The Journal of Pediatrics
Volume 154, Issue 2 , Pages 278-283.e2, February 2009

Parent Modeling: Perceptions of Parents' Physical Activity Predict Girls' Activity throughout Adolescence

  • Kristine A. Madsen, MD, MPH

      Affiliations

    • Department of Pediatrics, University of California, San Francisco, CA
    • Corresponding Author InformationReprint requests: Kristine Madsen, MD, MPH, UCSF, Dept of Pediatrics, 3333 California St, Box 0503, San Francisco, CA 94118
  • ,
  • Charles E. McCulloch, PhD

      Affiliations

    • Department of Epidemiology & Biostatistics, University of California, San Francisco, CA
  • ,
  • Patricia B. Crawford, DrPHRD

      Affiliations

    • School of Public Health and Department of Nutritional Sciences and Toxicology, University of California, Berkeley, CA

Received 9 April 2008; received in revised form 25 June 2008; accepted 21 July 2008. published online 16 September 2008.

Objectives

To determine whether parent modeling of physical activity (PA) has a differential impact on girls' PA by race, whether the association declines with time, and to assess the contribution of parent modeling to girls' activity relative to other potential predictors.

Study design

Longitudinal examination of parent modeling's impact on future log transformed metabolic equivalents (log METs) of leisure-time PA in 1213 African-American and 1166 Caucasian girls in the National Heart, Lung, and Blood Institute Growth and Health Study, from age 9 to 10 years through 18 to 19 years, using linear regression. Race interaction terms and time trends were examined.

Results

Girls' perceptions of parent modeling significantly predicted future log METs in each study year; associations remained stable with time and were similar by race. Girls' perception of parent PA better predicted girl log METs than did parent self-report. On average, girls reporting that their parents exercised ≥3x/week were about 50% more active than girls with sedentary parents.

Conclusions

Girls' perception of parent activity predicts PA for girls throughout adolescence, despite age-associated decreases in PA. We did not find differences in this association by race. Interventions designed to increase parental activity may improve parent health, positively influence daughters' activity, and begin to address disparities in cardiovascular health.

Abbreviations: HAQ, Habitual Activity Questionnaire, MET, Metabolic equivalents, PA, Physical activity

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 Supported by K23HD054470-01A1 from the NICHD. The authors declare no conflicts of interest.

PII: S0022-3476(08)00623-9

doi:10.1016/j.jpeds.2008.07.044

The Journal of Pediatrics
Volume 154, Issue 2 , Pages 278-283.e2, February 2009