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Parental correlates in child and adolescent physical activity: a meta-analysis
Open accessAbstract
OBJECTIVE: Physical activity (PA) has a profound impact on health and development in children. Parental behaviors (i.e., modeling and support) represent an obvious important factor in child PA. The purpose of this paper was to provide a comprehensive meta-analysis that overcomes the limitations of prior narrative reviews and quantitative reviews with small samples. METHODS: Ten major databases were used in the literature search. One-hundred and fifteen studies passed the eligibility criteria. Both fixed and random effects models with correction for sampling and measurement error were examined in the analysis. Moderator analyses investigating the effects of child's developmental age, study design, parental gender, measurement of child PA, and quality rating were performed. RESULTS: Based on the random effects model, the results showed that parental modeling was weakly associated with child PA (summary r = .16, 95% CI .09-.24) and none of the proposed moderators were significant. Separate analyses examining the moderating effects of parental gender and boys' PA found that that father-son PA modeling (r = .29, 95% CI .21-.36) was significantly higher compared to mother-son PA (r = .19, 95% CI .14-.23; p < .05). However, parental gender did not moderate the relationship between parental modeling and girls' PA (p > .05). The random effects model indicated an overall moderate effect size for the parental support and child PA relationship (summary r = .38, 95% CI .30-.46). Here, the only significant moderating variable was the measurement of child PA (objective: r = .20, 95% CI .13-.26; reported: r = .46, 95% CI .37-.55; p < .01). CONCLUSIONS: Parental support and modeling relate to child PA, yet our results revealed a significant degree of heterogeneity among the studies that could not be explained well by our proposed moderators.
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“Encouragement and modelling by peers, friends and parents are factors that motivate children and adolescents to participate in physical activity or achieve recommended levels of physical activity.97–104”
From Physical activity and health in Chinese children and adolescents: expert consensus statement (2020) (2020) · cites this paper as [98]
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“…parental encouragement, spectatorship, transportation and co-participation in PA should form an essential element of interventions targeting increased MVPA participation among adolescents, particularly girls who are less physically active than boys (Reimers et al., 2019; Yao & Rhodes, 2015).”
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“Parental modeling is a well-accepted potential mechanism for parent–child aggregation of health behaviors, including physical activity and sedentary behavior (Davison et al., 2013; Trost & Loprinzi, 2011; Yao & Rhodes, 2015).”
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“Unfortunately, the majority of children and adults do not meet MVPA recommendations (World Health Organization [WHO], 2017; Yao & Rhodes, 2015).”
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“In these studies, when analyzing the gender effect, a strong relationship was found between father and son, whereas no effect was reported between mother and their sons and/or daughters [14].”
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“A greater role of parents may be expected among pre-school-aged children’s daily activity choices due to children’s early developmental stages [26].”
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“Several reviews (Edwardson & Gorely, 2010; Gustafson & Lawson, 2006; Laird et al., 2016; Yao & Rhodes, 2015) and reviews of reviews (Bauman et al., 2012; Biddle et al., 2011; Sterdt et al., 2011) focused on analysing parents’ influence, showed consistently that parents’ support was an important…”
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“Indeed, children’s PA development hinges on parental PA development [23,25,44,49], so it is still worthwhile for researchers to investigate the PA development of parents first as in the present investigation.”
BackgroundSedentary Time and Physical Activity Associations Between Child Care Educators and Children
Carson, V., Adamo, K. B., Ogden, N., Goldfield, G. S., Okely, A. D., Kuzik, N., Crozier, M., Hunter, S., & Predy, M. (2020) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2019.11.016 · Cited by 24
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“First, in terms of measurement as the use of objective versus subjective (self-report) measures has been shown to be related to study outcomes (Yao & Rhodes, 2015).”
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“Previous research has shown that parents have a strong impact on children’s PA behaviors through role-modeling and direct involvement (11, 12); however, most research focuses on how mothers influence children’s PA, and little is known about the role of fathers (27).”
