目的 探究父亲及其运动养育特征对学龄前儿童身体活动水平的影响,为加强父亲在身体活动干预中的角色提供依据。方法 2020年10月—2021年1月,采用方便整群抽样方法,选取我国8个城市40家幼儿园,共1 346名由父亲主要养育的学龄前儿童。收集家庭人口学信息,采用《学龄前儿童园外运动行为问卷》收集儿童每日身体活动情况与父亲运动养育特征。使用单因素分析、并构建二元Logistic回归模型,分析父亲运动养育特征与儿童身体活动的关系。结果 父亲年龄每增长1岁,儿童户外活动和总活动达标率分别下降3%和2%(OR=0.97~0.98,95%CI:0.96~1.00,P<0.05);父亲学历本科以上的儿童,其屏幕时间和户外达标率分别是父亲学历本科以下儿童的1.48和1.38倍(OR=1.38~1.48,95%CI:1.07~1.98,P<0.05);父亲BMI正常的儿童,其中高强度和总活动达标率分别是超重肥胖父亲儿童的1.33和1.28倍(OR=1.28~1.33,95%CI:1.02~1.67,P<0.05);运动养育观念每增加1分,儿童户外、中高强度和总活动达标率增加5%~10%(OR=1.05~1.10,95%CI:1.00~1.15,P<0.05);运动行为每增加1分,儿童户外活动时间和每日中高强度活动时间达标率均增加4%(OR=1.04,95%CI:1.01~1.07,P<0.05)。结论 父亲运动养育特征可能影响学龄前儿童身体活动水平。父亲BMI正常、运动养育观念和运动行为良好是改善学龄前儿童身体活动水平的有效干预手段。
Abstract
Objective To investigate the influence of fathers and their parenting characteristics related to physical activity on the physical activity levels of preschool children, in order to provide a basis for enhancing the role of fathers in physical activity interventions. Methods From October 2020 to January 2021, a convenience cluster sampling method was employed to select 40 kindergartens across 8 cities in China, involving a total of 1 346 preschool children primarily raised by their fathers. Family demographic information was collected, and the Preschool Physical Activity Questionnaire (P-PAQ) was used to investigate the children's physical activity and fathers' parenting characteristics related to physical activity. Results For each additional year in the father's age, the compliance rates of children's outdoor activities and total physical activity decreased by 3% and 2%, respectively (OR=0.97 - 0.98, 95% CI: 0.96 - 1.00, P<0.05). Children whose fathers had a bachelor's degree or higher had screen time and outdoor activity compliance rates that were 1.48 and 1.38 times higher, respectively, than those whose fathers had less than a bachelor's degree (OR=1.38 - 1.48, 95% CI: 1.07 - 1.98, P<0.05). Children with fathers of normal body mas index (BMI) had moderate-to-vigorous physical activity and total physical activity compliance rates that were 1.33 and 1.28 times higher, respectively, than those with overweight or obese fathers (OR=1.28 - 1.33, 95% CI: 1.02 - 1.67, P<0.05). For each additional point in the father's physical activity parenting beliefs, the compliance rates of children's outdoor, moderate-to-vigorous, and total physical activity increased by 5% - 10% (OR=1.05 - 1.10, 95% CI: 1.00 - 1.15, P<0.05). For each additional point in the father's physical activity behavior, the compliance rates of children's outdoor time and moderate-to-vigorous physical activity increased by 4% (OR=1.04, 95% CI: 1.01 - 1.07, P<0.05). Conclusions Fathers' parenting characteristics related to physical activity may influence the physical activity levels of preschool children. Fathers with normal BMI, positive physical activity parenting beliefs, and good physical activity behaviors could serve as effective intervention strategies to improve the physical activity levels of preschool children.
关键词
父亲运动养育特征 /
学龄前儿童 /
身体活动
Key words
fathers parenting characteristics related to physical activity /
preschool children /
physical activity
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参考文献
[1] 王健. 身体活动与学龄前儿童早期发展[J]. 中国儿童保健杂志, 2022, 30(6): 585-590.
WANG J. Physical activity and early childhood development of preschool children[J]. Chin J Child Health Care, 2022, 30(6): 585-590.(in Chinese)
[2] Ku B, MacDonald M, Hatfield B, et al. Parental influence on the physical activity behaviors of young children with developmental disabilities[J]. Adapt Phys Activ Q, 2020, 37(4): 441-460.
[3] Pons M, Bennasar-Veny M, Yañez AM. Maternal education level and excessive recreational screen time in children: A mediation analysis[J]. Int J Environ Res Public Health, 2020, 17(23): 8930.
[4] Petersen TL, Møller LB, Brønd JC, et al. Association between parent and child physical activity: A systematic review[J]. Int J Behav Nutr Phys Act, 2020, 17: 1-16.
[5] Flaaten M, Skarpsno ES, Kongsvold A, et al. Intergenerational and genetic influences on physical activity: Family data from the HUNT study, Norway[J]. Br J Sports Med, 2024, 58(19): 1123-1130.
[6] Petersen TL, Møller LB, Brønd JC, et al. Association between parent and child physical activity: A systematic review[J]. Int J Behav Nutr Phys Act, 2020, 17: 1-16.
