how to promote organized activities and outdoor play effectively and appropriately among children.
不足四分之一的美国儿童符合身体活动（PA）指南。了解 PA 发生的背景以及这些背景如何在满足 PA 指南方面发挥作用，是制定有效的行为干预措施的重要步骤。本研究的目的是在德克萨斯州具有代表性的儿童样本中，研究 PA 环境（参与体育运动、参加其他有组织的体育活动、上学的积极交通方式和户外玩耍）与儿童达到 PA 指南天数之间的关联。
我们分析了来自德克萨斯州全州四年级儿童的横断面数据，这些儿童完成了 2019-2020 年德克萨斯州学校身体活动和营养（Texas SPAN）调查。Texas SPAN 调查旨在监测全州学龄儿童超重/肥胖的流行情况，并评估习惯性自我报告的肥胖相关行为，包括饮食和 PA。使用加权泊松回归模型来检验 PA 环境（参与体育运动、参加其他有组织的体育活动、上学的积极交通方式和户外玩耍）与儿童达到 PA 指南天数之间的关联，同时调整性别、种族/族裔、超重/肥胖、城乡状况和经济劣势。
每周有 16.7%的四年级儿童每天都达到 PA 指南（平均年龄 9.4 ± 0.6 岁；女性 48.7%，51.8%为西班牙裔，平均每天达到 PA 指南 3.6 ± 2.3 天）。十分之一的儿童（11.2%）在一周内的任何一天都没有达到每日 PA 指南，而 72.1%的儿童在 1-6 天内达到了。参加体育运动（b = 0.22，95%CI：0.14，0.30）、任何其他有组织的体育活动（b=0.13，95%CI：0.017，0.19）以及每周 1-3 天（b = 0.25，95%CI：0.04，0.46）和 4-7 天（b = 0.77，95%CI：0.57，0.97）户外活动与儿童达到 PA 指南天数显著正相关。
参加体育运动、参加其他有组织的体育活动和户外活动可能会有益地影响儿童达到 PA 指南的天数。PA 计划应考虑这些背景因素，并调查如何在儿童中有效和适当地促进有组织的活动和户外游戏。
