ArticleBMC public health2021
Relating outdoor play to sedentary behavior and physical activity in youth - results from a cohort study.
Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Determinants of Outdoor Time in Children and Youth: A Systematic Review of Longitudinal and Intervention Studies.International journal of environmental research and public health · 2023Pooled it
- A systematic review and meta-analyses of the relationships between active outdoor play and 24-hour movement behaviors.Journal of sport and health science · 2025Review
- Compositional patterns of device-measured movement behaviour in juvenile idiopathic arthritis: results from the multicentre ActiMON study.Arthritis research & therapy · 2025Observational
- Associations between parent-child outdoor visits and preschool-aged children's screen time: a cross-sectional study.Journal of activity, sedentary and sleep behaviors · 2025Article
- 2025 Position statement on active outdoor play.The international journal of behavioral nutrition and physical activity · 2025Review
- A systematic observation of moderate-to-vigorous physical activity levels in Australian natural blue space locations.Health promotion international · 2024Article
- Implementing a free lending of sports and leisure equipment service: a cross-sectional survey exploring user characteristics, utilization patterns, and significance among children and youth.BMC public health · 2024Article
- Play Activities Are Associated with Force Regulation in Primary School.Journal of functional morphology and kinesiology · 2024Article
- Examining associations between physical activity context and children meeting daily physical activity guidelines: the role of outdoor play, sports, and other organized activities.Frontiers in public health · 2024Article
- Trends in and relations between children's health-related behaviors pre-, mid- and post-Covid.European journal of public health · 2023Article
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6 authors.
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Abstract
backgroundOutdoor play, sedentary behavior (SB), and moderate-to-vigorous physical activity (MVPA) are related to youth's health, however, there are research gaps regarding 1) associations between outdoor play, SB, and MVPA across a broad pediatric age range (6-17 years), and 2) longitudinal associations between outdoor play, SB, and MVPA across childhood and adolescence. Two studies were conducted to address those research gaps: Study 1 aimed to investigate relationships between outdoor play and accelerometer-assessed SB and MVPA in a cross-sectional nationwide sample of children and adolescents in Germany. Study 2 aimed to investigate prospective associations between outdoor play and self-reported screen-time SB and MVPA and in a sample of children with three measurement timepoints across 11 years.
methodsData were obtained of the German national representative Motorik-Modul (MoMo) Study and the German Health Interview and Examination Survey for Children and Adolescents (KiGGS). In Study 1, N = 2278 participants (6-17 years) were included with self-reported outdoor play and accelerometer-assessed SB and MVPA. Associations were examined via multiple linear regressions. In Study 2, N = 570 participants (baseline: 4-7 years) were included in the longitudinal analysis with follow-ups six and 11 years later. Screen-time SB (TV watching and PC/Gaming), MVPA, and outdoor play were self-reported. Associations were investigated through a path prediction model.
resultsStudy 1 showed that compared to <1 h outdoor play, higher engagement in daily outdoor play was related to lower SB (1-2 h: - 9.75 min/day, P = 0.017; ≥2 h: - 17.78 min/day, P < 0.001) and higher MVPA (≥2 h: + 3.87 min/day, P = 0.001). The cross-sectional relationship between MVPA and outdoor play was moderated by sex (in favor of males) and age (in favor of younger children). Study 2 showed that outdoor play in early childhood negatively predicted PC use/Gaming in later childhood, but was unrelated to MVPA.
conclusionIn Study 1, outdoor play was negatively related to SB cross-sectionally. In Study 2, outdoor play in early childhood was negatively related to PC and Gaming time in later childhood. Thus, providing outdoor play opportunities, especially during early childhood, has potential to prevent SB. Future research should investigate longitudinal relationships using device-based assessments for SB and MVPA.
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