Self-Rated Health in Children at Risk for Obesity: Associations of Physical Activity, Sedentary Behavior, and BMI

2014 ◽  
Vol 11 (3) ◽  
pp. 543-552 ◽  
Author(s):  
Katya M. Herman ◽  
Catherine M. Sabiston ◽  
Angelo Tremblay ◽  
Gilles Paradis

Background:Self-rated health (SRH) is a common indicator of health-related quality of life; however, little is known about SRH in children. This study explored the associations of physical activity (PA), sedentary behavior (SED), and BMI with SRH in children at risk for obesity.Methods:Participants were 527 children aged 8–10 years in the Quebec Adipose and Lifestyle Investigation in Youth study (inclusion criteria: ≥ 1 parent clinically obese). PA and SED were measured by accelerometer, specific SED behaviors by self-report, and height and weight measured.Results:About 40% of children were overweight or obese; 48% reported lessthan- excellent health. The odds of reporting less-than-excellent health were higher among obese girls (OR 3.0, 95% CI 1.4–5.2) and boys (OR 2.7, 95% CI 1.5–6.1) versus healthy weight children. Boys not meeting PA guidelines and boys in the lowest moderate-to-vigorous PA tertile were at 2 and 6 times higher odds of less-than-excellent SRH, respectively, versus more active boys. In girls, higher computer/video time and reading time were associated with higher and lower odds of less-than-excellent SRH, respectively.Conclusions:Obesity is inversely associated with SRH in boys and girls, PA is positively associated with SRH in boys, and SED behaviors are associated with SRH in girls.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Marie Vermote ◽  
Tom Deliens ◽  
Benedicte Deforche ◽  
Eva D’Hondt

Abstract Background Finding effective ways to support people aged > 50 years to develop adequate levels of physical activity and sedentary behavior is necessary as these behaviors are positively related to the maintenance of functional independence and health-related quality of life. Given the widespread provision of grandparental child care, examining its impact on grandparents’ energy-expenditure related behavior in the broader context of health is imperative. Therefore, the Healthy Grandparenting Project will aim to investigate the levels of physical activity and sedentary behavior, body composition and health-related quality of life in grandparents caring for their grandchildren and to compare these outcomes with non-caregiving grandparents and older adults without grandchildren, both momentarily and over time. An additional purpose is to identify possible predictors of potential changes over time. Methods A prospective cohort study will run over a period of 2 years, including three test occasions with a one-year time interval in between (T0 = baseline, T1 = 12 months, T2 = 24 months). A total of 276 participants will be recruited in Flanders through non-probability quota sampling (50–50% men-women), of which 92 caregiving grandparents, 92 non-caregiving grandparents and 92 non-grandparents. All three subsamples will be matched for age and sex. At each test occasion, anthropometric and body composition measurements will be determined. Participants’ levels of physical activity and sedentary behavior will be assessed both objectively and subjectively by means of accelerometry and self-report questionnaires. Information about their grandchildren and the provided grandparental care (if applicable) as well as their health-related quality of life will also be assessed using self-report questionnaires. Mixed modelling will be used to identify differences in physical activity, sedentary behavior, body composition and health-related quality of life between the subsamples at baseline, as well as to evaluate and compare changes in energy-expenditure related behavior over time between subsamples and to identify predictors of the detected changes. Discussion The Healthy Grandparenting Project is an innovative study examining the levels of physical activity and sedentary behavior in caregiving grandparents, non-caregiving grandparents and non-grandparents. Obtained results will help in the development of campaigns to maintain/improve health in adults at a more advanced age. Trial registration clinicaltrials.gov, Identifier: NTC04307589. Registered March 2020.


2020 ◽  
pp. 001391652090648
Author(s):  
N. E. H. Stappers ◽  
J. Schipperijn ◽  
S. P. J. Kremers ◽  
M. P. M. Bekker ◽  
M. W. J. Jansen ◽  
...  

This study explored associations between perceived neighborhood walkability and neighborhood-based physical activity (NB-PA) and assessed possible moderation effects of the amount of time spent in the home neighborhood and individual characteristics (i.e., educational level and health-related problems). In 2016 to 2017, 509 Dutch adults, living in the South Limburg area, were included. Context-specific PA levels were measured using the Actigraph GT3X+ accelerometer and the Qstarz BTQ1000XT GPS-logger. Perceived neighborhood walkability, level of education, work status, and health-related quality of life were measured with validated self-report instruments. Results showed that individuals with a lower level of education or health-related problems spent more time in the home neighborhood. The perceived neighborhood walkability only affected NB-PA for individuals spending a relatively large amount of time in their home neighborhood. PA-facilitating features in the home neighborhood, for example, aesthetics, were only associated with more NB-PA for individuals without health-related problems or with a higher level of education.


