Physical Activity and Sedentary Behaviour as Predictors of Adolescent Health in Rural and Urban Environments in Poland
While numerous studies have examined correlates of physical activity, less attention has been given to identifying the rural/urban differences in the strength of the relationship between physical activity and health. The main objective of the current study was to analyze relationships between physical activity, sedentary behavior, and the health of rural and urban adolescents. Cross-sectional data on physical activity (Moderate-to-Vigorous Physical Activity, MVPA), sedentary behavior (watching TV and using a computer), self-rated general health, and mental health (General Health Questionnaire, GHQ-12) was assessed through a questionnaire in the sample of 600 Polish adolescents aged 13 years. Pearson χ2, t-Student tests and hierarchical regression analyses were used to compare differences by place of residence. No rural/urban differences in physical activity levels and self-rated health were found. Rural boys spent more time watching TV and urban adolescent males spent more time using a computer. Urban girls were more affected by stress than rural. Physical activity was an important predictor of self-assessed health (8% of variance) and mental health (4% of variance) of adolescents living in rural areas. The results show that physical activity level is an important predictor of rural adolescents’ health and particular attention must be paid to promoting physical activities in rural environments.
- Abu-Omar, K. & Rütten, A. (2008). Relation of leisure time, occupational, domestic, and commuting physical activity to health indicators in Europe. Prev Med, 47, 319-323. DOI: 10.1016/j.ypmed.2008.03.012.[WoS][Crossref]
- American Academy of Pediatrics (2001). Children, adolescents, and television. Pediatrics, 107, 423-426. DOI: 10.1542/peds.107.2.423.[Crossref]
- Barros, M.B., Zanchetta, L.M., Moura, E.C. & Malta, D.C. (2009). Self-rated health and associated factors, Brazil, 2006. Rev Saude Publica, 43, 27-37. http://dx.DOI.org/10.1590/S0034-89102009000900005.[Crossref]
- Biddle, S. & Mutrie, N. (2008). Psychology of physical activity. London: Routledge.
- Breidablik, H.J., Meland, E. & Lydersen, S. (2009). Self-rated health during adolescence: stability and predictors of change (Young-HUNT study, Norway). Eur J Public Health, 19, 73-78. DOI: 10.1093/eurpub/ckn111.[PubMed][Crossref][WoS]
- Burnstroem, B. & Fredlund, P. (2001). Self-rated health: is it a good predictor of subsequent mortality among adults in lower as well as higher social classes? J Epidemiol Community Health, 55, 836-840.[Crossref]
- Cohen, D., Golinelli, D., Williamson, S., Sehgal, A., Marsh, T. McKenzie, T.L. (2009). Effects of park improvements on park use and physical activity policy and programming implications. Am J Prev Med., 2009 December; 37(6), 475. DOI: 10.1016/j.amepre.2009.07.017.[PubMed][WoS][Crossref]
- Conner, M. & Norman, P. (2005). Predicting health behaviour. England: Open University Press.
- Crespo, C., Smit, E., Troiano, R., Bartlett, S., Macera, C. & Andersen, R. (2001). Television watching, energy intake and obesity in US children. Arch Pediatr Adolesc Med, 155, 360-365.
- Currie, C., Nic Gabhainn, S., Godeau, E., et al. (2008). Inequalities in young people's health: HBSC international report from the 2005/2006 Survey. Copenhagen: WHO Regional Office for Europe (Health Policy for Children and Adolescents, No. 5).
- De Meester, F., Van Dyck, D., De Bourdeaudhuij, I., Deforche, B., Sallis, J.F. & Cardon, G. (2012). Active living neighborhoods: is neighborhood walkability a key element for Belgian adolescents? BMC Public Health, 4, 12, 7. Retrieved April 4, 2012, from http://www.biomedcentral.com. DOI: 10.1186/1471-2458-12-7 [WoS][Crossref]
- Dowda, M., Sallis J.F., McKenzie T.L., Rosengard, P. & Kohl, H.W. (2005). Evaluating the sustainability of SPARK physical education: a case study of translating research into practice. Research Quarterly for Exercise and Sport, 76, 11-19.
- Doyle, M. (2003). Health status. In K. Sproston & P. Primatesta (Eds.), Health Survey for England 2002 Vol. 1: The health of children and young people. London: The Stationery Office.
- Due, P., Hickman, M., Komkow, A., et al. (2001). Physical activity. In C. Currie, O. Samdal & W. Boyce (Eds.), Health Behaviour in School-aged Children Study: a World Health Organization Cross-National Study. Research Protocol for the 2001/2002 Survey (pp. 59-78). Scotland: University of Edinburgh.
