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Published in: BMC Public Health 1/2014

Open Access 01-12-2014 | Research article

Primary caregiver knowledge of paediatric physical activity recommendations in the United Kingdom and its association with caregiver behaviour: an observational study

Authors: Alexia Sawyer, Lee Smith, Stephanie Schrempft, Cornelia HM van Jaarsveld, Jane Wardle, Abigail Fisher

Published in: BMC Public Health | Issue 1/2014

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Abstract

Background

Most children in affluent developed countries do not meet basic physical activity recommendations. This study assessed primary caregiver knowledge of the UK recommendations on physical activity for children and examined the relationship between knowledge and components of parental support and modelling of physical activity.

Methods

Data were from a large, community-based twin birth cohort. Primary caregivers were invited to take part in a telephone interview on the home food and activity environment that included a question on knowledge of the minimum amount of physical activity recommended in UK child guidelines. Socio-demographic variables (maternal age, BMI, education, ethnicity and presence of co-habiting partner) were available from previously completed questionnaires. Parental support and modelling of physical activity variables were assessed during the telephone interview. Binary logistic regression analyses examined the relationship between knowledge and socio-demographic variables and components of parental support and modelling of physical activity.

Results

1,113 families took part in the interview. Only 21% of participants knew the recommended amount of physical activity for children. Higher maternal education was associated with knowledge of the recommendation (Odds Ratio (OR) 2.82; 95% Confidence Interval (CI) 1.66, 4.79, p < 0.001). Knowledge of the recommendation was associated with communicating positive messages about physical activity to child (OR 1.52; 95% CI 1.12, 2.06, p = 0.008), watching the child participating in physical activity (OR 1.69; 95% CI 1.11, 2.55,p = 0.013) and showing the child they enjoyed physical activity themselves (OR 1.51; 95% CI 1.08, 2.12,p = 0.016) but not associated with encouraging the child to be active, doing physical activity with the child, being active in front of the child or showing enthusiasm about being active.

