scholarly journals Moderate-To-Vigorous Intensity Physical Activity and Sedentary Behaviour across Childhood and Adolescence, and Their Combined Relationship with Obesity Risk: A Multi-Trajectory Analysis

Author(s):  
Abdulaziz Farooq ◽  
Laura Basterfield ◽  
Ashley J. Adamson ◽  
Mark S. Pearce ◽  
Adrienne R. Hughes ◽  
...  

The combined role of objectively assessed moderate-vigorous intensity physical activity (MVPA) and sedentary behaviour (SB) is unclear in obesity prevention. This study aimed to identify latent groups for MVPA and SB trajectories from childhood to adolescence and examine their relationship with obesity risk at adolescence. From the Gateshead Millennium Study, accelerometer-based trajectories of time spent in MVPA and SB at ages 7, 9, 12, and 15 were derived as assigned as the predictor variable. Fat mass index (FMI), using bioelectrical impedance at age 15, was the outcome variable. From 672 children recruited, we identified three distinct multiple trajectory groups for time spent in MVPA and SB. The group with majority membership (54% of the cohort) had high MVPA and low SB at childhood, but MVPA declined and SB increased by age 15. One third of the cohort (31%) belonged to the trajectory with low MVPA and high time spent sedentary throughout. The third trajectory group (15% of the cohort) that had relatively high MVPA and relatively low SB throughout had lower FMI (−1.7, 95% CI (−3.4 to −1.0) kg/m2, p = 0.034) at age 15 compared to the inactive throughout group. High MVPA and low SB trajectories when combined are protective against obesity.

2020 ◽  
Author(s):  
Simone Johanna Josefa Maria Verswijveren ◽  
Karen E. Lamb ◽  
Josep A. Martín-Fernández ◽  
Elisabeth Winkler ◽  
Rebecca M. Leech ◽  
...  

Abstract Background The consequences for youth cardiometabolic risk might depend on whether sedentary time and physical activity are accumulated sporadically (in shorter bouts) or in a sustained pattern (in longer bouts). This study aimed to: 1) describe daily time-use compositions of youth, including time spent in shorter and longer bouts of sedentary behaviour and physical activity; and 2) examine associations between time-use compositions with cardiometabolic biomarkers.Methods Accelerometer and cardiometabolic biomarker data (adiposity, blood pressure, lipids) from 7–13 year olds (mean ± SD: 10.4 ± 1.7) from two Australian studies were pooled (complete cases adiposity n = 772). A time-use composition of nine components was formed using compositional data analysis: time in shorter and longer bouts of sedentary behaviour, light-, moderate- and vigorous-intensity physical activity, and “other time” (i.e., non-wear/sleep). Shorter and longer bouts of sedentary time were defined as < 5 and ≥ 5 min, respectively. Longer light-, moderate- and vigorous-intensity physical activity bouts were defined as ≥ 1 min. Linear regression models examined associations between overall time-use composition and cardiometabolic biomarkers. Then, associations between ratios of longer relative to shorter activity patterns, and each intensity relative to more intense activities and/or “other time”, with cardiometabolic biomarkers were derived.Results Confounder-adjusted models showed that the overall time-use composition was associated with zBMI, waist circumference, systolic blood pressure, high-density lipoprotein cholesterol, triglycerides, and a combined cardiometabolic risk score. Specifically, more time in longer relative to shorter bouts of light-intensity physical activity was associated with greater zBMI (β = 1.79, SE = 0.70, p = 0.010) and waist circumference (β = 17.28, SE = 4.87, p < 0.001). More time in longer relative to shorter bouts of vigorous-intensity physical activity was also associated with higher waist circumference (β = 2.54, SE = 1.14, p = 0.026). More relative time in total light- and vigorous-intensity physical activity (including longer and shorter bouts) was associated with lower waist circumference. In contrast, more relative time in sedentary behaviour and moderate-intensity physical activity was detrimental for waist circumference.Conclusions Accumulating physical activity in frequent short bursts may be beneficial for adiposity compared to engaging in the same amount of these intensities in longer bouts.Trial registration: 'Lifestyle Of Our Kids’ (ACTRN12615000066583 [23/01/2015]) and ‘Transform-Us!’ (ACTRN12609000715279 [19/08/2009], ISRCTN83725066 [30/06/2010]).


2018 ◽  
Vol 30 (3) ◽  
pp. 426-432 ◽  
Author(s):  
Amanda Santos ◽  
Sandra Silva-Santos ◽  
Michael Duncan ◽  
Maria João Lagoa ◽  
Susana Vale ◽  
...  

Purposes: To examine the association between sedentary time (ST) and light physical activity (LPA), moderate- to vigorous-intensity physical activity (MVPA), and body mass index (BMI), and to track these behaviors over a 3-year follow-up in young schoolchildren. Methods: The final sample was 64 children (female: n = 36 or 56.3%), enrolled in schools in Porto, Portugal. Height and mass of children were measured by standard methods, and BMI was then calculated. ST, LPA, and MVPA were measured by accelerometer. Changes (Δ) and relative changes (Δ%) between 2009/2010 and 2012/2013 of ST, LPA, MVPA, and BMI were computed. Multiple linear regression analyses were fit to predict Δ%ST (outcome variable), by Δ%LPA, Δ%MVPA, and Δ%BMI (exposure variables). Results: ST increased and LPA decreased significantly for whole sample (both Ps < .05). No statistically significant difference was found for MVPA over time. There were no differences for ΔST, ΔLPA, ΔMVPA, and ΔBMI between boys and girls. The Δ%LPA and Δ%MVPA were negatively associated with Δ%ST, whereas Δ%BMI was positively associated. Tracking coefficients varied from moderate to strong. Conclusions: Time spent in ST increases due to displacement of time in LPA. This reinforces public health measures and suggests the need for interventions focusing on offsetting the decline ST and increasing MVPA during childhood.


