Jenny Veitch

Individual, social and physical environmental correlates of children's active free-play: a cross-sectional study

BackgroundChildrens unstructured outdoor free-play (or active free-play) has the potential to make an important contribution to childrens overall physical activity levels. Limited research has, however, examined physical activity in this domain. This study examined associations between individual, social and physical environmental factors and the frequency with which children play in particular outdoor locations outside school hours. This study also investigated whether the frequency of playing in outdoor locations was associated with childrens overall physical activity levels.MethodsParticipants including 8-9 year old children and their parents (n = 187) were recruited from a selection of primary schools of varying socioeconomic status across metropolitan Melbourne, Australia. Parents completed a survey and childrens overall physical activity levels were measured by accelerometry. Regression models examined the odds of children playing in various outdoor settings according to particular correlates.ResultsInverse associations were found between preference for activities not involving physical activity, and the likelihood of children playing in the yard at home on the weekend (OR = 0.65; CI = 0.45,0.95). Positive correlates of children playing in their own street included: parental perceptions that it was safe for their child to play in their street (weekdays [OR = 6.46; CI = 2.84,14.71], weekend days [OR = 6.01; CI = 2.68,13.47]); children having many friends in their neighbourhood (OR = 2.63; CI = 1.21,5.76); and living in a cul-de-sac (weekdays [OR = 3.99; CI = 1.65,9.66], weekend days [OR = 3.49; CI = 1.49,8.16]). Positive correlates of more frequent play in the park/playground on weekdays included family going to the park together on a weekly basis on weekdays (OR = 6.8; CI = 3.4,13.6); and on weekend days (OR = 7.36; CI = 3.6,15.0). No differences in mean mins/day of moderate-vigorous physical activity were found between children in the highest and lowest tertiles for frequency of playing in particular outdoor locations.ConclusionThe presence of friends, safety issues and aspects of the built environment were reported by parents to be associated with childrens active free-play in outdoor locations. Future research needs to further examine associations with time spent in active free-play and objectively-measured overall physical activity levels. It is also important to investigate strategies for developing a supportive social and physical environment that provides opportunities for children to engage in active free-play.

Children's Perceptions of the Use of Public Open Spaces for Active Free-play

Abstract Activity performed by children in their free-time may have a significant impact on overall physical activity levels, however, very little is known about the influences on childrens active free-play. To examine the role and use of public open spaces, 132 children (6–12 years) from a selection of primary schools participated in small focus group interviews. Children reported that their use of public open spaces was influenced by a combination of intrapersonal, social and environmental factors including; the play equipment and facilities at local parks, lack of independent mobility, urban design features, presence of friends, and personal motivation.

Objectively measured sedentary behaviour and health and development in children and adolescents: systematic review and meta‐analysis

Sedentary behaviour has emerged as a unique determinant of health in adults. Studies in children and adolescents have been less consistent. We reviewed the evidence to determine if the total volume and patterns (i.e. breaks and bouts) of objectively measured sedentary behaviour were associated with adverse health outcomes in young people, independent of moderate‐intensity to vigorous‐intensity physical activity. Four electronic databases (EMBASE MEDLINE, Ovid EMBASE, PubMed and Scopus) were searched (up to 12 November 2015) to retrieve studies among 2‐ to 18‐year‐olds, which used cross‐sectional, longitudinal or experimental designs, and examined associations with health outcomes (adiposity, cardio‐metabolic, fitness, respiratory, bone/musculoskeletal, psychosocial, cognition/academic achievement, gross motor development and other outcomes). Based on 88 eligible observational studies, level of evidence grading and quantitative meta‐analyses indicated that there is limited available evidence that the total volume or patterns of sedentary behaviour are associated with health in children and adolescents when accounting for moderate‐intensity to vigorous‐intensity physical activity or focusing on studies with low risk of bias. Quality evidence from studies with robust designs and methods, objective measures of sitting, examining associations for various health outcomes, is needed to better understand if the overall volume or patterns of sedentary behaviour are independent determinants of health in children and adolescents.

Park improvements and park activity: a natural experiment.