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“While there is overwhelming evidence for the importance of parental support for children’s physical activity (e.g. Yao & Rhodes, 2015) our understanding of determinants and predictors of parental support is lacking (Rhodes et al., 2013).”
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“…but potentially distinctive effects in different types of social support, such that the effect sizes in the associations between parental encouragement and child physical activity were bigger than those observed in the associations between instrumental support and child physical activity [61].”
ResultBassett-Gunter, R. L., Ruscitti, R. J., Latimer‐Cheung, A. E., & Fraser-Thomas, J. L. (2017) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2017.02.016 · Cited by 22
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Venetsanou, F., Emmanouılıdou, K., Kouli, O., Bebetsos, E., Comoutos, N., & Kambas, A. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17051645 · Cited by 22
“Among the factors that are associated with young children’s health behaviors, parents seem to be among the most crucial, being not only “gatekeepers” but also role models for their offspring [24].”
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“…enhance children’s athletic performance and Prior research has emphasized the significant influence of parental behavior on children’s PA levels [43], our SEM analysis further elucidates that family environment scores positively correlate with LPA levels but negatively correlate with MVPA…”
BackgroundNeshteruk, C. D., Mazzucca, S., Vaughn, A., Jones, D. J., & Ward, D. S. (2020) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2020.101068 · Cited by 23
“…examining the effect of physical activity parenting on children’s physical activity showed that overall parent support of children’s physical activity (i.e., a combination of practices) had a larger effect compared to individual practices on children’s physical activity (Yao and Rhodes, 2015).”
BackgroundZaborskis, A., Kavaliauskienė, A., Eriksson, C., Klemera, E., Dimitrova, E., Melkumova, M., & Husárová, D. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182312739 · Cited by 21
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“…the adults with whom they spend the majority of their day (Quinlan, Rhodes, Blanchard, naylor, & Warburton, 2015). for example, a recent meta-analysis demonstrated an association between parental modelling (parent physical activity) and children physical activity participation (yao & Rhodes, 2015).”
BackgroundSharps, M. A., Thomas, E., & Blissett, J. M. (2019) · Appetite · doi:10.1016/j.appet.2019.104457 · Cited by 21
Rhodes, R. E., Quinlan, A., Naylor, P., Warburton, D. E. R., & Blanchard, C. M. (2021) · Journal of Sports Sciences · doi:10.1080/02640414.2021.1877460 · Cited by 24
“…research to demonstrate that parental support (e.g., encouragement, logistical support, co-physical activity) is linked to child PA (Hutchens & Lee, 2018; Yao & Rhodes, 2015), yet there is extremely limited, and mixed evidence about familybased predictors and mediators of child PA in interventions.”
BackgroundSelf-citationKepper, M. M., Staiano, A. E., Katzmarzyk, P. T., Reis, R. S., Eyler, A. A., Griffith, D. M., Kendall, M. L., Elbanna, B., Denstel, K. D., & Broyles, S. T. (2020) · Health & Place · doi:10.1016/j.healthplace.2020.102292 · Cited by 20
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“found that family support has a significant impact on children’s physical activities, and family as the starting point of children’s sports participation there was the strongest correlation between their support for children’s physical activity attitude and children’s sports (Craggs et al., 2011; Yao and Rhodes, 2015;…”
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Liu, Y., Ge, X., Li, H., Zhang, E., Hu, F., Cai, Y., & Xiang, M. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2023.1175439 · Cited by 24
“Findings from a review demonstrate a weak positive association between parental and children’s physical activity levels (20).”
