A Cross-Sectional Pilot Study of Parental Outdoor Play Preferences and Association With Child Overweight and Obesity

Clin Pediatr (Phila). 2024 May;63(4):466-473. doi: 10.1177/00099228231176350. Epub 2023 May 29.

Abstract

Childhood obesity is highly prevalent among certain populations of New York. This cross-sectional pilot study examined the associations between parental attitudes about outdoor activities and body mass index (BMI). A questionnaire was distributed among parents of 1 to 13 aged children at ambulatory pediatric clinics. Of 104 children included in the study 57 were of normal weight and 47 were overweight or obese. Most parents of children with BMI <85% reported frequent playground utilization, considered longer hours to spend outside on weekdays, reported a larger total temperature range for outdoor playground utilization and a lower tolerable minimum temperature compared to parents of children with BMI ≥85%, p < .05. Only having a parent born outside of the United States remained a significant predictor of overweight and obesity in the final model. Parents of children with BMI < 85% are more willing to spend time outdoors, regardless of weather. Immigrant parents are protective against overweight.

Keywords: COVID-19; childhood obesity; outdoor activity; playground utilization; weather.

MeSH terms

  • Aged
  • Body Mass Index
  • Child
  • Cross-Sectional Studies
  • Humans
  • Overweight* / epidemiology
  • Parents
  • Pediatric Obesity* / epidemiology
  • Pilot Projects
  • United States