Parenting andsocial‐ecologicalcorrelates with children's health behaviours: A latent profile analysis

Abstract

Summary Background Paediatric obesity poses dangers to children's short and long‐term health. Multi‐level ecological models posit how children's health behaviours are influenced by interpersonal relationships. Objectives To identify profiles of individual and interpersonal health behaviours and parenting skills among caregivers and their children with elevated BMI. Methods Participants were 240 children (63.7% Latino) ages 5 to 12 years with body mass index ≥85th percentile and their caregivers in a paediatric weight management intervention trial. A latent profile analysis was used to identify profiles among caregiver report of parenting skills; child physical activity, eating behaviours, and food and beverage choices; family mealtime, media and sleep routines; and parent health behaviours, and associations with food and housing insecurity. Results A three‐class model was chosen based on conceptual interpretation and model fit. Profiles were differentiated by parenting skills, child food choices, child physical activity habits, family mealtime, media, and sleep routines, and parent health behaviours. Food and housing insecurity were associated with class membership while child and caregiver anthropometrics were not. Conclusions Distinct profiles existed among this low‐income, racially/ethnically diverse sample of children with elevated BMI. Such findings emphasize the importance of assessing individual and interpersonal influences and contextual factors on childhood obesity.

Correlations between Physical Activity Participation and the Environment in Children and Adolescents: A Systematic Review and Meta-Analysis Using Ecological Frameworks

“…Two additional references were found within full-text articles being screened for inclusion [38,39]. [1][2][3][4][5][6][7] physical activity or [1][2][3][4]7,8 vigorous physical activity or [1][2][3][4]7,8 moderate to vigorous physical activity or [1][2][3][4]7,8 light physical activity or [1][2][3][4] sedentary behaviors or 1,4 BMI [MeSH Terms] or [1][2][3][4]7,8 self-efficacy. II.…”

“…1-8 youth or [1][2][3][4][5][6][7][8] adolescent * or 1-7 young people or 1-7 teen or 1-7 young adult * or 1-7 children or [1][2][3][4][5][6][7] kid * or [1][2][3][4][5][6][7][8] teenager *.Exclude (NOT): [1][2][3][4][6][7][8] smoking or [1][2][3][4][6][7][8] drinking or criminal * or [1][2][3][4][6][7][8] disability or [1][2][3][4][6][7][8] injury or [1]…”

“…III. Exposure: Influence factors [1][2][3][4][5][6][7][8] Family or [1][2][3][4][5][6][7][8] peer * or 1-8 community or 1-8 school or 1-8 coach or 1-8 teacher or [1][2][3][4][5][6][7][8] social context or [1][2][3][4][5][6][7][8] social-economic or [1][2][3][4][5][6][7][8] socioeconomic status or [1][2][3][4][5][6][7][8] friend * or [1][2][3][4]…”

“…IV. Exposure: Exercise types [1][2][3][4][5][6][7][8] physical exercise or [1][2][3][4][5][6][7][8] exercise * or 1-8 fitness or [1][2][3][4][5][6][7][8] physical activity or [1][2][3][4][5][6][7][8] sport* or 5 dance or [1][2][3][4][5][6][7][8] walking or [1][2][3][4][5][6][7][8] non-organization sport * or [1][2][3][4]…”

“…Physical activity (PA) plays a critical role in children and adolescents' lifelong development [1][2][3][4]. However, participation in PA decreases with age [5][6][7]; the decline is greater in girls than boys [8], and computers and social media have decreased the need and desire for children to move and play [9]. Nowadays, the issue of physical inactivity is even more concerning due to the influence of remote learning settings under the global pandemic [10].…”