Parental Report of Outdoor Playtime as a Measure of Physical Activity in Preschool-aged Children

Burdette, Hillary L.; Whitaker, Robert C.; Daniels, Stephen R.

doi:10.1001/archpedi.158.4.353

Cited by 295 publications

(316 citation statements)

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“…Consistently, Klesges et al (1990) reported a correlation coefficient of 0.34 between outdoor time and physical activity in pre-schoolers. Similar correlations have been found by Burdette et al (2004). Correlations might be to some extent lower in GerES IV, as this sample includes children up to 14 years of age.…”

Section: Outdoor Time Physical Activity and Overweightsupporting

confidence: 78%

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The German Environmental Survey for Children (GerES IV): Reference values and distributions for time-location patterns of German children

Conrad

Seiwert

Hünken

et al. 2013

International Journal of Hygiene and Environmental Health

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Adolescents (KiGGS).Parents reported on the time their children usually spend at home, in other indoor environments, and outdoors. This information was characterized by statistical parameters, which were also calculated for different 40 strata concerning socio-demography and the residential environment. Consequently, group differences were evaluated by t-tests and univariate ANOVA. Reference distributions were fitted to the time-location data by a Maximum Likelihood approach to make them also useable in probabilistic exposure modeling. Finally, associations between data on the children's physical activity as well as body weight and their outdoor time were investigated by bivariate correlation analysis and cross tabulation. 55GerES IV provides a compilation of current time-location reference values and distributions on German children. This data hint to substantial differences in time-location patterns within the population to be considered in environmental health risk assessment.

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Section: Outdoor Time Physical Activity and Overweightsupporting

confidence: 78%

“…Concerning measuring time-location information, GerES IV relied on retrospective survey questions as did many other studies (e. g. Villarreal-Calderón et al 2002;Burdette et al 2004;Brasche & Bischof 2005). KiGGS and GerES IV involved detailed medical examinations, extensive interviews on various topics, and investigations in the participant's homes.…”

mentioning

confidence: 99%

The German Environmental Survey for Children (GerES IV): Reference values and distributions for time-location patterns of German children

Conrad

Seiwert

Hünken

et al. 2013

International Journal of Hygiene and Environmental Health

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“…28 In addition, the underlying differences between indoor and outdoor activities could influence the association with BP differently. Although studies have shown that outdoor physical activity among children is associated with higher physical activity, 29,30 no study to date has examined the differences in the level of energy expenditure between indoor and outdoor activities among prepubertal children. Potentially, the underlying differences in the intensity of participating in indoor and outdoor activities could differentially influence systolic and diastolic BP.…”

Section: Discussionmentioning

confidence: 99%

Association between physical activity and blood pressure in prepubertal children

et al. 2011

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Elevated blood pressure (BP) during childhood and adolescence increases the risk of hypertension in later life. Although physical activity is known to positively moderate BP, data regarding this relationship are limited in prepubertal children. We aimed to assess the association between a range of physical activities (including indoor and outdoor activity) and BP in a large community-based sample of prepubertal schoolchildren. Eligible year-1 schoolchildren (n¼1765; mean age 6.7 ± 0.4 years) from a random cluster sample of 34 schools in Sydney, Australia, were examined. Parents completed detailed questionnaires about their child's activity. Height and weight were measured, and body mass index (BMI) was calculated. BP was measured using a standard protocol, and elevated BP was defined using published guidelines. Physical activity was classified as low, medium or high (that is, as tertiles). After adjusting for age, sex, ethnicity, height, BMI, parental qualifications and family history of hypertension and/or cardiovascular disease, children in the highest tertile of outdoor and indoor activities had significantly lower diastolic BP (B1.5 mm Hg; P trend ¼0.01) and systolic BP (B1.3 mm Hg; P trend ¼0.03), respectively, compared with those in the lowest tertile (reference). Linearly, time spent in indoor activities (each hour per day) was associated with B2.4 mm Hg decrease in diastolic BP (P¼0.001). Physical activity was independently associated with lower BP in this sample of prepubertal children. The findings emphasize the importance of ensuring regular physical activity programs in primary schools to potentially reduce the risk of elevated BP in childhood and in later life. Keywords: blood pressure; children; physical activity; prepuberty; Sydney Childhood Eye Study INTRODUCTION Elevated blood pressure (BP) during childhood and adolescence is associated with increased risk of hypertension and cardiovascular disease (CVD), 1 and the development of early pathological lesions of atherosclerosis. 2,3 Thus, the recognition and management of elevated BP at an early age, and the identification of modifiable risk factors, may be an important strategy for limiting the overall public health disease burden caused by hypertension. 4,5 Physical activity is a key component of the therapeutic lifestyle changes recommended for preventing and treating elevated BP and hypertension in children and adolescence. 6,7 There is evidence that levels of physical activity, aerobic fitness and CVD risk factors track from childhood and adolescence into adulthood. 8 A number of observational studies have investigated associations between physical activity and BP in children and adolescents, 9-12 but the findings from these studies have been equivocal. Recently, a UK study of 5505 children aged 11-12 years showed that higher levels of physical activity were associated with lower BP, and the authors concluded that the volume of activity may be more important than the intensity. 10 In contrast, several studies reported no or a positive associat...

