Child Care Health and Development最新文献

{"title":"Associations Between 24-h Movement Behaviours Guidelines and Physical Fitness in Uruguayan Preschoolers.","authors":"Enrique Pintos-Toledo, Sofia Fernandez-Gimenez, Franco Souza-Marabotto, Clarice Lucena Martins, Anthony D Okely, Javier Brazo-Sayavera","doi":"10.1111/cch.70281","DOIUrl":"https://doi.org/10.1111/cch.70281","url":null,"abstract":"<p><strong>Background: </strong>Twenty-four-hour movement behaviours-physical activity (PA), sleep and screen time (ST)-are key determinants of child health, yet evidence in Latin American preschoolers remains limited. This study examined associations between these behaviours and physical fitness in Uruguayan preschool children.</p><p><strong>Methods: </strong>Children (n = 135, 3-4 years) from Rivera, Uruguay, were recruited. PA and sleep were assessed via accelerometry (ActiGraph GT3X-BT); ST was parent-reported. Fitness was evaluated using SUNRISE and PREFIT batteries (strength, power, balance and cardiorespiratory fitness). Regression models adjusted for age and sex were applied.</p><p><strong>Results: </strong>In the full sample, ST was negatively associated with handgrip strength (β_std = -0.154, p = 0.019) and standing long jump (β_std = -0.168, p = 0.013). PA and sleep showed no significant associations with fitness. Sex-stratified analyses revealed different patterns: In boys, moderate-to-vigorous PA was positively associated with standing long jump (β_std = 0.194, p = 0.038), and ST was negatively associated with handgrip strength (β_std = -0.190, p = 0.034). No significant associations were observed in girls (p > 0.05).</p><p><strong>Conclusion: </strong>ST was most consistently associated with poorer muscular fitness in preschoolers. Sex-specific patterns suggest the need for tailored interventions, while universally prioritising the reduction of screen time exposure during early childhood.</p>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"52 3","pages":"e70281"},"PeriodicalIF":2.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Study Exploring an Intervention for Emotion Regulation and Stress Coping in Preschool Children.","authors":"Shanshan Wang, Meihui Qiu, Jingyi Wu, Jiahui Wu, Jingsong Zhang","doi":"10.1111/cch.70289","DOIUrl":"https://doi.org/10.1111/cch.70289","url":null,"abstract":"<p><strong>Background: </strong>The mental health development of preschool children has garnered increasing societal attention. However, empirical studies on mental health curriculum programs for preschool children in China remain limited. This study aims to evaluate interventions suitable for emotion regulation and stress coping strategies among preschool children and to provide a reference for early intervention that promotes their mental well-being.</p><p><strong>Methods: </strong>This study was designed as a cluster randomised controlled trial conducted in two public kindergartens in Shanghai. Preschool children from middle and senior classes were recruited. To minimise classroom contamination, cluster randomisation was performed to assign classes to either the intervention group or the waiting-list control group. The intervention group received a 10-week Child Emotion and Stress Intervention Program (CESIP), delivered once weekly for 30 min, while the control group continued their regular kindergarten curriculum during the study period and did not receive any CESIP-related training or activities. Parents or caregivers completed the Strengths and Difficulties Questionnaire (SDQ) and the Inventory of Callous-Unemotional Traits (ICU) at baseline (pre-intervention) and immediately after the intervention (post-intervention). Group differences in changes from pre- to post-intervention were examined using a difference-in-differences (DID) framework, operationalised through the group-by-time interaction term.</p><p><strong>Results: </strong>A total of 211 children (intervention group: n = 97; waiting-list control group: n = 114) completed both assessments. DID analyses showed no significant group differences in changes across SDQ subscales (all p > 0.05). In contrast, compared with the waiting-list control group, the intervention group demonstrated significantly greater reductions in ICU uncaring scores (DID estimate = -0.16, 95% CI [-0.31, -0.01], p = 0.039) and ICU total scores (DID estimate = -0.11, 95% CI [-0.20, -0.01], p = 0.035).</p><p><strong>Conclusions: </strong>The CESIP intervention did not produce differential effects on behavioural difficulties but was associated with significant improvements in callous-unemotional traits, particularly uncaring characteristics, among preschool children. These findings suggest that classroom-based emotion and stress interventions may be beneficial for specific aspects of emotional development in early childhood.