Physical activity and sport participation: A systematic review of the impact of fatherhood

Pot, Niek; Keizer, Renske

doi:10.1016/j.pmedr.2016.05.018

Cited by 49 publications

(50 citation statements)

References 48 publications

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“…However, our estimate is also slightly smaller than estimates of weight gain with parity in Australian women, stating that women with one baby gained 4 kg more than single childless women over 10 years . Previous reviews of physical activity and parenthood have compared activity levels between parents and non‐parents rather than examining change over the transition of becoming a parent . Both previous reviews concluded that parents were less active than non‐parents and more specifically that fathers of young children spent less time in MVPA, but not sport, than childless men .…”

Section: Discussioncontrasting

confidence: 62%

“…Previous reviews of physical activity and parenthood have compared activity levels between parents and non‐parents rather than examining change over the transition of becoming a parent . Both previous reviews concluded that parents were less active than non‐parents and more specifically that fathers of young children spent less time in MVPA, but not sport, than childless men . Reviews examining diet during early adulthood have shown mixed longitudinal patterns, which differed by dietary outcome, with sugar consumption decreasing between late adolescence and early adulthood .…”

Section: Discussionmentioning

confidence: 99%

“…7 Pregnancy itself is known to trigger deterioration in health behaviours and weight gain. [8][9][10] However, pregnancy is comparatively short term, and few studies examine the long-term effects of becoming a parent on BMI and related health behaviours for men and women (eg, diet and physical activity), [11][12][13] while accounting for the background trend in the population. [14][15][16] Changes in health and behaviour during pregnancy and immediately post-partum may interact in a "vicious cycle" to increase the chances of subsequent poor behaviour and health.…”

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confidence: 99%

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Becoming a parent: A systematic review and meta‐analysis of changes in BMI, diet, and physical activity

et al. 2020

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Summary Obesity prevalence rises fastest during young adulthood when weight, diet, and physical activity may be influenced by life events, including becoming a parent, but the impact is uncertain. We searched six electronic databases to July 2019 for longitudinal studies (both sexes) aged 15 to 35 years with a prospective pre‐pregnancy/parenthood and post‐delivery outcome. Of 11 studies (across 15 papers), six studies (women only) were eligible for meta‐analysis of the difference in change in body mass index (BMI; kg/m2) between remaining without children and becoming a parent. Mean (±SD) BMI gain for non‐mothers was 2.8 ± 1.3 kg/m2 (~7.5 kg for 164‐cm woman) over 5.6 ± 3.1 years; 12.3% of baseline BMI (22.8 ± 2.5 kg/m2). Becoming a mother was associated with an additional BMI increase of 0.47 ± 0.26 kg/m2 (~1.3 kg), 4.3% of baseline BMI (22.8 ± 5.6 kg/m2); the one study including men reported no difference in change. Physical activity results were equivocal; 2/4 studies (women) and 2/2 (men) showed a greater decline in parents versus non‐parents; diet (three studies) varied by dietary measure, mostly indicating no difference. Becoming a mother is associated with 17% greater absolute BMI gain than remaining childless. Motherhood BMI gain is additional to an alarming BMI increase among young women, highlighting the need for obesity prevention among all young women, including mothers.

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Section: Discussioncontrasting

confidence: 62%

Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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Becoming a parent: A systematic review and meta‐analysis of changes in BMI, diet, and physical activity

et al. 2020

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“…The focus group gave families the opportunity to add context to their accelerometer data. To date, mostly objective data has been used to characterise children’s [ 45 ], parents’ [ 46 ], and parent–child PA [ 47 , 48 , 49 ]. It became evident in the focus group that some of the objective PA estimates may have been biased due to legitimate monitor non-wear and the inability of the accelerometers to capture water-based (i.e., swimming) and cycling activities [ 21 , 22 ].…”

Section: Discussionmentioning

confidence: 99%

One Size Does Not Fit All: Contextualising Family Physical Activity Using a Write, Draw, Show and Tell Approach

et al. 2017

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Understanding family physical activity (PA) behaviour is essential for designing effective family-based PA interventions. However, effective approaches to capture the perceptions and “lived experiences” of families are not yet well established. The aims of the study were to: (1) demonstrate how a “write, draw, show and tell” (WDST) methodological approach can be appropriate to family-based PA research, and (2) present two distinct family case studies to provide insights into the habitual PA behaviour and experiences of a nuclear and single-parent family. Six participants (including two “target” children aged 9–11 years, two mothers and two siblings aged 6–8 years) from two families were purposefully selected to take part in the study, based on their family structure. Participants completed a paper-based PA diary and wore an ActiGraph GT9X accelerometer on their left wrist for up to 10 weekdays and 16 weekend days. A range of WDST tasks were then undertaken by each family to offer contextual insight into their family-based PA. The selected families participated in different levels and modes of PA, and reported contrasting leisure opportunities and experiences. These novel findings encourage researchers to tailor family-based PA intervention programmes to the characteristics of the family.