BACKGROUND Parks are an important setting for leisure-time physical activity. Understanding how to attract residents to parks and encourage park users to be physically active is an important public health initiative. Natural experiments are a research priority for investigating whether changes to the physical environment affect physical activity; however, natural experiments involving parks have rarely been conducted. PURPOSE This natural experiment examined whether improvements to a park in Victoria, Australia, increased its use and park-based physical activity of users. METHODS Observational data were collected on park use and park-based activity among park users at the intervention park and a control park at three time points; baseline (T1, August 2009); post-improvement (T2, March 2010); and 12 months after baseline (T3, August 2010). At each time point, observations were undertaken during three 1.5-hour periods each day on 9 days. Analyses were conducted in 2011. RESULTS In the intervention park, there were significant increases from pre- to post-improvement in the number of park users (T1=235, T3=985) and the number of people observed walking (T1=155, T3=369) and being vigorously active (T1=38, T3=257). At the control park, counts of usage decreased over the same period and no differences in walking or vigorous activity were observed. CONCLUSIONS Improving the features of a local neighborhood park may lead to increased usage and physical activity.

Is the Neighbourhood Environment Associated with Sedentary Behaviour Outside of School Hours Among Children

BackgroundLittle is known about neighbourhood environments and children’s sedentary behaviour outside school hours.PurposeThis study aims to examine the associations between public open spaces (POS), parent perceptions of the neighbourhood and children’s sedentary behaviours.MethodsParents reported their child’s television viewing and computer/electronic game time and their perceptions of the physical and social neighbourhood. Children’s sedentary time was objectively assessed. The closest POS was audited.ResultsCross-sectionally, living near a POS with a water feature and greater parental satisfaction with POS quality were negatively associated with computer/e-games; greater POS area was negatively associated with TV viewing. Longitudinally, living in a cul-de-sac and greater satisfaction with POS quality were negatively associated with computer/e-games and TV viewing, respectively. A walking path in the POS was positively associated with computer/e-games.ConclusionNeighbourhood features appear to positively and negatively influence children’s sedentary behaviours, highlighting the complexity of urban planning on behaviour. Further age- and context-specific studies are required.

Dog Ownership, Dog Walking, and Children's and Parents' Physical Activity

This study aimed to determine cross-sectional associations of dog ownership, dog walking, and physical activity (PA) among children and their parents. Objective measures of PA were obtained for children ages 5-6 and 10-12 years from 19 primary schools across Melbourne, Australia. Parents self-reported their PA, dog ownership, and frequency of dog walking: 53% of families owned a dog, 41% of children who owned a dog did not walk their dog at all, and 32% reported never or rarely walking their dog as a family. Dog ownership was associated with an additional 29 min/day in PA among younger girls, and 70 and 59 min/week more in PA among mothers of younger boys and older girls, respectively. Among mothers of older girls, dog owners were 1.6 times as likely to meet PA guidelines. Mothers with older boys and girls, and fathers with younger boys, who reported walking the dog regularly as a family, spent more time in PA (105, 90, and 158 more min/week, respectively). Promoting dog ownership and dog walking among children and as a family are potential strategies for increasing PA participation in some families.

5-year changes in afterschool physical activity and sedentary behavior.

BACKGROUND The afterschool period holds promise for the promotion of physical activity, yet little is known about the importance of this period as children age. PURPOSE To examine changes in physical activity of children aged 5-6 years and 10-12 years and their sedentary time in the afterschool period over 3 and 5 years, and to determine the contribution of this period to daily physical activity and sedentary behavior over time. METHODS Data from two longitudinal studies conducted in Melbourne, Australia, were used. Accelerometer data were provided for 2053 children at baseline (Children Living in Active Neighbourhoods Study [CLAN]: 2001; Health, Eating and Play Study [HEAPS]: 2002/2003); 756 at 3-year follow-up (time point 2 [T2]); and 622 at 5-year follow-up (T3). Light (LPA), moderate (MPA) and vigorous (VPA) physical activity were determined using age-adjusted cut-points. Sedentary time was defined as ≤ 100 counts/minute. Multilevel analyses, conducted in April 2012, assessed change in physical activity and sedentary time and the contributions of the afterschool period to overall levels. RESULTS Afterschool MPA and VPA decreased among both cohorts, particularly in the younger cohort, who performed less than half of their baseline levels at T3 (MPA: T1=24 minutes; T3=11 minutes; VPA: T1=12 minutes; T3=4 minutes). LPA also declined in the older cohort. Afterschool sedentary time increased among the younger (T1=42 minutes; T3=64 minutes) and older cohorts (T1=57 minutes; T3=84 minutes). The contribution of the afterschool period to overall MPA and VPA increased in the older cohort from 23% to 33% over 5 years. In the younger cohort, the contribution of the afterschool period to daily MPA and VPA decreased by 3% over 5 years. CONCLUSIONS The importance of the afterschool period for childrens physical activity increases with age, particularly as children enter adolescence.

