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1.
We provide a wide-ranging review of health-related physical activity in children and adolescents using a behavioural epidemiology framework. In contrast to many other reviews, we highlight issues associated with true sedentary behaviours alongside physically active behaviours. Specifically, we review the evidence concerning the links between physical activity and cardiovascular disease, overweight and obesity, psychosocial measures, type II diabetes, and skeletal health. Although the evidence is unconvincing at times, several factors lead to the conclusion that promoting physical activity in youth is desirable. A review of the prevalence of physical activity and sedentary behaviours shows that many young people are active, but this declines with age. A substantial number are not adequately active for health benefits and current trends in juvenile obesity are a cause for concern. Prevalence data on sedentary behaviours are less extensive but suggest that total media use by young people has not changed greatly in recent years. Most children and adolescents do not exceed recommended daily hours of TV viewing. Physical activity is unrelated to TV viewing. We also identified the key determinants of physical activity in this age group, highlighting demographic, biological, psychological, behavioural, social and environmental determinants. Interventions were considered for school, family and community environments. Finally, policy recommendations are offered for the education, governmental, sport and recreation, health, and mass media sectors.  相似文献   

2.
It is clear that, despite their natural tendencies, children have become less physically active in recent decades, with children today expending approximately 600 kcal· day -1 less than their counterparts 50 years ago. Although the health consequences of a reduced energy expenditure in adults is well documented, there is little direct evidence linking sedentariness with health in children. However, three main benefits arising from adequate childhood physical activity have been postulated. The first is direct improvements in childhood health status; evidence is accumulating that more active children generally display healthier cardiovascular profiles, are leaner and develop higher peak bone masses than their less active counterparts. Secondly, there is a biological carryover effect into adulthood, whereby improved adult health status results from childhood physical activity. In particular, childhood obesity may be a precursor for a range of adverse health effects in adulthood, while higher bone masses in young people reduce the risk of osteoporosis in old age. Finally, there may be a behavioural carryover into adulthood, whereby active children are more likely to become more active (healthy) adults. However, supporting evidence for this assertion is weak. Given this background, recent health guidelines suggesting that children should accumulate 60 min of moderate-intensity physical activity every day - supplemented by regular activities that promote strength flexibility and bone strength - appear to be justified. Future developments should include the implementation of large-scale, longitudinal studies spanning childhood and young adulthood, the further refinement of tools for measuring physical activity accurately in young people, and research into the relative strength of association between fitness - as well as activity - and health in children.  相似文献   

3.
It is clear that, despite their natural tendencies, children have become less physically active in recent decades, with children today expending approximately 600 kcal days' less than their counterparts 50 years ago. Although the health consequences of a reduced energy expenditure in adults is well documented, there is little direct evidence linking sedentariness with health in children. However, three main benefits arising from adequate childhood physical activity have been postulated. The first is direct improvements in childhood health status; evidence is accumulating that more active children generally display healthier cardiovascular profiles, are leaner and develop higher peak bone masses than their less active counterparts. Secondly, there is a biological carry-over effect into adulthood, whereby improved adult health status results from childhood physical activity. In particular, childhood obesity may be a precursor for a range of adverse health effects in adulthood, while higher bone masses in young people reduce the risk of osteoporosis in old age. Finally, there may be a behavioural carry-over into adulthood, whereby active children are more likely to become more active (healthy) adults. However, supporting evidence for this assertion is weak. Given this background, recent health guidelines suggesting that children should accumulate 60 min of moderate-intensity physical activity every day--supplemented by regular activities that promote strength flexibility and bone strength--appear to be justified. Future developments should include the implementation of large-scale, longitudinal studies spanning childhood and young adulthood, the further refinement of tools for measuring physical activity accurately in young people, and research into the relative strength of association between fitness--as well as activity--and health in children.  相似文献   