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“…levels seem to not be a prerequisite for children’s PA nor is parents’ own inactivity a primary barrier for children’s PA (e.g., Iannotti et al., 2005; Yao & Rhodes, 2015), but it is the case that physically active parents tend to more often support children’s PA (Dowda et al., 2011; Loprinzi &…”
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“…study findings (e.g., Ahmed et al., 2016; Cutler, Flood, Hannan, & Neumark-Sztainer, 2011; Pearson, Atkin, Biddle, Gorely, & Edwardson, 2010; Yao & Rhodes, 2015), this study found that higher parental involvement scores were positively correlated with the consumption of fruits and vegetables and…”
BackgroundClifford, S. A., Gillespie, A. N., Olds, T., Grobler, A. C., & Wake, M. A. (2019) · BMJ Open · doi:10.1136/bmjopen-2018-023698 · Cited by 20
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“Parental factors, including a higher socio-economic position and parental support of physical activity, such as encouragement or the provision of transport, have also been shown to be associated with child MVPA [12].”
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“However, previously a positive association was found for fathers–boys and mothers–girls PA [41], but the stronger correlation was observed for father–boy PA, and there was a lighter association for mothers–boys and mothers–girls PA [42].”
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Handler, L., Tennant, E. M., Faulkner, G., & Latimer‐Cheung, A. E. (2018) · Adapted Physical Activity Quarterly · doi:10.1123/apaq.2017-0190 · Cited by 20
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“Recently, in a meta-analysis, Yao and Rhodes (2015) concluded that parental support is the most sizeable correlate to adolescents’ PA in relation to social influences from parents.”
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Horodyska, K., Boberska, M., Kruk, M., Szczuka, Z., Wiggers, J., Wolfenden, L., Scholz, U., Radtke, T., & Łuszczyńska, A. (2019) · International Journal of Behavioral Medicine · doi:10.1007/s12529-019-09780-9 · Cited by 18
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“In addition, the results suggest the importance of implementing family-based and children–parent interventions to promote children’s PA in the future (Yao and Rhodes, 2015).”
BackgroundResultInfluentialNoonan, R. J., Fairclough, S. J., Knowles, Z. R., & Boddy, L. M. (2017) · BMC Public Health · doi:10.1186/s12889-017-4232-9 · Cited by 18
“Family-based PA interventions that encourage PA co-participation be-tween children and parents [35, 36] and among siblings [37] may yield beneficial effects as both are associated with higher child PA. Understanding the PA patterns of families is necessary for designing effective family-based PA…”
Sigmund, E., Sigmundová, D., Baďura, P., & Gecková, A. M. (2018) · BMC Public Health · doi:10.1186/s12889-018-5582-7 · Cited by 17
“The plethora of studies confirm the influential role of parents on the PA of their children through a variety of mechanisms, including parents taking responsibility for PA care [33], support [8, 35, 36], encouragement [7], and engagement [33].”
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“Several correlates have been described in the literature for PA at different intensities, sedentary and screen time, and sleeping time (Chaput et al., 2015; Sterdt, Liersch, & Walter, 2014; Wilkie, Standage, Gillison, Cumming, & Katzmarzyk, 2018; Yao & Rhodes, 2015).”
BackgroundMethodDowda, M. C., Dishman, R. K., Saunders, R. P., & Pate, R. R. (2021) · Sports Medicine and Health Science · doi:10.1016/j.smhs.2021.02.004 · Cited by 16
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“…children to and from activities, participating in activities with children and providing encouragement to their children; all of which have consistently and positively been associated with PA in children (Gustafson & Rhodes, 2006; McMinn et al., 2013; Sterdt et al., 2014; Yao & Rhodes, 2015).”
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“In addition, for families with preschool children, we did not find gender-specific tendency for PA (closer relationship between father-son than the father-daughter), which was sometimes evident among families with schoolchildren [25,28,54] and adolescents [25,54,55].”
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“Meta-analytic eujapa.upol.cz evidence indicates there is a medium-sized effect between parent PA support and child PA (Yao & Rhodes, 2015).”
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“In addition, a recent meta-analysis showed that parent-child PA correlates were greater with objective measurement than with self-reported questionnaires (Yao and Rhodes, 2015), resulting in more objective and reliable results of PA.”
