| Literature DB >> 27421643 |
Teun Remmers1, Dave Van Kann2, Carel Thijs3, Sanne de Vries4, Stef Kremers5.
Abstract
BACKGROUND: Physical Activity (PA) occurs in several behavioral domains (e.g., sports, active transport), and is affected by distinct environmental factors. By filtering objective PA using children's school schedules, daily PA can be separated into more conceptually meaningful domains. We used an ecological design to investigate associations between "playability" of 21 school-environments and children's objectively measured after-school PA. We also examined to what extent distinct time-periods after-school and the distance from children's residence to their school influenced this association.Entities:
Keywords: Accelerometer; Audit; Child; Distance; Environment; GIS; Geospatial information; Methodology; School; Time specific
Mesh:
Year: 2016 PMID: 27421643 PMCID: PMC4946175 DOI: 10.1186/s12966-016-0407-5
Source DB: PubMed Journal: Int J Behav Nutr Phys Act ISSN: 1479-5868 Impact factor: 6.457
Fig. 1Geographical location of included schools and participants
Descriptive statistics of the study population
| Individual level ( | |
|---|---|
| Age; mean years (sd) (missing | 10.2 (0.7) |
| Gender; | 280 (47.7) |
| Ethnicity | 490 (84.4) |
| Crow-fly distance from home to school; | |
| within 400 m | 187 (31.9) |
| within 800 m | 225 (38.3) |
| within 1600 m | 119 (20.3) |
| outside 1600 m | 56 (9.5) |
| Network distance from home to school; | |
| distance ≤ 499 m | 138 (23.5) |
| distance 500–799 m | 137 (23.3) |
| distance 800–1199 m | 171 (29.1) |
| distance ≥ 1200 m | 141 (24.0) |
| Light PA by time of the day; mean % of time per day (sd) | 27.9 (6.6) |
| end of the school day – 16:00 h; mean % (sd) ( | 35.3 (8.8) |
| 16:00–18:00 h; mean % (sd) ( | 29.2 (8.2) |
| 18:00–20:00 h; mean % (sd) ( | 27.5 (7.7) |
| 20:00–22:00 h; mean % (sd) ( | 20.8 (9.5) |
| MVPA by time of the day; mean % of time per day (sd) | 7.7 (4.0) |
| end of the school day – 16:00 h; mean % (sd) ( | 10.4 (6.2) |
| 16:00–18:00 h; mean % (sd) ( | 6.8 (4.8) |
| 18:00–20:00 h; mean % (sd) ( | 9.2 (7.5) |
| 20:00–22:00 h; mean % (sd) ( | 4.8 (6.2) |
| Light PA by crow-fly distance; mean % of time per day (sd) | 27.9 (6.6) |
| within 400 m ( | 28.2 (7.0) |
| within 800 m ( | 28.0 (6.4) |
| within 1600 m ( | 27.9 (6.3) |
| outside 1600 m ( | 27.3 (6.5) |
| MVPA by crow-fly distance; mean % of time per day (sd) | 7.7 (4.0) |
| within 400 m ( | 7.9 (4.1) |
| within 800 m ( | 7.9 (4.1) |
| within 1600 m ( | 7.4 (4.0) |
| outside 1600 m ( | 7.3 (3.8) |
Associations between playability and after-school physical activity, stratified for time of the day and crow-fly distance from children’s residence to school
| % Light PA | ||||
| Crow-fly distance from children’s residence to school | ||||
| Time of the day | within 400 m | within 800 m | within 1600 m | outside 1600+ meters |
| End of the school day – 16:00 h ( |
|
|
| 0.001 (−0.052 to 0.054) |
| 16:00–18:00 h ( | 0.027 (−0.004 to 0.058) | 0.013 (−0.012 to 0.039) | 0.031 (−0.0001 to 0.062) | 0.009 (−0.041 to 0.059) |
| 18:00–20:00 h ( | 0.024 (−0.008 to 0.057) | 0.014 (−0.013 to 0.041) | −0.022 (−0.055 to 0.010) | −0.021 (−0.074 to 0.032) |
| 20:00–22:00 h ( |
|
|
|
|
| % MVPA | ||||
| within 400 m | within 800 m | within 1600 m | outside 1600+ meters | |
| End of the school day – 16:00 h ( |
|
| −0.010 (−0.051 to 0.031) | 0.006 (−0.053 to 0.065) |
| 16:00–18:00 h ( |
| 0.023 (−0.005 to 0.050) | 0.034 (−0.0003 to 0.068) | −0.006 (−0.057 to 0.046) |
| 18:00–20:00 h ( | 0.017 (−0.016 to 0.050) | 0.008 (−0.020 to 0.037) | −0.027 (−0.063 to 0.008) |
|
| 20:00–22:00 h ( | −0.06 (−0.046 to 0.034) | 0.013 (−0.023 to 0.048) | 0.017 (−0.025 to 0.060) |
|