</p>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"52 3","pages":"e70289"},"PeriodicalIF":2.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between Meeting the 24-H Movement Behaviour Guidelines and Behavioural and Emotional Problems in Uruguayan Young Children.","authors":"Franco Souza-Marabotto, Miguel Ángel Durán-Vinagre, Bruno Bizzozero-Peroni, Javier Brazo-Sayavera","doi":"10.1111/cch.70269","DOIUrl":"10.1111/cch.70269","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to analyse the association between meeting the 24-h movement behaviour guidelines and behavioural and emotional problems in Uruguayan young children.</p><p><strong>Methods: </strong>A cross-sectional study was conducted using data from the 2018 Nutrition, Child Development and Health Survey. A total of 932 children aged between 12 and 59 months were included, with complete data on physical activity and sedentary screen time, sleep and behavioural/emotional problems assessed using the Child Behaviour Checklist (CBCL 1.5-5). Children were classified according to meeting the WHO guidelines for each behaviour. Ordinal logistic regression models adjusted for age, sex, body mass index and parental educational level were applied, considering those who did not meet any recommendation as the reference category.</p><p><strong>Results: </strong>The final sample included 932 young children (51% boys; mean age = 23.8 months). Only 20.4% met all three 24-h movement behaviour guidelines, and 22.3% met both physical activity and sleep recommendations. Most children were classified within the normal range for behavioural and emotional problems. Adjusted ordinal logistic regression analyses showed no significant associations between adherence to the 24-h movement behaviour guidelines and internalising or externalising problems, nor with their specific domains.</p><p><strong>Conclusions: </strong>This study, based on data from a large national survey sample of Uruguayan young children, suggests that meeting current recommendations for movement behaviours may not be directly linked to mental health outcomes at this early developmental stage. Longitudinal studies are warranted to clarify potential cumulative or delayed associations of movement behaviours on child mental health.</p>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"52 3","pages":"e70269"},"PeriodicalIF":2.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric Testing of the Turkish School Setting Interview in Pediatric Neurodevelopmental Disorders.","authors":"Damla Ece Irmak, Ege Temizkan, Gökçen Akyürek, Gonca Bumin","doi":"10.1111/cch.70282","DOIUrl":"https://doi.org/10.1111/cch.70282","url":null,"abstract":"<p><strong>Background: </strong>This study investigated the validity and reliability of the Turkish version of the School Setting Interview (SSI) for children with neurodevelopmental disorders.</p><p><strong>Methods: </strong>A cross-sectional psychometric validation design was used with 115 schoolchildren (6-17 years) diagnosed with either specific learning disability (n = 63) or attention deficit hyperactivity disorder (n = 52) in school and clinical settings across Turkey. Students completed the Turkish SSI, and convergent validity was examined via correlations with the School Function Assessment (SFA). As hypothesis-testing construct validity evidence, SSI scores were compared between genders, and reliability was evaluated through Cronbach's alpha and item analysis.</p><p><strong>Results: </strong>The Turkish SSI showed excellent convergent validity, correlating strongly with SFA participation (r = 0.97), performance (r = 0.97) and assistance (r = 0.95) scores. Additionally, no significant gender differences were found (p = 0.17). Internal consistency was high (Cronbach's alpha = 0.96), with every item contributing positively to the scale.</p><p><strong>Conclusion: </strong>The Turkish SSI is a brief, reliable and valid instrument for gauging student-environment fit in children with neurodevelopmental disorders, enabling educators and occupational therapists to identify barriers and design targeted interventions that foster academic participation and success.</p>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"52 3","pages":"e70282"},"PeriodicalIF":2.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147789859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Participation Restrictions in Early Learning and Child Care Among Children With Long-Term Conditions or Disabilities.","authors":"Allison Leanage, David Wavrock, Rubab Arim","doi":"10.1111/cch.70291","DOIUrl":"https://doi.org/10.1111/cch.70291","url":null,"abstract":"<p><strong>Background: </strong>Children with long-term conditions (LTC) or disabilities often face participation restrictions in early learning and child care (ELCC), but little is known about their specific challenges. This study used latent class analysis (LCA) to identify non-categorical profiles of children's disability-related difficulties, capturing the heterogeneity of conditions rather than condition-specific categories, and examined socio-demographic and child care participation characteristics informing common challenges and needs.