International Journal of Public Health

, Volume 63, Issue 3, pp 359–366 | Cite as

Are school factors and urbanization supportive for being physically active and engaging in less screen-based activities?

  • Jaroslava Kopcakova
  • Zuzana Dankulincova Veselska
  • Andrea Madarasova Geckova
  • Daniel Klein
  • Jitse P. van Dijk
  • Sijmen A. Reijneveld
Original Article

Abstract

Objectives

The aim was to assess the association between physical activity and screen-based activities in adolescents and selected school factors and urbanization and whether these associations were modified by degree of urbanization.

Methods

We obtained data regarding the fifth–ninth grade students from 130 schools in 2014 via the Health Behaviour in School-aged Children cross-sectional study in Slovakia (n = 9743, mean age = 13.5, 50.3% boys). We explored the associations using multilevel logistic regression.

Results

We found significant associations between physical activity and the accessibility of an area for skating/tennis court [odds ratio (OR) = 1.20 and 95% confidence interval (CI) 1.01–1.42], and between physical activity and active breaks (OR = 0.83 and 95% CI 0.69–0.99). The rates of screen-based activities were higher in small towns (OR = 1.63, 95% CI 1.29–2.06), towns (OR = 1.30, 95% CI 1.08–1.57), and cities (OR = 1.40, 95% CI 1.04–1.87) than in villages.

Conclusions

School environment and degree of urbanization are associated with adolescents’ physical activity and screen-based activities. This holds positively for access to an area for skating/tennis court and negatively for active breaks regarding physical activity and for living in villages regarding less use of screens.

Keywords

Physical activity Screen-based activities Accessibility of sports facilities at school Active breaks Degree of urbanization Adolescence 

Notes

Acknowledgements

This research was supported by the Slovak Research and Development Support Agency under Contract No. APVV-0032-11 and APVV-15-0012. This work was also supported by the Scientific Grant Agency of the Ministry of Education, Science, Research and Sport of the Slovak Republic and the Slovak Academy of Sciences, reg. no. 1/0981/15 and reg. no. 1/0427/17.

Compliance with ethical standards

Ethical approval

The study was approved by the Ethics Committee of the Medical Faculty at the P. J. Safarik University in Kosice. All procedures performed in studies involving human participants were in accordance with the ethical standards of the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Conflict of interest

All authors declare that they have no conflict of interest.

