An ecological momentary assessment study of physical activity behaviors among mothers of toddlers from low-income households
JournalBMC women's health
MetadataShow full item record
AbstractBackground: Mothers of young children from low-income communities may be vulnerable to barriers associated with low physical activity. The purpose of this study was to examine associations between home environment factors and maternal physical activity among mothers of toddlers. Methods: Mothers of toddlers (n = 200) recruited from low-income communities simultaneously wore an ankle-placed accelerometer and were given a personal digital assistant for ecological momentary assessment. Mothers received randomly prompted questions about their current environment, activity, and social setting several times a day over eight consecutive days. Data were analyzed using linear mixed-effects regression models with random intercepts; within-group and between-group relations between physical activity and environment factors were disaggregated. Results: Within-group relations included higher physical activity counts for specific mothers with television off versus on (95% CI = 130.45, 199.17), children absent versus present (95% CI = 82.00, 3.43), engaging with a child versus not (95% CI = 52.66, 127.63), and outside versus inside location (95% CI = 277.74, 392.67). Between-group relations included higher physical activity on average when other adults were absent versus present (95% CI = − 282.63, − 46.95). Recruitment site (urban vs. semi-urban) significantly moderated the within-group relation between being outside versus inside and activity count (β = − 243.12, 95% CI = − 358.74, − 127.47), and showed stronger relations among urban mothers (β = 440.33, 95% CI = 358.41, 522.25), than semi-urban (β = 190.37, 95% CI = 109.64, 271.11). Maternal body weight significantly moderated the within-group relation between being located outside versus inside the home and activity count (β for interaction = − 188.67, 95% CI = − 308.95, − 68.39), with a stronger relation among mothers with normal weight (β = 451.62, 95% CI = 345.51, 557.73), than mothers with overweight/obesity (β = 271.95, 95% CI = 204.26, 339.64). Conclusions: This study highlights home environmental factors, including screen time, the presence of others (adults and children), and location (i.e., outside versus inside) that may relate to maternal physical activity behaviors. Understanding factors associated with physical activity could reduce physical activity disparities. Trial registry ClinicalTrials. NCT02615158, April 2006 © 2021, The Author(s).
Identifier to cite or link to this itemhttp://hdl.handle.net/10713/15112
- The home environment and toddler physical activity: an ecological momentary assessment study.
- Authors: Hager ER, Tilton NA, Wang Y, Kapur NC, Arbaiza R, Merry BC, Black MM
- Issue date: 2017 Feb
- Suicidal Ideation
- Authors: Harmer B, Lee S, Duong TvH, Saadabadi A
- Issue date: 2021 Jan
- Toddler physical activity study: laboratory and community studies to evaluate accelerometer validity and correlates.
- Authors: Hager ER, Gormley CE, Latta LW, Treuth MS, Caulfield LE, Black MM
- Issue date: 2016 Sep 6
- Factors in the home environment associated with toddler diet: an ecological momentary assessment study.
- Authors: Campbell KL, Babiarz A, Wang Y, Tilton NA, Black MM, Hager ER
- Issue date: 2018 Jul
- Differences in Mothers' and Children's Dietary Intake during Physical and Sedentary Activities: An Ecological Momentary Assessment Study.
- Authors: O'Connor SG, Koprowski C, Dzubur E, Leventhal AM, Huh J, Dunton GF
- Issue date: 2017 Aug