scholarly journals Adverse Effects of the COVID-19 Pandemic on Movement and Play Behaviours of Children and Youth Living with Disabilities: Findings from the National Physical Activity Measurement (NPAM) Study

2021 ◽  
Vol 18 (24) ◽  
pp. 12950
Author(s):  
Sarah A. Moore ◽  
Ritu Sharma ◽  
Kathleen A. Martin Ginis ◽  
Kelly P. Arbour-Nicitopoulos
Keyword(s):  
Physical Activity ◽  
Parental Support ◽  
Screen Time ◽  
Online Survey ◽  
Outdoor Play ◽  
Children And Youth ◽  
Activity Measurement ◽  
Healthy Children ◽  
Family Based ◽  
Walking And Biking

All children and youth require ample physical activity (PA), low levels of sedentary behaviour (SB), and adequate sleep to stay healthy. Children and youth living with disabilities (CYWD) tend to have fewer opportunities for participation in PA and outdoor play compared with their typically developing peers. In turn, CYWD are typically less active and more sedentary, on average, compared with their peers. The COVID-19 pandemic reduced opportunities for many children and youth to participate in PA and outdoor play. The purpose of this study was to assess parent-perceived changes in PA (including outdoor play), SB (including screen time), and sleep quality and quantity, due to COVID-19 and related restrictions, in a national cohort of Canadian CYWD. We recruited parents of school-aged CYWD (N = 151) in May 2020. In an online survey, parents reported their child’s previous 7-day PA, SB, and sleep, as well as perceived changes in their child’s movement and play behaviours due to COVID-19 and related restrictions. Parent-perceived parental support for their child’s movement and play behaviours during the pandemic was also assessed. We used descriptive statistics to describe the child’s movement behaviours and assessed the association between movement behaviours and parental factors using Pearson and point-biserial correlations. Few (5.3%) CYWD met PA recommendations and 13.2% met screen time recommendations during the acute period of the COVID-19 pandemic. More CYWD (66.2%) were meeting sleep recommendations. Overall, only 1.3% of CYWD were meeting the combined movement guidelines. Parent encouragement was positively associated with the child’s outdoor PA (0.23), wheeling, walking, and biking (0.19), indoor PA (0.16), and family-based PA (0.26). Parental co-play was similarly positively associated with the child’s outdoor PA (0.26), wheeling, walking, and biking (0.39), indoor PA (0.16), and family-based PA (0.26). Parents perceived their CYWD to be less active and more sedentary as a result of COVID-19 and the related restrictions. Parents of CYWD have an important role in encouraging healthy movement behaviours. Return to movement and play post-COVID guidelines should include tailored strategies for CYWD and their families to mitigate the negative impacts of the pandemic.

scholarly journals Effects of Three Different Family-Based Interventions in Overweight and Obese Children: The “4 Your Family” Randomized Controlled Trial

Nutrients ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 341
Author(s):  
Panagiotis Varagiannis ◽  
Emmanuella Magriplis ◽  
Grigoris Risvas ◽  
Katerina Vamvouka ◽  
Adamantia Nisianaki ◽  
...  
Keyword(s):  
Physical Activity ◽  
Body Weight ◽  
Screen Time ◽  
Overweight And Obesity ◽  
Z Score ◽  
Obese Children ◽  
Group 3 ◽  
Group 2 ◽  
Family Based ◽  
Family Based Interventions

