scholarly journals The relationship between the home environment and children’s physical activity and sedentary behaviour at home

2021 ◽  
Author(s):  
◽  
Michael P. R. Sheldrick

Increasing children’s physical activity (PA) and reducing their sedentary behaviour are considered important preventative measures for obesity and several other health risk factors in children. Given children spend significant time at home, an improved understanding of these behaviours in the home environment would provide invaluable insight for interventions. Therefore, the overarching aim of this thesis was to provide new insight into how the home environment is related to children’s home-based PA and sedentary behaviour. Study 1 investigated the relationship between sufficient moderate-to-vigorous physical activity (MVPA) (≥60 min·day–1) and excessive screen-time (≥2 h·day–1) with lifestyle factors in children, and found they were associated with healthy and unhealthy factors, respectively. This study highlighted the importance of meeting PA and screen-time recommendations in relation to important health-related lifestyle factors, which is of concern, as few children were shown to meet such recommendations. Identifying the correlates of children’s behaviours is an important stage in intervention development, therefore studies 2-5 focussed on improving understanding of children’s PA and sedentary behaviour at home. Study 2 demonstrated the validity and reliability of HomeSPACE-II, a novel instrument for measuring physical factors that influence children’s home-based PA and sedentary behaviour. Using HomeSPACE-II, study 3 showed that the physical home environment is related to children’s home-based PA and sedentary behaviour. Given the established influence of social and individual factors on children’s behaviour and their confounding effects in study 3, study 4 investigated the influence of social and individual factors on: (i) children’s home-based PA and sedentary behaviour, and; (ii) the home physical environment. Study 4 revealed that parental and child activity preferences and priorities, as well as parental rules were associated with children’s home-based PA and sedentary behaviour and the physical home environment. Study 5 found clusters of social and physical factors at home, which were associated with children’s home-based PA and sedentary behaviour as well as background characteristics in the expected directions.

2012 ◽  
Vol 8 (5) ◽  
pp. 392-403 ◽  
Author(s):  
H. Christian ◽  
G. Trapp ◽  
C. Lauritsen ◽  
K. Wright ◽  
B. Giles-Corti

Author(s):  
Andrea Nathan ◽  
Phoebe George ◽  
Michelle Ng ◽  
Elizabeth Wenden ◽  
Pulan Bai ◽  
...  

Physical activity is essential for children’s healthy development, yet COVID-19 physical distancing restrictions such as school closures and staying at home, playground closures, and the cancelling of organised community sport have dramatically altered children’s opportunities to be physically active. This study describes changes in levels of physical activity and screen time from February 2020 (i.e., before COVID-19 restrictions were introduced in Western Australia) to May 2020 (i.e., when COVID-19 restrictions were in place). Parents of children aged 5 to 9 years from Western Australia were eligible to participate and recruited through convenience sampling. An online survey instrument that included validated measures of their children’s physical activity (unstructured, organized, home-based, indoor/outdoor active play, dog play/walking), sociodemographic, and other potential confounders was administered to parents. Paired t-tests and mixed ANOVA models assessed changes in physical activity outcomes. The analytic sample comprised parents of 157 children who were 6.9 years of age (SD = 1.7) on average. Overall, weekly minutes of total physical activity (PA) did not change from before to during COVID-19. However, frequency and duration (total and home-based) of unstructured physical activity significantly increased. Outdoor play in the yard or street around the house, outdoor play in the park or playground or outdoor recreation area, and active indoor play at home all significantly increased. Frequency and total duration of organised physical activity significantly declined during COVID-19 distancing. During Western Australian COVID-19 restrictions, there was an increase in young children’s unstructured physical activity and outdoor play and a decrease in organised physical activity. It remains to be seen whether children’s increased physical activity has been sustained with the easing of physical distancing restrictions.


2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Nduka C. Okwose ◽  
Leah Avery ◽  
Nicola O’Brien ◽  
Sophie Cassidy ◽  
Sarah J. Charman ◽  
...  

Abstract Purpose Less than 10% of heart failure patients in the UK participate in cardiac rehabilitation programmes. The present pilot study evaluated feasibility, acceptability and physiological effects of a novel, personalised, home-based physical activity intervention in chronic heart failure. Methods Twenty patients (68 ± 7 years old, 20% females) with stable chronic heart failure due to reduced left ventricular ejection fraction (31 ± 8 %) participated in a single-group, pilot study assessing the feasibility and acceptability of a 12-week personalised home-based physical activity intervention aiming to increase daily number of steps by 2000 from baseline (Active-at-Home-HF). Patients completed cardiopulmonary exercise testing with non-invasive gas exchange and haemodynamic measurements and quality of life questionnaire pre- and post-intervention. Patients were supported weekly via telephone and average weekly step count data collected using pedometers. Results Forty-three patients were screened and 20 recruited into the study. Seventeen patients (85%) completed the intervention, and 15 (75%) achieved the target step count. Average step count per day increased significantly from baseline to 3 weeks by 2546 (5108 ± 3064 to 7654 ± 3849, P = 0.03, n = 17) and was maintained until week 12 (9022 ± 3942). Following completion of the intervention, no adverse events were recorded and quality of life improved by 4 points (26 ± 18 vs. 22 ± 19). Peak exercise stroke volume increased by 19% (127 ± 34 vs. 151 ± 34 m/beat, P = 0.05), while cardiac index increased by 12% (6.8 ± 1.5 vs. 7.6 ± 2.0 L/min/m2, P = 0.19). Workload and oxygen consumption at anaerobic threshold also increased by 16% (49 ± 16 vs. 59 ± 14 watts, P = 0.01) and 10% (11.5 ± 2.9 vs. 12.8 ± 2.2 ml/kg/min, P = 0.39). Conclusion The Active-at-Home-HF intervention is feasible, acceptable and effective for increasing physical activity in CHF. It may lead to improvements in quality of life, exercise tolerance and haemodynamic function. Trial Registration www.clinicaltrials.gov NCT0367727. Retrospectively registered on 17 September 2018.


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