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The Relationship Between Physical Activity Level of Parents and That of Their Adolescent Children
Yoon, H. J., Lee, S. A., Ju, Y. J., Nam, J. Y., & Park, E. (2018) · Journal of Physical Activity and Health · doi:10.1123/jpah.2017-0123 · Cited by 14
Jiang, S., Zeng, N., Ng, J. Y. Y., Chong, K. H., Zeng, T., Leung, S. K. Y., & Ha, A. S. C. (2025) · Journal of sport and health science/Journal of Sport and Health Science · doi:10.1016/j.jshs.2025.101085 · Cited by 28
“21 Additionally, parental involvement, parenting styles, and the overall home setting are critical in fostering healthy lifestyle habits during children’s important developmental stage.”
Yaffe, Y., & Levental, O. (2023) · Current Psychology · doi:10.1007/s12144-023-04931-4 · Cited by 15
“Recent reviews have concluded that such parental practices and efforts affecting children’s PA may contribute to cultivating actual PA among children and adolescents (Edwardson & Gorely, 2010; Yao & Rhodes, 2015), especially the parental practices of support and encouragement of PA and PA modeling.”
InfluentialHartson, K. R., Gance‐Cleveland, B., Amura, C. R., & Schmiege, S. J. (2018) · Journal of Pediatric Nursing · doi:10.1016/j.pedn.2018.01.019 · Cited by 13
“…their child's behaviors, specifically for PA (parental role modeling r = 0.16, 95% CI = 0.09–0.24; parental support r = 0.38, 95% CI = 0.30–0.46) (Yao & Rhodes, 2015), and for fruit and vegetable intake (rs = 0.44–0.57, p b .001) (Vanhala, Laitinen, Kaikkonen, Keinanen-Kiukaanniemi, &…”
BackgroundInfluentialKnowledge of the Adult and Youth 2008 Physical Activity Guidelines for Americans
Hyde, E. T., Omura, J. D., Watson, K. B., Fulton, J. E., & Carlson, S. A. (2019) · Journal of Physical Activity and Health · doi:10.1123/jpah.2018-0143 · Cited by 13
Grant, S. J., Beauchamp, M. R., Blanchard, C. M., Carson, V., Gardner, B., Warburton, D. E. R., & Rhodes, R. E. (2020) · BMC Public Health · doi:10.1186/s12889-020-09465-z · Cited by 13
Self-citationYang, X., Kukko, T., Hirvensalo, M. H., Biddle, S., Rovio, S., Pahkala, K., Hutri‐Kähönen, N., Raitakari, O. T., & Tammelin, T. (2021) · Scandinavian Journal of Medicine and Science in Sports · doi:10.1111/sms.14066 · Cited by 13
Bowling, A. B., Frazier, J. A., Staiano, A. E., Broder‐Fingert, S., & Curtin, C. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.875181 · Cited by 13
Johnson, A. M., Tandon, P. S., Hafferty, K. R., Senturia, K., Garrett, K., Bollinger, B. J., & Kroshus, E. (2022) · Health Education Research · doi:10.1093/her/cyac036 · Cited by 13
Temperament and Physical Activity in Childhood
Song, M., CORWYN, R. F., Bradley, R. H., & Lumeng, J. C. (2017) · Journal of Physical Activity and Health · doi:10.1123/jpah.2016-0633 · Cited by 13
Pengpid, S., & Peltzer, K. (2016) · ASR Chiang Mai University Journal of Social Sciences and Humanities · doi:10.12982/cmujasr.2016.0007 · Cited by 13
Emm-Collison, L., Jago, R., Salway, R., Thompson, J. L., & Sebire, S. J. (2019) · Psychology of sport and exercise · doi:10.1016/j.psychsport.2019.04.007 · Cited by 17
Impact of body mass index and socio-economic status on motor development in children and adolescents
Kakebeeke, T. H., Chaouch, A., Caflisch, J., Knaier, E., Rousson, V., & Jenni, O. G. (2021) · European Journal of Pediatrics · doi:10.1007/s00431-021-03945-z · Cited by 19
Zarychta, K., Banik, A., Kuliś, E., Boberska, M., Radtke, T., Chan, C. K. Y., & Łuszczyńska, A. (2020) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.00161 · Cited by 12
Laukkanen, A., Sääkslahti, A., & Aunola, K. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17072315 · Cited by 23
“, concrete behavioral strategies employed by parents to influence their children’s PA) account for one of the few identified consistent correlates [3], and they have been identified as a determinant [4] of children’s PA.”