[7] Hesketh KR, Brage S, Cooper C, et al. The association between maternal-child physical activity levels at the transition to formal schooling: Cross-sectional and prospective data from the Southampton Women'sSurvey[J]. Int J Behav Nutr Phys Act, 2019, 16: 1-9.
[8] Peral-Suárez Á, Cuadrado-Soto E, Perea JM, et al. Physical activity practice and sports preferences in a group of Spanish schoolchildren depending on sex and parental care: A gender perspective[J]. BMCPediatr, 2020, 20:1-10.
[9] Rahill S, Kennedy A, Kearney J. A review of the influence of fathers on children's eating behaviours and dietary intake[J]. Appetite, 2020, 147: 104540.
[10] Bergqvist-Norén L, Hagman E, Xiu L, et al. Physical activity in early childhood: A five-yearlongitudinal analysis of patterns and correlates[J]. Int J Behav Nutr Phys Act, 2022, 19(1): 47.
[11] Johansson E, Mei H, Xiu L, et al. Physical activity in young children and their parents-an earlySTOPP Sweden-China comparison study[J]. Sci Rep, 2016, 6(1): 29595.
[12] 王晓娟,许梦雪,张梦楠,等.学龄前儿童园外运动行为问卷的初步编制及信效度研究[J]. 中国儿童保健杂志, 2022, 30(12):1304-1308.
Wang XJ, Xu MX, Zhang MN, et al. Preliminary development and reliability and validity test of Physical Activity Afterschool Questionnaire for preschooler[J]. Chin J Child Health Care, 2022, 30(12): 1304-1308.(in Chinese)
[13] Trott M, Driscoll R, Iraldo E, et al. Changes and correlates of screen time in adults and children during the COVID-19 pandemic: A systematic review and meta-analysis[J]. E Clinical Medicine, 2022, 48:101452.
[14] 关宏岩,赵星,屈莎,等.学龄前儿童(3~6岁)运动指南[J].中国儿童保健杂志 2020, 28(6):714-720.
Guan HY, Zhao X, Qu S, et al. Physical activity guideline for preschoolers aged 3~6 years[J]. Chin J Child Health Care, 2020, 28(6): 714-720. (in Chinese)
[15] Al-Nuaim A, Safi A. Factors influencing saudi youth physical activity participation: A qualitative study based on the social ecological model[J]. Int J Environ Res Public Health, 2023,20(10):5785.
[16] Morgan PJ, Young MD, Barnes AT, et al. Engaging fathers to increase physical activity in girls: The "dads and daughters exercising and empowered"(DADEE) randomized controlled trial[J]. Ann Behav Med, 2019, 53(1): 39-52.
[17] Lee CY, Ledoux TA, Johnston CA, et al. Association of parental body mass index (BMI) with child's health behaviors and child's BMI depend on child's age[J]. BMC obes, 2019, 6(11): 1-10.
[18] Prince SA, Roberts KC, Melvin A, et al. Gender and education differences in sedentary behaviour in Canada: An analysis of national cross-sectional surveys[J]. BMC Public Health, 2020, 20: 1-17.
[19] Matsushita M, Takagi D, Kamada M. Socioeconomic status and patterns of physical activity and sedentary behavior: A cross-sectional analysis of the J-SHINE[J]. J Phys Act Health, 2024, 1(aop): 1-8.
[20] Welis W, Yendrizal D, Mario DT. Physical fitness of students in Indonesian during the COVID-19 period: Physical activity, body mass index, and socioeconomic status[J]. Physical Activity Review, 2023, 11(1): 77-87.
[21] Kang S, Kim D-H, Lee J. The role of a community-based leisure program for older adults' leisure-time physical activity: A focus on the social-ecological model[J].Sustainability,2023,15(20):14851.
[22] Ke Y, Shi L, Peng L, et al. Associations between socioeconomic status and physical activity: A cross-sectional analysis of Chinese children and adolescents[J]. Front Psychol, 2022, 13: 904506.
[23] Eyimaya AO, Irmak AY. Relationship between parenting practices and children's screen time during the COVID-19 Pandemic in Turkey[J]. J Pediatr Nurs, 2021, 56: 24-29.
[24] Matarma T, Koski P, Löyttyniemi E, et al. The factors associated with toddlers' screen time change in the STEPS Study: A two-year follow-up[J]. Prev Med, 2016, 84: 27-33.
[25] Lloyd AB, Lubans DR, Plotnikoff RC, et al. Maternal and paternal parenting practices and their influence on children's adiposity, screen-time, diet and physical activity[J]. Appetite, 2014, 79: 149-157.
[26] Zahra J, Sebire SJ, Jago R. "He's probably more Mr. sport than me"—a qualitative exploration of mothers' perceptions of fathers' role in their children's physical activity[J]. BMC Pediatr, 2015,15:101.
[27] Ashton LM, Rayward AT, Pollock ER, et al. Twelve-month outcomes of a community-based, father-daughter physical activity program delivered by trained facilitators[J]. Int J Behav Nutr Phys Act, 2024, 21(1): 101.
基金
高层次公共卫生技术人才建设专项经费(学科带头人-01-17);北京市属医学科研院所公益发展改革试点项目(京医研BMR2021-3)