Childhood overweight and obesity prevalence has risen dramatically in the past decades, and family-based interventions may be an effective method to improve children’s eating behaviors. This study aimed to evaluate the effectiveness of three different family-based interventions: group-based, individual-based, or by website approach. Parents and school aged overweight or obese children, 8–12 years of age, were eligible for the study. A total of 115 children were randomly allocated in one of the three interventions, and 91 completed the study (79% compliance); Group 1 (n = 36) received group-based interventions by various experts; Group 2 (n = 30) had interpersonal family meetings with a dietitian; and Group 3 (n = 25) received training through a specifically developed website. Anthropometric, dietary, physical activity, and screen time outcomes were measured at baseline and at the end of the study. Within-group comparisons indicated significant improvement in body weight, body mass index (BMI)-z-score, physical activity, and screen time from baseline in all three study groups (p < 0.05). Furthermore, total body fat percentage (%TBF) was also decreased in Groups 2 and 3. Between-group differences varied with body weight and %TBF change, being larger in Group 3 compared to Groups 1 and 2, in contrast to BMI-z-score, screen time, and health behaviors, which were significantly larger in Group 2 than the other two groups. In conclusion, personalized family-based interventions are recommended to successfully improve children’s lifestyle and body weight status.

scholarly journals 660 Chronotype Associations with Insomnia, Depressive Symptoms, and Changes in Sleep and Health Behaviors during the COVID-19 Pandemic

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A258-A258
Author(s):  
Megan Petrov ◽  
Matthew Buman ◽  
Dana Epstein ◽  
Shawn Youngstedt ◽  
Nicole Hoffmann ◽  
...  
Keyword(s):  
Physical Activity ◽  
Depressive Symptoms ◽  
Health Behaviors ◽  
Screen Time ◽  
Online Survey ◽  
Light Exposure ◽  
Multinomial Logistic Regression ◽  
Depression Scale ◽  
Time In Bed ◽  
Significant Difference

Abstract Introduction Evening chronotype (i.e., night owl preference) is associated with worse insomnia and depressive symptoms, and poorer health behaviors. The aim of this study was to examine the association between chronotype and these symptoms and health behaviors during COVID-19 pandemic quarantine. Methods An online survey, distributed internationally via social media from 5/21/2020–7/1/2020, asked adults to report sociodemographic/economic information, changes in sleep (midpoint, total sleep time, sleep efficiency, time-in-bed), and health behaviors (i.e., physical activity, sedentary screen time, and outdoor light exposure patterns) from prior to during the pandemic, chronotype preference (definitely morning [DM], rather more morning [RM], rather more evening [RE], or definitely evening [DE]), and complete the Insomnia Severity Index (ISI) and the 10-item Center for Epidemiologic Studies Depression scale (CES-D-10). Multinomial logistic regression and ANCOVA models, adjusting for age and sex, examined associations of chronotype with COVID-19 pandemic related impacts on sleep, depressive symptoms, and health behaviors. Results A subsample of 579 participants (M age: 39y, range: 18–80; 73.6% female), currently under quarantine and neither pregnant nor performing shift work, represented each chronotype evenly (~25%). Participants delayed their sleep midpoint by 72.0min (SD=111.5) during the pandemic. DE chronotypes had a greater delay than morning types (M±SD DE: 91.0±9.0 vs. RM: 55.9±9.2 & DM: 66.1±9.3; p=0.046) with no significant change in other sleep patterns relative to other chronotypes. However, DE and RE chronotypes had greater odds of reporting that their new sleep/wake schedule was still not consistent with their “body clock” preference relative to morning types (Χ2[15]=54.8, p&lt;0.001), reported greater ISI (F[3,503]=5.3, p=.001) and CES-D-10 scores (F[3,492]=7.9, p&lt;.001), and had greater odds for increased or consistently moderate-to-high sedentary screen time (Χ2[12]=22.7, p=0.03) and decreased physical activity (Χ2[12]=22.5, p=0.03) than DM chronotype. There was no significant difference in change in outdoor light exposure by chronotype (Χ2[12]=12.1, p=0.43). Conclusion In an international online sample of adults under COVID-19 pandemic quarantine, evening chronotypes, despite taking the opportunity to delay sleep to match biological clock preference, reported their sleep/wake schedules were still inconsistent with personal preference, and reported greater insomnia and depressive symptoms, and odds of engaging in poorer health behaviors than morning chronotypes. Support (if any):

scholarly journals Factors Associated with Students Meeting Components of Canada’s New 24-Hour Movement Guidelines over Time in the COMPASS Study