- Elder, J.P, McKenzie, T.L., Arredondo, E.M., Crespo, N.C. & Ayala, G.X. (2011). Effects of a Multi-Pronged Intervention on Children's Activity Levels at Recess: The Aventuras para Niños Study. Adv. Nutr, 2, 171-176, DOI: 10.3945/an.111.000380[Crossref]
- Findholt, N.E., Michael, Y.L., Davis, M.M. & Brogoitti, V.W. (2010) Environmental influences on children's physical activity and diets in rural Oregon: results of a youth photovoice project. Online Journal of Rural Nursing and Health Care, 10(2), 11-20. Retrieved April 4, 2012, from http://www.rno.org
- Goldberg, D.P. (1972). The detection of psychiatric illness by questionnaire (Maudsley Monograph No. 21). England: Oxford University Press.
- Goldberg, D.P. & Williams, P. (1988). A user's guide to the General Health Questionnaire. London: NFER-Nelson.
- Hamer, M., Stamatakis, E. & Steptoe, A. (2009). Dose-response relationship between physical activity and mental health: the Scottish Health Survey. Br J Sports Med, 43, 1111-1114. DOI: 10.1136/bjsm.2008.046243.[Crossref][PubMed]
- Harris, K.M., Gordon-Larsen, P., Chantala, K. & Udry, J.R. (2006). Longitudinal trends in race/ethnic disparities in leading health indicators from adolescents to young adulthood. Arch Pediatr Adolesc Med, 160, 74-78.
- Hartley, D., Quam, L. & Lurie, N. (1994). Urban and rural differences in health insurance and access to care. J Rural Health, 10, 98-108.[Crossref]
- Hong, X., Li, J., Xu, F., et al. (2009), Physical activity inversely associated with the presence of depression among urban adolescents in regional China. BMC Public Health, 9, 148. DOI: 10.1186/1471-2458-9-148.[Crossref][PubMed]
- Iannotti, R.J., Janssen, I., Haug, E., Kololo, H., Annaheim, B. & Borraccino, A. & the HBSC Physical Activity Focus Group (2009). Interrelationships of adolescent physical activity, screen-based sedentary behaviour, and social and psychological health. Int J Public Health, 54(Suppl 2), 191-198. DOI: 10.1007/s00038-009-5410-z.[PubMed][WoS][Crossref]
- Janssen, I., Leblanc, A.G. (2010). Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. Int J Behav Nutr Phys Act, 7, 40-56.[PubMed][Crossref]
- Jordan, K.C., Erickson, E.D., Cox, R., Carlson, E.C., Heap, E., Friedrichs, M., Moyer-Mileur, L.J., Shen, S. & Mihalopoulosn, N.I. (2008). Evaluation of the Gold Medal Schools Program. J Am Diet Assoc., 108, 1916-1920. DOI: 10.1016/j.jada.2008.08.002.[Crossref][WoS][PubMed]
- Kratenova, J., Zejglicova, K., Maly, M. & Filipova, V. (2007). Prevalence and risk factors of poor posture in school children in the Czech Republic. J Sch Health, 77, 131-137. DOI:10.1111/j.1746-1561.2007.00182.x.[PubMed][Crossref]
- Lee, J. & Macdonald, D. (2009). Rural young people and physical activity: understanding participation through social theory. Sociol Health Illn, 31, 360-374. DOI:10.1111/j.1467-9566.2008.01138.x.[PubMed][Crossref][WoS]
- Liu, J., Bennett, K., Harun, N. & Probst, J. (2008). Urban-rural differences in overweight status and physical inactivity among US children aged 10-17 years. J Rural Health, 24, 407-415. DOI:10.1111/j.1748-0361.2008.00188.x.[Crossref]
- Lutfiyya, M.N, Lipsky, M.S., Wisdom-Behounek, J. & Inpanbutr-Martinkus M. (2007). Is rural residency a risk factor for overweight and obesity for U.S. children? Obesity, 15, 2348-2356.[Crossref]
- Mazur, J., Woynarowska, B., Hanke, W., et al. (2009). Poland: progress in child and adolescent physical activity promotion and injury prevention. In Socio-environmentally determined health inequities among children and adolescents (pp. 157-170). Denmark: WHO.
- Mazur, J., Woynarowska, B. & Kololo, H. (2007). Family socio-economic status and local area deprivation as determinants of self-perceived health and life style in Polish 15-year-old students. Warsaw: Institute of Mother and Child.
