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Urban Moveability and physical activity in children: Longitudinal results from the IDEFICS and I.Family cohort
Leibniz Institute for Prevention Research and Epidemiology, BIPS, Bremen, Germany.
University of Skövde, School of Health and Education. University of Skövde, Health and Education. Section for Epidemiology and Social Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Sweden. (Individ och samhälle VIDSOC, Individual and Society)ORCID iD: 0000-0002-4397-3721
National Research Council, Institute of Food Sciences, Avellino, Italy.
National Institute for Health Development, Tallinn, Estonia.
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2019 (English)In: International Journal of Behavioral Nutrition and Physical Activity, ISSN 1479-5868, E-ISSN 1479-5868, Vol. 16, no 1, article id 128Article in journal (Refereed) Published
Abstract [en]

Background: Physical activity (PA) is one of the major protective behaviours to prevent non-communicable diseases. Positive effects of the built environment on PA are well investigated, although evidence of this association is mostly based on cross-sectional studies. The present study aims to investigate the longitudinal effects of built environment characteristics in terms of a moveability index on PA of children in their transition phase to adolescence using data of the IDEFICS/I.Family cohort. Methods: We used data on 3394 accelerometer measurements of 2488 children and adolescents aged 3 to 15 years old from survey centres of three countries, Germany, Italy, and Sweden, who participated in up to three surveys over 6 years. In network-dependent home neighbourhoods, a moveability index was calculated based on residential density, land use mix, street connectivity, availability of public transport and public open spaces such as green spaces and public playgrounds in order to quantify opportunities for PA of children and adolescents. Linear trajectories of light PA (LPA) and moderate-to-vigorous PA (MVPA) were estimated using linear mixed models accounting for repeated measurements nested within individuals. Least squares means were estimated to quantify differences in trajectories over age. Results: LPA and MVPA declined annually with age by approximately 20 min/day and 2 min/day respectively. In girls, the moveability index showed a consistent significantly positive effect on MVPA (β $ \hat{\beta} $ = 2.14, 95% CI: (0.11; 4.16)) for all ages, while in boys the index significantly lessened the decline in LPA with age for each year. (β $ \hat{\beta} $ = 2.68, 95% CI: (0.46; 4.90)). Availability of public open spaces was more relevant for MVPA in girls and LPA in boys during childhood, whereas in adolescence, residential density and intersection density became more important. Conclusion: Built environment characteristics are important determinants of PA and were found to have a supportive effect that ameliorates the decline in PA during the transition phase from childhood to adolescence. In childhood environmental support for leisure time PA through public open spaces was found to be the most protective factor whereas in adolescence the positive influence of street connectivity and residential density was most supportive of physical activity. © 2019 The Author(s).

Place, publisher, year, edition, pages
BioMed Central, 2019. Vol. 16, no 1, article id 128
Keywords [en]
Accelerometer, Built environment, Childhood obesity, European children's cohort, Physical activity, Walkability, adolescent, Article, body movement, child, child development, childhood, cohort analysis, female, Germany, groups by age, health survey, human, Italy, land use, leisure, longitudinal study, male, neighborhood, Sweden, urban area
National Category
Sport and Fitness Sciences Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Individual and Society VIDSOC
Identifiers
URN: urn:nbn:se:his:diva-18046DOI: 10.1186/s12966-019-0886-2PubMedID: 31829198Scopus ID: 2-s2.0-85076432521OAI: oai:DiVA.org:his-18046DiVA, id: diva2:1381958
Note

Export Date: 30 December 2019; Article; Correspondence Address: Buck, C.; Leibniz Institute for Prevention Research and Epidemiology, BIPS, Achterstraße 30, Germany; email: buck@leibniz-bips.de; Funding details: Deutsche Forschungsgemeinschaft, DFG, PI 345/7–1; Funding details: Sixth Framework Programme, FP6, 016181; Funding details: 266044, KBBE 2010–14; Funding details: European Commission, EU; Funding details: German-Israeli Foundation for Scientific Research and Development, GIF; Funding text 1: The work of the first author was funded by the German Research Foundation (DFG) under grant PI 345/7–1. Baseline data collection and the first follow-up work as part of the IDEFICS Study [www.idefics.eu] were financially supported by the European Commission within the Sixth RTD Framework Programme Contract No. 016181 (FOOD). The most recent follow-up was conducted in the framework of the I.Family study [www.ifamilystudy.eu] which was funded by the European Commission within the Seventh RTD Framework Programme Contract No. 266044 (KBBE 2010–14). The research presented here incorporates data from both projects.

Available from: 2019-12-30 Created: 2019-12-30 Last updated: 2020-01-08Bibliographically approved

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Eiben, Gabriele

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9101112131415 15 of 15
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