Associations of family socioeconomic indicators and physical activity of primary school-aged children: a systematic review
Abstract
Background: Family socioeconomic indicators (education, occupation, and household income) are key determinants influencing children’s physical activity (PA). This study aims to systematically review the current research about the association between family socioeconomic indicators and PA among primary school-aged children and to quantify the distribution of reported associations by childs’ and parents’ sex and according to analysis and assessment methods. Methods: A systematic literature research in multiple scientific databases (MEDLINE via PubMed, Web of Science, ScienceDirect, SPORTDiscus and ERIC) was performed for literature published between 1st January 2010 and 31st March 2022. Only studies reporting statistical associations between an SES indicator of at least one parent (education, occupation, income, or an SES index) and different types and intensities of PA in primary school-aged children (6 to 12 years) were included in the analysis. The distributions of the reported associations were evaluated across and differentiated by sub-group analysis of assessment methods (objectively measured vs. self-reported PA) and analysis methods (univariate vs. multivariate models). Results: Overall, 93 studies reported in 77 publications were included in this review. Most of the studies were conducted in Europe and used self-reports (questionnaires) to assess PA. Most studies used only a single SES indicator (commonly maternal education), and only two studies calculated an SES index. The majority of the studies focused on moderate-to-vigorous physical activity (MVPA), total physical activity (TPA), and organized physical activity (OPA). Results showed predominantly positive associations between SES indicators and OPA. In contrast, results regarding different intensities of daily PA (TPA, LPA, MPA, MVPA, VPA, LTPA) were heterogeneous, with overwhelmingly no associations. Conclusion: Overall, the results expand the knowledge about the association between family socioeconomic indicators and children’s PA and disprove the hypothesis of a clear positive association. However, large multicenter studies are lacking using a real SES index as a predictor and analyzing gender-specific multivariate models.
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SES disparities in primary school children are particularly pronounced in organized, fee-based activities (e.g. sports clubs), less so in unstructured daily activities.
“recent systematic evidence in primary school children further indicates that SES disparities are particularly pronounced in organized, fee-based activities (e.g.sports clubs), less so in unstructured daily activities (Ziegeldorf et al., 2024)”
From Participation in extracurricular activities predicts academic growth and mediates socioeconomic inequalities in primary school (2026) · cites this paper as Ziegeldorf et al., 2024
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Cites
World Health Organization 2020 guidelines on physical activity and sedentary behaviour
Bull, F. C., Al-Ansari, S. S., Biddle, S., Borodulin, K., Buman, M. P., Cardon, G., Carty, C., Chaput, J.-P., Chastin, S., Chou, R., et al. (2020) · British Journal of Sports Medicine · doi:10.1136/bjsports-2020-102955 · Cited by 11,657 · cited 1× · see citing works
“Existing international recommendations focus on MVPA [55], which in turn causes this intensity being most frequently studied.”
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“Despite this knowledge, most children worldwide are insufficiently active [5, 6].”
BackgroundPoitras, V. J., Gray, C. E., Borghese, M. M., Carson, V., Chaput, J.-P., Janssen, I., Katzmarzyk, P. T., Pate, R. R., Connor Gorber, S., Kho, M. E., et al. (2016) · Applied Physiology, Nutrition, and Metabolism · doi:10.1139/apnm-2015-0663 · Cited by 2,217 · cited 1× · see citing works
“There is a large body of evidence demonstrating the relevance of sufficient physical activity (PA) participation for children’s health and development [1–4].”
BackgroundDe-duplication of database search results for systematic reviews in EndNote
Bramer, W. M., Giustini, D., de Jonge, G. B., Holland, L., & Bekhuis, T. (2016) · Journal of the Medical Library Association : JMLA · doi:10.3163/1536-5050.104.3.014 · Cited by 2,000 · cited 2× · see citing works
“Similar to previous syntheses [16, 40, 41], the results of studies were analyzed on the level of the separate associations instead of just analyzing the complete studies to facilitate understanding of the different associations between various PA domains and various SES indicators.”
MethodResultAubert, S., Barnes, J. D., Abdeta, C., Abi Nader, P., Adeniyi, A. F., Aguilar-Farias, N., Andrade Tenesaca, D. S., Bhawra, J., Brazo-Sayavera, J., Cardon, G., et al. (2018) · Journal of Physical Activity and Health · doi:10.1123/jpah.2018-0472 · Cited by 799 · cited 1× · see citing works
“Despite this knowledge, most children worldwide are insufficiently active [5, 6].”
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Socio-environmental influences on physical activity among young people: a qualitative study
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Brunet, L., Rémeau, M., Houdé, O., & Borst, G. (2026) · British Journal of Educational Psychology · doi:10.1111/bjep.70127
- Authors
- Ziegeldorf, A., Schoene, D., Fatum, A., Brauer, K., & Wulff, H.
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- 2024-08-19
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- 24
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