References

  1. American Academy of Pediatrics, Committee on Public Education (2001) American Academy of Pediatrics: children, adolescents, and television. Pediatrics 107(2):423–426CrossRefGoogle Scholar
  2. Bauman AE, Reis RS, Sallis JF, Wells JC, Loos RJ, Martin BW (2012) Correlates of physical activity: why are some people physically active and others not? Lancet 380:258–271CrossRefPubMedGoogle Scholar
  3. Biddle SJ, Asare M (2011) Physical activity and mental health in children and adolescents: a review of reviews. Br J Sports Med 45:886–895CrossRefPubMedGoogle Scholar
  4. Boyce W, Torsheim T, Currie C, Zambon A (2006) The family affluence scale as a measure of national wealth: validation of an adolescent self-report measure. Soc Indic Res 78:473–487CrossRefGoogle Scholar
  5. Brener ND, Billy JOG, Grady WR (2003) Assessment of factors affecting the validity of self-reported health-risk behavior among adolescents: evidence from the scientific literature. J Adolesc Health 33:436–457CrossRefPubMedGoogle Scholar
  6. Brindova D, Dankulincova Veselska Z, Klein D, Hamrik Z, Sigmundova D, van Dijk JP, Reijneveld SA, Madarasova Geckova A (2015) Is the association between screen-based behaviour and health complaints among adolescents moderated by physical activity? Int J Public Health 60(2):139–145CrossRefPubMedGoogle Scholar
  7. Bringolf-Isler B, Mäder U, Dössegger A, Hofmann H, Puder JJ, Braun-Fahrländer C, Kriemler S (2015) Regional differences of physical activity and sedentary behaviour in Swiss children are not explained by socio-demographics or the built environment. Int J Public Health 60:291–300CrossRefPubMedPubMedCentralGoogle Scholar
  8. Bucksch J, Inchley J, Hamrik Z, Finne E, Kolip P, the HBSC Study Group Germany (2014) Trends in television time, non-gaming PC use and moderate-to-vigorous physical activity among German adolescents 2002–2010. BMC Public Health 14:351CrossRefPubMedPubMedCentralGoogle Scholar
  9. Chastin SFM, De Craemer M, Lien N, Bernaards C, Buck CH, Oppert JM et al (2016) The SOS-framework (Systems of Sedentary behaviours): an international transdisciplinary consensus framework for the study of determinants, research priorities and policy on sedentary behaviour across the life course: a DEDIPAC-study. Int J Behav Nutr Phys Act 13:83CrossRefPubMedPubMedCentralGoogle Scholar
  10. Currie C, Zannotti C, Morgan A (eds) (2012) Social determinants of health and well-being among young people. Health Behaviour in School-aged Children (HBSC) study: international report from the 2009/2010 survey, WHO Regional Office for Europe, (Health Policy for children and adolescents, No. 6), CopenhagenGoogle Scholar
  11. Czerwinski F, Finne E, Kolip P, Bucksch J, the HBSC Study Group Germany (2015) Individual and school level correlates of moderate to vigorous physical activity among school-children in Germany—a multi-level analysis. BMC Public Health 15:393CrossRefPubMedPubMedCentralGoogle Scholar
  12. Davey G (2008) Children’s television, radio, internet, and computer usage in a city and a village of China. Vis Anthropol Rev 21:160–165Google Scholar
  13. Davison KK, Lawson CT (2006) Do attributes in the physical environment influence children’s physical activity? a review of the literature. Int J Behav Nutr Phys Act 3:19CrossRefPubMedPubMedCentralGoogle Scholar
  14. Durant N, Harris SK, Doyle S et al (2009) Relation of school environment and policy to adolescent physical activity. J Sch Health 79:153–159CrossRefPubMedGoogle Scholar
  15. Elgar FJ, Pförtner TK, Moor I et al (2015) Socioeconomic inequalities in adolescent health 2002–2010: a time-series analysis of 34 countries participating in the Health Behaviour in School-aged Children study. Lancet 385:2088–2095CrossRefPubMedGoogle Scholar
  16. Gordon-Larsen P, McMurray RG, Popkin BM (2000) Determinants of adolescent physical activity and inactivity patterns. Pediatrics 105(6):e83CrossRefPubMedGoogle Scholar
  17. Haug E, Torsheim T, Samdal O (2008) Physical environmental characteristics and individual interests as correlates of physical activity in Norwegian secondary schools: the Health Behaviour in School-aged Children study. Int J Behav Nutr Phys Act 5:47CrossRefPubMedPubMedCentralGoogle Scholar
  18. Haug E, Torsheim T, Samdal O (2010) Local school policies increase physical activity in Norwegian secondary schools. Health Promot Int 25:63–72CrossRefPubMedGoogle Scholar
  19. Inchley J, Currie D, Young T, Samdal O, Torsheim T, Augustson L (eds) (2016) Growing up unequal: gender and socioeconomic differences in young people’s health and well-being. Health Behaviour in School-aged Children (HBSC) study: international report from the 2013/2014 survey, WHO Regional Office for Europe, (Health Policy for children and adolescents, No. 7), CopenhagenGoogle Scholar