BackgroundScott-Andrews, K. Q., Miller, A. L., Templin, T. J., Hasson, R. E., & Robinson, L. E. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2021.720083 · Cited by 12
“Parents play an integral role in influencing health behaviors in their children, as they have the most contact hours in and control of their child’s lives (26, 27).”
BackgroundBrown, H. E., Corder, K. L., Atkin, A. J., & van Sluijs, E. M. F. (2017) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2017.03.012 · Cited by 12
Child and parental physical activity: Is there an association with young children activity?
Voukia, C., Voutsina, I., Venetsanou, F., & Kambas, A. (2018) · Central European Journal of Public Health · doi:10.21101/cejph.a5043 · Cited by 12
“paying the fees for their child participation (11, 12).”
BackgroundInfluentialInteractive Dyadic Physical Activity and Spatial Proximity Patterns in 2-Year-Olds and Their Parents
McCullough, A. K., Duch, H., & Garber, C. E. (2018) · Children · doi:10.3390/children5120167 · Cited by 14
“To our knowledge, this study is the first to use a dyadic analysis statistical methodology to analyze dyadic physical activity [4,9], as such parameter estimates were appropriately and necessarily adjusted for interdependent relationships between child and parent signals [23].”
BackgroundMethodHohmann, A., Yuan, X., Schmitt, M., Zhang, H., Pietzonka, M., & Siener, M. (2021) · Children · doi:10.3390/children8050391 · Cited by 12
Jiang, Y., Xiao, H., & Yang, F. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2023.992539 · Cited by 11
Rhodes, R. E., Banik, A., Szczuka, Z., Aulbach, M. B., DeSmet, A., Durand, H., Gatting, L., Green, J., Hillison, E. Z., Masaryk, R., et al. (2024) · Journal of Physical Activity and Health · doi:10.1123/jpah.2024-0113 · Cited by 13
Self-citationBrennan, C., Streight, E., Cheng, S., & Rhodes, R. E. (2025) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-025-01778-9 · Cited by 18
“Thus, given the important role parental support plays in children’s PA behaviors [19, 111], in particular regarding co-activity [112], future interventions should focus on strengthening parental PA and PA support behaviors via social cognitive and/or other approaches that target PA identity…”
Self-citationPohybová aktivita a tělesná zdatnost českých adolescentů v kontextu zastavěného prostředí
Rubín, L., Mitáš, J., Dygrýn, J., Vorlíček, M., Nykodým, J., Řepka, E., Feltlová, D., Suchomel, A., Klimtová, H., Valach, P., et al. (2018) · doi:10.5507/ftk.18.24454511 · Cited by 11
Correlates of physical activity in fifth-grade students in Ho Chi Minh City, Vietnam
To, Q. G., Gallegos, D., Dung, D. V., Tran, H. T. M., To, K. G., Wharton, L., & Trost, S. G. (2020) · Sports Medicine and Health Science · doi:10.1016/j.smhs.2020.02.002 · Cited by 11
Herbert, J., Matłosz, P., Martínez‐Rodríguez, A., Przednówek, K., Asif, M., & Wyszyńska, J. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19094999 · Cited by 11
Pediatric-Adapted Liking Survey (PALS): A Diet and Activity Screener in Pediatric Care
Vosburgh, K. L., Smith, S. R., Oldman, S., Huedo-Medina, T. B., & Duffy, V. B. (2019) · Nutrients · doi:10.3390/nu11071641 · Cited by 11
“Parent modeling and support, including co-activity, can improve PA in children [47].”