4.
The aim of this study was to identify potential correlates of sedentary time and television (TV) viewing time in youth with Down syndrome (DS). A total of 98 adolescents with DS (63 males) aged 11–20 years old participated in this study. Total sedentary time was measured using accelerometers, while total TV viewing time and potential correlates were measured using proxy-report questionnaire. Analyses of covariance and a stepwise multiple linear regression were performed to examine correlates of total sedentary time and total TV viewing time. Different potential correlates were associated with total sedentary time (mother age, mother TV viewing time, perceived benefits of physical activity, birth order and having nearby shops in the neighbourhood) and total TV viewing time (father TV viewing time, TV viewing time with parents, family dietary habits during watching TV and weekend days time indoor). The identification of correlates associated with sedentary behaviour, principally those considered modifiable such as social and environmental factors, may contribute to development strategies to decrease sedentary behaviour in adolescents with DS and consequently promote a healthier lifestyle.  相似文献   

5.
Abstract

Limited data are available on the active and sedentary behaviours of young people in Eastern Europe. Hungary, Romania, and Slovakia are relatively new members of the European Union. The socioeconomic status of the people of these countries differs from that of their Western European counterparts. These three countries are understudied in respect of physical activity and sedentary behaviour patterns in youth. Ecological momentary assessment was employed for data collection among 13- to 18-year-old students (n=623). A 3 (socioeconomic status)×3 (country)×2 (gender) multivariate analysis of variance, with physical activity, technological sedentary behaviour, and sedentary socializing behaviour as dependent variables, showed that for weekday behaviours there were significant multivariate main effects for country (P<0.001) and gender (P<0.001), but not for socioeconomic status (P>0.05). Slovakia showed greater technological sedentary behaviours than the other two countries. Romania and Slovakia had higher physical activity levels than Hungary. Boys spent more time than girls on technological sedentary behaviours, while girls spent more time than boys on socializing sedentary behaviours on weekdays and weekends (P<0.001). For weekend behaviours, the country×gender interaction was significant (P<0.046), with the highest rates of technological sedentary behaviours for males in Slovakia and Hungary, with lower figures for girls in these countries and particularly for boys and girls in Romania. There was a significant multivariate main effect for country (P<0.001), with fewer technological sedentary behaviours in Romania than the other two countries. Hungarian youth were less active than Romanian youth. These three Eastern European countries show quite high levels of sedentary behaviours but these co-exist with varying physical activity patterns. Values differ by country and gender.  相似文献   

6.
Participation in youth sport is assumed to promote and contribute towards more physically active lifestyles among children and adolescents. The aim of this study was to examine inter-participant variability in objectively measured habitual physical activity (PA) behaviours and sedentary time among youth sport participants and their implications for health. One-hundred-and-eighteen male youth sport footballers (Mean ± s = 11.72 ± 1.60) wore a GT3X accelerometer for 7 days. Average daily PA [min · day?1, in light (LPA), moderate (MPA), vigorous (VPA) and combined moderate-to-vigorous (MVPA)] and sedentary time were calculated. Participants’ body mass index adjusted for age and sex (BMI–standard deviation score), per cent body fat (BF%), waist circumference and cardiorespiratory fitness were assessed. Results revealed that variability in daily PA behaviours and sedentary time (min · day?1) was associated with BMI–standard deviation score [VPA (?), MVPA (?)], BF% [sedentary time (+), VPA (?), MVPA (?)], waist circumference [sedentary time (+), LPA (?)] and cardiorespiratory fitness [sedentary time (?), MPA (+), VPA (+), MVPA (+)]. Whilst sedentary time and MVPA were not related to health outcomes independent of one another, associations with markers of adiposity and cardiorespiratory fitness were stronger for sedentary time. Sedentary time was also significantly positively related to waist circumference independent of VPA. Results demonstrate inter-participant variability in habitual PA and sedentary time among youth sport participants which holds implications for their health. Thus, promoting PA and, in particular, reducing sedentary time may contribute towards the prevention of adverse health consequences associated with a physically inactive lifestyle for children and adolescents active in the youth sport context.  相似文献   