  20. Inchley J et al (eds) (2017) Adolescent obesity and related behaviours: trends and inequalities in the WHO European Region, 2002–2014. Observations from the Health Behaviour in School-aged Children (HBSC) WHO collaborative cross-national study, WHO Regional Office for Europe, CopenhagenGoogle Scholar
  21. Kalman M, Inchley J, Sigmundova D, Iannotti RJ, Tynjälä JA, Hamrik Z, Haug E, Bucksch J (2015) Secular trends in moderate-to-vigorous physical activity in 32 countries from 2002 to 2010: a cross-national perspective. Eur J Public Health 25:37–40CrossRefPubMedGoogle Scholar
  22. King AC, Stokols D, Talen E, Brassington GS, Killingsworth R (2002) Theoretical approaches to the promotion of physical activity: forging a transdisciplinary paradigm. Am J Prev Med 23:15–25CrossRefPubMedGoogle Scholar
  23. Kopcakova J (2017) Physical activity, screen-based activities and their potential determinants. Eqilibria, KosiceGoogle Scholar
  24. Kourlaba G, Kondaki K, Liarigkovinos T, Manios Y (2009) Factors associated with television viewing time in toddlers and preschoolers in Greece: the GENESIS study. J Public Health (Oxf) 31(2):222–230CrossRefGoogle Scholar
  25. Loucaides CA, Chedzoy SM, Bennett N (2004) Differences in physical activity levels between urban and rural school children in Cyprus. Health Educ Res 19:138–147CrossRefPubMedGoogle Scholar
  26. Millstein RA, Strobel J, Kerr J, Sallis JF, Norman GJ, Durant N et al (2011) Home, school, and neighborhood environment factors and youth physical activity. Pediatr Exerc Sci 23:487–503CrossRefPubMedGoogle Scholar
  27. Nelson MC, Neumark-Stzainer D, Hannan PJ et al (2006) Longitudinal and secular trends in physical activity and sedentary behavior during adolescence. Pediatrics 118:1627–1634CrossRefGoogle Scholar
  28. Pate RR, Mitchell JA, Byun W et al (2011) Sedentary behaviour in youth. Br J Sports Med 45(11):906–913CrossRefPubMedGoogle Scholar
  29. Pearson N, Braithwaite RE, Biddle SJH, van Sluijs EMF, Atkin AJ (2014) Associations between sedentary behaviour and physical activity in children and adolescents: a meta-analysis. Obes Rev 15(8):666–675CrossRefPubMedPubMedCentralGoogle Scholar
  30. Rydin Y, Bleahu A, Davies M, Dávila JD, Friel S, De Grandis G et al (2012) Shaping cities for health: complexity and the planning of urban environments in the 21st century. Lancet 379:2079–2108CrossRefPubMedPubMedCentralGoogle Scholar
  31. Sallis JF, Conway TL, Prochaska JJ, McKenzie TL, Marshall SJ, Brown M (2001) The association of school environments with youth physical activity. Am J Public Health 91:618–620CrossRefPubMedPubMedCentralGoogle Scholar
  32. Sallis JF, Cervero RB, Ascher W, Henderson KA, Kraft MK, Kerr J (2006) An ecological approach to creating active living communities. Annu Rev Public Health 27:297–322CrossRefPubMedGoogle Scholar
  33. Spence JC, Lee RE (2003) Toward a comprehensive model of physical activity. Psychol Sport Exerc 4:7–24CrossRefGoogle Scholar
  34. Torsheim T, Eriksson L, Schnohr CW, Hansen F, Bjarnason T, Välimaa R (2010) Screen-based activities and physical complaints among adolescents from the Nordic countries. BMC Public Health 10:324CrossRefPubMedPubMedCentralGoogle Scholar
  35. Tremblay MS, LeBlanc AG, Janssen I, Kho ME, Hicks A, Murumets K et al (2011) Canadian sedentary behaviour guidelines for children and youth. Appl Physiol Nutr Metab 36:59–64CrossRefPubMedGoogle Scholar
  36. Verstraete SJM, Cardon GM, De Clercq DLR, De Bourdeaudhuij IMM (2006) Increasing children’s physical activity levels during recess periods in elementary schools: the effects of providing game equipment. Eur J Public Health 16:415–419CrossRefPubMedGoogle Scholar
  37. World Health Organisation (2010) Global recommendations on physical activity for health. World Health Organisation, GenevaGoogle Scholar

Copyright information

© Swiss School of Public Health (SSPH+) 2017

Authors and Affiliations

  • Jaroslava Kopcakova
    • 1
    • 2
  • Zuzana Dankulincova Veselska
    • 1
    • 2
  • Andrea Madarasova Geckova
    • 1
    • 2
    • 3
  • Daniel Klein
    • 4
  • Jitse P. van Dijk
    • 2
    • 3
    • 5
  • Sijmen A. Reijneveld
    • 5
  1. 1.Department of Health Psychology, Faculty of MedicineP. J. Safarik University in KosiceKosiceSlovak Republic
  2. 2.Graduate School Kosice Institute for Society and HealthP. J. Safarik University in KosiceKosiceSlovak Republic
  3. 3.Olomouc University Social Health InstitutePalacky University in OlomoucOlomoucCzech Republic
  4. 4.Institute of Mathematics, Faculty of Natural SciencesP. J. Safarik University in KosiceKosiceSlovak Republic
  5. 5.Department of Community and Occupational Medicine, University Medical Center GroningenUniversity of GroningenGroningenThe Netherlands

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