2020 ◽  
Vol 17 (15) ◽  
pp. 5326 ◽  
Author(s):  
M. Claire Buchan ◽  
Valerie Carson ◽  
Guy Faulkner ◽  
Wei Qian ◽  
Scott T. Leatherdale
Keyword(s):  
Physical Activity ◽  
Parental Support ◽  
Screen Time ◽  
Sport Participation ◽  
Public Health Practice ◽  
Future Research ◽  
School Students ◽  
Cross Sectional ◽  
Community Sport ◽  
The Individual

This study aimed to determine if secondary school students are meeting the new Canadian 24-Hour Movement Guidelines (24-MG), as well as each individual recommendation (physical activity; sleep; sedentary behavior) within the 24-MG, and which student-level characteristics predict meeting the 24-MG, both cross-sectionally and longitudinally. This study is the first to examine longitudinal changes in students meeting the 24-MG, as well as student-level characteristics that were predictive of favourable shifts in movement patterns. Cross-sectional data were obtained for 11,793 grade 9 students across Canada as part of the COMPASS study. Of this sample, 3713 students provided linked follow-up data from grade 9 to grade 12. The probability of meeting the guidelines was modeled using two-level logistic regression analyses, adjusting for student-level co-variates and school clustering. Only 1.28% (p < 0.0001) of the sample met the overall 24-MG. Among grade 9 students, 35.9% (p < 0.0001), 50.8% (p < 0.0001), and 6.4% (p < 0.0001) were meeting the individual recommendations for physical activity, sleep, and screen time, respectively. Of those students, less than half were still meeting them by grade 12. Community sport participation was the only predictor of all three individual recommendations within the 24-MG. Longitudinal analyses found that community sport participation and parental support and encouragement were significantly associated with Grade 12 students starting to meet the physical activity and screen time recommendations, respectively, after having not met them in grade 9. Findings can be used to inform policy and public health practice, as well as to inform future research examining causal relationships between the variables.

scholarly journals The Healthy Children, Strong Families 2 (HCSF2) Randomized Controlled Trial Improved Healthy Behaviors in American Indian Families with Young Children

2018 ◽  
Vol 3 (Supplement_2) ◽  
pp. 53-62 ◽  
Author(s):  
Emily J Tomayko ◽  
Ronald J Prince ◽  
Kate A Cronin ◽  
KyungMann Kim ◽  
Tassy Parker ◽  
...  
Keyword(s):  
Physical Activity ◽  
Randomized Controlled Trial ◽  
Health Behaviors ◽  
Obesity Prevention ◽  
Screen Time ◽  
Healthy Lifestyle ◽  
Controlled Trial ◽  
Healthy Children ◽  
Randomized Controlled ◽  
Home Based

ABSTRACT Background American Indian (AI) families experience a disproportionate risk of obesity due to a number of complex reasons, including poverty, historic trauma, rural isolation or urban loss of community connections, lack of access to healthy foods and physical activity opportunities, and high stress. Home-based obesity prevention interventions are lacking for these families. Objective Healthy Children, Strong Families 2 (HCSF2) was a randomized controlled trial of a healthy lifestyle promotion/obesity prevention intervention for AI families. Methods Four hundred and fifty dyads consisting of an adult primary caregiver and a child ages 2 to 5 y from 5 AI communities were randomly assigned to a monthly mailed healthy lifestyle intervention toolkit (Wellness Journey) with social support or to a child safety control toolkit (Safety Journey) for 1 y. The Wellness Journey toolkit targeted increased fruit/vegetable (F/V) intake and physical activity, improved sleep, decreased added sugar intake and screen time, and improved stress management (adults only). Anthropometrics were collected, and health behaviors were assessed via survey at baseline and at the end of Year 1. Adults completed surveys for themselves and the participating child. Repeated measures analysis of variance was used to assess change over the intervention period. Results Significant improvements to adult and child healthy diet patterns, adult F/V intake, adult moderate-to-vigorous physical activity, home nutrition environment, and adult self-efficacy for health behavior change were observed in Wellness Journey compared with Safety Journey families. No changes were observed in adult body mass index (BMI), child BMI z-score, adult stress measures, adult/child sleep and screen time, or child physical activity. Qualitative feedback suggests the intervention was extremely well-received by both the families and our community partners across the 5 participating sites. Conclusions This multi-site community-engaged intervention addressed key gaps regarding family home-based approaches for early obesity prevention in AI communities and showed several significant improvements in health behaviors. Multiple communities are working to sustain intervention efforts. This trial was registered at clinicaltrials.gov as NCT01776255.