7.
ABSTRACT

Effective and sustainable strategies for physical activity promotion during childhood are of considerable importance to physical education, sport, and health organisations. Multi-component physical activity intervention approaches for children and young people are firmly rooted within the literature; however, there is a dearth of research evidence pertaining to healthy lifestyle promotion within and beyond the school environment. ‘Promoting active lifestyles in schools’ represents a valuable resource for teachers seeking to integrate health-related learning and encourage physically active students. The essential ingredients within this book are the active pedagogies and the health-related learning strategies for children from the ages of 5 to 16 years. Through a consistent formula, this book positions the longitudinal process of health-related learning at the centre of its practice, by providing age-appropriate learning outcomes, activities and assessment strategies within and beyond the school environment. This review seeks to examine the focus of the book and consider its contribution to the existing empirical evidence base within the fields of physical education, health education and physical activity promotion.  相似文献   

8.
This study examined the associations of subjective social status (SSS) with physical activity (PA) and sedentary time (ST) among adolescents. The study population consisted of 420 Finnish adolescents aged 13 to 14 years. The adolescents reported their own SSS within their school (school SSS) and their family’s social position within society (society SSS) based on the youth version of the Subjective Social Status Scale. Adolescents’ moderate- to vigorous-intensity physical activity (MVPA) and ST were measured objectively by accelerometers and analyzed separately for the whole day and the school day. The associations between SSS and MVPA and ST outcomes were analyzed using multilevel modeling. School SSS was positively associated with whole-day MVPA and negatively associated with school-time ST. Society SSS was not significantly associated with objectively measured MVPA or ST. Both MVPA and ST are important behavioral determinants of health. As an important correlate of MVPA and ST, school SSS should be addressed by providers when discussing obesity risk and healthy behaviors with adolescents.  相似文献   

9.
BackgroundChildren and adolescents can be distinguished by different typologies (clusters) of physical activity and sedentary behavior. How physical activity and sedentary behaviors change over time within different typologies is not known. This study examined longitudinal changes in physical activity and sedentary time among children and adolescents with different baseline typologies of activity-related behavior.MethodsIn this longitudinal study (3 annual time points) of children (n = 600, age = 9.2 ± 0.4 years (mean ± SD), 50.3% girls) and adolescents (n = 1037, age = 13.6 ± 1.7 years, 48.4% girls), participants were recruited in Spain in 2011–2012. Latent class analyses identified typologies based on self-reported screen, educational, social and relaxing sedentary behaviors, active travel, muscle strengthening activity, and sport at baseline. Within each typology, linear mixed growth models explored longitudinal changes in accelerometer-derived moderate-to-vigorous physical activity and sedentary time, as well as time by class interactions.ResultsThree typologies were identified among children (“social screenies”, 12.8%; “exercisers”, 61.5%; and “non-sporty active commuters”, 25.7%) and among adolescents (“active screenies”, 43.5%; “active academics”, 35.0%; and “non-sporty active commuters”, 21.5%) at baseline. Sedentary time increased within each typology among children and adolescents, with no significant differences between typologies. No changes in physical activity were found in any typology among children. In adolescents, physical activity declined within all typologies, with “non-sporty active commuters” declining significantly more than “active screenies” over 3 years.ConclusionThese results support the need for intervention to promote physical activity and prevent increases in sedentary time during childhood and adolescence. Adolescents characterized as “non-sporty active commuters” may require specific interventions to maintain their physical activity over time.  相似文献   

10.
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11.

The pictorial representation of physical activity and gender over three time periods is investigated in Caldecott Medal winning children's literature. Relational analysis and recent national position documents on physical activity are used to frame an interdependent relationship between current levels of physical activity among children and the various institutionalized forms of physical culture with which they interact. Fifty-seven Caldecott Medal winning books were analyzed. Frequency counts were recoded for each book in four categories: (1) females engaged in sedentary roles, (2) females engaged in active roles, (3) males engaged in sedentary roles and (4) males engaged in active roles. A 2 (gender) 2 2(activity level) 2 3 (time period) factorial ANOVA adjusted for nonormally distributed data was used to test frequency of pictorial representation. Results indicate the illustrations in Caldecott Medal literature are a poor media for communicating a physically active lifestyle to children while at the same time have consistently underrepresented females. Males were significantly more likely to be portrayed than females (p < 0.05) and, regardless of gender, sedentary roles were significantly more likely to be portrayed than active roles (p < 0.05). This condition did not change significantly over the three time periods tested (1940-1959, 1960-1979 and 1980-1999). With recent national position documents identifying young people as largely inactive and unfit researchers and practitioners are (1) encouraged to rethink the seemingly innocent relationship between picture books and the trend of inactivity currently seen in the United States and (2) develop skills related to critical media literacy as part of a pedagogy for new times.  相似文献   

