The Dyadic Interplay Between Relationship Satisfaction, Perceived Positive and Negative Social Control, and a Reduction of Sedentary Behavior Time.

BACKGROUND: Both the close relationship processes and health model and the dyadic health influence model posit that beliefs about the relationship (e.g., relationship satisfaction) and influence strategies (e.g., social control) serve as mediators of health behavior change. The evidence for such mediation is limited. PURPOSE: This study investigated two competing hypotheses that arise from these models: (1) perceived use of positive and negative social control (attempts to influence the partner's behaviors) predict sedentary behavior (SB) indirectly, via relationship satisfaction; or (2) relationship satisfaction predicts SB indirectly, via positive and negative social control. METHODS: Data from 320 dyads (target persons and their partners, aged 18-90 years), were analyzed using mediation models. SB time was measured with GT3X-BT accelerometers at Time 1 (T1; baseline) and Time 3 (T3; 8 months following baseline). Relationship satisfaction and social control were assessed at T1 and Time 2 (T2; 2 months following baseline). RESULTS: Higher T1 relationship satisfaction among target persons predicted target persons' reporting of higher T2 negative control from partners, which in turn predicted lower T3 SB time among target persons. Lower T1 relationship satisfaction among partners predicted target persons' reporting of higher T2 perceived negative control from partners, which predicted lower T3 SB time among target persons. On average, both members of the dyad reported moderate-to-high relationship satisfaction and low-to-moderate negative control. CONCLUSIONS: In contrast to very low levels of negative control, its low-to-moderate levels may be related to beneficial behavioral effects (lower SB time) among target persons reporting moderate-to-high relationship satisfaction.

Identifying the views of adolescents in five European countries on the drivers of obesity using group model building.

BACKGROUND: To make effective progress towards a global reduction in obesity prevalence, there needs to be a focus on broader structural factors, beyond individual-level drivers of diet and physical activity. This article describes the use of a systems framework to develop obesity prevention policies with adolescents. The aim of this research was to use the group model building (GMB) method to identify young people's perceptions of the drivers of adolescent obesity in five European countries, as part of the EU-funded Co-Create project. METHODS: We used GMB with four groups of 16-18-year-olds in schools in each of the five European countries (The Netherlands, Norway, Poland, Portugal and the UK) to create causal loop diagrams (CLDs) representing their perceptions of the drivers of adolescent obesity. The maps were then merged into one, using a new protocol. RESULTS: Two hundred and fifty-seven participants, aged 16-18 years, engaged in 20 separate system mapping groups, each of which generated 1 CLD. The findings were largely congruent between the countries. Three feedback loops in the merged diagram particularly stand out: commercial drivers of unhealthy diets; mental health and unhealthy diets; social media use, body image and motivation to exercise. CONCLUSIONS: GMB provides a novel way of eliciting from young people the system-based drivers of obesity that are relevant to them. Mental health issues, social media use and commercial practices were considered by the young people to be key drivers of adolescent obesity, subjects that have thus far had little or no coverage in research and policy.

Maternal practices and perceptions of child body mass status explain child energy expenditure behaviors and body mass.

This study investigated whether maternal perceptions of child body mass status would predict child body mass index (BMI) z-score via two sets of sequential mediators: (1) four maternal practices promoting child energy expenditure and (2) children's energy expenditure behaviors. The data of N = 729 mother-child dyads were collected at baseline [T1; n = 495 at 7- to 8-month follow-up (T2)]. Mothers reported perceptions of child body mass status and maternal practices (T1); children reported sedentary screen use and physical activity (T1, T2). Child body mass was assessed objectively (T1, T2). Higher stimulation to be active (T1) was related to a lower child BMI z-score (T2) via higher levels of child physical activity (T2). Higher levels of monitoring of screen use (T1) were associated with higher child BMI z-score (T2) via lower levels of child physical activity (T2). Encouraging parents to stimulate their children to be active may be beneficial for children's weight maintenance.

Perceptions of Physical Activity Promotion, Transportation Support, Physical Activity, and Body Mass: an Insight into Parent-Child Dyadic Processes.

