This article compares child reports of their physical and sedentary activities with those of their parents.
Data were obtained from the 2003 Children's Lifestyle and School-performance Study (CLASS), a survey of Grade 5 students and their parents in the province of Nova Scotia, Canada. Survey data with responses from Grade 5 students and their parents about the students' physical and sedentary activities were used. Agreement between the parent and child reports was evaluated with weighted kappa. Multilevel logistic regression was used to compare the parent and child reports in relation to the child body weight.
Agreement between the 3958 pairs of parent and child reports was low to fair. Relative to normal weight children, those who were overweight or obese reported more participation in organized and leisure sports and less time watching television than what their parents perceived. Unlike child self-reports, parent reports demonstrated statistically significant associations between the child's activities and body weight.
Based on these findings, parent reports seem to provide a more accurate assessment of activity levels of children younger than 12.
"Prior to participating, active consent from parents (or guardians) was required. Given that parental reports can provide meaningful assessments of PA for children under 12 years of age , parents were asked to complete a few questions pertaining to their child’s general PA routines during the active consent process. During the data collection from students, the registered nurse working for PLAY-On asked each eligible student six questions pertaining to their physical activity routines and preferences. "
[Show abstract][Hide abstract] ABSTRACT: Excessive weight gain among youth is an ongoing public health concern. Despite evidence linking both policies and the built environment to adolescent and adult overweight, the association between health policies or the built environment and overweight are often overlooked in research with children. The purpose of this study was to examine if school-based physical activity policies and the built environment surrounding a school are associated with weight status among children.
Objectively measured height and weight data were available for 2,331 grade 1 to 4 students (aged 6 to 9 years) attending 30 elementary schools in Ontario, Canada. Student-level data were collected using parent reports and the PLAY-On questionnaire administered to students by study nurses. School-level policy data were collected from school administrators using the Physical Activity Module of the Healthy School Planner tool, and built environment data were provided by the Enhanced Points of Interest data resource. Multi-level logistic regression models were used to examine the school- and student-level characteristics associated with the odds of a student being overweight or obese.
There was significant between-school random variation in the odds of a student being overweight [sigma2mu0 = 0.274(0.106), p < 0.001], but not for being obese [sigma2mu0 = 0.115(0.089)]. If a student attended a school that provided student access to a variety of facilities on and off school grounds during school hours or supported active transportation to and from school, he/she was less likely to overweight than a similar student attending a school without these policies. Characteristics of the built environment were not associated with overweight or obesity among this large cross-sectional sample of children.
This new evidence suggests that it may be wise to target obesity prevention efforts to schools that do not provide student access to recreation facilities during school hours or schools that do not support active transportation for students. Future research should evaluate if school-based overweight and obesity prevention programming might be improved if interventions selectively targeted the school characteristics that are putting students at the greatest risk.
BMC Public Health 10/2013; 13(1):982. DOI:10.1186/1471-2458-13-982 · 2.26 Impact Factor
"There was no association between the childreńs report and body composition, but children to parents who reported binge eating were more overweight . Also, the Canadian CLASS study performed in a community setting  showed only a low to fair agreement between the parent’s and children’s reports of physical activity and parent’s reports explained better variation in weight status. Moreover, children who reported more physical activity and less sedentary activity compared with their parent’s reports were more likely to be overweight or obese than children whose reports were in agreement with their parents. "
[Show abstract][Hide abstract] ABSTRACT: Family-based behavioural intervention programs (FBIPs) against childhood obesity have shown promising results, but the mediating mechanisms have not been identified. The aim of this study was to examine changes in obese childreńs lifestyle habits during a 2-year FBIP according to their own and parents' reports, the concordance between these reports and the correlations to change in post-intervention z-BMI.
An observational study of 26 children (8.3-12.0 years) and their parents participating in a 2-year FBIP was performed. Weight and height were measured from baseline to 12 months after the end of the program. Eating habits and physical- and sedentary activity were reported separately by children and parents. Data were analysed with regard to concordance between parents' and children's reports and association between the lifestyle reports and change in z-BMI at the study endpoint using descriptive statistics and parametric and non-parametric tests.
According to both children's and parents' reports, the level of physical activity among the children had increased after the intervention as well as the agreement between the informants' reports. According to the children, eating habits had improved, while the parents' reports showed an improvement only with regard to binge eating. The concordance between children and parents regarding eating habits was slight to fair also after the intervention. No statistically significant associations between changes in lifestyle reports and changes in z-BMI were observed.
Child and parent reports of physical activity were found to converge and display an improvement in a 2-year FBIP, while the reports on eating habits showed a more refractory pattern. Changes in concordance and agreement between children and parents reports did not correlate with weight reduction. Further methods development and studies of the processes during family-based interventions against childhood obesity are warranted.
PLoS ONE 08/2013; 8(8):e71482. DOI:10.1371/journal.pone.0071482 · 3.23 Impact Factor
"Openly accessible at http://www.scirp.org/journal/ojpm/ self-report in this age group . Children were categorized as meeting guidelines if they performed moderate-to-vigorous PA five or more days per week for at least 60 minutes. "
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