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“…14 After having children, men's physical activity levels generally reduce. [15][16][17] Evidence of the effectiveness of weight management programmes for men…”

Section: Chapter 1 Introductionmentioning

confidence: 99%

A weight management programme for fathers of children aged 4–11 years: cultural adaptation and the Healthy Dads, Healthy Kids UK feasibility RCT

et al. 2020

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Background More men than women in the UK are living with overweight or obesity, but men are less likely to engage with weight loss programmes. Healthy Dads, Healthy Kids is an effective Australian weight management programme that targets fathers, who participate with their primary school-aged children. Behavioural interventions do not always transfer between contexts, so an adaptation of the Healthy Dads, Healthy Kids programme to an ethnically diverse UK setting was trialled. Objectives To adapt and test the Australian Healthy Dads, Healthy Kids programme for delivery to men in an ethnically diverse, socioeconomically disadvantaged UK setting. Design Phase 1a studied the cultural adaptation of the Healthy Dads, Healthy Kids programme and was informed by qualitative data from fathers and other family members, and a theoretical framework. Phase 1b was an uncontrolled feasibility trial. Phase 2 was a randomised controlled feasibility trial. Setting Two ethnically diverse, socioeconomically disadvantaged UK cities. Participants In phase 1a, participants were parents and family members from black and minority ethnic groups and/or socioeconomically deprived localities. In phases 1b and 2, participants were fathers with overweight or obesity and their children aged 4–11 years. Interventions The adapted Healthy Dads, Healthy Kids intervention comprised nine sessions that targeted diet and physical activity and incorporated joint father–child physical activity. Healthy Dads, Healthy Kids was delivered in two programmes in phase 1b and four programmes in phase 2. Those in the comparator arm in phase 2 received a family voucher to attend a local sports centre. Main outcome measures The following outcomes were measured: recruitment to the trial, retention, intervention fidelity, attendance, feasibility of trial processes and collection of outcome data. Results Forty-three fathers participated (intervention group, n = 29) in phase 2 (48% of recruitment target), despite multiple recruitment locations. Fathers’ mean body mass index was 30.2 kg/m2 (standard deviation 5.1 kg/m2); 60.2% were from a minority ethnic group, with a high proportion from disadvantaged localities. Twenty-seven (63%) fathers completed follow-up at 3 months. Identifying sites for delivery at a time that was convenient for the families, with appropriately skilled programme facilitators, proved challenging. Four programmes were delivered in leisure centres and community venues. Of the participants who attended the intervention at least once (n = 20), 75% completed the programme (attended five or more sessions). Feedback from participants rated the sessions as ‘good’ or ‘very good’ and participants reported behavioural change. Researcher observations of intervention delivery showed that the sessions were delivered with high fidelity. Conclusions The intervention was well delivered and received, but there were significant challenges in recruiting overweight men, and follow-up rates at 3 and 6 months were low. We do not recommend progression to a definitive trial as it was not feasible to deliver the Healthy Dads, Healthy Kids programme to fathers living with overweight and obesity in ethnically diverse, socioeconomically deprived communities in the UK. More work is needed to explore the optimal ways to engage fathers from ethnically diverse socioeconomically deprived populations in research. Trial registration Current Controlled Trials ISRCTN16724454. Funding This project was funded by the National Institute for Health Research (NIHR) Public Health Research programme and will be published in full in Public Health Research; Vol. 8, No. 2. See the NIHR Journals Library website for further project information.

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Physical activity and sport participation: A systematic review of the impact of fatherhood

Cited by 49 publications

References 48 publications

Becoming a parent: A systematic review and meta‐analysis of changes in BMI, diet, and physical activity

Becoming a parent: A systematic review and meta‐analysis of changes in BMI, diet, and physical activity

One Size Does Not Fit All: Contextualising Family Physical Activity Using a Write, Draw, Show and Tell Approach

A weight management programme for fathers of children aged 4–11 years: cultural adaptation and the Healthy Dads, Healthy Kids UK feasibility RCT

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