Park use is associated with less sedentary time among low-income parents and their preschool child: The NET-Works study

Simone A French, Nancy E Sherwood, Nathan R Mitchell, Yingling Fan, Simone A French, Nancy E Sherwood, Nathan R Mitchell, Yingling Fan

Abstract

Introduction: Parks are an important component of the neighborhood environment, and their presence is believed to support higher levels of physical activity among residents. The present study examined park use frequency among a sample of 534 low-income parents of preschool aged children. Associations with child and parent physical activity, neighborhood characteristics and physical characteristics of the block immediately surrounding the home were examined.

Methods: Data are from baseline measurements completed in 2012-2014 as part of larger study (NET-Works: Now Everybody Together for Amazing and Healthy Kids) targeting low-income preschool children and their parents (N = 534 parent-child dyads). Physical activity was measured in parent and child using accelerometry. Parents reported their frequency of use with their child of parks within a half kilometer from their residence. Block audits were performed by trained research staff to describe the quality and walkability of the streets around the home.

Statistical analysis: Bivariate associations between demographic variables, perceptions of the neighborhood environment, parent support for child physical activity, and physical activity were examined using regression or Chi square analysis.

Results: Park use frequency was not significantly associated with child accelerometry light, moderate or vigorous physical activity. However, it was marginally significantly inversely associated with child accelerometry sedentary time (p < 0.06). Television viewing hours on weekend days (but not on weekdays) were significantly fewer among children in the high park use group compared with children who visited the park less frequently (p < 0.01). Park use frequency was significantly positively associated with parent accelerometry moderate physical activity (p < 0.004), and was significantly inversely associated with parent accelerometry sedentary time (p < 0.002). Frequent park use was significantly positively associated with parent report of the child frequency of being taken to a park or playground outside the home (p < 0.0001), past week visit to park and recreation center (p < 0.0001) and parent-reported supportive behaviors for child physical activity (p < 0.0001). Parents who reported having to cross busy streets to reach play areas reported less frequent park use (p < 0. 02). Walkable neighborhoods (p < 0.003) and more incivilities (p < 0.02) in the immediate block surrounding the home were significantly associated with more frequent park use.

Conclusions: Frequent park use with their preschool child may support higher levels of physical activity among low-income parents and reduce sedentary time for both child and parent.

