Acta Gymnica e2021.011 | DOI: 10.5507/ag.2021.011

Only children or siblings: Who has higher physical activity and healthier weight?

Erik Sigmund, Dagmar Sigmundová
Institute of Active Lifestyle, Faculty of Physical Culture, Palacký University Olomouc, Czech Republic

Background: The influence of parents on physical activity (PA) and body weight of their children is confirmed by scientific studies. However, it is not known whether only children or those with siblings have a higher level of PA and healthier body weight.

Objective: The aims of this study are (i) to assess whether there are any differences in the achievement of the daily step count (SC) recommendation and in the prevalence of overweight/obesity between only children and children from families with multiple children, and (ii) to investigate whether the achievement of the SC recommendation by children/parents and parental overweight/obesity is associated with childhood obesity.

Methods: The analysis included 566 families (10.6%/89.4% with single child/two or more children) with complete data on weight status and PA monitored with a Yamax pedometer during regular school/work between 2013-2019. The daily SC recommendation amounted to ≥ 13,000/11,000 SC for 5-12-year-old sons/daughters and ≥ 10,000 SC for 12-16-year-old adolescents and adults. The chi-square test was used to compare the achievement of the daily SC recommendation and the prevalence of overweight/obesity. Binary logistic regression analyses were used to investigate whether the achievement of the daily SC recommendation by children/parents and parental overweight/obesity were associated with obesity in their offspring.

Results: A significantly higher proportion of children with siblings achieved the recommended daily SC (51.8% vs. 31.7%, p = .003) and showed a lower prevalence of overweight (16.2% vs. 20.0%, p = .041) and obesity (7.1% vs. 20.0%, p < .001) compared with only children. The achievement of the daily SC recommendation in children significantly (p < .05) decreased the odds ratio of obesity (odds ratios 0.22-0.34, 95% confidence intervals 0.07-0.85).

Conclusions: Children from families with siblings had higher physical activity and healthier body weight than those from single-child families. However, reaching the recommended daily SC reduces the likelihood of childhood obesity, regardless of the presence of a sibling in the family.

Keywords: step counts, obesity, parent, only child, siblings, weekend

Received: December 8, 2020; Revised: April 20, 2021; Accepted: April 21, 2021; Published online: April 26, 2021  Show citation

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Sigmund, E., & Sigmundová, D. (2021). Only children or siblings: Who has higher physical activity and healthier weight? Acta Gymnica51, Article e2021.011. https://doi.org/10.5507/ag.2021.011
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References

