Typologies of Family Functioning and 24-Hour Movement Behaviors

Objective: The purpose of the current study was to use latent profile analysis to identify family typologies characterized by parental acceptance, parental monitoring, and family conflict, and to examine whether such typologies were associated with the number of movement behavior recommendations (i.e., physical activity, screen time, and sleep) met by children. Methods: Data for this cross-sectional observational study were part of the baseline data from the Adolescent Brain Cognitive Development (ABCD) study. Data were collected from September 1, 2016 to September 15, 2018, across 21 study sites in the United States. Participants included 11,875 children aged 9 and 10 years. Results: Results from latent profile analysis showed that children were meaningfully classified into one of five family typologies, ranging from ideal (high acceptance, high monitoring, and low conflict) to poor (medium acceptance, low monitoring, and high conflict) functioning. Children from good (OR= 0.54; 95% CI, 0.39-0.76), average (OR=0.28; 95% CI, 0.20, 0.40), fair (OR=0.24; 95% CI, 0.16, 0.36), and poor (OR=0.19; 95% CI, 0.12-0.29) functioning families were less likely to meet all three movement behavior recommendations compared to children from ideal functioning families. The odds of meeting all recommendations progressively decreased as family functioning worsened. Similar findings and pattern of results were found for meeting ≥2 recommendations and ≥1 recommendation. Conclusions: These findings highlight the importance of the family environment for promoting healthy movement behaviors among children.