BACKGROUND: Socio-ecological models indicate that family, school, and community environment explains children's physical activity and body weight. This study investigated whether parental perceptions of school/community-based physical activity (PA) promotion programs as well as parental and child perceptions of parental instrumental support for child PA (transportation provision) would predict child body weight. Child moderate-to-vigorous physical activity (MVPA) was hypothesized to mediate these associations. METHOD: Data of 879 parent-child dyads were collected at two measurement points: the baseline (T1) and the 7-8-month follow-up (T2). Parents were 23-68 years old (83.3% women), while children were 5-11 years old (52.4% girls). Parents and children reported their perceptions of environment, support (T1), and MVPA (T1, T2). Parental and child body weight and height were measured objectively (T1, T2). RESULTS: Path analyses indicated indirect effects of parental perceptions of school/community-based PA policies (T1) and parental perceptions of transportation provision (T1) on child body weight (T2), with child MVPA (T2) operating as the mediator. There were no direct or indirect effects of child perceptions of parental transportation provision (T1) on child MVPA or body weight (T2). Similar patterns of associations were found for the total sample and the subsample of children with overweight/obesity. CONCLUSION: Parental perceptions of school/community-based PA policies and transportation provision may explain changes in child MVPA and body weight. Interventions aimed at prevention of child overweight/obesity may benefit from a focus on parental transportation provision to PA facilities and parental awareness of PA promotion at local environment.

Women with family cancer history are at risk for poorer physical quality of life and lower self-efficacy: a longitudinal study among men and women with non-small cell lung cancer.

BACKGROUND: We investigated the determinants of trajectories of physical symptoms related to lung cancer (a quality of life [QOL] aspect) and self-efficacy among patients with non-small cell lung cancer (NSCLC). It was hypothesized that gender and family cancer history in first-degree relatives would have synergistic effects on QOL-lung cancer specific symptoms and self-efficacy. Women with family cancer history were expected to be at risk of poorer adjustment. METHODS: Quantitative, longitudinal design was applied. Participants provided their responses at 3-4 days after surgery, 1-month follow-up, and 4-month follow-up. We recruited 102 in-patients (men: 51%) with NSCLC who underwent surgery aimed at removing a lung tumor. Self-report data were collected with QLQ-LC13 and a scale for self-efficacy for managing illness. RESULTS: Mixed-models analysis indicated that trajectories of physical quality of life (symptoms of lung cancer) as well as self-efficacy were unfavorable among women with family cancer history. CONCLUSIONS: Among NSCLC patients, gender and family cancer history may be considered basic screening criteria for identifying groups of patients at risk for poorer physical QOL (higher level of physical symptoms related to lung cancer) and lower incline of self-efficacy after cancer surgery.

Effects of physical activity planning interventions on reducing sedentary behavior in parent-child dyads: A randomized controlled trial.

Effects of parent-child dyad interventions on behavior remain unclear. This randomized controlled trial investigated if, compared with a control condition, three types of physical activity (PA) planning interventions (individual "I-for-me," dyadic "we-for-me," and collaborative "we-for-us") would reduce sedentary behavior (SB) time in parents and their children. The study involved 247 dyads comprising parents (aged 29-66) and their children (aged 9-15), randomized into one of the three types of PA planning-intervention arms or the control condition. Mixed models were applied to analyze data from a preregistered trial (NCT02713438) with the outcome of accelerometer-measured SB time, assessed at 1-week and 36-week follow-ups. Although children's SB remained unaffected by the planning interventions, a small reduction of SB time was found among parents in the collaborative (p = .048) and individual (p = .042) planning conditions. The effects were observed at the 1-week follow-up only. While short-term reductions in parents' SB were achieved, these were not sustained long-term. PA planning interventions delivered to parent-child dyads did not substantially reduce children's SB, which may be due to young people's needs of increased independence from their parents.

Physical activity planning interventions, body fat and energy-dense food intake in dyads: ripple, spillover, or compensatory effects?

