Only children or children with siblings: who has greater physical activity and healthier weight?
Abstract Background: The influence of parents on the physical activity (PA) and body weight of their children is confirmed by scientific studies. However, it is not known whether only children or those with siblings have a higher level of PA and healthier body weight. One aim of this study is to assess whether there are any differences in the achievement of the daily step count (SC) recommendation and in the prevalence of overweight and obesity between only children and children from families with multiple children. Another aim is to investigate whether the achievement of the daily SC recommendation by children/parents and parental overweight/obesity are associated with childhood obesity. Methods: The analysis included 566 families (10.6% with a single child, 89.4% with two or more children) with complete data of family members for weight status and ambulatory PA monitored with a Yamax pedometer during the spring and autumn in 2013-2019. The cut-point values of the daily SC recommendation amounted to ≥13,000/≥11,000 steps per day for 5-12-year-old sons/daughters and ≥10,000 steps per day for 12-16-year-old adolescents and adults. Pearson’s chi-square test was used to compare the achievement of the daily SC recommendation and the prevalence of overweight and obesity between only children and those with siblings. Binary logistic regression analyses were used to investigate whether the achievement of the daily SC recommendation by children/parents and parental overweight/obesity were associated with obesity in their offspring. Results: A significantly higher proportion of children with siblings (p<0.01) achieved the recommended daily SC (51.8% vs. 31.7%) and showed a lower prevalence of overweight (16.2% vs. 20.0%) and obesity (7.1% vs. 20.0%) compared with only children. The achievement of the daily SC recommendation in children significantly (p<0.05) reduced the odds (OR) of obesity (OR=0.22-0.34). The children with siblings had lower odds (OR=0.41-0.54) of obesity than the only children. The overweight/obesity of mothers significantly increased (p<0.05) the odds of obesity (OR=2.07) in their children. Conclusion: Children with siblings achieve the daily SC recommendation more often at weekends and on average for the whole week and have a lower incidence of overweight and obesity than children from single-child families.