Assessing the validity and reliability of family factors on physical activity: A case study in Turkey (original) (raw)
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Marmara Medical Journal, 2021
Objective: The aim of this study is to evaluate reliability and validity of the Turkish version of the Family Nutrition and Physical Activity (FNPA-TR) screening tool. This study was conducted as a methodological research. The data were collected between May and June 2018. The population of the study consisted of 1126 first and fourth grade students and their families in three primary public schools that represent three socioeconomic statuses (high, medium, low) in Istanbul, Turkey. Materials and Methods: Data were collected from 727 students and their families with an introductory information form and the FNPA-TR screening tool. The validity of content scale was evaluated by comparing the relationship between FNPA-TR scores and answers given to non-scale questions measuring the eating behaviour. In this study, Cronbach's alpha, Kaiser-Meyer-Olkin, Varimax rotation and ICC coefficients statistical tests were used to measure validity and reliability. Results: The Cronbach alpha coefficient for the internal consistency of the scale was 0.724. The test-retest reliability coefficient of the scale had a medium to very high level that ranged from 0.422 to 0.925. The Kaiser-Meyer-Olkin test result was found to be appropriate as 0.771. Conclusion: The study shows that the FNPA-TR scale is a valid and reliable measurement tool for the Turkish population.
Polish Annals of Medicine, 2021
Introduction: The level of parents’ knowledge and ability to evaluate a child’s health condition is crucial when making decisions concerning physical activity levels and dietary patterns. Aim: This study assessed parents’ views versus the actual health status of their children using anthropometric examinations and performance test results. Material and methods: The research involved an examination of 8369 children aged 6–7 years and an analysis of responses provided by parents to a questionnaire of the general health status of children, their physical activity, and estimated average time spent passively. Responses were compared to the results of a performance test and anthropometric measurements, classified according to centile grids for a given age and sex. Results and discussion: In total, 85% of guardians did not notice obesity in a child whose BMI was in the 95th percentile or above. Guardians of children with very bad physical performance evaluated their general health conditio...
BMJ Open
ObjectivesChildhood obesity is increasingly prevalent in the developing world including Turkey. This study examined constructs of the integrated behavioural model associated with physical activity in a sample of schoolchildren in Ankara, Turkey using structural equation modelling.DesignCross-sectional survey by probability sampling.SettingFifteen schools of different socioeconomic strata in Ankara, Turkey with grade 4 students.Participants2066 (969 girls and 1097 boys) grade 4 schoolchildren and their parents selected using a probability-based sampling frame.Primary outcome measuresThree primary outcomes were used: moderate-to-vigorous physical activity, team sport participation, sedentary behaviour.ResultsData were collected from 2066 fourth-grade children from schools of three socioeconomic strata. Missing data were imputed using multiple imputation. To examine the integrated behavioural model, a structural equation model containing latent constructs for physical activity outcome ...
Medical review
Introduction. The aim of this study was to determine the agreement between parents? and children?s reports of children?s physical activity and screen-based sedentary activities. Material and Methods. The sample included 7 - 10 year-old children (n = 94) and their parents (n = 94) in a local community in Vojvodina. Parents and children separately completed question?naires about the types of physical and sedentary activities and the time children spent in different activities during one day. The agreement between children?s and parents? responses was calculated using Cohen?s kappa. The differences in parents? and children?s responses in relation to gender and grade the students attended were analyzed using ?2 test. P-values less than 0.05 were considered statistically significant. Results. The highest level of agreement (? = 0.74; p = 0.00) was found for the questions concerning physical activity in the morning before going to school. The lowest level of agreement was found for watchi...
Physical Activity Level and Obesity Prevalence of Primary and Secondary Students
Anthropologist, 2014
This study aimed at examining physical activity level and obesity prevalence of Turkish students at age of 6-12 according to age and gender variables. The study covered 2378 children in total. Researchers used pedometers in order to determine physical activity level of children, and evaluated the pedometer score standards. Body compositions were determined as per Body Mass Index (BMI) and evaluated under BMI standards. Independent t test, one-way analysis of variance test, Tukey HSD test, and Chi-square test were used in this study. In the pedometer step counts, there were differences associated with gender in each age (p<0,001). There was a significant difference in BMI values and the pedometer step counts of boys and girls according to their ages (p<0.001). There was difference in both groups according to age (p<0.001). There were gender-related differences in ages (p<0.05, p<0.01 and p<0.001 respectively) in standard value of the pedometer step counts and the pedometer step counts. It is considered important for public health to bring body compositions of boys and girls up to normal levels by increasing their physical activity levels.