OBJECTIVES: It is unclear if planning to change one behavior may prompt changes in other health behaviors or health outcomes. This study tested if physical activity (PA) planning interventions may result in (i) a body fat reduction in target persons and their dyadic partners (a ripple effect), (ii) a decrease in energy-dense food intake (a spillover effect), or an increase in energy-dense food intake (a compensatory effect). METHOD: N = 320 adult-adult dyads were assigned to an individual ('I-for-me'), dyadic ('we-for-me'), or collaborative ('we-for-us') PA planning intervention or a control condition. Body fat and energy-dense food intake were measured at baseline and at the 36-week follow-up. RESULTS: No Time x Condition effects were found for target persons' body fat. There was a reduction in body fat among partners participating in any PA planning intervention, compared to the control condition. Across conditions, target persons and partners reduced energy-dense food intake over time. The reduction was smaller among target persons assigned to the individual PA planning condition compared to the control condition. CONCLUSIONS: PA planning interventions delivered to dyads may result in a ripple effect involving body fat reduction among partners. Among target persons, the individual PA planning may activate compensatory changes in energy-dense food intake.

Dyadic reciprocal associations between self-efficacy and planning predict sedentary behaviour.

OBJECTIVES: There are two alternative hypotheses regarding bidirectional associations between self-efficacy and planning in predicting health behaviour change: self-efficacy may establish planning (cultivation hypothesis) or planning may enable the formation of self-efficacy (enabling hypothesis). This study investigates the order in which these two social cognitions are linked in adult-adult dyads in the context of sedentary behaviours (SB). DESIGN: A longitudinal study with 4 measurement points, spanning 8 months. METHODS: A total of 320 dyads (age: 18-90 years) were enrolled. Dyads included a focus person (who received the recommendation to reduce SB and intended to change their SB), and their partners, who were willing to support the focus persons and intended to reduce their own SB as well. Data were collected at Time 1 (T1), Time 2 (1 week later, T2), Time 3 (T3, 2 months after T1) and Time 4 (T4, 8 months after T1). SB was measured with accelerometers at (T1 and T4). Mediation models with individual and dyadic reciprocal effects were tested with path analyses. RESULTS: Only one indirect effect was found: A higher level of partners' SB reduction-specific self-efficacy at T2 was related to the focus person's more frequent planning to reduce SB at T3, which, in turn, predicted lower SB time among partners at T4. CONCLUSIONS: The findings provide partial support for the cultivation model (self-efficacy prompting planning) and for dyadic reciprocal associations in the context of SB time reduction among adult dyads.

What policies are there and what policies are missing? A Photovoice study of adolescents' perspectives on obesity-prevention policies in their local environment.

The aim of this study was to investigate adolescents' critical awareness of whether obesity prevention policies targeting physical activity (PA) and nutrition were operating in their local community. Participants were 41 adolescents (aged 16-18, 90% women) recruited from three communities in Poland. Prior to this study, they were involved in obesity-prevention participatory initiatives (conducted within the CO-CREATE project), where obesity-related public policy limitations were analyzed in a youth-led discussion. A Photovoice exercise was designed to capture obesity-related public policies that were either present or absent in young people's local environments. The photographs (N = 213) were coded and mapped according to the policy themes they illustrated, using the MOVING and NOURISHING frameworks. The public policies represented in the photographs are most frequently related to: healthy retail or food service environments; food advertising or promotion; structures and surroundings that promote PA; and infrastructure and opportunities that support public or active transport. Adolescents are critically aware of the presence and lack of specific public policies operating in their local environment, particularly policies affecting structural aspects of food and PA environments. Policy-oriented photovoice exercises may prompt critical awareness among adolescents and empower them to contribute to obesity prevention policy processes.

Physical Activity, Positive and Negative Symptoms of Psychosis, and General Psychopathology among People with Psychotic Disorders: A Meta-Analysis.