12.
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13.
Critical discourse analysis was used to explore and discuss data on young people’s knowledge and understanding of health, fitness and physical activity, selected from a wider study which focused on the role of secondary schools in effectively promoting physical activity. A mixed methods approach was utilised, involving an online survey to teachers in all state secondary schools in the UK (n?=?603 responding schools) and case studies centred on eight randomly selected state secondary schools from nine Government regions across England. Within each case study school, teacher interviews and pupil focus groups were conducted involving 17 teachers and 132 children aged 12–15 years, respectively. The healthism discourse was evident in the way young people talked about health, fitness and physical activity and two key themes emerged, these being: (i) issues with young people’s knowledge and understanding of health, fitness and physical activity in the form of reductive, limited and limiting conceptions; conceptual confusion; a preoccupation with appearance, weight, fat, shape and size; limited progression in learning; and complexities in understandings; and (ii) divides between young people’s health knowledge and health behaviour, and dilemmas underpinning these divides. Improved understanding of issues with young people’s knowledge and understanding of health, fitness and physical activity and of divides and dilemmas regarding associated behaviours should assist in developing critical pedagogies which challenge the dominance and stability of the healthism discourse and more effectively promote healthy, active lifestyles amongst young people.  相似文献   

14.
Our understanding of the longitudinal relationship between generalized self-efficacy (GSE) and physical activity in children and youth is limited. The purpose of this study was to investigate the effect of GSE towards physical activity on sedentary behaviours and physical activity in school-aged children over time. A total of 2278 nine-year-old children (1120 girls and 1158 boys) were recruited at baseline and followed for seven waves of data collection from 2005 to 2008. All children completed questionnaires at each wave assessing their GSE (adequacy, predilection, and enjoyment), sedentary behaviours, free play, and organized activity. Mixed-effects models were used to estimate changes in physical activity and GSE within individuals over time, controlling for gender and motor ability. The results showed that participation in free play significantly increased over time, whereas organized activity significantly decreased over the same period. Children with high perceived adequacy and predilection had higher free play and organized activity participation relative to other children over time. However, the effect of perceived adequacy diminished over time, while the gaps between groups with different levels of predilection widened over time. While sedentary behaviours were lower over time in children with high predilection, these behaviours were consistently higher in children with high enjoyment. The differences in sedentary behaviours between groups increased over time for both predilection and enjoyment. This study highlights the importance of different components of GSE on physical activity participation. In addition, interventions targeting the enhancement of predilection may facilitate physical activity and reduce sedentary behaviours.  相似文献   

15.
ABSTRACT

The global trend in inactivity in children may be related to psychosocial problems. We investigated the cross-sectional association between physical activity (PA) levels and psychosocial functioning in 3.4–7.3-year-old children. Children from the Dutch GECKO birth cohort (N = 898; 51.6% boys) had PA levels assessed objectively by accelerometry (ActiGraph GT3X) for at least three days. Linear regression analysis was used for associations with psychosocial functioning (parent report of the Strengths and Difficulties Questionnaire), controlling for gender, age and socio-economic status. Higher total and moderate-to-vigorous PA levels (MVPA) were associated with higher Total Difficulty scores, and sedentary time to lower Total Difficulty scores. More time spent in MVPA was significantly associated to “hyperactivity/inattention” in both boys (Standardized BBOYS = 0.192) and girls (Std.BGIRLS = 0.139) whereas for the time in sedentary behaviour, a reverse association was found only in boys (Std.BBOYS = ?0.230). In boys only, more time in MVPA (Std.BBOYS = 0.154) and less time in sedentary behaviour (Std.BBOYS = ?0.147), were significant determinants for ‘behavioural problems’. When using objectively measured PA, parents report more hyperactivity/inattention and behavioural problems in the more active children, and less in the more sedentary children, most clearly for boys. High levels of PA might be an indicator of psychosocial problems in young children.  相似文献   