2020 ◽  
Author(s):  
Vanessa Teixeira do Amaral ◽  
Isabela Roque Marçal ◽  
Thiago da Cruz Silva ◽  
Fernanda Bianchi Souza ◽  
Yacco Volpato Munhoz ◽  
...  

ABSTRACTBackgroundTo investigate the effect of COVID-19 home confinement on levels of physical activity, sedentary behavior and health-related quality of life (HRQL) in older women previously participating in exercise and educational programs.Methods64 older women (age = 72±5 ys) who participated in a physical exercise/educational program and adhered to government home confinement recommendations have their levels of physical activity, sedentary behavior and HRQL assessed before and during (11 to 13 weeks after introduction of government recommendations to reduce virus transmission) COVID-19 pandemic.ResultsThere were significant reductions in total physical activity (−259 METs/week, P = 0.02), as a result of a ∼17.0 % reduction in walking (−30.8 min/week, P = 0.004) and ∼41.8 % reduction in vigorous-intensity activity (−29.6 min/week, P < 0.001). Sedentary behavior also increased (2.24 h/week, P < 0.001; 1.07 h/week days, P < 0.001; and 1.54 h/weekend days, P < 0.001). However, no significant change occurred in moderate-intensity physical activity, and HRQL domains and facets, except for an improvement in environment domain.ConclusionHome confinement due to COVID-19 pandemic decreased levels of physical activity and increased levels of sedentary behavior in previously active older women who participated in an educational program. However, there were no significant changes in HRQL. These results suggest that educational programs promoting healthy behaviors may attenuate the impact of home confinement in older women.


2014 ◽  
Vol 11 (5) ◽  
pp. 1006-1011 ◽  
Author(s):  
Jacob S. Tucker ◽  
Scott Martin ◽  
Allen W. Jackson ◽  
James R. Morrow ◽  
Christy A. Greenleaf ◽  
...  

Purpose:To investigate the relations between sedentary behaviors and health-related physical fitness and physical activity in middle school boys and girls.Methods:Students (n = 1515) in grades 6–8 completed the Youth Risk Behavior Survey sedentary behavior questions, the FITNESSGRAM physical fitness items, and FITNESSGRAM physical activity self-report questions.Results:When students reported ≤ 2 hours per day of sedentary behaviors, their odds of achieving the FITNESSGRAM Healthy Fitness Zone for aerobic capacity, muscular strength and endurance, flexibility, and body composition increased. Similarly, the odds of achieving physical activity guidelines for children increased when students reported ≤ 2 hours per day of sedentary behaviors.Conclusions:Results illustrate the importance of keeping sedentary behaviors to ≤ 2 hours per day in middle school children, thus increasing the odds that the student will achieve sufficient health-related fitness benefits and be more likely to achieve the national physical activity guidelines.


2017 ◽  
Vol 14 (7) ◽  
pp. 513-519 ◽  
Author(s):  
Danielle Arigo ◽  
Paul Rohde ◽  
Heather Shaw ◽  
Eric Stice

Background:Moderate-to-vigorous physical activity (MVPA) is critical for maintaining a healthy weight, although little is known about psychological barriers to maintaining MVPA in at-risk groups. Identifying characteristics associated with poor MVPA maintenance in obesity prevention programs could improve participant outcomes.Methods:Toward this end, we examined predictors of MVPA in an obesity prevention trial for college students at risk for weight gain (n = 333; 72% female, mean BMI = 23.4 kg/m2). Participants engaged in 1 of 3 weight control interventions and in 4 assessments over 12-month follow-up (ie, measured height/weight, self-reports of psychosocial characteristics, 4 days of accelerometer wear).Results:Multilevel modeling analyses showed that across conditions, participants decreased total MVPA minutes per week over 12 months (B = –5.48, P < .01). Baseline self-report scores for both impulsiveness and cognitive dissonance regarding engaging in unhealthy behaviors negatively predicted MVPA over time. Participants higher (vs. lower) in baseline impulsiveness (B = –6.89, P = .03) and dissonance (B = –4.10, P = .04) began the study with more MVPA minutes, but showed sharper declines over time.Conclusions:Targeted MVPA-focused intervention for students who show elevated impulsiveness and cognitive dissonance may improve both MVPA and weight control outcomes for these individuals.


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