OBJECTIVE: Existing reviews provided evidence for the associations between higher physical activity (PA) and lower negative symptoms of psychosis among people with schizophrenia. This meta-analysis goes beyond existing syntheses and investigates associations between PA, positive and negative symptoms of psychosis, as well as symptoms of general psychopathology (referring mostly to cognitive functioning) among people with schizophrenia, but also other psychotic disorders. The moderating roles of the type of diagnosis and the type of exercise intervention were explored. METHODS: The study was registered with PROSPERO (CRD42018118236). Six electronic databases were searched; n = 27 experimental and observational studies were included, and psychotic symptoms-related data were recorded in one direction (higher values indicate better mental health and lower symptomatology). RESULTS: Higher levels of PA (or participating in PA interventions) were associated with better mental health, that is, lower levels of positive symptoms (all studies: r = 0.170; experimental studies: SMD = 0.677), negative symptoms (all studies: r = 0.214; experimental studies: SMD = 0.838), and general psychopathology (all studies: r = 0.451; experimental studies: SMD = 1.511). The type of diagnosis (schizophrenia vs. other psychotic disorders) did not moderate these associations. CONCLUSIONS: We found a consistent pattern of associations between higher levels of PA and lower positive, negative, and general psychopathology symptoms in people with schizophrenia and those with other psychotic disorders.

Insights into effects of individual, dyadic, and collaborative planning interventions on automatic, conscious, and social process variables.

OBJECTIVE: Going beyond the effects of individual planning ("I-for-me"), we investigate the associations of dyadic ("we-for-me") and collaborative ("we-for-us") planning with automatic, conscious, and social process variables that may elucidate the differences through which these three types of planning operate. We tested the effects of three planning interventions on: (1) habit strength, representing an automatic process, (2) the use of individual planning, representing a conscious process, (3) the use of collaborative planning, representing conscious and social processes, and (4) collaborative social control, representing a social process. METHODS: N = 320 adults were randomly assigned to one of four conditions: (1) the active control condition, (2) the individual planning condition, (3) the dyadic planning condition, or (4) the collaborative planning condition. Self-reported data on habit strength, the use of individual planning, the use of collaborative planning, and collaborative social control were assessed at baseline and at the 9-week follow-up. Analyses used linear mixed modelling. RESULTS: Compared to the control group, participants in the individual planning condition had stronger habits at the 9-week follow-up. Those in the dyadic planning condition reported higher levels of the use of collaborative planning and higher levels of collaborative social control at the follow-up. Finally, compared to those assigned to the control group, participants in the collaborative planning condition reported stronger habits, higher levels of the use of both individual and collaborative planning, and higher levels of collaborative social control at the follow-up. CONCLUSIONS: Individual, dyadic, and collaborative planning interventions may result in distinct patterns of changes in the variables representing automatic, conscious, and social processes. In particular, changes in automatic, conscious and social process variables, evoked by the collaborative "we-for-us" planning intervention may reflect the major regulatory effort of forming joint plans and subsequently integrating regular joint exercise into the weekly schedule.

Collaborative, dyadic, and individual planning and physical activity: A dyadic randomized controlled trial.

OBJECTIVE: This study was designed to investigate the effects of collaborative, dyadic, and individual planning on moderate-to-vigorous physical activity (MVPA) in target person-partner dyads. Individual planning reflects an "I-for-me" planning of one person's behavior. Collaborative planning refers to joint planning of both dyad members' behavior ("We-for-us" planning), and dyadic planning refers to joint planning of only the target person's behavior ("We-for-me" planning). METHOD: N = 320 dyads of target persons (M age: 43.86 years old) and partners (M age: 42.32 years old) participated in a randomized controlled trial (ClinicalTrials.gov registration no. NCT03011385) with three experimental planning conditions (collaborative, dyadic, or individual planning) and an active control condition (physical activity, sedentary behavior, and nutrition education). Target persons did not meet international MVPA guidelines or were recommended to increase their MVPA due to cardiovascular disease or type II diabetes. MVPA was measured with ActiGraph wGT3X-BT accelerometers at baseline, 1-week follow-up, and 36-week follow-up (6 months after the final intervention session; the primary endpoint). Linear mixed models were fit for target persons and partners separately. RESULTS: At 1-week follow-up, there were no significant Time × Condition interaction effects among target persons and partners. At 36-week follow-up, target persons and partners in the dyadic planning conditions increased their MVPA, compared to the control condition. CONCLUSIONS: Individuals with insufficient physical activity or with a cardiovascular disease/type II diabetes and their partners may benefit from dyadic planning, which is a promising strategy to achieve physical activity increases. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Can individual, dyadic, or collaborative planning reduce sedentary behavior? A randomized controlled trial.