BMC Psychology, 2018
Background: To date, population based surveys aimed at gaining insight in health related behaviour of children have often used either child self-reports or parent proxy reports. It remains unclear however, if surveys using different sources of information from either parents or children are comparable. In addition, (over)weight status of children can lead to under-and over reporting by parents and children as a result of social desirability bias. We aimed at gaining insight in the level of agreement between parents and child reports regarding aspects of certain dietary, physical activity and sedentary behaviours, and whether there are differences in agreement between parents and child reports in healthy-weight and overweight children. Methods: Weighted kappa was used to determine the level of agreement between child and parent reports on health-related behaviour in 1998 parent-child dyads. We also stratified for weight status of the children. Information on children's health related behaviours was obtained by parental and children's questionnaires, and children's height and weight were measured. Associations between children's weight status and children reporting less, reporting more and reporting the same amount of health behaviour as their parents were investigated with multinomial logistic regression analysis. Results: The Cohen's kappa coefficients ranged from almost perfect agreement for the variable means of transportation, fair for the variables breakfast consumption and frequency of outside play to slight for the variables duration of outside play, frequency and duration of TV/DVD viewing and family dinner. Overweight children were significantly more likely to report less breakfast consumption (OR = 2.6 (95% CI: 1.3-5.1)) and lower frequency of outside play than their parents (OR = 1.8 (95% CI: 1.1-2.9)). Conclusion: There can be considerable disagreement between the health related behaviours of children as reported by parents or the children themselves. Based on the present study, it cannot be concluded whether parents' or children's reports are more accurate. For future studies, social desirability and recall bias would be best demonstrated in a validation study comparing child and parent self-reports with more objective measures of physical activity and food intake.
PHYSICAL ACTIVITY PATTERNS OF TURKISH ADOLESCENTS: INFLUENCE OF SOME SOCIAL FACTORS
2004
Objectives: this study examined the associations between physical activity and some social factors in a sample of Turkish adolescents. Methods: 883 middle and high school students provided information on physical activity, socioeconomic status, living conditions, school performance, family status, family's attitude about exercise, and playmates. Scales measuring self-esteem, problem solving, and self-care levels were used for each student. Results: 531 (60.1 %) students were practicing some kind of sport. The most commonly preferred sports were ball games. Low activity was associated with living without families, higher age, low mother education, and low self-care scores suggesting that sociocultural factors may affect the exercise status of adolescents. Conclusions: Low physical activity was associated with some social factors in teenagers. Efforts should be sought to increase self-esteem and self-care of adolescents, and the opportunity to participate in sportive activities with friends and parents.
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, 2020
The aim of this article was to validate the Spanish version of the Home Environment Survey (HES-S) and was divided in two studies: (1) to assess the reliability, convergent validity of HES-S in a survey of 145 parents of children with overweight/obesity; (2) to study the magnitude of the association between children's BMI status with the latent scores theoretically defined by the HES model. Methods To test the scale and the model, a confirmatory factor analysis (CFA) and a path analysis were carried out among a sample of 156 parents of preadolescents (106 overweight/obesity and 50 normal-weight children). No CFA or EFA were carried out in the validation of the original instrument. Results Study 1, both the Physical Activity and the Eating Habits components of the scale showed adequate levels of internal consistency for the majority of the scales, except for two. One of them, Healthy Eating Parental Policies (HEP) subscale was reduced after excluded two items, although it did not improve substantially. This model indicated that there was a significant association between the two Eating Habits scales and the child's weight status, but child's weight was not associated with the Physical Activity components. Convergent validity was confirmed by correlations with related variables: family eating habits (F-EAT), parent's physical activity (IPAQ), and children's physical activity (assessed via accelerometers during one week). Study 2, our results replicated the original four factor structure proposed for physical activity (CFI = 0.99; RMSEA = 0.03), but the original factor structure of the eating habits component was not supported. In addition, the relationship of the child's weight status, the Physical Activity components, and the two scales of Eating Habits (Parental Modeling and Policies) was explored with a path analysis showing good fit indices (CFI = 0.95; RMSEA = 0.06). Child's BMI was negatively associated with Healthy Eating Parental Role Modeling (r = − 0.21) and with Healthy Eating Parental Policies (r = − 0.19), but not with the factors of Child's Physical Activity model. Conclusion To our knowledge, this is the first instrument to assess obesogenic family environment in Spanish speaking countries, which is a relevant dimension within a health perspective so as to implement new policies and strategies in obesity tertiary prevention. Overall, the confirmatory factor analysis of the HES-S has only provided additional support for one part related to Physical Activity. In addition, Child's BMI was correlated with scales of Eating Habits but not with Child's Physical Activity factor. These results clearly suggest that further research is warranted. Level III Case-control analytic study.
Household-level correlates of children's physical activity levels in and across 12 countries
Obesity (Silver Spring, Md.), 2016
Household factors (electronic media equipment, play equipment, physical activity in the home, and social support) have been associated with childhood moderate- to vigorous-intensity physical activity (MVPA), but little is known about how these factors differ across diverse countries. The objective was to explore household correlates of objective MVPA in children from 12 countries. Overall, 5,859 nine- to eleven-year-old children from 12 countries representing a range of human and socioeconomic development indicators wore an accelerometer for 7 days and parents reported on household factors. Multilevel general linear models explored associations among household factors and MVPA variables controlling for age, sex, and parental education. Across sites, children with at least one piece of bedroom electronic media had lower MVPA (∼4 min/day; P < 0.001) than those who did not. More frequent physical activity in the home and yard, ownership of more frequently used play equipment, and hi...