Conclusions

Most primary caregivers in the UK do not know how much physical activity is recommended for children but those who do may be more supportive of physical activity for their child. Wider dissemination of the guidelines could be an important step in increasing population levels of physical activity.
Literature
1.
go back to reference World Health Organization: Global Recommendations on Physical Activity for Health. 2010, Geneva, Switzerland: WHO World Health Organization: Global Recommendations on Physical Activity for Health. 2010, Geneva, Switzerland: WHO
2.
go back to reference Health Survey for England 2008. Vol 1. Physical Activity and Fitness. Edited by: Craig R, Midell J, Hirani V. 2009, London: The NHS Information Centre Health Survey for England 2008. Vol 1. Physical Activity and Fitness. Edited by: Craig R, Midell J, Hirani V. 2009, London: The NHS Information Centre
3.
go back to reference Telama R, Yang X, Viikari J, Välimäki I, Wanne O, Raitakari O: Physical activity from childhood to adulthood: a 21-year tracking study. Am J Prev Med. 2005, 28: 267-273. 10.1016/j.amepre.2004.12.003.CrossRefPubMed Telama R, Yang X, Viikari J, Välimäki I, Wanne O, Raitakari O: Physical activity from childhood to adulthood: a 21-year tracking study. Am J Prev Med. 2005, 28: 267-273. 10.1016/j.amepre.2004.12.003.CrossRefPubMed
4.
go back to reference Department of Health: Start Active, Stay Active: A Report of Physical Activity from the Four Home countries’ Chief Medical Officers. 2011, London: HM Government Department of Health: Start Active, Stay Active: A Report of Physical Activity from the Four Home countries’ Chief Medical Officers. 2011, London: HM Government
5.
go back to reference World Health Organization: Health Education: Theoretical Concepts, Effective Strategies and Core Competencies: A Foundation Document to Guide Capacity Development of Health Educators. 2012, Cairo: WHO Regional Office for the Eastern Mediterranean World Health Organization: Health Education: Theoretical Concepts, Effective Strategies and Core Competencies: A Foundation Document to Guide Capacity Development of Health Educators. 2012, Cairo: WHO Regional Office for the Eastern Mediterranean
6.
go back to reference Heinrich KM, Maddock J, Bauman A: Exploring the relationship between physical activity knowledge, health outcomes expectancies and behaviour. J Phys Act Health. 2011, 8: 404-409.PubMed Heinrich KM, Maddock J, Bauman A: Exploring the relationship between physical activity knowledge, health outcomes expectancies and behaviour. J Phys Act Health. 2011, 8: 404-409.PubMed
7.
go back to reference Snyder LB: Health communication campaigns and their impact on behaviour. J Nutr Educ Behav. 2007, 39: S32-40. 10.1016/j.jneb.2006.09.004.CrossRefPubMed Snyder LB: Health communication campaigns and their impact on behaviour. J Nutr Educ Behav. 2007, 39: S32-40. 10.1016/j.jneb.2006.09.004.CrossRefPubMed
8.
go back to reference Plotnikoff RC, Lippke S, Johnson ST, Hugo K, Rodgers W, Spence JC: Awareness of Canada’s Physical Activity Guide to healthy active living in a large community sample. Am J Health Promot. 2011, 25: 294-297. 10.4278/ajhp.090211-ARB-60.CrossRefPubMed Plotnikoff RC, Lippke S, Johnson ST, Hugo K, Rodgers W, Spence JC: Awareness of Canada’s Physical Activity Guide to healthy active living in a large community sample. Am J Health Promot. 2011, 25: 294-297. 10.4278/ajhp.090211-ARB-60.CrossRefPubMed
9.
go back to reference Moore LV, Fulton J, Kruger J, McDivitt J: Knowledge of physical activity guidelines among adults in the United States, HealthStyles 2003–2005. J Phys Act Health. 2010, 7: 141-149.PubMed Moore LV, Fulton J, Kruger J, McDivitt J: Knowledge of physical activity guidelines among adults in the United States, HealthStyles 2003–2005. J Phys Act Health. 2010, 7: 141-149.PubMed
10.
go back to reference Roth M, Stamatakis E: Linking young people’s knowledge of public health guidelines to physical activity levels in England. Pediatr Exerc Sci. 2010, 22: 467-476.PubMed Roth M, Stamatakis E: Linking young people’s knowledge of public health guidelines to physical activity levels in England. Pediatr Exerc Sci. 2010, 22: 467-476.PubMed
11.
go back to reference Trost SG, Sallis JF, Pate RR, Freedson PS, Taylor WC, Dowda M: Evaluating a model of parental influence on youth physical activity. Am J Prev Med. 2003, 25: 277-282. 10.1016/S0749-3797(03)00217-4.CrossRefPubMed Trost SG, Sallis JF, Pate RR, Freedson PS, Taylor WC, Dowda M: Evaluating a model of parental influence on youth physical activity. Am J Prev Med. 2003, 25: 277-282. 10.1016/S0749-3797(03)00217-4.CrossRefPubMed
12.
go back to reference Alderman BL, Benham-Deal TB, Jenkins JM: Change in parental influence on children’s physical activity over time. J Phys Act Health. 2010, 7: 60-67.PubMed Alderman BL, Benham-Deal TB, Jenkins JM: Change in parental influence on children’s physical activity over time. J Phys Act Health. 2010, 7: 60-67.PubMed
13.
go back to reference Gustafson SL, Rhodes RE: Parental correlates of physical activity in children and early adolescents. Sports Med. 2006, 36: 79-97. 10.2165/00007256-200636010-00006.CrossRefPubMed Gustafson SL, Rhodes RE: Parental correlates of physical activity in children and early adolescents. Sports Med. 2006, 36: 79-97. 10.2165/00007256-200636010-00006.CrossRefPubMed
14.
