Claudia S Leeger-Aschmann1, Einat A Schmutz1, Thomas Radtke1, Tanja H Kakebeeke2, Annina E Zysset3, Nadine Messerli-Bürgy4, Kerstin Stülb5, Amar Arhab6, Andrea H Meyer7, Simone Munsch5, Oskar G Jenni2, Jardena J Puder8, Susi Kriemler1. 1. Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Switzerland. 2. Child Development Centre, University Children's Hospital Zurich, Switzerland, and Children's Research Centre, University Children's Hospital Zurich, Switzerland. 3. Child Development Centre, University Children's Hospital Zurich, Switzerland. 4. Department of Clinical Psychology and Psychotherapy, University of Fribourg, Switzerland, and Endocrinology, Diabetes and Metabolism Service, Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne, Switzerland. 5. Department of Clinical Psychology and Psychotherapy, University of Fribourg, Switzerland. 6. Endocrinology, Diabetes and Metabolism Service, Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne, Switzerland. 7. Department of Psychology, University of Basel, Switzerland. 8. Endocrinology, Diabetes and Metabolism Service, Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne, Switzerland, and Division of Paediatric Endocrinology, Diabetology and Obesity, Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne, Switzerl.
Abstract
QUESTION: Regional differences in physical activity in school-aged children and adults even within one country with the same political and health care system have been observed and could not be explained by sociodemographic or individual variables. We analysed whether such differences were already present in preschool children. METHODS: Swiss children from 84 childcare centres in five cantons (Aargau, Bern, Fribourg, Vaud, Zurich) comprising about 50% of the population of the country participated. Physical activity was quantified with accelerometers (ActiGraph, wGT3X-BT) and potential correlates were assessed with measurements at the childcare centre or questionnaires. Mixed regression models were used to test associations between potential correlates of total physical activity (TPA), moderate-to-vigorous physical activity (MVPA), light physical activity (LPA) or sedentary behaviour with a special focus on regional differences. RESULTS: 394 of 476 children (83%) provided valid physical activity data (at least 2 weekdays and 1 weekend day with 10 h recording; mean age 3.9 ± 0.7 years, 54% boys) with 26% and 74% living in the French- and German-speaking parts of Switzerland, respectively. Days consisted of (mean ± standard deviation) 1.5 ± 0.5 h MVPA, 5.0 ± 0.6 h LPA, and 6.3 ± 0.8 h sedentary behaviour with an average of 624 ± 150 counts/min TPA. TPA and MVPA (but not sedentary behaviour or LPA) increased with age, were higher in boys and children with better motor skills. Despite controlling for individual characteristics, familial factors and childcare exposure, children from the French-speaking part of Switzerland showed 13% less TPA, 14% less MVPA, 6% less LPA and 8% more sedentary behaviour than German-speaking children. CONCLUSION: Beside motor skills and non-modifiable individual factors, the regional sociocultural difference was the most important correlate of phyical activity and sedentary behaviour. Therefore, regionally adapted public health strategies may be needed.
QUESTION: Regional differences in physical activity in school-aged children and adults even within one country with the same political and health care system have been observed and could not be explained by sociodemographic or individual variables. We analysed whether such differences were already present in preschool children. METHODS: Swiss children from 84 childcare centres in five cantons (Aargau, Bern, Fribourg, Vaud, Zurich) comprising about 50% of the population of the country participated. Physical activity was quantified with accelerometers (ActiGraph, wGT3X-BT) and potential correlates were assessed with measurements at the childcare centre or questionnaires. Mixed regression models were used to test associations between potential correlates of total physical activity (TPA), moderate-to-vigorous physical activity (MVPA), light physical activity (LPA) or sedentary behaviour with a special focus on regional differences. RESULTS: 394 of 476 children (83%) provided valid physical activity data (at least 2 weekdays and 1 weekend day with 10 h recording; mean age 3.9 ± 0.7 years, 54% boys) with 26% and 74% living in the French- and German-speaking parts of Switzerland, respectively. Days consisted of (mean ± standard deviation) 1.5 ± 0.5 h MVPA, 5.0 ± 0.6 h LPA, and 6.3 ± 0.8 h sedentary behaviour with an average of 624 ± 150 counts/min TPA. TPA and MVPA (but not sedentary behaviour or LPA) increased with age, were higher in boys and children with better motor skills. Despite controlling for individual characteristics, familial factors and childcare exposure, children from the French-speaking part of Switzerland showed 13% less TPA, 14% less MVPA, 6% less LPA and 8% more sedentary behaviour than German-speaking children. CONCLUSION: Beside motor skills and non-modifiable individual factors, the regional sociocultural difference was the most important correlate of phyical activity and sedentary behaviour. Therefore, regionally adapted public health strategies may be needed.
Authors: Kerstin Stülb; Nadine Messerli-Bürgy; Tanja H Kakebeeke; Amar Arhab; Annina E Zysset; Claudia S Leeger-Aschmann; Einat A Schmutz; Andrea H Meyer; Susi Kriemler; Oskar G Jenni; Jardena J Puder; Simone Munsch Journal: Child Psychiatry Hum Dev Date: 2019-06
Authors: Bettina Bringolf-Isler; Kees de Hoogh; Christian Schindler; Bengt Kayser; L Suzanne Suggs; Alain Dössegger; Nicole Probst-Hensch Journal: Int J Environ Res Public Health Date: 2018-05-04 Impact factor: 3.390
Authors: Annina E Zysset; Tanja H Kakebeeke; Nadine Messerli-Bürgy; Andrea H Meyer; Kerstin Stülb; Claudia S Leeger-Aschmann; Einat A Schmutz; Amar Arhab; Jardena J Puder; Susi Kriemler; Simone Munsch; Oskar G Jenni Journal: Front Psychol Date: 2018-10-29
Authors: Kaiseree I Dias; James White; Russell Jago; Greet Cardon; Rachel Davey; Kathleen F Janz; Russell R Pate; Jardena J Puder; John J Reilly; Ruth Kipping Journal: Int J Environ Res Public Health Date: 2019-05-31 Impact factor: 3.390