  1. Al-Khudairy, L., Loveman, E., Colquitt, J. L., Mead, E., Johnson, R. E., Fraser, H., Olajide, J., Murphy, M., Velho, R. M., O'Malley, C., Azevedo, L. B., Ells L. J., Metzendorf, M. I., & Rees, K. (2017). Diet, physical activity and behavioural interventions for the treatment of overweight or obese adolescents aged 12 to 17 years. Cochrane Database of Systematic Reviews, 6, Article CD012691. https://doi.org/10.1002/14651858.CD012691 Go to original source... Go to PubMed...
  2. Appelhans, B. M., Fitzpatrick, S. L., Li, H., Cail, V., Waring, M. E., Schneider, K. L., Whited, M. C., Busch, A. M., & Pagoto, S. L. (2014). The home environment and childhood obesity in low-income households: Indirect effects via sleep duration and screen time. BMC Public Health, 9(14), Article 1160. https://doi.org/10.1186/1471-2458-14-1160 Go to original source... Go to PubMed...
  3. Bailey, R., Cope, E., & Parnell, D. (2015). Realising the benefits of sports and physical activity: The Human Capital Model. Retos, 28, 147-154. https://doi.org/10.47197/retos.v0i28.34945 Go to original source...
  4. Baranowski, T., Motil, K. J., & Moreno, J. P. (2019). Multi-etiological perspective on child obesity prevention. Current Nutrition Reports, 8, 1-10. https://doi.org/10.1007/s13668-019-0256-3 Go to original source... Go to PubMed...
  5. Basett, D. R., Jr., Toth, L. P., LaMunion, S. R., & Crouter, S. E. (2017). Step counting: A review of measurement considerations and health-related applications. Sports Medicine, 47(7), 1303-1315. https://doi.org/10.1007/s40279-016-0663-1 Go to original source... Go to PubMed...
  6. Beets, M. W., Brazendale, K., Weaver, R. G., & Amstrong, B. (2019). Rethinking behavioral approaches to compliment biological advances to understand the etiology, prevention, and treatment of childhood obesity. Childhood Obesity, 15(6), 353-359. https://doi.org/10.1089/chi.2019.0109 Go to original source... Go to PubMed...
  7. Bushnik, T., Garriguet, D., & Colley, R. (2017). Parent-child association in body weight status. Health Reports, 28(6), 12-19. https://www150.statcan.gc.ca/n1/pub/82-003-x/2017006/article/14828-eng.htm
  8. Chai, L. K., Collins, C. E., May, C., Holder, C., & Burrows, T. L. (2019). Accuracy of parent-reported child height and weight and calculated body mass index compared with objectively measured anthropometrics: Secondary analysis of a randomized controlled trial. Journal of Medical Internet Research, 21(9), Article e12532. https://doi.org/10.2196/12532 Go to original source... Go to PubMed...
  9. Chan, N. P. T., Choi, K. C., Nelson, E. A. S., Sung, R. Y. T., Chan, J. C. N., & Kong, A. P. S. (2013). Self-reported body weight and height: An assessment tool for identifying children with overweight/obesity status and cardiometabolic risk factors clustering. Maternal and Child Health Journal, 17(2), 282-291. https://doi.org/10.1007/s10995-012-0972-4 Go to original source... Go to PubMed...
  10. Craig, C. L., Cameron, C., & Tudor-Locke, C. (2013). Relationship between parent and child pedometer-determined physical activity: A sub-study of the CANPLAY surveillance study. International Journal of Behavioral Nutrition and Physical Activity, 10, Article 8. https://doi.org/10.1186/1479-5868-10-8 Go to original source... Go to PubMed...
  11. Danielzik, S., Czerwinski-Mast, M., Langnäse, K., Dilba, B., & Müller, M. J. (2004). Parental overweight, socioeconomic status and high birth weight are the major determinants of overweight and obesity in 5-7 y-old children: Baseline data of the Kiel Obesity Prevention Study (KOPS). International Journal of Obesity Related Metabolic Disorders, 28(11), 1494-1502. https://doi.org/10.1038/sj.ijo.0802756 Go to original source... Go to PubMed...
  12. Davison, K. K., & Birch, L. L. (2001). Childhood overweight: A contextual model and recommendations for future research. Obesity Reviews, 2(3), 159-171. https://doi.org/10.1046/j.1467-789x.2001.00036.x Go to original source... Go to PubMed...
  13. de Onis, M., Onyango, A. W., Borghi, E., Siyam, A., Nishida, C., & Siekmann, J. (2007). Development of a WHO growth reference for school-aged children and adolescents. Bulletin of the World Health Organization, 85(9), 660-667. https://doi.org/10.2471/blt.07.043497 Go to original source... Go to PubMed...
  14. Glinianaia, S., Rankin, J., Pless-Mulloli, T., Pearce, M. S., Charlton, M., & Parker, L. (2008). Temporal changes in key maternal and fetal factors affecting birth outcomes: A 32-year population-based study in an industrial city. BMC Pregnancy and Childbirth, 19(8), Article 39. https://doi.org/10.1186/1471-2393-8-39 Go to original source... Go to PubMed...