</p><p><strong>Methods: </strong>Data drawn from the 2023 Survey on ELCC Arrangements-Children with LTC and Disabilities included 1977 children aged 0-5 (98% of survey sample). LCA identified groups based on parent-reported difficulties, activity limitations, LTC and disabilities. Child care participation, difficulty finding child care, extra support needs and school participation were compared across the total sample and identified classes.</p><p><strong>Results: </strong>A four-class model provided the most meaningful solution. Class 1 (Relatively Healthy, 48%) included children likely to have difficulty learning, remembering, or concentrating sometimes. Class 2 (Activity Limitations and LTC, 14%) included children likely to have activity limitations (90%) and LTC (80%). Class 3 (LTC, 28%) included children most likely to have LTC (95%) but no activity limitations. Class 4 (Children with Disabilities, 10%) included children most likely to have multiple difficulties and disabilities, activity limitations and LTC. Relatively healthy children were most often reported in excellent or very good health (88%), were least likely to require extra support (42%) or have difficulty finding child care (37%) and were less often enrolled in school (34%), whereas children with disabilities were least likely to be in excellent or very good health (50%), most likely to require extra support (94%) and often enrolled in school (50%).</p><p><strong>Conclusion: </strong>Children with LTC or disabilities are a diverse group with varying extra support needs and patterns of participation in ELCC and school engagement. These differences highlight the importance of inclusive, responsive strategies to reduce access gaps and promote early educational engagement.</p>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"52 3","pages":"e70291"},"PeriodicalIF":2.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Environmental Factors Associated With Preschoolers' Outdoor Play and Napping in Childcare Settings: The SUNRISE International Study.","authors":"Claudia I Maddren, Gursimran Dhamrait, Ankhmaa Byambaa, Tawonga W Mwase-Vuma, Sanne L C Veldman, Elina Engberg, Narayan Subedi, Michael Chia, Asmaa El Hamdouchi, José Francisco López-Gil, Fotini Venetsanou, Ijang Bih Ngyah-Etchutambe, Clarice Maria de Lucena Martins, Chalchisa Abdeta, Najmeh Hamzavi Zarghani, Himangi Lubree, Kuston Sultoni, Pragya Singh, Edin Užičanin, Marites M Tiongco, Mohamed-Souhaiel Chelly, Ali Turab, Oluwayomi Abolade Aoko, Anna Kontsevaya, Jhonatan Gonzalez Santamaria, Juel Jarani, Mounir Ghogho, Anthony D Okely","doi":"10.1111/cch.70284","DOIUrl":"https://doi.org/10.1111/cch.70284","url":null,"abstract":"<p><strong>Background: </strong>Early childhood and education centres (ECECs) are key settings in the promotion of healthy levels of outdoor play and napping among young children.</p><p><strong>Aim: </strong>This study aimed to examine the associations between environmental factors and preschoolers' outdoor play and napping in ECECs across an international sample.</p><p><strong>Methods: </strong>Data from 187 ECECs in 27 countries (22 low- and middle-income countries) that participated in the third pilot phase (January 2021-April 2025) of the SUNRISE International Study were analysed. The director of each ECEC completed a questionnaire which asked if children participating in the SUNRISE Study were unable to participate in outdoor play and nap time due to a range of environmental barriers.</p><p><strong>Results: </strong>Forty-six percent (n = 86) of ECECs reported at least one environmental factor that prevented preschoolers' outdoor play, and 20% (n = 37) reported at least one factor that disrupted naptime. Hot and cold temperatures, rain and other factors were observed as barriers to outdoor play across regions and country income levels. Indoor noise, extreme temperatures, brightness and lack of space were reported as disrupting preschoolers' naptime across regions and country income levels. For rural ECECs, hot temperatures and lack of space were barriers for outdoor play and napping, respectively.</p><p><strong>Conclusions: </strong>Context-specific strategies are required to create climate-resilient outdoor play spaces and more restful napping environments to optimise early childhood development within ECECs.</p>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"52 3","pages":"e70284"},"PeriodicalIF":2.