Family-based physical activity and recreation

2020 ◽  
pp. 69-77
Author(s):  
Benazir Meera ◽  
Heather Katz ◽  
Laura Prieto ◽  
Luis Columna
Nutrients ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 341
Author(s):  
Panagiotis Varagiannis ◽  
Emmanuella Magriplis ◽  
Grigoris Risvas ◽  
Katerina Vamvouka ◽  
Adamantia Nisianaki ◽  
...  

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.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
K Sjögren Forss ◽  
L Stjernberg

Abstract Background As there is incontrovertible evidence of the essential prerequisite of regular physical activity it is also important to understand how different life change events may impact individual's participation in physical activity. Pregnancy and the transition to parenthood have been found to be life change events associated with decreased physical activity among women however, the examination of changes of physical activity in the male parent during this major life change event has been largely neglected in scientific literature and a significant research gap can be found. In the light of this, this longitudinal study aimed to follow changing physical activity patterns among women and med during pregnancy and eight months postpartum compared to pre-pregnancy. Methods The study involved 123 women and 112 men (partners of the women) from the municipality of Karlskrona, Sweden. We measured the self-reported amount of physical activity performed outdoors and indoors before pregnancy (calculated from one month before pregnancy), throughout the entire pregnancy, and eight months postpartum. Results We found similar trends among both women and men in decreasing frequency of physical activity during pregnancy and eight months postpartum as compared to pre-pregnancy, however, overall physical activity levels did not change. Conclusions Our findings contribute new knowledge about changes in men's physical activity patterns from pre-pregnancy to pregnancy and postpartum and is an important contribution in research, as the area is very limited. As couples seem to change activity patterns similarly, it is important to promote family-based physical activity initiatives and encourage couples to be active together during pregnancy and postpartum. Key messages Couples seem to change physical activity patterns similarly during pregnancy and postpartum. as compared to pre-pregnancy. It is important to promote family-based physical activity initiatives and encourage couples to be active together during pregnancy and postpartum.


2021 ◽  
Vol 9 (9) ◽  
pp. 1-116
Author(s):  
Esther MF van Sluijs ◽  
Helen E Brown ◽  
Emma Coombes ◽  
Claire Hughes ◽  
Andrew P Jones ◽  
...  

Background Family-based physical activity promotion presents a promising avenue for promoting whole-family physical activity, but high-quality research is lacking. Objectives To assess the feasibility, acceptability and preliminary effectiveness of FRESH (Families Reporting Every Step to Health), a child-led online family-based physical activity intervention; and to identify effective and resource-efficient family recruitment strategies. Design The project consisted of (1) a randomised feasibility trial, (2) a randomised controlled pilot trial and (3) a systematic review and Delphi study. Setting Norfolk/Suffolk counties, UK. Participants Families, recruited from schools, workplaces and community settings, were eligible to participate if one child aged 7–11 years and one adult responsible for their care provided written consent; all family members could participate. Interventions The FRESH intervention, guided by self-determination theory, targeted whole families and was delivered via an online platform. All family members received pedometers and were given website access to select family step challenges to ‘travel’ to target cities around the world, log steps, and track progress as they virtually globetrotted. Families were randomised to FRESH intervention, pedometer-only or control arm. Main outcome measures Physical (e.g. blood pressure), psychosocial (e.g. family functioning) and behavioural (e.g. device-measured family physical activity) measures were collected at baseline and at 8- and 52-week follow-up. A mixed-methods process evaluation assessed the acceptability of the intervention and evaluation. Data sources review Systematic search of four databases (Cochrane Library, PubMed, PsycINFO and SCOPUS). Review methods Articles were screened in duplicate, and data extraction was fully checked. Academic experts participated in the three-round Delphi study. Data were combined to identify effective and resource-efficient family recruitment strategies. Inclusion criteria Included generally healthy school-aged children and at least one adult; intervention attempted to change physical activity, sedentary behaviour, screen use, diet, or prevent overweight/obesity in multiple family members; presented relevant measure of effect in children and adults. Results The feasibility study (12 families, 32 participants; 100% retention at 8 weeks) demonstrated the feasibility and acceptability of FRESH, but highlighted that adaptations were required. Of 41 families recruited in the pilot study (149 participants), 98% and 88% were retained at the 8-week and 52-week follow-up, respectively. More children in the FRESH arm self-reported doing more family physical activity, and they thought that FRESH was fun. There were no notable between-group differences in children’s outcomes. Change in moderate to vigorous physical activity at 8 weeks favoured FRESH intervention adults [vs. control: 9.4 minutes/week (95% confidence interval 0.4 to 18.4) vs. pedometer only: 15.3 (95% confidence interval 6.0 to 24.5)], and was stronger in fathers, but this was not maintained. In 49 included studies, apart from recruitment settings and strategies used (reported in 84% and 73% of the studies, respectively), recruitment details were scarce. School-based recruitment was predominant. The Delphi study identified a wide range of recruitment settings and strategies. Limitations Recruitment was the main limitation of the FRESH studies; generalisability of the proposed recruitment strategies may be limited. Conclusions This study has demonstrated the feasibility and acceptability of the FRESH intervention. However, we failed to recruit the target sample size and were unable to demonstrate a signal of effectiveness. Future research should employ a multifaceted recruitment approach. Future work Further refinements to intervention delivery and recruitment methods should be investigated. Study registration Current Controlled Trials ISRCTN12789422 and PROSPERO CRD42019140042. 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. 9, No. 9. See the NIHR Journals Library website for further project information.