go back to reference Corder K, Crespo NC, van Sluijs EMF, Lopez NV, Elder JP: Parent awareness of young children’s physical activity. Prev Med. 2012, 55: 201-205. 10.1016/j.ypmed.2012.06.021.CrossRefPubMedPubMedCentral Corder K, Crespo NC, van Sluijs EMF, Lopez NV, Elder JP: Parent awareness of young children’s physical activity. Prev Med. 2012, 55: 201-205. 10.1016/j.ypmed.2012.06.021.CrossRefPubMedPubMedCentral
15.
go back to reference Locke EA: Motivation through conscious goal setting. Appl Prev Psychol. 1999, 5: 117-124.CrossRef Locke EA: Motivation through conscious goal setting. Appl Prev Psychol. 1999, 5: 117-124.CrossRef
16.
go back to reference Jones R, Wells M, Okely A, Lockyer L, Walton K: Is an online healthy lifestyles program acceptable for parents of preschool children?. Nutr Diet. 2011, 68: 149-154. 10.1111/j.1747-0080.2011.01514.x.CrossRef Jones R, Wells M, Okely A, Lockyer L, Walton K: Is an online healthy lifestyles program acceptable for parents of preschool children?. Nutr Diet. 2011, 68: 149-154. 10.1111/j.1747-0080.2011.01514.x.CrossRef
17.
go back to reference Health Survey for England 2007. Vol 1. Healthy Lifestyles: Knowledge, Attitudes and Behaviour. Edited by: Craig R, Shelton N. 2008, London: The NHS Information Centre Health Survey for England 2007. Vol 1. Healthy Lifestyles: Knowledge, Attitudes and Behaviour. Edited by: Craig R, Shelton N. 2008, London: The NHS Information Centre
18.
go back to reference Rutherford L, Reid S: Knowledge, Attitudes and Motivations to Health, 2008–11: A Module of the Scottish Health Survey. 2013, NHS Health Scotland: Edinburgh Rutherford L, Reid S: Knowledge, Attitudes and Motivations to Health, 2008–11: A Module of the Scottish Health Survey. 2013, NHS Health Scotland: Edinburgh
19.
go back to reference Knox ECL, Esliger DW, Biddle SJH, Sherar LB: Lack of knowledge of physical activity guidelines: can physical activity promotion campaigns do better?. BMJ Open. 2013, 3: e003633-10.1136/bmjopen-2013-003633.CrossRefPubMedPubMedCentral Knox ECL, Esliger DW, Biddle SJH, Sherar LB: Lack of knowledge of physical activity guidelines: can physical activity promotion campaigns do better?. BMJ Open. 2013, 3: e003633-10.1136/bmjopen-2013-003633.CrossRefPubMedPubMedCentral
20.
go back to reference van Jaarsveld CH, Johnson L, Llewellyn C, Wardle J: Gemini: a UK twin birth cohort with a focus on early childhood weight trajectories, appetite and the family environment. Twin Res Hum Genet. 2010, 13: 72-78. 10.1375/twin.13.1.72.CrossRefPubMed van Jaarsveld CH, Johnson L, Llewellyn C, Wardle J: Gemini: a UK twin birth cohort with a focus on early childhood weight trajectories, appetite and the family environment. Twin Res Hum Genet. 2010, 13: 72-78. 10.1375/twin.13.1.72.CrossRefPubMed
21.
go back to reference Department of Health: Change4Life Marketing Strategy. 2009, London: Crown Copyright Department of Health: Change4Life Marketing Strategy. 2009, London: Crown Copyright
22.
go back to reference Department of Health: A Report of the Chief Medical Officer: At Least Five a Week: Evidence on the Impact of Physical Activity and its Relationship to Health. 2004, London: HM Government Department of Health: A Report of the Chief Medical Officer: At Least Five a Week: Evidence on the Impact of Physical Activity and its Relationship to Health. 2004, London: HM Government
24.
go back to reference Spence JC, Plotnikoff RC, Mummery WK: The awareness and use of Canada’s physical activity guide to healthy living. Can J Public Health. 2002, 93: 394-396.PubMed Spence JC, Plotnikoff RC, Mummery WK: The awareness and use of Canada’s physical activity guide to healthy living. Can J Public Health. 2002, 93: 394-396.PubMed
25.
go back to reference Morrow JR, Jackson AW, Bazzarre TL, Milne D, Blair SN: A one-year follow-up to physical activity and health: a report of the Surgeon General. Am J Prev Med. 1999, 17: 24-30. 10.1016/S0749-3797(99)00030-6.CrossRefPubMed Morrow JR, Jackson AW, Bazzarre TL, Milne D, Blair SN: A one-year follow-up to physical activity and health: a report of the Surgeon General. Am J Prev Med. 1999, 17: 24-30. 10.1016/S0749-3797(99)00030-6.CrossRefPubMed
26.
go back to reference Farrell L, Hollingsworth B, Propper C, Shields MA: CMPO Working Paper Series No. 13/311: The Socioeconomic Gradient in Physical Inactivity in England. 2013, Bristol: Centre for Market and Public Organisation Farrell L, Hollingsworth B, Propper C, Shields MA: CMPO Working Paper Series No. 13/311: The Socioeconomic Gradient in Physical Inactivity in England. 2013, Bristol: Centre for Market and Public Organisation
27.
go back to reference Gazmararian JA, Curran JW, Parker RM, Bernhardt JM, DeBuono BA: Public health literacy in America: an ethical imperative. Am J Prev Med. 2005, 28: 317-322. 10.1016/j.amepre.2004.11.004.CrossRefPubMed Gazmararian JA, Curran JW, Parker RM, Bernhardt JM, DeBuono BA: Public health literacy in America: an ethical imperative. Am J Prev Med. 2005, 28: 317-322. 10.1016/j.amepre.2004.11.004.CrossRefPubMed
Metadata
Title
Primary caregiver knowledge of paediatric physical activity recommendations in the United Kingdom and its association with caregiver behaviour: an observational study
Authors
Alexia Sawyer
Lee Smith
Stephanie Schrempft
Cornelia HM van Jaarsveld
Jane Wardle
Abigail Fisher
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2014
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-14-795

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