Understanding physical activity patterns among rural Aboriginal and non-Aboriginal young people

Rona Macniven; Justin Richards; Nicole Turner; Steve Blunden; Adrian Bauman; John Wiggers; Josephine Gwynn

doi:10.22605/RRH4876

Understanding physical activity patterns among rural Aboriginal and non-Aboriginal young people

Rural Remote Health. 2019 Aug;19(3):4876. doi: 10.22605/RRH4876. Epub 2019 Aug 30.

Authors

Rona Macniven¹, Justin Richards², Nicole Turner³, Steve Blunden⁴, Adrian Bauman⁵, John Wiggers⁶, Josephine Gwynn⁷

Affiliations

¹ Prevention Research Collaboration, Sydney School of Public Health, Level 6 The Hub, The Charles Perkins Centre (D17), The University of Sydney, NSW, 2006, Australia and Poche Centre for Indigenous Health, Sydney Medical School, Rm 224 Edward Ford Building A27, The University of Sydney, NSW, 2006 Australia and School of Public Health and Community Medicine, The University of New South Wales, Kensington, NSW 2052, Australia rona.macniven@sydney.edu.au.
² Prevention Research Collaboration, Sydney School of Public Health, Level 6 The Hub, The Charles Perkins Centre (D17), The University of Sydney, NSW 2006, Australia justin.richards@sydney.edu.au.
³ The University of Newcastle, University Drive, Callaghan, NSW 2308, Australia and Australian National University, Canberra, ACT 0200, Australia nicole.turner@sydney.edu.au.
⁴ Casino Aboriginal Medical Service, 43 Johnston Street, Casino, NSW 2470, Australia sblunden@bnmacrv.com.au.
⁵ Prevention Research Collaboration, Sydney School of Public Health, Level 6 The Hub, The Charles Perkins Centre (D17), The University of Sydney, NSW 2006, Australia and Charles Perkins Centre, (D17), The University of Sydney, NSW 2006, Australia adrian.bauman@sydney.edu.au.
⁶ Hunter New England Local Health District, Locked Bag 1, New Lambton NSW 2305, Australia and The University of Newcastle, University Drive, Callaghan, NSW 2308, Australia john.wiggers@hnehealth.nsw.gov.au.
⁷ Poche Centre for Indigenous Health, Sydney Medical School, Rm 224 Edward Ford Building A27, The University of Sydney, NSW 2006, Australia and Charles Perkins Centre, (D17), The University of Sydney, NSW 2006, Australia and Faculty of Health Sciences, The University of Sydney, NSW 2006, Australia josephine.gwynn@sydney.edu.au.

PMID: 31466453
DOI: 10.22605/RRH4876

Abstract

Introduction: Physical activity across the lifespan is essential to good health but participation rates are generally lower in rural areas and among Aboriginal Australians. Declines in moderate-to-vigorous physical activity (MVPA) commence before adolescence but descriptive epidemiology of patterns of physical activity among Aboriginal children is limited. MVPA variation by season, setting and type at two time points among rural Aboriginal and non-Aboriginal Australian children was examined.

Methods: Children aged 10-14 years in 38 schools in two rural New South Wales towns during 2007-2008 (T1) and 2011-2012 (T2) self-reported time spent engaged in MVPA for different types, settings and seasons, totalling 14 components: organised, non-organised, club, school, travel to/from school, after school and weekend - in both summer and winter. Linear mixed models assessed MVPA mean minutes and 95% confidence intervals for Aboriginal and non-Aboriginal children and between-group mean differences over time.

Results: A total of 1545 children (246 Aboriginal) at T1 and 923 children (240 Aboriginal) at T2 provided data. Overall MVPA, travel to/from school (summer and winter) and after-school activity (winter) declined over time in both groups (p≤0.005). Significant declines occurred in non-organised, school (summer and winter) and organised (winter) activity among Aboriginal children only. There were differences according to Aboriginality from T1 to T2 for school (summer and winter; p<0.001), weekend (summer; p=0.02) and winter organised (winter; p<0.001) activity .

Conclusions: While overall physical activity declines occurred between 2007-208 (T1) and 2011-2012 (T2) in both Aboriginal and non-Aboriginal rural-dwelling children, declines in particular components of physical activity were greater among Aboriginal compared to non-Aboriginal children. A multi-strategy, holistic approach to increase physical activity during the critical time of adolescence is necessary.

Keywords: Australia; Indigenous; community; epidemiology; adolescence.

Publication types

Comparative Study

MeSH terms

Adolescent
Adolescent Behavior / psychology*
Attitude to Health*
Child
Exercise / psychology*
Female
Humans
Male
Native Hawaiian or Other Pacific Islander / psychology*
Native Hawaiian or Other Pacific Islander / statistics & numerical data*
New South Wales
Rural Population / statistics & numerical data*