Fitzpatrick, Caroline; Alexander, Stephanie A.; Henderson, Melanie et Barnett, Tracie A (2019). Prospective Associations Between Play Environments and Pediatric Obesity American Journal of Health Promotion , vol. 33 , nº 4. pp. 541-548. DOI: 10.1177/0890117118807211.
Ce document n'est pas hébergé sur EspaceINRS.Résumé
PURPOSE: To identify school typologies based on the availability of play equipment and installations. We also examined the associations between availability of play items and child adiposity.
DESIGN:Secondary analysis of longitudinal data.
SETTING: Elementary schools in Montreal, Canada.
PARTICIPANTS: We used data from the Quebec Adipose and Lifestyle Investigation in Youth study (QUALITY), an ongoing investigation of the natural history of obesity and type 2 diabetes in Quebec children of Caucasian descent.
MEASURES: The presence of play items was assessed in each child's school. A trained nurse directly assessed child anthropometric measurements to derive body mass index and waist circumference. Body fat composition was measured using DEXA Prodigy Bone Densitometer System.
ANALYSES: The final analytic sample comprised 512 students clustered in 296 schools (81% response). We used K-cluster analyses to identify school typologies based on the variety of play items on school grounds. Generalized estimation equations were used to estimate associations between school clusters and outcomes.
RESULTS: We identified 4 distinct school typologies. Children in schools with the most varied indoor play environments had lower overall body fat, B = -1.26 cm (95% confidence interval [CI], -2.28 to -0.24 cm), and smaller waist circumference, B = -4.42 cm (95% CI, -7.88 to -0.96 cm), compared to children with the least varied indoor play environment.
CONCLUSION: Our results suggest that policies regulating the availability of play items in schools may enrich comprehensive school-based obesity prevention strategies. Extending research in this area to diverse populations is warranted.
| Type de document: | Article |
|---|---|
| Mots-clés libres: | BMI; active play; built environment; child adiposity; schools |
| Centre: | Centre INRS-Institut Armand Frappier |
| Date de dépôt: | 06 août 2019 14:51 |
| Dernière modification: | 06 août 2019 14:51 |
| URI: | https://espace.inrs.ca/id/eprint/8106 |
Gestion Actions (Identification requise)
 |
Modifier la notice |