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Social Context of Pain in Youth With Cerebral Palsy: The Role of Caregiver Mental Health, Parenting Style and Protective Responses to Pain.","authors":"Kendra A Mueri, Cara G Nania, Melanie Noel, Christopher Clark, Daniel Kopala-Sibley, Elizabeth G Condliffe, Sandra J Mish, Laura Brunton, Carly A McMorris","doi":"10.1111/cch.70286","DOIUrl":"https://doi.org/10.1111/cch.70286","url":null,"abstract":"<p><strong>Background: </strong>Cerebral palsy (CP) is a neurodevelopmental disability in which 75% of youth with CP report experiencing pain. Caregiver mental health, parenting style (e.g., authoritarian) and protective responses to pain (i.e., responses that reinforce pain behaviours and avoidance) have been linked to child pain outcomes. Although caregivers of children with neurodevelopmental disabilities experience heightened stress, little is known about the influence of caregiver mental health and parenting style on pain outcomes in youth with CP.</p><p><strong>Objectives: </strong>The present study investigated if caregiver mental health symptoms (i.e., depression and anxiety) and general parenting style (i.e., authoritarian, authoritative and permissive) were associated with child-reported pain (i.e., pain intensity and pain interference), and whether protective responses to pain mediated these proposed associations.</p><p><strong>Methods: </strong>Forty-three pairs of youth with CP and their caregiver were recruited from Canadian agencies, organizations and social media advertisements. Participants completed cross-sectional measures of child-reported pain and caregiver-reported mental health, parenting style and protective responses to pain.</p><p><strong>Results: </strong>Caregiver mental health and authoritarian parenting style were significant predictors of youth pain interference (p's ≤ 0.05); however, unexpectedly, protective responses to pain did not mediate these associations (confidence intervals containing 0).</p><p><strong>Conclusions: </strong>These findings highlight the need for future investigations of family-based interventions targeting general parenting style and caregiver mental health and their potential to reduce symptoms associated with secondary conditions, such as pain, that youth with CP experience.</p>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"52 3","pages":"e70286"},"PeriodicalIF":2.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13144435/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Caregiver Concerns for Children and Adolescents With Down Syndrome: A Cross-Sectional Study in Brazil.","authors":"Beatriz Helena Brugnaro, Henrique Granado Jábali, Rosa Isabel Fonseca Angulo, Rafaela Campos, Marilyn Wright, Rachel Teplicky, Peter Rosenbaum, Olaf Kraus de Camargo, Nelci Adriana Cicuto Ferreira Rocha","doi":"10.1111/cch.70283","DOIUrl":"https://doi.org/10.1111/cch.70283","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study is to describe and compare areas of concern for caregivers of children and adolescents with Down syndrome across ages and explore how these areas impact their ability to participate in daily activities.</p><p><strong>Methods: </strong>One hundred and seventeen caregivers of children and adolescents with Down syndrome, aged 0-18, participated and completed the About My Child questionnaire. Descriptive analyses of data from the caregivers were carried out. Individual item scores and the mean scores, standard deviations, median and confidence interval of the total Concern and Impact scores were calculated. Item analyses were carried out across age groups (Kruskal-Wallis test) and between children and adolescent groups (Mann-Whitney Test), aiming to explore concerns and impacts at different ages.</p><p><strong>Results: </strong>The lowest mean concern score for an age group was 9.27, and the highest was 12.67, with possible scores from 0 to 19. The lowest mean impact score for an age group was 2.80, and the highest was 3.25, with possible scores from 0 to 4. The items with the highest frequency of concern for most age groups were communication, participation in school and community and behaviour. The biggest impacts on participation were reported for the items concerning the use of arms and hands, sleep and hearing. No differences were found across age groups.</p><p><strong>Interpretation: </strong>This study found that caregivers of children and adolescents with Down syndrome have concerns about their child that, in total, do not change throughout life.</p>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"52 3","pages":"e70283"},"PeriodicalIF":2.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13133700/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Father and Sibling Involvement in Home Rehabilitation: Longitudinal Effects on Infant Development and Maternal Wellbeing in Bulawayo, Zimbabwe.","authors":"Precious Madzimbe, Soraya Maart, Jermaine Dambi, Lieselotte Corten","doi":"10.1111/cch.70292","DOIUrl":"https://doi.org/10.1111/cch.70292","url":null,"abstract":"<p><strong>Objective: </strong>To determine whether extending home-based rehabilitation beyond the mother-only model to include fathers and siblings is associated with improved developmental outcomes in infants with neuro-developmental delay (NDD) and maternal wellbeing in an urban low-resource setting.