RATIONALE: Although effects of individual planning interventions on physical activity (PA) are well established, less is known about the relationships between planning and sedentary behavior (SB). OBJECTIVE: This study evaluated the efficacy of individual planning, dyadic planning (i.e., joint planning, targeting the behavior of one person only: the target person), and collaborative planning (i.e., joint planning and joint behavioral performance) on sedentary behavior among dyads. METHODS: Dyads (N = 320 target persons and their partners, aged 18-90 years) were randomized into three PA planning conditions (individual, dyadic, or collaborative) or an active (education) control condition. Main outcomes, i.e., sedentary time, proportion of time spent in SB and light-intensity PA, proportion of time spent in SB and total PA were measured with GT3X-BT accelerometers at baseline, 1-week follow-up, and 36-week follow-up. Two-level models with measurement points nested in participants were fit, separately for target persons and partners. RESULTS: Findings for target persons obtained at 1-week follow-up indicated that in the collaborative planning condition SB time significantly decreased, compared to the control condition (p = .013). There was an improvement in the proportion of time spent in SB and light-intensity PA (p = .019), and the proportion of time spent in SB and total PA (p = .018), indicating that SB time was displaced by PA. Effects of individual and dyadic planning were not significant, compared to the control condition. None of interventions had a significant effect on SB indices at 36-week follow-up. Regarding dyadic partners, there were no effects of planning interventions at 1-week follow-up or 36-week follow-up, compared to the control condition. CONCLUSIONS: Collaborative planning may prompt a short-term reduction of SB time and result in a shift towards a healthier balance between SB time and PA time among target persons, who did not adhere to PA guidelines at baseline.

Do Parent-Child Dyads with Excessive Body Mass Differ from Dyads with Normal Body Mass in Perceptions of Obesogenic Environment?

BACKGROUND: This study addressed differences between parent-child dyads with excessive body mass (overweight or obesity) and dyads with normal body mass in obesity determinants, derived from social-ecological models. It was hypothesized that parents and their 5-11 years-old children with excessive body mass would (1) report lower availability of healthy food at home, (2) perceive fewer school/local community healthy eating promotion programs, (3) report lower persuasive value of food advertising. METHODS: Data were collected twice (T1, baseline; T2, 10-month follow-up), including n = 129 parent-child dyads with excessive body mass and n = 377 parent-child dyads with normal body mass. Self-reported data were collected from parents and children; with body weight and height assessed objectively. General linear models (including analysis of variance with repeated measures) were performed to test the hypotheses. RESULTS: Compared to dyads with normal body mass, dyads of parents and children with excessive body mass perceived lower availability of healthy food at home and fewer healthy eating promotion programs at school/local community (T1 and T2). These effects remained significant after controlling for sociodemographic variables. No significant differences in persuasive value of food advertising were found. CONCLUSIONS: Perceptions of availability of healthy food at home and healthy nutrition promotion may be relatively low in parent-child dyads with excessive weight which, in turn, may constitute a risk factor for maintenance of obesity.

Parental Depression Predicts Child Body Mass via Parental Support Provision, Child Support Receipt, and Child Physical Activity: Findings From Parent/Caregiver-Child Dyads.

OBJECTIVE: Although there is substantial evidence corroborating the within-individual associations between depression, social support, moderate-to-vigorous physical activity (MVPA), and body mass, much less is known about across-individual associations. This study investigated the indirect associations between parental depression and objectively measured body mass in children. In particular, it was hypothesized that higher levels of parental depression (measured at Time 1, T1) would explain higher levels of child body mass in children (assessed at Time 2, T2), via three mediators, namely parental reports of provision of MVPA support (T1), child reports of receipt of MVPA support (T1), and child MVPA (T2). DESIGN: Parent-child dyads provided self-reports twice, at baseline (T1) and 7- to 8-month follow-up (T2). A total of 879 dyads were enrolled (1,758 individuals; 5- to 11-year-old children, 52.4% girls, 83.2% mothers). Body weight and height were measured objectively. Manifest path analyses were performed to test the indirect effects. RESULTS: Analyses corroborated the assumed indirect effects: high levels of depression in parents (T1) were indirectly associated with high levels of body mass in children (T2), via three mediators: low levels of parental support provision (T1), low levels of child support receipt (T1), and low levels of child MVPA (T2). The alternative models assuming that either parental support provision or child support receipt can be excluded as the mediators yelded a poor model-data fit. The hypothesized mediation effects were corroborated when controlling for the baseline levels of parental and child MVPA and body mass. CONCLUSION: The findings confirm complex across-individual effects of parental depression on high levels of body mass in children. Parental mental health may contribute to the childhood obesity epidemic.