scholarly journals Associations between screen time, physical activity, and depressive symptoms during the 2019 coronavirus disease (COVID-19) outbreak among Chinese college students

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Yi Zhang ◽  
Xiaoyan Wu ◽  
Shuman Tao ◽  
Shiyue Li ◽  
Le Ma ◽  
...  
Keyword(s):  
Physical Activity ◽  
College Students ◽  
Depressive Symptoms ◽  
Psychological Health ◽  
Screen Time ◽  
Online Survey ◽  
Interactive Effect ◽  
Depression Symptoms ◽  
Chinese Government ◽  
Chinese College Students

Abstract Background The 2019 novel coronavirus disease (COVID-19) emerges in China, which spreads rapidly and becomes a public health emergency of international concern. Chinese government has promptly taken quarantine measures to block the transmission of the COVID-19, which may cause deleterious consequences on everyone’s behaviors and psychological health. Few studies have examined the associations between behavioral and mental health in different endemic areas. This study aimed to describe screen time (ST), physical activity (PA), and depressive symptoms, as well as their associations among Chinese college students according to different epidemic areas. Methods The study design is cross-sectional using online survey, from 4 to 12 February 2020, 14,789 college students accomplished this online study, participants who did not complete the questionnaire were excluded, and finally this study included 11,787 college students from China. Results The average age of participants was 20.51 ± 1.88 years. 57.1% of the college students were male. In total, 25.9% of college students reported depression symptoms. ST > 4 h/day was positively correlated with depressive symptoms (β = 0.48, 95%CI 0.37–0.59). COVID-19ST > 1 h/day was positively correlated with depressive symptoms (β = 0.54, 95%CI 0.43–0.65), compared with COVID-19ST ≤ 0.5 h/day. Compared with PA ≥ 3 day/week, PA < 3 day/week was positively associated with depression symptoms (β = 0.01, 95%CI 0.008–0.012). Compared with low ST and high PA, there was an interaction association between high ST and low PA on depression (β = 0.31, 95%CI 0.26–0.36). Compared with low COVID-19ST and high PA, there was an interaction association between high COVID-19ST and low PA on depression (β = 0.37, 95%CI 0.32–0.43). There were also current residence areas differences. Conclusions Our findings identified that high ST or low PA was positively associated with depressive symptoms independently, and there was also an interactive effect between ST and PA on depressive symptoms.

scholarly journals Impact of COVID-19 Pandemic Led Lockdown on the Lifestyle of Adolescents and Young Adults

2020 ◽  
Vol 07 (02) ◽  
pp. 12-15
Author(s):  
Shubhajeet Roy ◽  
Keyword(s):  
Physical Activity ◽  
Young Adults ◽  
Screen Time ◽  
Online Survey ◽  
Healthy Lifestyle ◽  
Activity Level ◽  
Age Group ◽  
Self Monitoring ◽  
Deep Impact ◽  
Diet Pattern

