School-day Classroom-based Physical Activity and Sedentary Behavior

2019 ◽  
Vol 6 (5) ◽  
pp. 463-471
Author(s):  
Hannah G. Calvert ◽  
Lindsey Turner

Objective: Many school-aged children do not meet the daily minimum recommendations for accruing moderate-to-vigorous physical activity (MVPA), and spend much of their day sedentary. The purpose of this study was to investigate the effects of teacher-delivered classroom-based physical activity (CBPA) on students' MVPA and sedentary behaviors. Methods: Participants included 157 students across 7 classrooms and 500 student-days of observation. Students wore accelerometers for one week during fall of 2017, and teachers recorded their CBPA offerings daily. Minutes of scheduled recess and physical education (PE) also were recorded. Results: Overall, students spent the majority of the school day engaged in sedentary behavior, and accrued an average of 20 and 28 minutes of MVPA on non-PE and PE days, respectively. Students did not engage in lengthy bouts of sedentary behavior, and spent approximately 30 minutes each day in sedentary bouts. Mixed-effects regression analyses revealed that offering any CBPA was associated with greater percent time in MVPA and less in sedentary behavior. Conclusion: CBPA is an important contributor to the 30 minutes of school-day MVPA that students should accrue, especially since PE and recess are often not sufficient..

SLEEP ◽  
2020 ◽  
Author(s):  
Bridget Armstrong ◽  
Michael W Beets ◽  
Angela Starrett ◽  
Keith Brazendale ◽  
Gabrielle Turner-McGrievy ◽  
...  

Abstract Study Objectives Studies examining time-use activity behaviors (sleep, sedentary behavior, and physical activity) on school days compared with nonschool days have examined these behaviors independently, ignoring their interrelated nature, limiting our ability to optimize the health benefits of these behaviors. This study examines the associations of school-day (vs. nonschool day) with time-use activity behaviors. Methods Time series data (6,642 days) from Fitbits (Charge-2) were collected (n = 196, 53% female, 5–10 years). We used a variable-centered dynamic structural equation modeling approach to estimate day-to-day associations of time-use activity behaviors on school days for each child. We then used person-centered cluster analyses to group individuals based on these estimates. Results Within-participant analysis showed that on school days (vs. nonschool days), children (1) slept less (β = −0.17, 95% CI = −0.21, −0.13), (2) were less sedentary (β = −0.05, 95% CI = −0.09, −0.02), and (3) had comparable moderate-to-vigorous physical activity (MVPA; β = −0.05, 95% CI = −0.11, 0.00). Between-participant analysis showed that, on school days, children with higher sleep carryover experienced greater decreases in sleep (β = 0.44, 95% CI = 0.08, 0.71), children with higher body mass index z-score decreased sedentary behavior more (β = −0.41, 95% CI = −0.64, −0.13), and children with lower MVPA increased MVPA more (β = −0.41, 95% CI −0.64, −0.13). Cluster analysis demonstrated four distinct patterns of connections between time-use activity behaviors and school (High Activity, Sleep Resilient, High Sedentary, and Dysregulated Sleep). Conclusions Using a combination of person-centered and more traditional variable-centered approaches, we identified patterns of interrelated behaviors that differed on school, and nonschool days. Findings can inform targeted intervention strategies tailored to children’s specific behavior patterns.


2020 ◽  
Vol 34 (6) ◽  
pp. 505-511 ◽  
Author(s):  
Whitney N. Neal ◽  
Katie L. Cederberg ◽  
Brenda Jeng ◽  
Jeffer E. Sasaki ◽  
Robert W. Motl

Background. Fatigue is a debilitating symptom in multiple sclerosis (MS) that may be associated with reduced physical activity and increased sedentary behavior. Objective. This study examined the associations among fatigue and device-measured physical activity and sedentary behavior in people with MS. Methods. The participants (n = 252) completed the Patient Determined Disease Steps (PDDS) and Fatigue Severity Scale (FSS) and wore a waist-mounted accelerometer for 7 days. Participants were divided into 2 groups based on fatigue severity as measured by the FSS scale. We compared percentage of wear time spent in sedentary, light physical activity (LPA), and moderate to vigorous physical activity (MVPA) between the 2 groups. Results. Persons in the fatigued group (FSS score ≥ 4) spent a greater percentage of time in sedentary behavior ( P = .004) and a lower percentage of time in LPA ( P = .035). Persons in the fatigued group further spent a lower percentage of time in nontransformed MVPA ( P < .001) and square-root-transformed MVPA ( P < .001) than persons in the nonfatigued group. When controlling for PDDS scores and years of education, there were no longer significant differences between groups in sedentary behavior, LPA, or transformed MVPA values; the difference in nontransformed MVPA was still statistically significant but likely the result of nonnormally distributed data. Conclusion. The present study suggests that factors other than fatigue might be associated with physical activity and sedentary behavior in MS, and this group might benefit from focal behavioral interventions that take into account mobility status in persons with MS who have fatigue.