- McKenzie, T.L., Sallis, J.F., Prochaska, J.J., Conway, T.L., Marshall, S.J. & Rosengard, P. (2004). Evaluation of a two-year middle-school physical education intervention: M-SPAN. Med. Sci. Sports Exerc., 36(8), 1382-1388.[Crossref]
- McKenzie, T.L., Sallis, J.F. & Rosengard, P. (2009). Beyond the Stucco Tower: design, development, and dissemination of the SPARK physical education programs. Quest, 61, 114-127.[Crossref]
- Mikiel-Kostyra, K., Mazur, J. & Bołtruszko, I. (2002). Effect of early skin-to-skin contact after delivery on duration of breastfeeding: a prospective cohort study. Acta Pœdiatr, 91, 1301-1306. DOI: 10.1111/j.1651-2227.2002.tb02824.x.[Crossref]
- Mummery, W.K., Schofield, G.M. & Soper, L. (2000). Correlates of Adolescent Physical Activity in Regional Australia: Results from the Central Queensland Adolescent Physical Activity and Nutrition Study, AIESEP World Congress Proceedings. Rockhampton, Australia: Central Queensland University.
- Page, R.M. & Suwanteerangkul, J. (2009). Self-rated health, psychosocial functioning, and health-related behavior among Thai adolescents. Pediatr Int, 51, 120-125. DOI: 10.1111/j.1442-200X.2008.02660.x.[PubMed][Crossref][WoS]
- Prasad, A., St-Hilaire, S., Wong, M., Peterson, T. & Loftin, J. (2009). Physical activity and depressive symptoms in rural adolescents. N Am J Psychol, 11, 173-188.
- Prochaska, J.J., Sallis, J.F. & Long, B. (2001). A physical activity screening measure for use with adolescents in primary care. Arch Pediatr Adolesc Med, 155, 554-559.
- Prosper, MH, Moczulski, V.L., Qureshi, A., Weiss, M, & Bryars, T.L. (2009). Healthy for Life/PE4ME: Assessing an Intervention Targeting Childhood Obesity. Californian Journal of Health Promotion, 7, Special Issue (Obesity Prevention), 23-32. Retrieved April 4, 2012, from http://www.cjhp.org
- Ribeiro, I.C., Parra, D.C., Hoehner, C.M., Soares, J., Torres, A., Pratt, M., Legetic, B., Malta, D.C., Matsudo, V., Ramos, L.R., Simoes E.J. & Brownson, R.C. (2010). School-based physical education programs: evidence-based physical activity interventions for youth in Latin America Global Health Promotion, 17(2), 05-15. DOI: 10.1177/1757975910365231.[Crossref][WoS]
- Roberts, C., Tynjälä, J. & Komkov, A. (2004). Physical activity. In C. Currie, C. Roberts, A. Morgan et al. (Eds.), Young people's health in context. Health Behaviour in School-aged Children (HBSC) Study: International Report from the 2001/2002 Survey (pp. 90-97). Denmark: WHO.
- Rohrer, J., Borders, T. & Blanton, J. (2005). Rural residence is not a risk factor for frequent mental distress: a behavioral risk factor surveillance survey. BMC Public Health, 5, 46. DOI: 10.1186/1471-2458-5-46.[Crossref]
- Romero, A.J. (2005). Low-income neighborhood barriers and resources for adolescents' physical activity. Journal of Adolescent Health, 36(3), 253-259.[Crossref]
- Sallis, J.F., McKenzie, T.L., Conway, T.L., Elder, J.P., Prochaska, J.J., Brown, M., Zive, M.M., Marshall, S.J. & Alcaraz, J.E. (2003). Environmental interventions for eating and physical activity a randomized controlled trial in middle schools. Am J Prev Med, 24(3), 209-217. DOI: 10.1016/S0749-3797(02)00646-3[PubMed][Crossref]
- Sallis, J., Prochaska, J. & Taylor, W. (2000). A review of correlates of physical activity of children and adolescents. Med Sci Sports Exerc, 32, 963-975.[PubMed][Crossref]
- Santrock, J. (2007). Adolescence. New York: McGraw-Hill.
- Sit, C.H.P., Lam, J.W.K. & McKenzie, T.L. (2010). Children's use of electronic games: choices of game mode and challenge levels. International Journal of Pediatrics, 2010, 6 pages, Retrieved April 3, 2012, from PubMed database on the World Wide Web: http://www.pubmed.gov. DOI: 10.1155/2010/218586. [Crossref]
- World Health Organization (1996). Health Interview Survey. Towards international harmonization of methods and instruments. Copenhagen: WHO Regional Publications European Series No 58.