2011 ◽  
Vol 43 (Suppl 1) ◽  
pp. 911
Author(s):  
Janice L. Thompson ◽  
Russell Jago ◽  
Kenneth R. Fox ◽  
Rowan Brockman ◽  
Kyle Macdonald-Wallis

BMJ Open ◽  
2018 ◽  
Vol 8 (7) ◽  
pp. e021520 ◽  
Author(s):  
Kathryn R Hesketh ◽  
Sara E Benjamin-Neelon ◽  
Esther M F van Sluijs

ObjectivesTo assess the association between time spent in care, the childcare energy-balance environment, and preschool-aged children’s body mass index z-score (z-BMI), waist-to-height ratio (WHR) and sum of skinfold thickness (SST).DesignCross-sectional study.Setting and participantsChildren aged 3–4 years were recruited from 30 childcare centres in Cambridgeshire (UK) in 2013.Main outcome measuresObjectively measured height and weight was used to calculate z-BMI; waist circumference and height were used to generate WHR; subscapular and tricep skinfolds were used to calculate SST. Associations between childcare attendance, the nutrition, physical activity, and overall childcare environment, and three anthropometric outcomes were explored using two-level hierarchical regression models, adjusting for demographic and family based confounders.ResultsValid data were available for 196 children (49% female). Time spent in care, the nutrition, physical activity and overall childcare environment were not associated with children’s z-BMI, WHR and SST.ConclusionsChildcare environment and level of attendance were not associated with UK preschool-aged children’s anthropometry. The childcare environment has been central to intervention efforts to prevent/reduce early childhood obesity, yet other factors, including child-level, family level, wider environmental and policy-level factors warrant substantial attention when considering obesity prevention strategies for young children.


Circulation ◽  
2020 ◽  
Vol 141 (Suppl_1) ◽  
Author(s):  
Norrina B Allen ◽  
Megan McCabe ◽  
Amy Krefman ◽  
Donald M Lloyd-jones ◽  
Bradley S Marino ◽  
...  

Introduction: Shared genetics may explain some of the strong heritability of cardiovascular (CV) disease, however, excess risk is largely due to intergenerational transmission of poor lifestyles leading to the increased presence of cardiovascular risk factors. We examined the association between parental and child CV health (CVH), including behavioral and clinical factors. Methods: Participants of the Multidimensional Assessment of Preschoolers Study (MAPS) and a parent (predominantly mothers) were recruited for a CVH exam when the child was 9-11 yrs (in 2018-19). Five CVH metrics were collected in children and parents: BMI and blood pressure via standardized measurements, and diet, physical activity and smoking via questionnaire. CVH was defined as the sum of ideal (2 points), intermediate (1 point) and poor (0 points) levels of the 5 metrics, as defined by the AHA. The overall CVH score (range: 0-10) was stratified into high (9-10), moderate (5-8) and low (0-4). Logistic regression was used to examine relationships between ideal CVH in children and various predictors, including parental employment, income, and ideal CVH. Results: Among 185 participants (53% female, 12% Non-Hispanic White, 52% non-Hispanic Black and 30% Hispanic; mean age 11) 5% had low, 75% moderate and 20% had high CVH. Looking at the metrics individually, poor diet was the most common (43%), followed by BMI (22%), physical activity (18%), smoking (2%), and BP (1%). Among the parents, 19% were in low, 71% moderate and 10% high CVH. After adjusting for race, age, and sex, the strongest predictor of a child’s CVH score was parental CVH score (p=0.007). If a parent had high CVH, the child was 5 times more likely to have high CVH (OR: 5.03, 95% CI: 1.55-16.33). Conclusions: In this MAPS cohort, there was an association between ideal CVH in parents and ideal pre-adolescence CVH in children. These results suggest that interventions to preserve and restore CVH must be family-based.


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