  15. Hallal, P. C., Wells, J. C. K., Reichert, F. F., Anselmi, L., & Victoria, C. G. (2006). Early determinants of physical activity in adolescence: Prospective birth cohort study. BMJ, 332(7548), 1002-1007. https://doi.org/10.1136/bmj.38776.434560.7C Go to original source... Go to PubMed...
  16. Hansen, B. H., Andersen, S. A., Andersen, L. B., Hildebrand, M., Kolle, E., Steene-Johannessen, J., Kriemler, S., Page, A. S., Puder, J. J., Reilly, J. J., Sardinha, L. B., van Sluijs, E. M. F., Wedderkopp, N., & Ekelund, U. (2018). Cross-sectional associations of reallocating time between sedentary and active behaviours on cardiometabolic risk factors in young people: An international children's accelerometry database (ICAD) analysis. Sports Medicine, 48(10), 2401-2412. https://doi.org/10.1007/s40279-018-0909-1 Go to original source... Go to PubMed...
  17. Ha¹ková, H., Dudová, R., & Pospí¹ilová, K. (2019). Kde se berou jedináèci? Faktory související s jednodìtností v ÈR [Why an only child? Factors connected with having a single child in the CR]. Demografie, 61(2), 93-110. https://www.czso.cz/documents/10180/91917740/13005319q2_93.pdf/7a9600c3-4d96-43c8-b435-3215d73a6031?version=1.0
  18. Huybrechts, I., Beirlaen, C., De Vriendt, T., Slimani, N., Pisa, T. P., Schouppe, E., De Coene, A., De Bacquer, D., De Henauw, S., & Himes, J. H. (2014). Validity of instruction leaflets for parents to measure their child's weight and height at home: Results obtained from a randomised controlled trial. BMJ Open, 4(2), Article 003768. https://doi.org/10.1136/bmjopen-2013-003768 Go to original source... Go to PubMed...
  19. Kakinami, L., Barnett, T. A., Séguin, L., & Paradis, G. (2015). Parenting style and obesity risk in children. Preventive Medicine, 75, 18-22. https://doi.org/10.1016/j.ypmed.2015.03.005 Go to original source... Go to PubMed...
  20. Kooiman, T. J. M., Dontje, M., Sprenger, S. R., Krijnen, W. P., van der Schans, C. P., & de Groot, M. (2015). Reliability and validity of ten consumer activity trackers. BMC Sports Science, Medicine & Rehabilitation, 7, Article 24. https://doi.org/10.1186/s13102-015-0018-5 Go to original source... Go to PubMed...
  21. Kumar, S., & Kelly, A. S. (2017). Review of childhood obesity: From epidemiology, etiology, and comorbidities to clinical assessment and treatment. Mayo Clinic Proceedings, 92(2), 251-265. https://doi.org/10.1016/j.mayocp.2016.09.017 Go to original source... Go to PubMed...
  22. Leonard, H. C., & Hill, E. L. (2016). The role of older siblings in infant motor development. Journal of Experimental Child Psychology, 152, 318-326. https://doi.org/10.1016/j.jecp.2016.08.008 Go to original source... Go to PubMed...
  23. Liszewska, N., Scholz, U., Radtke, T., Horodyska, K., Liszewski, M., & Luszczynska, A. (2018). Association between children's physical activity and parental practices enhancing children's physical activity: The moderating effects of children's BMI z-score. Frontiers in Psychology, 8, Article 2359. https://doi.org/10.3389/fpsyg.2017.02359 Go to original source... Go to PubMed...
  24. Liu, Y., Chen, H. J., Liang, L., & Wang, Y. (2013). Parent-child resemblance in weight status and its correlates in the United States. PLOS ONE, 8(6), Article e65361. https://doi.org/10.1371/journal.pone.0065361 Go to original source... Go to PubMed...
  25. McHale, M. S., Updegraff, K. A., & Whiteman, S. D. (2012). Sibling relationships and influences in childhood and adolescence. Journal of Marriage and the Family, 74(5), 913-930. https://doi.org/10.111/j.1741-3737.2012.01011.x Go to original source... Go to PubMed...
  26. McMinn, A. M., Griffin, S. J., Jones, A. P., & van Sluijs, E. M. F. (2013). Family and home influences on children's after-school and weekend physical activity. European Journal of Public Health, 23(5), 805-810. https://doi.org/10.1093/eurpub/cks160 Go to original source... Go to PubMed...
  27. Mead, E., Brown, T., Rees, K., Azevedo, L. B., Whitaker, V., Jones, D., Olajide, J., Mainardi, G. M., Corpeleijn, E., O'Malley, C., Beardsmore, E., Al-Khudairy, L., Baur, L., Metzendorf, M.-I., Demaio, A., & Ells, L. J. (2017). Diet, physical activity and behavioural interventions for the treatment of overweight or obese children from the age of 6 to 11 years. Cochrane Database of Systematic Reviews, 6, Article CD012651. https://doi.org/10.1002/14651858.CD012651 Go to original source... Go to PubMed...