16.
文章以web of science^TM核心合集数据库中收录的2017年到2020年间以儿童青少年身体活动为主题的文献信息为研究数据来源,运用文献资料法和Cite Space知识图谱分析国外儿童青少年身体活动研究外部特征和基本情况,解析当前儿童青少年身体活动研究的经典引文,揭示研究热点。国外儿童青少年身体活动的研究呈现出跨众多学科且多领域之间相互交叉的态势;研究来源期刊种类丰富多样,涉及学科领域广泛;美国和澳大利亚虽发文量最多,中心性较低;英格兰、新加坡和南非其研究影响力较高;大学是该研究领域的核心机构;儿童青少年的体质和健康问题,锻炼对儿童体质和健康的干预尤其是对肥胖儿童青少年体质健康干预与慢性病方面研究是国际上关注的焦点;身体活动水平对非传染性疾病的预防方案的制定和实施、儿童和青少年身体活动准则的制定、儿童青少年久坐行为与多项身体以及心理健康指标之间的关系等研究构成了该领域的经典被引文献。  相似文献   

17.
社会经济地位是影响个体身体活动参与的重要社会因素。通过对国内外相关研究文献进行分析,检验社会经济地位对不同群体身体活动的影响效应,梳理社会经济地位影响个体身体活动参与的作用路径,发现：（1）社会经济地位对个体的身体活动具有重要影响,但对青少年、普通人群和特殊人群身体活动的影响效应存在差异;（2）社会经济地位通过社区环境（体育活动设施、社区学校条件）、家庭因素（家庭物质环境、家庭成员身体活动行为）、久坐行为、超重或肥胖、锻炼动机（锻炼意图、自我效能）等因素对个体身体活动产生影响。（3）当前关于社会经济地位与身体活动关系的研究存在核心概念的界定与测量混乱、社会经济地位影响身体活动的理论构建缺乏等问题。  相似文献   

18.
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19.
目的:对5~18岁学龄期儿童青少年的24 h活动研究进行系统综述,总结并归纳现有文献报道的研究特征、研究方法与研究结果。通过系统检索,共有20篇文献纳入本综述,结果发现,平均30.84%、41.32%、45.04%的儿童青少年分别达到了身体活动、屏幕时间、睡眠时长3项指标推荐量,17.56%、46.16%、35.06%、6.85%的儿童青少年分别达到了0、1、2、3项24 h活动指标推荐量。男生的身体活动达标率优于女生,但男生屏幕时间指标达标率普遍低于女生。随着年龄的增长,屏幕时间的达标率显著降低。父母教育程度越高,其子女的24 h达标条数越多。并且,纳入的研究一致发现24 h活动的指标多项达标可以改善儿童青少年不同的健康指标,包括体重状况、心血管健康、心理状况、认知发展、生活质量以及饮食模式。  相似文献   

20.
To increase young people's physical activity (PA) levels it is important to understand the correlates of PA in children and adolescents. We sought to identify factors associated with children's and adolescents’ PA by reviewing systematic quantitative reviews of non-intervention research. Systematic reviews examining associations between quantitatively measured variables and PA in young people (< 19 years) from 2000–2010 were identified using electronic and manual searches. Nine systematic reviews were identified. Demographic/biological correlates of PA were age and gender. Psychological correlates of PA were positive motivation, positive body image and the existence of barriers to PA. Behavioural correlates of PA were previous PA, sport participation, smoking, and sedentary behaviour. Social/cultural correlates of PA were parental influence and social support, and environmental correlates of PA were access to facilities, distance from home to school, time spent outside, and local crime. The evidence is suggestive of a number of different types of correlates of PA for children and adolescents. Beyond age and gender, though, most are likely to have only small or small-to-moderate effects in isolation and may work best in interaction with other influences. Psychologists must look to social, organisational and community-level correlates in addition to individual correlates.  相似文献   

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