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Associations Between Household Socioeconomic Status, Car Ownership, Physical Activity, and Cardiorespiratory Fitness in South African Primary Schoolchildren Living in Marginalized Communities

Markus Gerber, Christin Lang, Johanna Beckmann, Jan Degen, Rosa du Randt, Stefanie Gall, Kurt Z. Long, Ivan Müller, Madeleine Nienaber, Peter Steinmann, Uwe Pühse, Jürg Utzinger (+2 others)
2021 Journal of Physical Activity and Health  

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Little is known whether physical activity (PA)-promoting environments are equally accessible to children with divergent socioeconomic status (SES) in low-/middle-income countries. The authors, therefore, examined whether South African children from poorer versus wealthier families living in marginalized communities differed in moderate to vigorous PA and cardiorespiratory fitness. We also tested associations between family car ownership and PA/cardiorespiratory fitness. Methods:
more » ... s of 908 children (49% girls, mean age = 8.3 [1.4] y) completed a survey on household SES. PA was assessed via 7-day accelerometry, parental and child self-reports, and cardiorespiratory fitness with the 20-m shuttle run test. Results: Based on accelerometry, most children met current moderate to vigorous PA recommendations (≥60 min/d). About 73% of the children did not engage in structured physical education lessons. Whereas children of the lowest SES quintile accumulated higher levels of device-based moderate to vigorous PA, peers from the highest SES quintile engaged in more sedentary behaviors, but self-reported higher engagement in sports, dance, and moving games after school. Families' car ownership was associated with higher parent/self-reported leisure-time PA. Conclusions: A deeper understanding is needed about why wealthier children are more sedentary, but simultaneously engage in more leisure-time PA. The fact that access to structural physical education is denied to most children is critical and needs to be addressed.
doi:10.1123/jpah.2020-0839 pmid:34172589 fatcat:yqn6ozqk5bhbhitilwfjzgt2au
Citation

Markus Gerber, Christin Lang, Johanna Beckmann, Jan Degen, Rosa du Randt, Stefanie Gall, Kurt Z. Long, Ivan Müller, Madeleine Nienaber, Peter Steinmann, Uwe Pühse, Jürg Utzinger, Siphesihle Nqweniso, Cheryl Walter. "Associations Between Household Socioeconomic Status, Car Ownership, Physical Activity, and Cardiorespiratory Fitness in South African Primary Schoolchildren Living in Marginalized Communities." Journal of Physical Activity and Health 18.8 (2021) 1-12