  28. Parks, E. P., Kumanyika, S., Moore, R. H., Stettler, N., Wrotniak, B. H., & Kazak, A. (2012). Influence of stress in parents on child obesity and related behaviors. Pediatrics, 130(5), e1096-e1104. https://doi.org/10.1542/peds.2012-0895 Go to original source... Go to PubMed...
  29. Patel, R., Martin, R. M., Kramer, M. S., Oken, E., Bogdanovich, N., Matush, L., Smith, G. D., & Lawlor, D. A. (2011). Familial associations of adiposity: Findings from a cross-sectional study of 12,181 parental-offspring trios from Belarus. PLOS ONE, 6(1), Article e14607. https://doi.org/10.1371/journal.pone.0014607 Go to original source... Go to PubMed...
  30. Prewitt, S. L., Hannon, J. C., & Brusseau, T. A. (2013). Children and pedometers: A study in reactivity and knowledge. International Journal of Exercise Science, 6(3), 230-235. https://digitalcommons.wku.edu/ijes/vol6/iss3/6 Go to PubMed...
  31. Rhee, K. E., Jelalian, E., Boutelle, K., Dickstein, S., Seifer, R., & Wing, R. (2016). Warm parenting associated with decreasing or stable child BMI during treatment. Childhood Obesity, 12(2), 94-102. https://doi.org/10.1089/chi.2015.0127 Go to original source... Go to PubMed...
  32. Rojíèek, M., Bou¹ková, M., Elischer, D., Ernest, J., Holý, D., Hrbek, J., Hronza, M., Kermiet, V., Král, K., Krumpová, E.., Kuncová, P.., Lojka, J., Mana, M. Matìjka, R., Mrázek, J., Novotný, M., Polednová, Z., Rybáèek, V., Sixta, J., … Zelený, M. (2019). Statistical yearbook of the Czech Republic - 2019. Czech Statistical Office. https://www.czso.cz/csu/czso/statistical-yearbook-of-the-czech-republic-2019
  33. Rowe, D. A., Mahar, M. T., Raedeke, T. D., & Lore, J. (2004). Measuring physical activity in children, with pedometers: Reliability, reactivity, and replacement ofmissing data. Pediatric Exercise Science, 16(4), 343-354. https://doi.org/10.1123/pes.16.4.343 Go to original source...
  34. Rowlands, A. V, & Eston, R. G. (2007). The measurement and interpretation of children's physical activity. Journal of Sports Science & Medicine, 6(3), 270-276. https://www.jssm.org/jssm-06-270.xml>Fulltext Go to original source... Go to PubMed...
  35. Sigmund, E., & Sigmundová, D. (2017). Parent-child physical activity, sedentary behaviour, and obesity. Palacký University Olomouc. https://doi.org/10.5507/ftk.17.24451824 Go to original source...
  36. Sigmund, E., Sigmundová, D., & Badura, P. (2020). Excessive body weight of children and adolescents in the spotlight of their parents' overweight and obesity, physical activity, and screen time. International Journal of Public Health, 65(8), 1309-1317. https://doi.org/10.1046/j.1467-789x.2001.00036.x Go to original source... Go to PubMed...
  37. Sigmundová, D., Badura, P., Sigmund, E., & Bucksch, J. (2018). Weekday-weekend variations in mother-/father-child physical activity and screen time relationship: A cross-sectional study in a random sample of Czech families with 5- to 12-year-old children. European Journal of Sport Science, 18(8), 1158-1167. https://doi.org/10.1080/17461391.2018.1474951 Go to original source... Go to PubMed...
  38. Sigmundová, D., Sigmund, E., Badura, P., & Hollein, T. (2020). Parent-child physical activity association in families with 4- to 16-year-old children. International Journal of Environmental Research and Public Health, 17(11), Article 4015. https://doi.org/10.3390/ijerph17114015 Go to original source... Go to PubMed...
  39. Tudor-Locke, C., Craig, C., Beets, M. W., Belton, S., Cardon, G. M., Duncan, S., Hatano, Y., Lubans, D. R., Olds, T. S., Raustorp, A., Rowe, D. A., Spence, J. C., Tanaka, S., & Blair, S. N. (2011). How many steps/day are enough? for children and adolescents. International Journal of Behavioral Nutrition and Physical Activity, 8, Article 78. https://doi.org/10.1186/1479-5868-8-78 Go to original source... Go to PubMed...
  40. Tudor-Locke, C., Craig, C., Brown, W., Clemes, S., De Cocker, K., Giles-Corti, B., Hatano, Y., Inoue, S., Matsudo, S. M., Mutrie, N., Oppert, J.-M., Rowe, D. A., Schmidt, M. D., Schofield, G. M., Spence, J. C., Teixeira, P. J., Tully, M. A., & Blair, S. N. (2011). How many steps/day are enough? for adults. International Journal of Behavioral Nutrition and Physical Activity, 8, Article 79. https://doi.org/10.1186/1479-5868-8-79 Go to original source... Go to PubMed...
  41. World Health Organization. (2007). Growth reference data for 5-19 years. WHO Reference 2007. https://www.who.int/toolkits/growth-reference-data-for-5to19-years
  42. World Health Organization. (2014). Obesity and overweight. Fact sheet No°311. https://www.who.int/mediacentre/factsheets/fs311/en

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