Author(s):  
Wen-Yi Wang ◽  
Yu-Ling Hsieh ◽  
Ming-Chun Hsueh ◽  
Yang Liu ◽  
Yung Liao

Levels of physical activity and sedentary behavior among adolescents seem to vary within different settings, but few Asian studies have compared physical activity and sedentary activity patterns in adolescents across weekdays/weekends and during-school time/after-school time. This study aimed to provide objectively measured data describing intensity-specific physical activity and sedentary behavior patterns in Taiwanese adolescents. The results were sorted by gender and divided between weekdays/weekends and during-school time/after-school time. A total of 470 Taiwanese students (49.6% boys, ages 12–15 y) were recruited and fitted with GT3X+ accelerometers for seven days. Intensity-specific physical activity, total sedentary time, and sedentary bouts (number and duration ≥30 min) were measured. The Mann-Whitney U test was used to examine the significant differences in physical activity and sedentary behavior patterns between the genders on weekdays/weekends and during school/after-school time. The results show that the adolescents’ overall activity levels were below recommended thresholds, with girls engaging in significantly less moderate to vigorous physical activity, having longer sedentary time, longer time spent in sedentary bouts, and more frequent sedentary bouts than boys. Similar results were observed in physical activities of each intensity as well as sedentary behavior variables, both on weekdays/weekends and during-school/after-school periods. These findings emphasize the importance of developing and implementing approaches to increase moderate to vigorous physical activity, as well as decrease prolonged sedentary time and long sedentary bouts, especially for Taiwanese girls.


2018 ◽  
Author(s):  
Laura D Ellingson ◽  
Jeni E Lansing ◽  
Kathryn J DeShaw ◽  
Karissa L Peyer ◽  
Yang Bai ◽  
...  

BACKGROUND While widely used and endorsed, there is limited evidence supporting the benefits of activity trackers for increasing physical activity; these devices may be more effective when combined with additional strategies that promote sustained behavior change like motivational interviewing (MI) and habit development. OBJECTIVE This study aims to determine the utility of wearable activity trackers alone or in combination with these behavior change strategies for promoting improvements in active and sedentary behaviors. METHODS A sample of 91 adults (48/91 female, 53%) was randomized to receive a Fitbit Charge alone or in combination with MI and habit education for 12 weeks. Active and sedentary behaviors were assessed pre and post using research-grade activity monitors (ActiGraph and activPAL), and the development of habits surrounding the use of the trackers was assessed postintervention with the Self-Reported Habit Index. During the intervention, Fitbit wear time and activity levels were monitored with the activity trackers. Linear regression analyses were used to determine the influence of the trial on outcomes of physical activity and sedentary time. The influence of habits was examined using correlation coefficients relating habits of tracker use (wearing the tracker and checking data on the tracker and associated app) to Fitbit wear time and activity levels during the intervention and at follow-up. RESULTS Regression analyses revealed no significant differences by group in any of the primary outcomes (all P>.05). However, personal characteristics, including lower baseline activity levels (beta=–.49, P=.01) and lack of previous experience with pedometers (beta=–.23, P=.03) were predictive of greater improvements in moderate and vigorous physical activity. Furthermore, for individuals with higher activity levels at the baseline, MI and habit education were more effective for maintaining these activity levels when compared with receiving a Fitbit alone (eg, small increase of ~48 steps/day, d=0.01, vs large decrease of ~1830 steps/day, d=0.95). Finally, habit development was significantly related to steps/day during (r=.30, P=.004) and following the intervention (r=.27, P=.03). CONCLUSIONS This study suggests that activity trackers may have beneficial effects on physical activity in healthy adults, but benefits vary based on individual factors. Furthermore, this study highlights the importance of habit development surrounding the wear and use of activity trackers and the associated software to promote increases in physical activity. CLINICALTRIAL ClinicalTrials.gov NCT03837366; https://clinicaltrials.gov/ct2/show/NCT03837366


2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Kelsey L. McAlister ◽  
Daniela A. Rubin ◽  
Koren L. Fisher

