Dataset Information

Social, demographic, and medical influences on physical activity in child and adolescent cancer survivors.

ABSTRACT:

Objective

This study evaluated associations between social, environmental, demographic, and medical predictors, and child and adolescent survivors' physical activity (PA).

Methods

A structured telephone survey was conducted with 105 caregiver-survivor (aged 8-16 years) pairs and 36 caregivers of younger survivors (aged 6-7 years) alone. Participants completed measures assessing survivor PA and proposed predictors of PA including demographic, medical, social, and environmental influences.

Results

Social influences, including family PA, family support for PA, and peer support for PA, emerged as unique predictors of survivor PA. These variables predicted PA after controlling for demographic and medical factors. Child survivors' PA was more strongly predicted by family influences while adolescent survivors' PA was more strongly influenced by family and peer influences.

Conclusions

Child and adolescent survivors' PA is strongly influenced by social factors. This finding parallels results with healthy children. PA interventions should focus on family and peer support to increase survivors' PA behaviors.

SUBMITTER: Gilliam MB

PROVIDER: S-EPMC3282282 | biostudies-literature | 2012 Mar

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Social, demographic, and medical influences on physical activity in child and adolescent cancer survivors.

Gilliam Margaux B MB Madan-Swain Avi A Whelan Kimberly K Tucker Diane C DC Demark-Wahnefried Wendy W Schwebel David C DC

Journal of pediatric psychology 20111017 2

<h4>Objective</h4>This study evaluated associations between social, environmental, demographic, and medical predictors, and child and adolescent survivors' physical activity (PA).<h4>Methods</h4>A structured telephone survey was conducted with 105 caregiver-survivor (aged 8-16 years) pairs and 36 caregivers of younger survivors (aged 6-7 years) alone. Participants completed measures assessing survivor PA and proposed predictors of PA including demographic, medical, social, and environmental infl ...[more]

PMID: 22004885

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Project description:BackgroundPhysical inactivity is increasing among adolescents in the U.S., especially among girls. Despite growing evidence that parents are an important influence on adolescent health, few longitudinal studies have explored the causal relationship between parental influence and physical activity. This study examines how the relationships between parental influences and adolescent physical activity differ by gender and tests whether these relationships are mediated by adolescents' self-esteem and depression.MethodsData are from the National Longitudinal Study of Adolescent Health. The sample includes 13,246 youth, grades 7 to 12, interviewed in 1995 and again 1 year later. Logit models were used to evaluate parental influences on achieving five or more bouts of moderate to vigorous physical activity per week [MVPA] and whether the relationship between parental influence and MVPA was mediated by adolescents' level of self-esteem and depression.ResultsFamily cohesion, parent-child communication and parental engagement positively predicted MVPA for both genders one year later (odds ratios and 95% confidence intervals for females, 1.09 [1.05-1.12], 1.13 [1.07-1.19], 1.25 [1.17-1.33] and males, 1.08 [1.04-1.11], 1.14 [1.07-1.23], 1.23 [1.14-1.33], respectively); however, parental monitoring did not (odds ratio and confidence intervals for females and males, 1.02 [.97-1.07]). For both females and males, self-esteem mediated the relationship between parental influence and physical activity. Depressive symptoms were only a mediator among males. Females reported higher levels of parent-child communication and lower family cohesion compared with males. There were no gender differences in levels of parental monitoring and engagement. Females had significantly lower levels of self-esteem and higher levels of depressive symptoms than males.ConclusionStrategies to promote physical activity among adolescents should focus on increasing levels of family cohesion, parental engagement, parent-child communication and adolescent self-esteem.

Dataset Information

Social, demographic, and medical influences on physical activity in child and adolescent cancer survivors.

Objective

Methods

Results

Conclusions

Publications

Social, demographic, and medical influences on physical activity in child and adolescent cancer survivors.

Similar Datasets

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