Are associations between the perceived home and neighbourhood environment and children's physical activity and sedentary behaviour moderated by urban/rural location?

Associations between parental perceived home and neighbourhood environments and childrens physical activity (PA), and sedentary time (ST) and screen time and moderating effects according to urban/rural location were examined. Data were collected (2007-2008) from a cohort of women (aged 18-45 years) and their children (5-12 years) participating in the Resilience for Eating and Activity Despite Inequality (READI) study. A total of 613 children (47% boys; mean age 9.4±2.2 years) and their mothers were included in the study. Urban children had higher screen time than rural children. Mothers in rural areas reported greater access to physical activity equipment in the home, higher levels of descriptive norms for physical activity, greater knowledge of the neighbourhood, a stronger social network, and higher personal safety than urban mothers. There were five significant interactions between the home and neighbourhood environment and PA/ST according to urban/rural location. Among urban children, the importance of doing PA together as a family was positively associated with ST. Interventions targeting PA and ST may need to target different factors according to urban/rural location.

Is the association between park proximity and recreational physical activity among mid-older aged adults moderated by park quality and neighborhood conditions?

Previous studies have reported mixed findings on the relationship between park proximity and recreational physical activity (PA), which could be explained by park quality and the surrounding neighborhood environment. We examined whether park quality and perceptions of the neighborhood physical and social environment moderated associations between park proximity and recreational PA among mid-older aged adults. Cross-sectional self-reported data on park proximity, park quality, neighborhood physical and social environmental factors, recreational walking and other moderate- to vigorous-intensity recreational physical activity (MVPA) were collected among 2700 Australian adults (57–69 years) in 2012. Main effects between park proximity and measures of recreational PA were non-significant. Park proximity was positively related to engagement in recreational walking among participants who reported average and high social trust and cohesion, but not among those reporting low social trust and cohesion. No other moderating effects were observed. Current findings suggest synergistic relationships between park proximity and social trust and cohesion with mid-older aged adults’ recreational walking. More research is needed to unravel the complex relationship between parks, recreational PA and the social context of neighborhoods.

Do features of public open spaces vary between urban and rural areas

OBJECTIVE Parks are an important setting for physical activity and specific park features have been shown to be associated with park visitation and physical activity. Most park-based research has been conducted in urban settings with few studies examining rural parks. This study examined differences in features of parks in urban compared with rural areas. METHODS In 2009/10 a tool was developed to audit 433 urban and 195 rural parks located in disadvantaged areas of Victoria, Australia. Features assessed included: access; lighting/safety; aesthetics; amenities; paths; outdoor courts/ovals; informal play spaces; and playgrounds (number, diversity, age appropriateness and safety of play equipment). RESULTS Rural parks scored higher for aesthetics compared with urban parks (5.08 vs 4.44). Urban parks scored higher for access (4.64 vs 3.89), lighting/safety (2.01 vs 1.76), and diversity of play equipment (7.37 vs 6.24), and were more likely to have paths suitable for walking/cycling (58.8% vs 40.9%) and play equipment for older children (68.2% vs 17.1%). CONCLUSION Although the findings cannot be generalized to all urban and rural parks, the results may be used to inform advocacy for park development in rural areas to create parks that are more supportive of physical activity for children and adults.