Predictors of Physical Activity in Middle Childhood. A Fixed-Effects Regression Approach

Background: Moderate-to-vigorous physical activity (MVPA) has a range of health benefits across the life span. Although many putative determinants of children's MVPA have been identified, their causal status is uncertain due to difficulties in adjusting for potential confounders.Objective: To i...

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Main Authors: Tonje Zahl-Thanem, Silje Steinsbekk, Lars Wichstrøm
Format: Article
Language:English
Published: Frontiers Media S.A. 2018-10-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fpubh.2018.00305/full
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author Tonje Zahl-Thanem
Tonje Zahl-Thanem
Silje Steinsbekk
Lars Wichstrøm
Lars Wichstrøm
author_facet Tonje Zahl-Thanem
Tonje Zahl-Thanem
Silje Steinsbekk
Lars Wichstrøm
Lars Wichstrøm
author_sort Tonje Zahl-Thanem
collection DOAJ
description Background: Moderate-to-vigorous physical activity (MVPA) has a range of health benefits across the life span. Although many putative determinants of children's MVPA have been identified, their causal status is uncertain due to difficulties in adjusting for potential confounders.Objective: To inform promotion of children's MVPA we therefore aimed to examine well-known child-, family- and contextual predictors of MVPA in middle childhood, by applying a fixed effects regression approach, which rules out the influence of all unmeasured time-invariant confounders.Methods: Two birth cohorts of children living in the city of Trondheim, Norway were invited to participate (82.0% consented). The participants were followed-up biennially from age 6 to 10 years (n = 800) between 2009 and 2014. MVPA in children was recorded by accelerometers and child-, family- and contextual factors were obtained through interviews and questionnaires. Predictors included (i) child-level factors: the child's time outdoors, organized sports participation, athletic self-concept, self-reported screen time and objectively measured sedentariness; (ii) family factors: self-reported parental MVPA and actively transporting the child to school; and (iii) contextual factors: parental socio-economic status (SES), access to playgrounds and ballparks, traffic safety, and having a garden. A three-wave prospective study was conducted with a hybrid fixed effects regressions analysis adjusting for all time-invariant confounders to examine predictors of MVPA.Results: Children evidenced increased MVPA when they spent more time outside, spent less time being sedentary and when the family had a garden and lived in a traffic-safe area.Conclusion: Adjusting for measured time-varying and all unmeasured time-invariant confounders renders many previously identified child and family factors without impact on MVPA in children. However, several contextual factors may promote MVPA in middle childhood, and efforts to facilitate children being outside in environments that promote physical activity (e.g., being outside, in gardens, or otherwise traffic safe areas) may prove important.
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spelling doaj.art-1e9638b21fd7423b88a48725167770db2022-12-22T01:20:12ZengFrontiers Media S.A.Frontiers in Public Health2296-25652018-10-01610.3389/fpubh.2018.00305403173Predictors of Physical Activity in Middle Childhood. A Fixed-Effects Regression ApproachTonje Zahl-Thanem0Tonje Zahl-Thanem1Silje Steinsbekk2Lars Wichstrøm3Lars Wichstrøm4NTNU Social Research, Trondheim, NorwayDepartment of Psychology, Norwegian University of Science and Technology, Trondheim, NorwayDepartment of Psychology, Norwegian University of Science and Technology, Trondheim, NorwayNTNU Social Research, Trondheim, NorwayDepartment of Psychology, Norwegian University of Science and Technology, Trondheim, NorwayBackground: Moderate-to-vigorous physical activity (MVPA) has a range of health benefits across the life span. Although many putative determinants of children's MVPA have been identified, their causal status is uncertain due to difficulties in adjusting for potential confounders.Objective: To inform promotion of children's MVPA we therefore aimed to examine well-known child-, family- and contextual predictors of MVPA in middle childhood, by applying a fixed effects regression approach, which rules out the influence of all unmeasured time-invariant confounders.Methods: Two birth cohorts of children living in the city of Trondheim, Norway were invited to participate (82.0% consented). The participants were followed-up biennially from age 6 to 10 years (n = 800) between 2009 and 2014. MVPA in children was recorded by accelerometers and child-, family- and contextual factors were obtained through interviews and questionnaires. Predictors included (i) child-level factors: the child's time outdoors, organized sports participation, athletic self-concept, self-reported screen time and objectively measured sedentariness; (ii) family factors: self-reported parental MVPA and actively transporting the child to school; and (iii) contextual factors: parental socio-economic status (SES), access to playgrounds and ballparks, traffic safety, and having a garden. A three-wave prospective study was conducted with a hybrid fixed effects regressions analysis adjusting for all time-invariant confounders to examine predictors of MVPA.Results: Children evidenced increased MVPA when they spent more time outside, spent less time being sedentary and when the family had a garden and lived in a traffic-safe area.Conclusion: Adjusting for measured time-varying and all unmeasured time-invariant confounders renders many previously identified child and family factors without impact on MVPA in children. However, several contextual factors may promote MVPA in middle childhood, and efforts to facilitate children being outside in environments that promote physical activity (e.g., being outside, in gardens, or otherwise traffic safe areas) may prove important.https://www.frontiersin.org/article/10.3389/fpubh.2018.00305/fullphysical activitymoderate and vigorous physical activitymiddle childhoodsedentary behaviorcommunity samplepredictors
spellingShingle Tonje Zahl-Thanem
Tonje Zahl-Thanem
Silje Steinsbekk
Lars Wichstrøm
Lars Wichstrøm
Predictors of Physical Activity in Middle Childhood. A Fixed-Effects Regression Approach
Frontiers in Public Health
physical activity
moderate and vigorous physical activity
middle childhood
sedentary behavior
community sample
predictors
title Predictors of Physical Activity in Middle Childhood. A Fixed-Effects Regression Approach
title_full Predictors of Physical Activity in Middle Childhood. A Fixed-Effects Regression Approach
title_fullStr Predictors of Physical Activity in Middle Childhood. A Fixed-Effects Regression Approach
title_full_unstemmed Predictors of Physical Activity in Middle Childhood. A Fixed-Effects Regression Approach
title_short Predictors of Physical Activity in Middle Childhood. A Fixed-Effects Regression Approach
title_sort predictors of physical activity in middle childhood a fixed effects regression approach
topic physical activity
moderate and vigorous physical activity
middle childhood
sedentary behavior
community sample
predictors
url https://www.frontiersin.org/article/10.3389/fpubh.2018.00305/full
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