BackgroundKepper, M. M., Staiano, A. E., Katzmarzyk, P. T., Reis, R. S., Eyler, A. A., Griffith, D. M., Kendall, M. L., Elbanna, B., Denstel, K. D., & Broyles, S. T. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16203853 · Cited by 11
“, money for registration fees, transportation to activities, or equipment), but they may also limit their child’s ability to be physically active [24,25].”
Backgroundla Torre‐Cruz, M. J. D., López-Serrano, S., Ruiz‐Ariza, A., & López, E. J. M. (2019) · Educational Psychology · doi:10.1080/01443410.2019.1620921 · Cited by 18
“These findings are consistent with those previously obtained by other researchers (Cheng, Mendonça, & de Farias-J unior, 2014; Schoeppe, Liersch, R€obl, Krauth, & Walter, 2016; Silva et al., 2014; Yao & Rhodes, 2015).”
ResultLarsen, H., Hermans, R. C. J., Kayabal, S., Renders, C. M., & Vrijkotte, T. G. M. (2023) · Eating Behaviors · doi:10.1016/j.eatbeh.2023.101775 · Cited by 10
Dong, M., Niu, M., Jiang, Z., Choi, Y., & Li, N. (2025) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1539415 · Cited by 10
Christófaro, D. G. D., Andersen, L. B., de Andrade, S. M., de Barros, M. V. G., Saraiva, B. T. C., Fernandes, R. A., & Ritti‐Dias, R. M. (2018) · Jornal de Pediatria (Versão em Português) · doi:10.1016/j.jpedp.2017.08.003 · Cited by 10
Wang, W.-C., Ding, M., Strohmaier, S., Schernhammer, E. S., Sun, Q., Chavarro, J. E., & Tiemeier, H. W. (2022) · Psychological Medicine · doi:10.1017/s0033291722003257 · Cited by 10
“…parents passively influencing their children ’ s behaviors, parenting style, monitoring, and content could also considerably impact offspring ’ s healthy lifestyles throughout childhood, adolescence, and even adulthood through guidance and joint activities (Larsen et al., 2015; Yao & Rhodes, 2015).”
Background
Metadata
- Authors
- Yao, C. A., & Rhodes, R. E.
- Affiliations
- University of Victoria (CA)
- Corresponding author
- Yao, Christopher A
- Venue
- International Journal of Behavioral Nutrition and Physical Activity
- Published
- 2015-02-11
- Volume
- 12
- Issue
- 1
- Pages
- 10-10
- ISSN
- 1479-5868 (ISSN-L)
- PMC
- PMC4363182
- OpenAlex
- W2159936916
- Cited by
- 540
- References
- 151
- Citations by year
- 2026: 53 · 2025: 51 · 2024: 48 · 2023: 53 · 2022: 56 · 2021: 47 · 2020: 86 · 2019: 37 · 2018: 37 · 2017: 34 · 2016: 29 · 2015: 7
- FWCI
- 4.39
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- International Journal of Behavioral Nutrition and Physical Activity (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- UVic’s Research and Learning Repository (University of Victoria) (submittedVersion, public-domain)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Social Sciences › Psychology › Developmental and Educational Psychology › Children's Physical and Motor Development
- Keywords
- children's physical activity, adolescent physical activity, parental role modeling, parental support, parental gender
- MeSH terms
- Adolescent, Adolescent Behavior, Child, Child Behavior, Female, Humans, Male, Motor Activity, Parents, Social Support, Health Behavior, Exercise, Parenting
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