Standardized beta’s (with 95 % confidence intervals in brackets) from linear mixed model analyses with a random intercept and slope over time (one-hour periods), nested within the dates at which measurement commenced. Results were adjusted for age, gender, average temperature, average duration of rainfall, and average duration of sunshine per day. Bold number represents statistical significance at p < 0.05. Network distance showed comparable results: Appendix: Table 5
Associations between playability and after-school physical activity intensities by time of the day
| % Light PA | % MVPA | |
|---|---|---|
| Time of the day | ||
| End of the school day – 16:00 h ( |
|
|
| 16:00–18:00 h ( |
|
|
| 18:00–20:00 h ( | 0.001 (−0.015 to 0.018) | −0.007 (−0.024 to 0.010) |
| 20:00–22:00 h ( |
| 0.016 (−0.005 to 0.038) |
Standardized beta’s (with 95 % confidence intervals in brackets) from linear mixed model analyses with a random intercept and slope over time (one-hour periods), nested within the dates at which measurement commenced. Results were adjusted for age, gender, average temperature, average duration of rainfall, and average duration of sunshine per day. Bold number represents statistical significance at p < 0.05
Associations between playability and after-school physical activity, stratified by distance from children’s residence to school
| % Light PA | ||||
| Crow-fly distance from children’s residence to school | <400 m | 400–800 m | 800 - 1600 m | outside 1600 m |
|
| 0.018 (−0.007 to 0.042) | 0.014 (−0.015 to 0.044) | 0.007 (−0.039 to 0.053) | |
| Network-distance from children’s residence to school | ≤ 499 m | 500–799 m | 800–1199 m | ≥ 1200 m |
|
| 0.020 (−0.011 to 0.052) | 0.023 (−0.004 to 0.049) | 0.004 (−0.026 to 0.034) | |
| % MVPA | ||||
| Crow-fly distance from children’s residence to school | within 400 m | within 800 m | within 1600 m | outside 1600+ meters |
|
|
| 0.018 (−0.006 to 0.041) | −0.005 (−0.042 to 0.031) | |
| Network-distance from children’s residence to school | ≤ 499 m | 500–799 m | 800–1199 m | ≥ 1200 m |
|
|
| 0.020 (−0.001 to 0.041) | 0.011 (−0.013 to 0.035) | |
Standardized beta’s (with 95 % confidence intervals in brackets) from linear mixed model analyses with a random intercept and slope over time (one-hour periods), nested within the dates at which measurement commenced. Results were adjusted for age, gender, average temperature, average duration of rainfall, and average duration of sunshine per day. Bold number represents statistical significance at p < 0.05
Associations between playability and after-school PA, stratified for time of the day and network-distance from children’s residence to school
| % Light PA | ||||
| Network-distance from children’s residence to school | ||||
| ≤ 499 m | 500–799 m | 800–1199 m | ≥ 1200 m | |
| End of the school day – 16:00 h ( |
| 0.032 (−0.007 to 0.072) |
| 0.002 (−0.031 to 0.036) |
| 16:00–18:00 h ( |
| −0.007 (−0.042 to 0.027) | 0.027 (−0.001 to 0.055) | 0.013 (−0.017 to 0.042) |
| 18:00–20:00 h ( | 0.026 (−0.011 to 0.063) | 0.015 (−0.021 to 0.051) | 0.005 (−0.024 to 0.035) |
|
| 20:00–22:00 h ( |
| 0.029 (−0.014 to 0.073) |
|
|
| % MVPA | ||||
| ≤ 499 m | 500–799 m | 800–1199 m | ≥ 1200 m | |
| End of the school day – 16:00 h ( |
|
|
| −0.018 (−0.058 to 0.022) |
| 16:00–18:00 h ( |
|
| 0.020 (−0.008 to 0.048) | 0.019 (−0.014 to 0.053) |
| 18:00–20:00 h ( |
| 0.023 (−0.016 to 0.062) |
|
|
| 20:00–22:00 h ( | −0.005 (−0.052 to 0.041) | 0.001 (−0.049 to 0.049) | 0.027 (−0.010 to 0.064) |
|
Standardized beta’s (with 95 % confidence intervals in brackets) from linear mixed model analyses with a random intercept and slope over time (one-hour periods), nested within the dates at which measurement commenced. Results were adjusted for age, gender, average temperature, average duration of rainfall, and average duration of sunshine per day. Bold number represents statistical significance at p <0.05