</p><p><strong>Methods: </strong>A prospective observational cohort study was conducted at two public neuro-developmental clinics in Bulawayo, Zimbabwe. Infants aged 3-6 months (N = 481) and their mothers were followed for 3 months across three naturally occurring caregiver participation groups: mother-only, mother-father and mother-father-sibling. Developmental outcomes were assessed using the Bayley Scales of Infant and Toddler Development, Third Edition (BSID-III), and maternal wellbeing was measured using Global Quality of Life (QoL) and Mental Health Check-In Visual Analogue Scales. Group differences were analysed using ANCOVA, repeated-measures ANCOVA and multiple linear regression adjusting for baseline scores.</p><p><strong>Results: </strong>Infants in the mother-father-sibling group demonstrated significantly higher baseline-adjusted BSID-III cognitive scores at 3 months than the mother-only group (p < 0.05), with the largest effect observed in this group. Changes in language, motor, socioemotional, and adaptive domains followed the same direction but showed smaller and less consistent effects, with limited pairwise significance after adjustment. Maternal mental health improved significantly over time across groups, while QoL showed small but statistically significant gains only on repeated-measures analysis.</p><p><strong>Conclusion: </strong>Involving fathers and siblings in home-based rehabilitation was associated with selective cognitive gains in infants and better maternal mental health over 3 months. These findings provide preliminary support for the integration of father- and sibling-inclusive, family-centred rehabilitation models for paediatric neurorehabilitation in similar low- and middle-income settings.</p>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"52 3","pages":"e70292"},"PeriodicalIF":2.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13147229/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceptions of the Likelihood and Importance of Physical Activity Outcomes at 14 Years Affects Physical Fitness at 17 Years.","authors":"Amanda Timler, Paola Chivers, Helen Parker, Elizabeth Rose, Jocelyn Tan, Beth Hands, Mandy S Plumb","doi":"10.1111/cch.70276","DOIUrl":"https://doi.org/10.1111/cch.70276","url":null,"abstract":"<p><strong>Objectives: </strong>The aims of this study were to examine whether the importance of physical activity and the likelihood of experiencing effects of physical activity changed between 14 and 17 years, and whether perceptions of importance and likelihood of physical activity in early adolescence align with aerobic fitness in late adolescence.</p><p><strong>Methods: </strong>Participants participated in the study at the age of 14 and then again at 17. They reported via survey at both time points on the likelihood and importance of being physically active over the next year, completing two 15-item questionnaires. Cardiovascular endurance was measured in a laboratory setting on a bicycle ergometer using the PWC₁₇₀ (Physical Working Capacity 170) at age 17 years.</p><p><strong>Results: </strong>A total of 1056 participants (554 girls and 502 boys) from the Raine Study Generation 2 (Gen2) took part. Their rating of the importance and likelihood towards physical activity was mainly influenced by intrinsic health (e.g., fit and healthy, losing weight, improving appearance) and social factors (e.g., having fun, spending time with friends) compared to extrinsic factors (e.g., change to win/compete, others making fun of them). Males positively rated more extrinsic factors compared to the females, with the rating of intrinsic factors such as 'fit and healthy' and 'losing weight' stable between 14 and 17 years. 'Appearance' was the only factor that increased in importance at 17 years compared to 14 years of age.</p><p><strong>Conclusion: </strong>Greater awareness of the factors that young adolescents consider as important and likely for their physical activity is important. These include having fun, spending time with friends and keeping fit and healthy. Sport coaches, physical education teachers and health promotion campaigns could consider targeted interventions focusing on these factors as an effective way of engaging youth.</p>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"52 3","pages":"e70276"},"PeriodicalIF":2.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13098470/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147789861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}