Cooking together: The IKEA effect on family vegetable intake.

OBJECTIVE: Based on the idea of the 'IKEA effect', assuming that individuals like self-created objects more than objects created by someone else, this study hypothesizes that parents' involvement of their children in meal planning and preparation is positively related to vegetable intake, mediated via liking vegetables. DESIGN: Longitudinal observational study with two time points (10-month interval). METHOD: Nine hundred and twenty-four parent-child dyads filled out questionnaires measuring involvement, vegetable liking, vegetable intake, and further environmental and food-related determinants of vegetable intake. On average, parents were M = 36.10 (SD = 5.43) and children (54.3% girls) M = 8.24 (SD = 1.44; range 6-11) years old. Hypotheses were tested with path analyses, accounting for intra-dyadic associations among respective constructs (e.g., parents' and children's liking vegetables). RESULTS: Two direct effects were found: (1) parents' involvement of their children in cooking activities impacted children's liking of vegetables and vegetable intake, and (2) liking vegetables impacted vegetable intake. The effect of involvement on vegetable intake was mediated via liking vegetables, but only for children and not for parents. CONCLUSIONS: The findings emphasize the importance of parents' encouragement for involving children in the preparation of healthy meals, as this improves liking of vegetables and, thereby, increases their vegetable intake. Statement of contribution What is already known on this subject? Processes behind the effectiveness of shared cooking activities to increase vegetable intake are unclear. Previous research suggests the IKEA effect as an explanation. It assumes a higher consumption of self-created products due to a higher liking compared to third-party products. What does this study add? First test of the IKEA effect for joint cooking activities under consideration of spillover effects in families. Affirmation of the IKEA effect was found for children, not for parents. Interventions should focus on the involvement of children in cooking activities to improve vegetable intake.

Associations of parental and child food and exercise aversion with child food intake and physical activity.

OBJECTIVE: The interplay between parental and child food and physical activity aversion, briefly defined as fear or avoidance of novelty or breaking from routine, may explain such child behaviors as inadequate food consumption and physical activity. Two studies were conducted to investigate the associations between child and parental food and physical activity aversion (child self-reported aversion, parental-reported aversion, and parental perceptions of child aversion) and child food intake and physical activity. METHOD: Parent-child dyads participated in 2 longitudinal studies. Study 1 (food aversion; the baseline [T1] and the 10-month follow-up [T2]) enrolled 924 dyads (1,848 individuals; 54.3% girls, aged 5-11 years old, 88.9% mothers). Study 2 (physical activity aversion; the baseline [T1] and the 7- to 8-month follow-up [T2]) enrolled 879 dyads (1,758 individuals; 52.4% girls, aged 5-11 years old, 83.2% mothers). There was no overlap between the samples enrolled in the two studies. Dyads completed self-report measures; child and parental body weight and height (for calculation of body mass index [BMI] as covariates/potential moderators) were measured objectively. Mediation analyses with 2 sequential mediators were performed. RESULTS: The association between self-reported parental food aversion (T1) and child fruit and vegetable intake (T2) was mediated sequentially by parental perception of child food aversion (T1) and self-reported child food aversion (T2). The same pattern of associations was found for physical activity aversion. Child BMI did not moderate the hypothesized associations. CONCLUSIONS: High levels of parental and child aversion operated sequentially in explaining lower levels of child fruit and vegetable intake and physical activity. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Parental strategies restricting screen use among children, screen home environment, and child screen use as predictors of child body fat: A prospective parent-child study.