Introduction. Sedentary behavior (SB) is highly prevalent among older adults, with more than 25% engaging in 6 hours or more of SB daily. SB has been associated with several cardiometabolic biomarkers in younger adults; however, there is a paucity of research in older populations. This study examined associations between patterns of SB and cardiometabolic biomarkers in community-dwelling adults aged 55 years and older. Methods. Data were drawn from a convenience sample of 54 community-dwelling individuals (12 males, 42 females; mean age = 72.6 ± 6.8 years, range = 56–89 years). Cardiometabolic biomarkers assessed included systolic (SBP) and diastolic blood pressure (DBP), body mass index, waist circumference, and fasting blood glucose and cholesterol parameters. SB was assessed via accelerometry over a 7-day period, and measures included daily time in SB, number and length of sedentary bouts, the number and length of breaks between sedentary bouts, moderate-to-vigorous physical activity (MVPA), and light physical activity (LPA). Associations between the SB measures and each cardiometabolic risk factor were examined using separate stepwise multiple regression models, controlling for sex, MVPA, and accelerometer wear time. Isotemporal substitution models were used to examine the change in cardiometabolic outcomes when SB is replaced by an equal duration of either LPA or MVPA. Results. Adjusted regression analyses showed that daily sedentary time was positively associated with DBP (β = 0.052, ∆R2 = 0.112, p=0.022) and inversely associated with HDL cholesterol (β = −0.111, ∆R2 = 0.121, p=0.039). Sedentary bout length was also associated with DBP and HDL cholesterol (β = 0.575, ∆R2 = 0.152, p = 0.007; β = −1.529, ∆R2 = 0.196, p=0.007, respectively). Replacement of 10 minutes of SB a day with LPA was associated with improved DBP and HDL cholesterol (p≤0.05). No other significant associations (p≤0.05) were found. Conclusion. Sitting for prolonged periods of time without interruption is unfavorably associated with DBP and HDL cholesterol. Prospective studies should identify causal relationships and observe specific changes in cardiometabolic profiles in older populations.


2011 ◽  
Vol 8 (5) ◽  
pp. 693-698 ◽  
Author(s):  
Catrine Tudor-Locke ◽  
William D. Johnson ◽  
Peter T. Katzmarzyk

Background:We examined the effects of wear time on a population profile of time-stamped accelerometer outputs using the 2005−2006 National Health and Nutrition Examination Survey (NHANES) data representing 3744 adults ≥ 20 years of age.Methods:Outputs included activity counts, steps, and time variables: nonwear (macro-determined), sedentary behavior (<100 activity counts/minute), and time in low (100−499 activity counts/minute), light (500−2019 activity counts/minute), and moderate-to-vigorous physical activity (MVPA; ≥2020 activity counts/minute) intensities. We describe mean values according to a 24-hour clock. Analysis was repeated in a reduced data set with only those who wore the accelerometer for 60 minutes within each considered hour of the day.Results:Between 12:00 and 17:00, U.S. adults spend approximately 31 minutes each hour in sedentary behaviors, and approximately 14 minutes, 10 minutes, and 2 minutes in low, light, and MVPA intensity activity, respectively. Removing the effect of nonwear time, sedentary behaviors are reduced in the morning hours and increase in the evening hours.Conclusion:At either end of the day, nonwear time appears to distort population estimates of all accelerometer time and physical activity volume indicators, but its effects are particularly clear on population estimates of time spent in sedentary behavior.


2014 ◽  
Vol 11 (2) ◽  
pp. 348-358 ◽  
Author(s):  
Victoria Catenacci ◽  
Christopher Barrett ◽  
Lorraine Odgen ◽  
Ray Browning ◽  
Christine Adele Schaefer ◽  
...  

Background:The America on the Move (AOM) Family Intervention Program has been shown to prevent excess weight gain in overweight children. Providing intervention materials via the internet would have the potential to reach more families but may increase sedentary behavior. The purpose was to evaluate whether delivering the AOM Family Intervention via the internet versus printed workbook would have a similar impact on sedentary behaviors in children.Methods:131 children (age 8–12) were randomized to receive the AOM Family Intervention via the internet or workbook for 12 weeks. Changes in objectively measured sedentary time and moderate-to vigorous physical activity (MVPA) as well as self-reported screen time were compared between groups.Results:There were no significant differences between groups in screen time, sedentary time, or MVPA at the end of the 12 week intervention. Families receiving the intervention via the internet were more likely to remain in the study (98% vs. 82%, P = .016).Conclusions:Using the internet to deliver the lifestyle intervention did not increase sedentary behavior in children. Attrition rates were lower when the program was delivered by internet versus via printed materials. These results provide support for using the internet to deliver healthy lifestyle programs for children.


