What is the association between healthy weight in 4–5-year-old children and spatial access to purposefully constructed play areas?
What is the association between healthy weight in 4–5-year-old children and spatial access to purposefully constructed play areas?
Background: Childhood obesity is a global issue. Understanding associated factors is essential in designing interventions to reduce its prevalence. There are knowledge gaps concerning the leptogenic potential of playareas for very young children and particularly whether there is an association between levels of childhood obesity and play area quality.
Methods: A cross-sectional observational study was conducted to investigate whether spatial access to play areas had an association with healthy weight status of 4–5-year-old children. Data from the English National Childhood Measurement Programme 2012/13 was used to measure healthy weight status and a geographic information system was used to calculate (a) the number of purposefully constructed play areas within 1 km (density), and (b) the distance to nearest play area (proximity), from child's residential postcode. A play areaquality score was included in predictive models. Multilevel modelling was used to adjust for the clustering of observations by school. Adjustment was also made for the effects of gender and deprivation.
Results: 77% of children had a healthy weight status (≥2nd and < 85th centile). In a fully adjusted multilevel model there was no statistically significant association between healthy weight status and density or proximitymeasures, with or without inclusion of a play area quality score, or when accounting for the effects of gender and deprivation.
Conclusions: Among 4–5-year-old children attending school, there was no association between healthy weight status and spatial access to play areas. Reasons may include under-utilisation of play areas by reception agechildren, their minimal leptogenic influence or non-spatial influences affecting play area choice.
101-106
Poole, Robin
8a05a94a-6607-4b4e-94dc-ff17165f2f68
Moon, Graham
68cffc4d-72c1-41e9-b1fa-1570c5f3a0b4
July 2017
Poole, Robin
8a05a94a-6607-4b4e-94dc-ff17165f2f68
Moon, Graham
68cffc4d-72c1-41e9-b1fa-1570c5f3a0b4
Poole, Robin and Moon, Graham
(2017)
What is the association between healthy weight in 4–5-year-old children and spatial access to purposefully constructed play areas?
Health & Place, 46, .
Abstract
Background: Childhood obesity is a global issue. Understanding associated factors is essential in designing interventions to reduce its prevalence. There are knowledge gaps concerning the leptogenic potential of playareas for very young children and particularly whether there is an association between levels of childhood obesity and play area quality.
Methods: A cross-sectional observational study was conducted to investigate whether spatial access to play areas had an association with healthy weight status of 4–5-year-old children. Data from the English National Childhood Measurement Programme 2012/13 was used to measure healthy weight status and a geographic information system was used to calculate (a) the number of purposefully constructed play areas within 1 km (density), and (b) the distance to nearest play area (proximity), from child's residential postcode. A play areaquality score was included in predictive models. Multilevel modelling was used to adjust for the clustering of observations by school. Adjustment was also made for the effects of gender and deprivation.
Results: 77% of children had a healthy weight status (≥2nd and < 85th centile). In a fully adjusted multilevel model there was no statistically significant association between healthy weight status and density or proximitymeasures, with or without inclusion of a play area quality score, or when accounting for the effects of gender and deprivation.
Conclusions: Among 4–5-year-old children attending school, there was no association between healthy weight status and spatial access to play areas. Reasons may include under-utilisation of play areas by reception agechildren, their minimal leptogenic influence or non-spatial influences affecting play area choice.
Text
Spatial access to play areas and healthy weight_Final_Submission_V2_3_05_17
- Accepted Manuscript
More information
Accepted/In Press date: 10 May 2017
e-pub ahead of print date: 16 May 2017
Published date: July 2017
Organisations:
Primary Care & Population Sciences, Population, Health & Wellbeing (PHeW)
Identifiers
Local EPrints ID: 409822
URI: http://eprints.soton.ac.uk/id/eprint/409822
ISSN: 1353-8292
PURE UUID: 7fb45541-edc8-4f86-b67c-6b9f34b1bdc7
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Date deposited: 01 Jun 2017 04:08
Last modified: 16 Mar 2024 05:21
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Author:
Robin Poole
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