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      Parental physical activity is associated with objectively measured physical activity in young children in a sex-specific manner: the GECKO Drenthe cohort

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          Abstract

          Background

          Physical activity (PA) is important in combating childhood obesity. Parents, and thus parental PA, could influence PA in young children. We examined whether the time spent at different intensities of PA and the type of parental PA are associated with the PA of children aged 4–7 years, and whether the associations between child-parent pairs were sex-specific.

          Methods

          All the participants were recruited from the Groningen Expert Center for Kids with Obesity (GECKO) birth cohort (babies born between 1 April 2006 and 1 April 2007 in Drenthe province, the Netherlands) and were aged 4–7 years during measurement. PA in children was measured using the ActiGraph GT3X (worn at least 3 days, ≥10 h per day). PA in parents was assessed using the validated SQUASH questionnaire.

          Results

          Of the N = 1146 children with valid ActiGraph data and 838 mothers and 814 fathers with valid questionnaire data, 623 child-parent pairs with complete data were analysed. More leisure time PA in mothers was associated with more time spent in moderate-to-vigorous PA (MVPA) in children (Spearman r = 0.079, P < .05). Maternal PA was significantly related to PA in girls, but not boys. More time spent in maternal vigorous PA, in sports activity, and leisure time PA, were all related to higher MVPA in girls (Spearman r = 0.159, r = 0.133 and r = 0.127 respectively, P all < .05). In fathers, PA levels were predominantly related to PA in sons. High MVPA in fathers was also related to high MVPA in sons ( r = 0.132, P < 0.5). Spending more time in light PA was related to more sedentary time and less time in MVPA in sons.

          Conclusions

          Higher PA in mothers, for instance in leisure activities, is related to higher PA in daughters, and more active fathers are related to more active sons. To support PA in young children, interventions could focus on the PA of the parent of the same sex as the child. Special attention may be needed for families where the parents have sedentary jobs, as children from these families seem to adopt more sedentary behaviour.

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          Most cited references40

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          Health consequences of obesity in youth: childhood predictors of adult disease.

          W Dietz (1998)
          Obesity now affects one in five children in the United States. Discrimination against overweight children begins early in childhood and becomes progressively institutionalized. Because obese children tend to be taller than their nonoverweight peers, they are apt to be viewed as more mature. The inappropriate expectations that result may have an adverse effect on their socialization. Many of the cardiovascular consequences that characterize adult-onset obesity are preceded by abnormalities that begin in childhood. Hyperlipidemia, hypertension, and abnormal glucose tolerance occur with increased frequency in obese children and adolescents. The relationship of cardiovascular risk factors to visceral fat independent of total body fat remains unclear. Sleep apnea, pseudotumor cerebri, and Blount's disease represent major sources of morbidity for which rapid and sustained weight reduction is essential. Although several periods of increased risk appear in childhood, it is not clear whether obesity with onset early in childhood carries a greater risk of adult morbidity and mortality. Obesity is now the most prevalent nutritional disease of children and adolescents in the United States. Although obesity-associated morbidities occur more frequently in adults, significant consequences of obesity as well as the antecedents of adult disease occur in obese children and adolescents. In this review, I consider the adverse effects of obesity in children and adolescents and attempt to outline areas for future research. I refer to obesity as a body mass index greater than the 95th percentile for children of the same age and gender.
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            Physical activity and obesity in children.

            Globally, obesity is affecting an increasing proportion of children. Physical activity plays an important role in the prevention of becoming overweight and obese in childhood and adolescence, and reducing the risk of obesity in adulthood. Puberty and the following adolescent period are acknowledged as particularly vulnerable times for the development of obesity due to sexual maturation and, in many individuals, a concomitant reduction in physical activity. In many Western settings, a large proportion of children and adolescents do not meet recommended physical activity guidelines and, typically, those who are more physically active have lower levels of body fat than those who are less active. Active behaviours have been displaced by more sedentary pursuits which have contributed to reductions in physical activity energy expenditure. Without appropriate activity engagement there is an increased likelihood that children will live less healthy lives than their parents. Owing to the high risk of overweight adolescents becoming obese adults, the engagement of children and adolescents in physical activity and sport is a fundamental goal of obesity prevention.
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              Methodological considerations in using accelerometers to assess habitual physical activity in children aged 0-5 years.