OBJECTIVES: This study provides an insight into associations between: (1) parental and child perceptions of parental strategies restricting screen use among children, (2) child perceptions of the presence and availability of screen-based equipment at home, (3) child sedentary screen use behaviours, and (4) child body fat. DESIGN: A prospective study with two assessment periods (Time 1, T1; Time 2, T2), spanning 7-8 months. METHODS: At T1, 879 parent-child dyads (83.3% mothers; 52.3% girls) were enrolled and provided parental and child (5-11 years old) self-report data. T2 data were obtained from 603 dyads. Child body fat was measured with bioimpedance method (T1 and T2). Path analysis was used to test models calculated with and without additional covariates, such as parental and child age and gender, parental education, and economic status. RESULTS: Path analysis indicated indirect effects of the presence and availability of screen-based equipment at home (T1) on child body fat (T2), with screen use among children (T1) mediating this association. Parental perceptions of restrictions (T1) were unrelated to child body fat (T2). In contrast, child perceptions of parental restrictions (T1) predicted child body fat (T2). Children who perceived that their parents applied a higher level of restrictions (T1) had a lower body fat at the 7- to 8-month follow-up. These associations were found after controlling for baseline levels of child body fat, across models calculated with and without additional covariates. CONCLUSIONS: Child, not parental perceptions of parental restrictions, predicted better obesity-related outcomes in children, such as lower body fat. Statement of contribution What is already known on this subject? Little is known about effects of parental restrictions of screen use on child body fat. Evidence is mostly cross-sectional, except from a recent investigation by Sleddens, Gubbels, Kremers, van der Plas, and Thijs (). To date, effects of parental (not children's) reports of screen use restrictions were investigated. What does this study add? Children reporting more parental restrictions of screen use have less body fat at a follow-up. Parental reports of screen use restrictions are unrelated to child screen use and body fat. Frequent screen use mediate between the number of screen devices at home and higher child body fat.

From enjoyment to physical activity or from physical activity to enjoyment? Longitudinal associations in parent-child dyads.

BACKGROUND: This longitudinal dyadic study used cross-lagged analyses to examine reciprocal patterns of associations between physical activity (PA) enjoyment and moderate-to-vigorous PA (MVPA) among children and their parents. METHODS: At Time 1 (T1) 879 parent-child dyads provided their data. The follow-up (Time 2, T2) took place 7-8-months later. MVPA and PA enjoyment scales were filled out separately by parents and children at T1 and T2. FINDINGS: Child PA enjoyment (T1) predicted a higher level of child MVPA (T2), parental PA enjoyment (T1) explained a higher level of parental MVPA (T2), and parental MVPA (T1) predicted a higher level of parental PA enjoyment (T2). Furthermore, child PA enjoyment (T1) predicted a higher level of parental PA enjoyment (T2). CONCLUSIONS: Child PA enjoyment was the key variable predicting child and parental outcomes. In particular, it explained child MVPA, but also PA enjoyment among parents.

Sedentary behaviours and health-related quality of life. A systematic review and meta-analysis.

Researchers have speculated that sedentary behaviour may reduce health-related quality of life (HRQOL), but the extent to which this is true remains unknown. Our study sought to systematically review and synthesise research on the relationship between sedentary behaviours and HRQOL and to investigate if these relationships are moderated by age, health status, and HRQOL domain. The review was registered with PROSPERO (no. CRD42016036342). We searched six electronic databases. The selection process resulted in including k = 27 original studies; k = 18 were included in a meta-analysis. Data were synthesised twice, using the methods of systematic review and meta-analysis, in order to reduce biases related to a small number of included studies. Both the systematic review and meta-analytical methods indicated that lower levels of sedentary behaviours were associated with higher physical HRQOL (estimate of average effect: r = -.140; 95% CI -.191, -.088). Moderator analyses indicated that associations between the physical HRQOL domain and sedentary behaviours may be similar in strength across age- and health status groups. Causal inferences could not be drawn as most studies were cross-sectional. Concluding, sedentary behaviours were related to better physical HRQOL but not reliably to mental and social HRQOL.