Background: The COVID-19 pandemic led lockdown-an unprecedented event wherein people globally have been hit hard. This lockdown has caused a deep impact on lifestyle-related parameters like sleep pattern, diet pattern, stress level, physical activity level and circadian rhythms. Objective: This study was designed to study effect of COVID-19 pandemic on lifestyle of young adults and adolescents. Method: Online survey was conducted in 1065 respondents in the age group of 13 to 25 years. Result: Questionnaire-based survey showed mean sleep duration changing from 6.85 hours to 8.17 hours, average screen time increased to 5.12 hours from 3.5 hours, 51.9% subjects experienced higher stress levels, 76.4% subjects experienced more food intake and 38.6% subjects had decreased levels of physical activity as per self-monitoring. Conclusion: These changes might have long lasting effects on their physical, mental and social health and need counteractive measures to help young people lead a healthy lifestyle during the epidemic and beyond.

scholarly journals Social Support and Modelling in Relation to Physical Activity Participation and Outdoor Play in Preschool Children

Children ◽  
2019 ◽  
Vol 6 (10) ◽  
pp. 115
Author(s):  
Reimers ◽  
Boxberger ◽  
Schmidt ◽  
Niessner ◽  
Demetriou ◽  
...  
Keyword(s):  
Physical Activity ◽  
Social Support ◽  
Preschool Children ◽  
Parental Support ◽  
Outdoor Play ◽  
Physical Activity Participation ◽  
Activity Participation ◽  
Sports Clubs ◽  
Domain Specific ◽  
Activity Promotion

Physical activity during early childhood is a prerequisite for healthy development in many cases. The aim of this study was to assess the relationships of social modelling and support from parents, peers, and siblings and domain-specific physical activity participation in a nationwide sample of preschool boys and girls from Germany. 519 preschool children aged 4–6 and one of their parents participated in the ‘MoMo’ Wave 1 Study between 2009 and 2012. Participants and their parents provided self-reported data on social support modelling, and domain-specific physical activity participation (physical activity in sports clubs, physical activity outside of sports clubs, and outdoor play). Parental, peer, and sibling support and modelling were related to domain-specific physical activity: Parental support was particularly relevant for physical activity in sports clubs, and peer support for outdoor play. Parental modelling was only related to physical activity outside of sports clubs: Maternal modelling was a positive correlate in girls and paternal modelling in boys, respectively. Sibling and peer modelling were especially relevant for physical activity in sports clubs. The results were heterogeneous regarding types and providers of support and modelling. Thus, different providers and types of support should be targeted in physical activity promotion programs for preschool children.

Physical activity guidelines for children and youthThis article is part of a supplement entitled Advancing physical activity measurement and guidelines in Canada: a scientific review and evidence-based foundation for the future of Canadian physical activity guidelines co-published by Applied Physiology, Nutrition, and Metabolism and the Canadian Journal of Public Health. It may be cited as Appl. Physiol. Nutr. Metab. 32(Suppl. 2E) or as Can. J. Public Health 98(Suppl. 2).

2007 ◽  
Vol 32 (S2E) ◽  
pp. S109-121 ◽  
Author(s):  
Ian Janssen
Keyword(s):  
Public Health ◽  
Physical Activity ◽  
Well Being ◽  
Children And Youth ◽  
Future Research ◽  
Activity Measurement ◽  
Activity Levels ◽  
Scientific Review ◽  
Physical Activity Guidelines ◽  
School Aged Children

The aim of this review is to provide a scientific update on evidence related to the biological and psycho-social health benefits of physical activity in school-aged children and youth. To accomplish this aim, the first part of the paper reviews existing physical activity guidelines for school-aged children and youth, with an emphasis placed on how Canada’s guidelines compare and contrast with those of other countries and organizations. The paper then provides an overview of physical activity levels of Canadian children and youth, which indicates that few Canadian youngsters meet current physical activity recommendations. The next section of the paper summarizes the literature that informs how much physical activity is required to promote health and well-being in children and youth. The paper then provides suggestions on modifications that could be made to Canada’s physical activity guidelines for children and youth. Specifically, consideration should be given to setting both minimal (≥60 min/d) and optimal (up to several hours per day) physical activity targets. The final section identifies future research needs. In this section, a need is noted for comprehensive dose–response studies of physical activity and health in the paediatric age group.