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“…The instrument containing 38 closed questions was constructed by adapting the questionnaire proposed by the team responsible for the project "Study of Childhood Obesity in Florianópolis" 18 . The adjustments made included the review of question wording, which went from a self-report format to face-to-face interview, and the inclusion of a section related to the physical activity measurement of the instrument proposed by Burdette et al 19 . The interviews were answered only by the father or the mother of the selected children.…”

Section: Schoolmentioning

confidence: 99%

“…Validity of the instrument used specifically for obtaining measurements of physical activity was tested against direct measurement of physical activity obtained through motion sensors 19 . Additionally, parents of 20 children (10 boys and e 10 girls) of a private school on the outskirts of the metropolitan area of Recife were interviewed individually in two separate occasions, one week apart.…”

Section: Schoolmentioning

confidence: 99%

Prevalência de baixo nível de atividade física em crianças pré-escolares.

Barros

Lopes

Barros

2012

Rev. Bras. Cineantropom. Desempenho Hum.

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-Physical activity (PA) in children has a decisive role in motor development and prevention of childhood obesity. The available evidence suggests that there is high prevalence of low levels of PA in children, but little is known about the level of PA in preschool children. The objective of this study was to identify the prevalence and the factors associated with low levels of PA in preschool children. This was a cross-sectional study performed in private schools in the municipality of Olinda (state of Pernambuco), with data collection through parent's face-to-face interviews. The study included 265 children (54.3% girls) with mean age of 4.9 years (SD=0.8). Children who did not perform at least 60 minutes/day of outdoors physical activities were considered exposed to low levels of PA. Data analysis was performed by logistic regression considering low level of PA as the outcome. The results showed that 65.3% (95%CI: 9.4-70.8) of children were classified as exposed to 'low level of PA' . Analysis showed that higher parental education (OR=2.41; 95%CI: 1.13-5.10), lack of space for playing at home (OR=2.36; 95%CI: 1.17-4.78), and attending school in the afternoon (OR=2.92, 95%CI 1.55-5.49) or full-time (OR=57.1, 95%CI 6.57-496.2) were associated with low levels of PA. Preschoolers from families with higher number of children had lower likelihood of low level of PA (OR=0.49; 95%CI 0.26-0.93). It can be concluded that the proportion of children exposed to low levels of PA is high compared to the results of similar studies and that parental and environmental factors are associated with physical activity level in preschool-aged children. Key words: Epidemiology; Motor activity; Preschool. 65,3% (IC95%: 9,8) (OR=2,41; IC95%: 1,10), falta de espaços para jogos e brincadeiras na residência (OR=2,36; IC95%: 1,78) e estudar em período vespertino (OR=2,92; IC95%: 1,49) ou integral (OR=57,1; IC95%: 6,2) foram fatores associados a baixo nível de AF. Maior número de filhos foi identificado como fator de proteção em relação a baixo nível de AF (OR=0,49; IC95%: 0,93 Resumo -A prática de atividades físicas (AF) na infância tem papel decisivo no desenvolvimento motor e prevenção da obesidade infantil. Evidências disponíveis sugerem que há elevada prevalência de baixos níveis de AF em crianças, mas pouco se conhece sobre o nível de AF em pré-escolares. O objetivo do estudo foi identificar a prevalência e os fatores associados ao baixo nível de AF em pré-escolares. Estudo transversal realizado em escolas privadas da Cidade de Olinda (PE), com coleta de dados mediante entrevista "face a face" com os pais das crianças. Participaram do estudo 265 crianças (54,3% meninas) com idade média de 4,9 anos (DP=0,8). Foram consideradas expostas a baixo nível de AF as crianças que não realizavam, no mínimo, 60 minutos/dia de AF ao ar livre. A análise dos dados foi efetuada mediante regressão logística, considerando o baixo nível de AF como desfecho. Os resultados mostram que

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Parental Report of Outdoor Playtime as a Measure of Physical Activity in Preschool-aged Children

Abstract: Parental-report measures of outdoor playtime were significantly correlated to a direct measure of physical activity in preschool-aged children, and are worthy of future evaluation as a survey measure.

Cited by 295 publications

References 10 publications

The German Environmental Survey for Children (GerES IV): Reference values and distributions for time-location patterns of German children

The German Environmental Survey for Children (GerES IV): Reference values and distributions for time-location patterns of German children

Association between physical activity and blood pressure in prepubertal children

Prevalência de baixo nível de atividade física em crianças pré-escolares.

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