Environmental influences on children’s physical activity

This paper aims to assess whether7-year-olds’physical activity is associated with familyand area-level measures of the physical andsocioeconomic environments.MethodsWe analysed the association of environmentswith physical activity in 6497 singleton children from theUK Millennium Cohort Study with reliable accelerometerdata (≥2 days and≥10 h/day). Activity levels wereassessed as counts per minute; minutes of moderate tovigorous activity (MVPA); and whether meetingrecommended guidelines (≥60 min/day MVPA).ResultsHigher levels of children’s physical activity wereassociated with households without use of a car andwith having a television in a child’s bedroom (for countsper minute only). Aspects of the home socioeconomicenvironment that were associated with more children’sphysical activity were lone motherhood, lower maternalsocioeconomic position and education, family incomebelow 60% national median, and not owning the home.Children’s activity levels were higher when parentsperceived their neighbourhood as poor for bringing upchildren and also when families were living in the mostdeprived areas. Relationships were independent ofcharacteristics such as child’s body mass index andethnic group. When adjusted for physical andsocioeconomic correlates, the factors remainingsignificant in all outcomes were: household car usageand maternal education.ConclusionsAlthough physical and socioeconomicenvironments are associated with children’s physicalactivity, much of the variation appears to be determinedby the child’s home socioeconomic circumstances ratherthan the wider environment where they live