Are Thai children and youth sufficiently active? prevalence and correlates of physical activity from a nationally representative cross-sectional study
Are Thai children and youth sufficiently active? prevalence and correlates of physical activity from a nationally representative cross-sectional study
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DOI：
10.1186/s12966-017-0529-4
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发表时间：
2017-05-30
影响因子：
8.7
通讯作者：
Rosenberg, Michael
中科院分区：
文献类型：
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作者：
Amornsriwatanakul, Areekul;Lester, Leanne;Rosenberg, Michael
背景：儿童和青少年从经常参加体育活动（PA）中获得多种健康益处。然而，在泰国，关于儿童和青少年PA行为的国家数据有限，最近的报告表明，泰国儿童和青少年的PA水平较低。此外，几乎没有关于与不活动有关的因素的数据来支持泰国国家PA计划的制定。本文的目的是调查泰国儿童和青少年参与PA及其跨社会人口特征和不同PA领域的相关性。方法：本研究采用多阶段分层整群抽样的横断面研究设计。数据分析使用了全国代表性样本13255名6-17岁的儿童和青少年。使用先前验证的问卷来评估PA的患病率。Logistic回归分析了社会人口因素、不同PA领域的参与与总体PA的关系。结果：只有23.4%的泰国儿童和青少年达到推荐的PA水平，且存在较大的性别和地区差异。PA水平一般随着年龄的增长而下降，尽管在10-13岁年龄组中观察到的水平略高于其他年龄组。大多数儿童和青少年在PA域从事大量不同的活动。性别、年龄、身体质量指数、地理区域、有组织的运动、参加体育和娱乐活动是满足全球PA指南的重要预测因素，而参加体育教育、主动交通和屏幕时间活动的数量没有关联。女孩不太可能达到足够的PA水平（OR = 0.49, 95% CI; 0.45-0.54, p < 0.001），肥胖儿童（OR = 0.78, 95% CI; 0.64-0.94, p = 0.01），生活在西方的儿童（OR = 0.47, 95% CI; 0.38-0.59, p < 0.001），以及那些没有参加有组织的体育和体育/锻炼活动，或很少参加（1-2项活动）娱乐活动的儿童（OR = 0.79, 95% CI; 0.68-0.90, p < 0.001）。结论：尽管大量PA的高水平参与，但泰国儿童和青少年满足推荐指南的PA患病率估计很低。结果表明，需要制定政策和干预措施，以增加PA，并需要特别注意不太可能满足PA指南的特定群体。应考虑采取战略，促进所有可能类型的PA的大量参与，使其成为泰国儿童和青年日常生活的一部分。
Background: Children and youth gain multiple health benefits from regular participation in physical activity (PA). However, in Thailand there is limited national data on children and youth's PA behaviors and recent reports suggest that Thai children and youth have low levels of PA. Furthermore, there is almost no data on the factors associated with inactivity to support the development of a Thai National PA Plan. The purpose of this paper is to investigate Thai children and youth's participation in PA and its correlates across sociodemographic characteristics and different PA domains.Methods: This study applied a cross-sectional study design with a multi-stage stratified cluster sampling. A national representative sample of 13,255 children and youth aged 6-17 years were used for data analysis. A previously validated questionnaire was used to assess PA prevalence. Logistic regression was conducted to examine the relationships of socio-demographic factors, and participation in different PA domains with overall PA.Results: Only 23.4% of Thai children and youth met recommended levels of PA and there were large gender and regional differences. PA levels generally declined with age, although the level observed in the 10-13 year group was slightly higher than other year groups. A majority of children and youth engaged in a large number of different activities across PA domains. Sex, age, BMI, geographical regions, organized sports, participation in sport and recreational activities were significant predictors of meeting the global PA guidelines, whereas participation in physical education, active transport, and the number of screen time activities had no association. Girls were less likely to achieve sufficient PA levels (OR = 0.49, 95% CI; 0.45-0.54, p < 0.001), as were obese children (OR = 0.78, 95% CI; 0.64-0.94, p = 0.01), children living in the West (OR = 0.47, 95% CI; 0.38-0.59, p < 0.001), and those who did no participation in organized sports and sport/exercise activities, or minimal participation (1-2 activities) in recreational activities (OR = 0.79, 95% CI; 0.68-0.90, p < 0.001).Conclusions: The prevalence estimate of meeting the recommended guideline of sufficient PA in Thai children and youth is low, despite the high levels of engagement in a large number of PA. The results indicate that policy and interventions aimed at increasing PA are needed with special attention required to address specific groups less likely to meet the PA guideline. Strategies to promote a large volume of participation in all possible types of PA as part of Thai children and youth's daily life should be considered.