scholarly journals Environmental correlates of sedentary time and physical activity in preschool children living in a relatively rural setting in the Netherlands: a cross-sectional analysis of the GECKO Drenthe cohort

BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e027468 ◽  
Author(s):  
Congchao Lu ◽  
Guowei Huang ◽  
Eva Corpeleijn
Keyword(s):  
Physical Activity ◽  
Regression Analysis ◽  
Traffic Safety ◽  
Parental Support ◽  
Road Network ◽  
Sedentary Time ◽  
Linear Regression Analysis ◽  
Outdoor Play ◽  
Cross Sectional ◽  
Environmental Correlates

ObjectivesThis study examined the relationship between environmental correlates and children’s sedentary time (ST), light physical activity (LPA) and moderate-to-vigorous physical activity (MVPA) in preschool children.DesignCross-sectional studySettingA birth cohort in Drenthe, a northern province and relatively rural area of the Netherlands.ParticipantsValid data both for the ActiGraph and the questionnaire were obtained from 505 child–parent pairs.Primary and secondary outcome measuresST, LPA and MVPA of children were objectively measured by ActiGraph accelerometry (minimum three wearing days, more than 10 hours/day). Environmental correlates were collected using a questionnaire reported by parents that included household characteristics, parental and children’s PA behaviours and neighbourhood environment (eg, traffic safety, road network and presence of PA facilities). Potential correlates were identified using linear regression analysis, adjusted by age, gender, siblings, and maternal age and education level. Ordinary least square regression-based path analysis was used to estimate direct and indirect effects on activity outcomes in mediation models.ResultsLinear regression analysis showed that ‘parents taking children to play sports’ was related to less ST, more LPA and MVPA; more outdoor play was also related to less ST and more LPA, but not MVPA. Parents who perceived more PA facilities in their neighbourhood showed more support for ‘taking children to play sports’, and this was associated with less ST or more MVPA compared with children living with less PA facilities in their neighbourhood. No evidence was found for a relation between traffic safety or road network with ST, LPA and MVPA.ConclusionsThis study indicated that parental support and child outdoor play may influence children’s daily PA patterns. Convenient neighbourhood PA facilities, such as parks and playgrounds, had an indirect effect through parental support associated with lower children’s ST and higher MVPA, even in relatively rural areas.

Diet, Physical Activity, and Screen Time to Sleep Better: Multiple Mediation Analysis of Lifestyle Factors in School-Aged Children with and without Attention Deficit Hyperactivity Disorder

2020 ◽  
pp. 108705472094041 ◽  
Author(s):  
George C.C. Hong ◽  
Russell Conduit ◽  
Jason Wong ◽  
Mirella Di Benedetto ◽  
Eunro Lee
Keyword(s):  
Physical Activity ◽  
Sleep Quality ◽  
Multiple Regression ◽  
Screen Time ◽  
Online Survey ◽  
Lifestyle Factors ◽  
Equation Modeling ◽  
Mediation Effects ◽  
School Aged Children ◽  
The Impact

Objective: This study examined the mediation roles of multiple lifestyle factors in school-aged children. Structural equation modeling (SEM) tested how lifestyle factors play mechanism roles one another in the impact of ADHD to seek theoretical and intervention insights. Method: An online survey assessed children’s lifestyle factors including diet, physical activity, screen time, sleep difficulties, and having ADHD diagnosis. A multi-country sample from English speaking nations included 309 caregivers. Multiple regression and SEM were planned to identify significant correlates and mediators of ADHD in explaining lifestyle differences. Results: Preliminary multiple regression showed only sleep quality was significantly different between children with and without ADHD. Significant triple mediation effects suggested diet, physical activity, and screen time mediated the ADHD impact on sleep quality. Conclusion: Researchers and practitioners may incorporate the findings to develop intervention models for children with ADHD attending to the mediational roles of lifestyle factors to improve sleep quality.

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