Author(s):  
Emerald G. Heiland ◽  
Örjan Ekblom ◽  
Emil Bojsen-Møller ◽  
Lisa-Marie Larisch ◽  
Victoria Blom ◽  
...  

The bi-directional, day-to-day associations between daytime physical activity and sedentary behavior, and nocturnal sleep, in office workers are unknown. This study investigated these associations and whether they varied by weekday or weekend day. Among 324 Swedish office workers (mean age 42.4 years; 33.3% men), moderate-to-vigorous physical activity (MVPA), and sedentary behaviors and sleep (total sleep time (TST) and sleep efficiency (SE)) were ascertained by using accelerometers (Actigraph GT3X) over 8 days. Multilevel linear mixed models were used to assess the bi-directional, day-to-day, within-person associations. Additional analyses stratified by weekend/weekday were performed. On average, participants spent 6% (57 min) of their day in MVPA and 59% (9.5 h) sedentary, and during the night, TST was 7 hours, and SE was 91%. More daytime sedentary behavior was associated with less TST that night, and reciprocally, more TST at night was associated with less sedentary behavior on the following weekday. Greater TST during the night was also associated with less MVPA the next day, only on weekdays. However, daytime MVPA was not associated with TST that night. Higher nighttime SE was associated with greater time spent sedentary and in MVPA on the following day, regardless if weekday or weekend day. Sleep may be more crucial for being physically active the following day than vice versa, especially on weekdays. Nevertheless, sedentary behavior’s relation with sleep time may be bi-directional. Office workers may struggle with balancing sleep and physical activity time.


2020 ◽  
Vol 29 (1) ◽  
pp. 34-39
Author(s):  
Si Chen ◽  
Tao Chen ◽  
Shuzo Kumagai ◽  
Hyuntae Park

PURPOSE: This review aimed to evaluate the relationship between objectively measured physical activity and sedentary behavior and frailty in community-dwelling older adults.METHODS: An electronic search was undertaken using the MEDLINE® databases from January 1st 2010 to December 31st 2019. Titles, abstracts, and full texts of the studies identified by the search were scrutinized by the author to determine eligibility for an inclusion in this review.RESULTS: The search identified 87 relevant articles resulted, of which eight studies from four cohorts met the inclusion requirements. Almost all the studies reported a significantly negative association between moderate-to-vigorous physical activity (MVPA) and frailty, while only one was a longitudinal study. Significant associations between sedentary time (ST) and higher severity of frailty were observed, however, the findings of associations of sedentary bouts were mixed.IMPLICATION: Higher amounts of ST and lower amounts of MVPA were associated with a higher prevalence of frailty or worse frailty levels. Replacing ST with MVPA may offset the detrimental consequences of ST on frailty. More longitudinal studies and quantitative researches are needed to investigate the association of MVPA and ST bouts with frailty.


2018 ◽  
Vol 6 (s2) ◽  
pp. S403-S423 ◽  
Author(s):  
Ruri Famelia ◽  
Emi Tsuda ◽  
Syahrial Bakhtiar ◽  
Jacqueline D. Goodway

This study examined the feasibility of recruiting and collecting data of Indonesian preschooler’s fundamental motor skill (FMS) competence, perceived motor competence, and physical activity in school. A secondary purpose was to explore the relationship among perceived motor competence, FMS competence, school day physical activity behaviors, playground physical activity behaviors, and sex of Indonesian preschoolers from urban and rural environments. Preschoolers (N = 66; n = 35 rural, n = 31 urban) were evaluated on the Pictorial Scale of Perceived Movement Skill Competence (PMSC), Perceived Physical Competence subscale (PPC). FMS competence was evaluated using the Test of Gross Motor Development-3. Three-day accelerometry at school yielded percent of school day and percent of playground time spent in moderate-to-vigorous physical activity (MVPA) and sedentary behaviors. Children spent 80% of the school day in sedentary behavior and 7% in MVPA. There were sex differences (p < .05) in ball skills favoring boys, and location differences on sedentary playground behaviors (p < .05) with rural children being more sedentary. Children felt “pretty good” about their motor skills (3.29–3.46) on the PPC and PMSC. Regression analyses revealed that location and locomotor skills predicted 13.8% of playground sedentary behaviors; PPC and locomotor skills explained 13.3% of MVPA on the playground; and ball skills predicted 7.7% of PPC. These findings emphasize the need for early motor skill and physical activity interventions and highlight the importance of perceived motor competence.


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