Location-specific psychosocial and environmental correlates of physical activity and sedentary time in young adolescents: preliminary evidence for location-specific approaches from a cross-sectional observational study.

Adrian Ortega, Carolina M Bejarano, Christopher C Cushing, Vincent S Staggs, Amy E Papa, Chelsea Steel, Robin P Shook, Terry L Conway, Brian E Saelens, Karen Glanz, Kelli L Cain, Lawrence D Frank, Jacqueline Kerr, Jasper Schipperijn, James F Sallis, Jordan A Carlson

Journal: The international journal of behavioral nutrition and physical activity 2022;19(1):108

PMID: 36028885

Abstract

BACKGROUND

A better understanding of the extent to which psychosocial and environmental correlates of physical activity are specific to locations would inform intervention optimization.

PURPOSE

To investigate cross-sectional associations of location-general and location-specific variables with physical activity and sedentary time in three common locations adolescents spend time.

METHODS

Adolescents (N = 472,M = 14.1,SD = 1.5) wore an accelerometer and global positioning systems (GPS) tracker and self-reported on psychosocial (e.g., self-efficacy) and environmental (e.g., equipment) factors relevant to physical activity and sedentary time. We categorized each survey item based on whether it was specific to a location to generate psychosocial and environmental indices that were location-general or specific to either school, non-school, or home location. Physical activity (MVPA) and sedentary time were based on time/location match to home, school, or all "other" locations. Mixed-effects models investigated the relation of each index with location-specific activity.

RESULTS

The location-general and non-school physical activity psychosocial indices were related to greater MVPA at school and "other" locations. The school physical activity environment index was related to greater MVPA and less sedentary time at school. The home activity environment index was related to greater MVPA at home. The non-school sedentary psychosocial index was related to less sedentary time at home. Interactions among indices revealed adolescents with low support on one index benefited (i.e., exhibited more optimal behavior) from high support on another index (e.g., higher scores on the location-general PA psychosocial index moderated lower scores on the home PA environment index). Concurrent high support on two indices did not provide additional benefit.

CONCLUSIONS

No psychosocial or environment indices, including location-general indices, were related to activity in all locations. Most of the location-specific indices were associated with activity in the matching location(s). These findings provide preliminary evidence that psychosocial and environmental correlates of activity are location specific. Future studies should further develop location-specific measures and evaluate these constructs and whether interventions may be optimized by targeting location-specific psychosocial and environmental variables across multiple locations.

© 2022. The Author(s).

Address: Clinical Child Psychology Program, University of Kansas, 2005 Dole Human Development Center, 1000 Sunnyside Ave, Lawrence, Kansas, USA. [email protected].; Center for Children's Healthy Lifestyles and Nutrition, Children's Mercy, Kansas, MO, USA. [email protected].; Cincinnati Children's Hospital Medical Center, Division of Behavioral Medicine & Clinical Psychology, Cincinnati, USA.; Clinical Child Psychology Program, University of Kansas, 2005 Dole Human Development Center, 1000 Sunnyside Ave, Lawrence, Kansas, USA.; Center for Children's Healthy Lifestyles and Nutrition, Children's Mercy, Kansas, MO, USA.; Schiefelbusch Institute for Lifespan Studies, University of Kansas, Lawrence, Kansas, USA.; Biostatistics & Epidemiology, Health Services & Outcomes Research, Children's Mercy, Kansas, MO, USA.; School of Medicine, University of Missouri-Kansas City, Kansas City, MO, USA.; Herbert Wertheim School of Public Health and Human Longevity Science, University of California, La Jolla, San Diego, California, USA.; Department of Pediatrics, University of Washington & Seattle Children's Research Institute, Seattle, Washington, USA.; Perelman School of Medicine and School of Nursing, University of Pennsylvania, Philadelphia, PA, USA.; School of Community and Regional Planning, University of British Columbia, Vancouver, British Columbia, Canada.; Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.; Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Australia.
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