Nature relatedness as a potential factor to promote physical activity and reduce sedentary behavior in Ecuadorian children.

BACKGROUND Nature relatedness can be associated with health-related outcomes. This study aims to evaluate the associations of nature relatedness with physical activity and sedentary behavior. METHODS A cross-sectional study involving 9-12 year old children living in Cuenca, Ecuador, was conducted between October 2018 and March 2019. Questionnaires were used to evaluate physical activity (PAQ-C), out-of-school sedentary behavior, nature relatedness and wellbeing. Associations of nature relatedness with physical activity, and sedentary behavior were evaluated using linear regression models or tobit regressions adjusted by age, sex, school type, wellbeing, and body mass index z-score. RESULTS A total of 1028 children were surveyed (average age:10.4±1.22 years, 52% female.). Nature relatedness was positively associated with physical activity (β = 0.07; CI 95%: 0.05-0.09; p < 0.001) and non-screen-related sedentary leisure (β = 3.77 minutes; CI 95%: 0.76-6.68; p < 0.05); it was negatively associated with screen time (β = -5.59 minutes; CI 95%: -10.53-0.65; p < 0.05). CONCLUSIONS Findings suggest that nature relatedness is associated with physical activity and some sedentary behaviors among Ecuadorian school-age children. The promotion of nature relatedness has the potential to improve health.