International Journal of Health Geographics · 2011 · 115 citations · 30 references
Public HealthChild HealthEnvironmental SciencesBuilt EnvironmentNeighborhood StudiesPhysical ActivityActivity PatternsEarly ChildhoodEnvironmental DeterminantsEnvironmental Health For ChildrenGreen SpacePhysical Activity For ChildrenChild Physical ActivityChildhood Physical ActivityNeighborhood GreennessNormalized Difference Vegetation Index MappingOutdoor Activity DurationOutdoor Play EnvironmentsParental Influence On Outdoor TimeRed-edge Normalized Difference Vegetation Index
BACKGROUND: Emerging empirical evidence suggests exposure to "green" environments may encourage higher levels of physical activity among children. Few studies, however, have explored this association exclusively in pre-school aged children in the United States. We examined whether residing in neighborhoods with higher levels of greenness was associated with higher levels of outdoor physical activity among preschoolers. In addition, we also explored whether outdoor playing behaviors (e.g., active vs. quiet) were influenced by levels of neighborhood greenness independent of demographic and parental support factors. RESULTS: Higher levels of neighborhood greenness as measured by the Normalized Difference Vegetation Index (NDVI) was associated with higher levels of outdoor playing time among preschool-aged children in our sample. Specifically, a one unit increase in neighborhood greenness increased a child's outdoor playing time by approximately 3 minutes. A dose-response relationship was observed between increasing levels of parental support for physical activity (e.g., time spent playing with children) and child outdoor physical activity (p < 0.01). CONCLUSIONS: Consistent with previous studies, neighborhood greenness influences physical activity behavior. However, for preschoolers, parental involvement may be more critical for improving physical activity levels.
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Health Consequences of Obesity in Youth: Childhood Predictors of Adult Disease
William H. Dietz · PEDIATRICS · 1998 · 2.7K citations
Medicine, Child Health, Pediatrics +15
The Relation of Childhood BMI to Adult Adiposity: The Bogalusa Heart Study
David S. Freedman, Laura Kettel Khan, Mary K. Serdula et al. · PEDIATRICS · 2005 · 1.1K citations
Medicine, Child Health, Pediatrics +15