              This paper reviews the evidence behind the methodological decisions accelerometer users make when assessing habitual physical activity in children aged 0-5 years. The purpose of the review is to outline an evidence-guided protocol for using accelerometry in young children and to identify gaps in the evidence base where further investigation is required. Studies evaluating accelerometry methodologies in young children were reviewed in two age groups (0-2 years and 3-5 years) to examine: (i) which accelerometer should be used, (ii) where the accelerometer should be placed, (iii) which epoch should be used, (iv) how many days of monitoring are required, (v) how many minutes of monitoring per day are required, (vi) how data should be reduced, (vii) which cut-point definitions for identifying activity intensity should be used, and (viii) which physical activity outcomes should be reported and how. Critique of the available evidence provided a basis for the development of a recommended users protocol in 3-5-year olds, although several issues require further research. Because of the absence of methodological studies in children under 3 years, a protocol for the use of accelerometers in this age range could not be specified. Formative studies examining the utility, feasibility and validity of accelerometer-based physical activity assessments are required in children under 3 years of age. Recommendations for further research are outlined, based on the above findings, which, if undertaken, will enhance the accuracy of accelerometer-based assessments of habitual physical activity in young children.
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                Author and article information

                Contributors
                s.i.brouwer@pl.hanze.nl
                leanne.kupers@bristol.ac.uk
                l.w.kors@umcg.nl
                a.sijtsma@umcg.nl
                p.j.j.sauer@umcg.nl
                carry.renders@vu.nl
                e.corpeleijn@umcg.nl
                Journal
                BMC Public Health
                BMC Public Health
                BMC Public Health
                BioMed Central (London )
                1471-2458
                20 August 2018
                20 August 2018
                2018
                : 18
                : 1033
                Affiliations
                [1 ]ISNI 0000 0000 8505 0496, GRID grid.411989.c, Hanze University of Applied Sciences, Institute of Sport Studies, ; Zernikeplein 17, 9747 AS Groningen, The Netherlands
                [2 ]ISNI 0000 0000 9558 4598, GRID grid.4494.d, Department of Epidemiology, , University Medical Center Groningen, ; Hanzeplein 1, 9713 GZ Groningen, The Netherlands
                [3 ]ISNI 0000 0004 1936 7603, GRID grid.5337.2, University of Bristol, MRC Integrative Epidemiology Unit, ; Oakfield House, Oakfield Grove, Clifton, Bristol, BS8 2BN UK
                [4 ]ISNI 0000 0004 1936 7603, GRID grid.5337.2, University of Bristol, Population Health Sciences, ; Oakfield House, Oakfield Grove, Clifton, Bristol, BS8 2BN UK
                [5 ]ISNI 0000 0000 9558 4598, GRID grid.4494.d, University Medical Center Groningen, Faculty of Medical Science, ; Hanzeplein 1, 9713 GZ Groningen, the Netherlands
                [6 ]ISNI 0000 0000 9558 4598, GRID grid.4494.d, University Medical Center Groningen, Lifelines, ; Hanzeplein 1, 9713 GZ Groningen, The Netherlands
                [7 ]ISNI 0000 0004 1754 9227, GRID grid.12380.38, Department of Health Sciences, , VU University Amsterdam, Faculty of Science, ; De Boelelaan 1085, 1081 HV Amsterdam, The Netherlands
                Author information
                http://orcid.org/0000-0003-0659-2054
                Article
                5883
                10.1186/s12889-018-5883-x
                6102934
                30126399
                d5e202d0-51b0-44da-a957-575d16f9214a
                © The Author(s). 2018

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 26 November 2017
                : 25 July 2018
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2018

                Public health
                physical activity,family,children,role model
                Public health
                physical activity, family, children, role model

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