References

    1. American Academy of Pediatrics, Council on Sports Medicine and Fitness, Council on School Health Active healthy living: prevention of childhood obesity through increased physical activity. Pediatrics. 2006;117:1834–1842.
    1. Bedimo-Rung A.L., Mowen A.J., Cohen D.A. The significance of parks to physical activity and public health: a conceptual model. Am. J. Prev. Med. 2005;28(2 Suppl 2):159–168.
    1. Burdeie H.L., Whitaker R.C. Resurrecting free play in young children: looking beyond fitness and fatness to action, affiliation, and affect. Arch. Pediatr. Adolesc. Med. 2005;159:46–50.
    1. Centers for Disease Control and Prevention. National Center for Health Statistics . United States. Centers for Disease Control; 2000. CDC Growth Charts.
    1. Cliff D.P., Reilly J.J., Okely A.D. Methodological considerations in using accelerometers to assess habitual physical activity in children ages 0–5 years. Aust. J. Sci. Med. Sport. 2009;12:557–567.
    1. Cohen D.A., Ashwood J.S., Scott M.M. Public parks and physical activity among adolescent girls. Pediatrics. 2006;118(5):e1381–e1389.
    1. Cohen D.A., McKenzie T.L., Sehgal A., Williamson S., Golinelli D., Lurie N. Contribution of public parks to physical activity. Am. J. Public Health. 2007;97(3):509–514.
    1. Cohen D.A., Marsh T., Williamson S. Parks and physical activity: why are some parks used more than others? Prev. Med. 2010;50(Suppl. 1):S9–12.
    1. Cohen D.A., Han B., Derose K.P. Neighborhood poverty, park use, and park-based physical activity in a Southern California city. Soc. Sci. Med. 2012;75(12):2317–2325.
    1. Cradock A.L., Kawachi I., Colditz G.A. Playground safety and access in Boston neighborhoods. Am. J. Prev. Med. 2005;28(4):357–363.
    1. Das K.V., Fan Y., French S.A. Park-use behavior and perceptions by race, Hispanic origin, and immigrant status in Minneapolis, MN: implications on park strategies for addressing health disparities. J. Immigr. Minor. Health. 2016
    1. Davison K.K., Lawson C.T. Do attributes in the physical environment influence children's physical activity? A review of the literature. Int. J. Behav. Nutr. Phys. Act. 2006;3:19.
    1. Evenson K.R., Sotres-Alvarez D., Herring A.H., Messer L., Laraia B.A., Rodriguez D.A. Assessing urban and rural neighborhood characteristics using audit and GIS data: derivation and reliability of constructs. IJBNPA. 2009;6:44.
    1. Fan Y., Chen Q. Family functioning as a mediator between neighborhood conditions and children's health: evidence from a national survey in the United States. Soc. Sci. Med. 2012;74(12):1939–1947.
    1. Fan Y., Das K.V., Chen Q. Neighborhood green, social support, physical activity, and stress: assessing the cumulative impact. Health Place. 2011;17(6):1202–1211.
    1. Fan Y., French S.A., Das K.V. Family structure and park use among parents. Am. J. Prev. Med. 2012;43(5):520–526.
    1. Frank L.D., Schmid T.L., Sallis J.F., Chapman J., Saelens B.E. Linking objectively measured physical activity with objectively measured urban form: findings from SMARTRAQ. Am. J. Prev. Med. 2005;28(2 Suppl 2):117–125.
    1. Giles-Corti B., Donovan R.J. The relative influence of individual, social and physical environment determinants of physical activity. Soc. Sci. Med. 2002;54(12):1793–1812.
    1. Gordon-Larsen P., Nelson M.C., Page P., Popkin B.M. Inequality in the built environment underlies key health disparities in physical activity and obesity. Pediatrics. 2006;117(2):417–424.
    1. Hamilton K., White K.M. Identifying parents' perceptions about physical activity: a qualitative exploration of salient behavioural, normative and control beliefs among mothers and fathers of young children. J. Health Psychol. 2010;15(8):1157–1169.
    1. Hinkley T., Crawford D., Salmon J., Okely A.D., Hesketh K. Preschool children and physical activity: a review of correlates. Am. J. Prev. Med. 2008;34(5):435–441.
    1. Hislop J.F., Bulley C., Mercer T.H., Reilly J.J. Comparison of accelerometry cut points for physical activity and sedentary behavior in preschool children: a validation study. Pediatr. Exerc. Sci. 2012;24(4):563–576.
    1. Lohman T.G., Roche A.F., Martorell R., editors. Anthropometric Standardization Reference Manual, Abridged Edition. Human Kinetics Books; Champaign, IL: 1988.
    1. Loprinzi P.D., Trost S.G. Parental influences on physical activity behavior in preschool children. Prev. Med. 2010;50(3):129–133.
    1. Matthew C.E. Calibration of accelerometer output for adults. Med. Sci. Sports Exerc. 2005;37(11 Suppl):S512–S522.
    1. Pate R.R., Pfeiffer K.A., Trost S.G., Ziegler P., Dowda M. Physical activity among children attending preschools. Pediatrics. 2004;114(5):1258–1263.
    1. Saelens B.E., Sallis J.F., Frank L.D. Environmental correlates of walking and cycling: findings from the transportation, urban design, and planning literatures. Ann. Behav. Med. 2003;25(2):80–91.
    1. Sallis J.F., Nader P.R., Broyles S.L. Correlates of physical activity at home in Mexican-American and Anglo-American preschool children. Health Psychol. 1993;12(5):390–398.
    1. Sallis J.F., Prochaska J.J., Taylor W.C. A review of correlates of physical activity of children and adolescents. Med. Sci. Sports Exerc. 2000;32(5):963–975.
    1. Schmitz K.H., Harnack L., Fulton J.E. Reliability and validity of a brief questionnaire to assess television viewing and computer use by middle school children. J. Sch. Health. 2004;74(9):370–377.
    1. Sherwood N.E., French S.A., Veblen-Mortenson S. NET-Works: linking families, communities and primary care to prevent obesity in preschool-age children. Contemp. Clin. Trials. 2013;36(2):544–554.
    1. Tester J., Baker R. Making the playfields even: evaluating the impact of an environmental intervention on park use and physical activity. Prev. Med. 2009;48(4):316–320.
    1. Toschke J.A., von Kries R., Rosenfeld E., Toschke A.M. Reliability of physical activity measures from accelerometry among preschoolers in free-living conditions. Clin. Nutr. 2007;26(4):416–420.
    1. Troiano R.P., Berrigan D., Dodd K.W., Masse L.C., Tilert T., McDowell M. Physical activity in the United States measured by accelerometer. Med. Sci. Sports Exerc. 2008;40(1):181–188.
    1. Trost S.G., Sallis J.F., Pate R.R., Freedson P.S., Taylor W.C., Dowda M. Evaluating a model of parental influence on youth physical activity. Am. J. Prev. Med. 2003;25(4):277–282.
    1. Van Cauwenberghe E., Gubbels J., De Bourdeaudhuij I., Cardon G. Feasibility and validity of accelerometer measurements to assess physical activity in toddlers. Int. J. Behav. Nutr. Phys. Act. 2011;8:67.
    1. Veitch J., Salmon J., Ball K. Individual, social and physical environmental correlates of children's active free-play: a cross-sectional study. Int. J. Behav. Nutr. Phys. Act. 2010;7:11.
    1. Wen M., Kandula N.R., Lauderdale D.S. Walking for transportation or leisure: what difference does the neighborhood make? J. Gen. Intern. Med. 2007;22(12):1674–1680.
    1. Zhu X., Lee C. Walkability and safety around elementary schools economic and ethnic disparities. Am. J. Prev. Med. 2008;34(4):282–290.

Source: PubMed

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