Association between parent and child physical activity: a systematic review

Abstract Background Childhood represents an important life stage for establishment of physical activity (PA) habits. Parents are assumed to play an important role in influencing children’s PA. Earlier reviews have mainly focused on parental modelling, encouragement, and support for PA, rather than t...

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Main Authors: Therese Lockenwitz Petersen, Liselotte Bang Møller, Jan Christian Brønd, Randi Jepsen, Anders Grøntved
Format: Article
Language:English
Published: BMC 2020-05-01
Series:International Journal of Behavioral Nutrition and Physical Activity
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12966-020-00966-z
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author Therese Lockenwitz Petersen
Liselotte Bang Møller
Jan Christian Brønd
Randi Jepsen
Anders Grøntved
author_facet Therese Lockenwitz Petersen
Liselotte Bang Møller
Jan Christian Brønd
Randi Jepsen
Anders Grøntved
author_sort Therese Lockenwitz Petersen
collection DOAJ
description Abstract Background Childhood represents an important life stage for establishment of physical activity (PA) habits. Parents are assumed to play an important role in influencing children’s PA. Earlier reviews have mainly focused on parental modelling, encouragement, and support for PA, rather than the actual PA levels of parents. Therefore, the purpose of this review was to systematically summarize the evidence on the relationship between parent and child PA. Methods Papers were identified using electronic databases and manual searches of reference lists. Papers reporting on associations between objectively measured child PA and at least one measure of parental PA were included. The quality of the papers was assessed using a modified version of the ROBINS-I tool. For interpretation of the results across studies, we produced albatross plots for all studies combined and by age-groups, sex of the parents, sex of the child, methodology of assessment of parental PA, and type of PA. Results Thirty-nine papers were included with sample size of parent-child dyads ranging from 15 to 1267 (mean = 319 dyads, median = 227 dyads). The majority of studies were published from 2008 to 2018 and used accelerometry to assess PA. Most of the studies were classified as having moderate, serious, or critical risk of bias. The albatross plot for all studies combined showed that the clear majority of studies observed a positive relationship between parent and child PA. The plot suggested an average magnitude of correlation across studies to be around 0.13, and the overall impression was that this was fairly similar across child age-groups and gender of parent-child dyads. Studies using objective assessment of parental PA showed stronger relationship between parent and child PA compared with studies using self-report (average magnitude of correlation around 0.16 vs 0.04 respectively). No clear evidence was found for the strength of relationship being dependent on type of PA measure of parent and child (total PA, moderate-to-vigorous PA, steps), however, the relationship for light PA appeared weaker. Conclusion This systematic review showed that the clear majority of studies observed a weak positive relationship between parent and child PA regardless of age of the child, the gender of the parent-child dyad, and type of PA. Trial registration Registration in PROSPERO: CRD42019093462 .
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spelling doaj.art-d27999299b984c908232a3cb3bf89b562022-12-22T01:55:20ZengBMCInternational Journal of Behavioral Nutrition and Physical Activity1479-58682020-05-0117111610.1186/s12966-020-00966-zAssociation between parent and child physical activity: a systematic reviewTherese Lockenwitz Petersen0Liselotte Bang Møller1Jan Christian Brønd2Randi Jepsen3Anders Grøntved4Department of Sports Science and Clinical Biomechanics, Research Unit for Exercise Epidemiology, Centre of Research in Childhood Health, University of Southern DenmarkDepartment of Physiotherapy and Occupational Therapy, Nykøbing F. HospitalDepartment of Sports Science and Clinical Biomechanics, Research Unit for Exercise Epidemiology, Centre of Research in Childhood Health, University of Southern DenmarkLolland-Falster Health Study, Centre for Epidemiological Research, Nykøbing F. HospitalDepartment of Sports Science and Clinical Biomechanics, Research Unit for Exercise Epidemiology, Centre of Research in Childhood Health, University of Southern DenmarkAbstract Background Childhood represents an important life stage for establishment of physical activity (PA) habits. Parents are assumed to play an important role in influencing children’s PA. Earlier reviews have mainly focused on parental modelling, encouragement, and support for PA, rather than the actual PA levels of parents. Therefore, the purpose of this review was to systematically summarize the evidence on the relationship between parent and child PA. Methods Papers were identified using electronic databases and manual searches of reference lists. Papers reporting on associations between objectively measured child PA and at least one measure of parental PA were included. The quality of the papers was assessed using a modified version of the ROBINS-I tool. For interpretation of the results across studies, we produced albatross plots for all studies combined and by age-groups, sex of the parents, sex of the child, methodology of assessment of parental PA, and type of PA. Results Thirty-nine papers were included with sample size of parent-child dyads ranging from 15 to 1267 (mean = 319 dyads, median = 227 dyads). The majority of studies were published from 2008 to 2018 and used accelerometry to assess PA. Most of the studies were classified as having moderate, serious, or critical risk of bias. The albatross plot for all studies combined showed that the clear majority of studies observed a positive relationship between parent and child PA. The plot suggested an average magnitude of correlation across studies to be around 0.13, and the overall impression was that this was fairly similar across child age-groups and gender of parent-child dyads. Studies using objective assessment of parental PA showed stronger relationship between parent and child PA compared with studies using self-report (average magnitude of correlation around 0.16 vs 0.04 respectively). No clear evidence was found for the strength of relationship being dependent on type of PA measure of parent and child (total PA, moderate-to-vigorous PA, steps), however, the relationship for light PA appeared weaker. Conclusion This systematic review showed that the clear majority of studies observed a weak positive relationship between parent and child PA regardless of age of the child, the gender of the parent-child dyad, and type of PA. Trial registration Registration in PROSPERO: CRD42019093462 .http://link.springer.com/article/10.1186/s12966-020-00966-zPhysical activityChildrenParentsFamily healthAccelerometerSelf-report
spellingShingle Therese Lockenwitz Petersen
Liselotte Bang Møller
Jan Christian Brønd
Randi Jepsen
Anders Grøntved
Association between parent and child physical activity: a systematic review
International Journal of Behavioral Nutrition and Physical Activity
Physical activity
Children
Parents
Family health
Accelerometer
Self-report
title Association between parent and child physical activity: a systematic review
title_full Association between parent and child physical activity: a systematic review
title_fullStr Association between parent and child physical activity: a systematic review
title_full_unstemmed Association between parent and child physical activity: a systematic review
title_short Association between parent and child physical activity: a systematic review
title_sort association between parent and child physical activity a systematic review
topic Physical activity
Children
Parents
Family health
Accelerometer
Self-report
url http://link.springer.com/article/10.1186/s12966-020-00966-z
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AT randijepsen associationbetweenparentandchildphysicalactivityasystematicreview
AT andersgrøntved associationbetweenparentandchildphysicalactivityasystematicreview