2014 ◽  
Vol 24 (4) ◽  
pp. 239-254 ◽  
Author(s):  
Joanna Blodgett ◽  
Olga Theou ◽  
Susan Kirkland ◽  
Pantelis Andreou ◽  
Kenneth Rockwood

SummaryAs the mean life expectancy of the population continues to increase, the challenge for individuals is to remain healthy and fit throughout their life span. This review examines the relationships between moderate-vigorous physical activity and sedentary behaviour in relation to the fitness-frailty continuum. The association between increased physical activity and decreased adverse health outcomes is firmly established. A direct association between frailty and moderate-vigorous physical activity has been established to a lesser degree. What has some potential to undermine even these gains is the increasingly recognized relationship between sedentary behaviour and poor health. It now seems likely that sedentary behaviour can have a negative impact on an individual's health, over and above that of meeting the recommendations of moderate-vigorous physical activity. Individuals must consider both increasing their level of moderate-vigorous physical activity and minimizing their level of sedentary behaviour during all aspects of daily life.


2017 ◽  
Vol 14 (11) ◽  
pp. 837-844 ◽  
Author(s):  
MinKyoung Song ◽  
Robert F. Corwyn ◽  
Robert H. Bradley ◽  
Julie C. Lumeng

Background:Temperament activity level can serve as a proxy for nondeliberate activity and an important part of overall energy expenditure. However, little is known about any association between temperament activity level and children’s levels of moderate- to vigorous-intensity physical activity. We examined whether temperament activity level in young children is associated with moderate- to vigorous-intensity physical activity later in childhood and midadolescence. We also assessed if parenting behaviors moderate any association.Methods:Data were obtained from 799 children and their mothers involved in the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development. Growth curve analyses were used to examine the relationships over time, controlling for child and parent characteristics.Results:High temperament activity level at age 4.5 was associated with higher moderate- to vigorous-intensity physical activity at age 9 (β = 5.15; SE =2.47;P < .001). The association became no longer significant after 10.2 years of age. The association was moderated by parental support for physical activity (β = −2.56; SE = 1.01;P = .01).Conclusions:Low temperament activity level in early childhood was a risk factor for low physical activity in later childhood and adolescence. Parental support for physical activity may be beneficial for children whose temperament activity level is low.


2019 ◽  
Vol 39 (5) ◽  
pp. 201-204 ◽  
Author(s):  
Gregory P. Butler ◽  
Karen C. Roberts ◽  
Erin Kropac ◽  
Deepa P. Rao ◽  
Brenda Branchard ◽  
...  

The Public Health Agency of Canada (PHAC) has modernized its approach to physical activity surveillance by broadening its scope to include sedentary behaviour and sleep. The first step was to develop a conceptual framework which covers the full spectrum of physical movement from moderate-to-vigorous intensity physical activity (MVPA) and light intensity physical activity (LPA) to sedentary behaviour and sleep. The framework accounts for the environments in which these behaviours take place (home, work/school, transportation, and community), and applies a socioecological approach to incorporate individual factors and broader built, social, and societal environmental indicators. A visual model of the conceptual framework was created to aid dissemination.


Author(s):  
Manasa S. Yerramalla ◽  
Duncan E. McGregor ◽  
Vincent T. van Hees ◽  
Aurore Fayosse ◽  
Aline Dugravot ◽  
...  

Abstract Background Moderate-to-vigorous physical activity (MVPA) is proposed as key for cardiovascular diseases (CVD) prevention. At older ages, the role of sedentary behaviour (SB) and light intensity physical activity (LIPA) remains unclear. Evidence so far is based on studies examining movement behaviours as independent entities ignoring their co-dependency. This study examines the association between daily composition of objectively-assessed movement behaviours (MVPA, LIPA, SB) and incident CVD in older adults. Methods Whitehall II accelerometer sub-study participants free of CVD at baseline (N = 3319, 26.7% women, mean age = 68.9 years in 2012–2013) wore a wrist-accelerometer from which times in SB, LIPA, and MVPA during waking period were extracted over 7 days. Compositional Cox regression was used to estimate the hazard ratio (HR) for incident CVD for daily compositions of movement behaviours characterized by 10 (20 or 30) minutes greater duration in one movement behaviour accompanied by decrease in another behaviour, while keeping the third behaviour constant, compared to reference composition. Analyses were adjusted for sociodemographic, lifestyle, cardiometabolic risk factors and multimorbidity index. Results Of the 3319 participants, 299 had an incident CVD over a mean (SD) follow-up of 6.2 (1.3) years. Compared to daily movement behaviour composition with MVPA at recommended 21 min per day (150 min/week), composition with additional 10 min of MVPA and 10 min less SB was associated with smaller risk reduction – 8% (HR, 0.92; 95% CI, 0.87–0.99) – than the 14% increase in risk associated with a composition of similarly reduced time in MVPA and more time in SB (HR, 1.14; 95% CI, 1.02–1.27). For a given MVPA duration, the CVD risk did not differ as a function of LIPA and SB durations. Conclusions Among older adults, an increase in MVPA duration at the expense of time in either SB or LIPA was found associated with lower incidence of CVD. This study lends support to public health guidelines encouraging increase in MVPA or at least maintain MVPA at current duration.


2021 ◽  
Author(s):  
Su Hyun Park ◽  
Jiali Yao ◽  
Clare Whitton ◽  
Xin Hui Chua ◽  
Suresh Rama Chandran ◽  
...  

BACKGROUND Frequent and large fluctuations in blood glucose concentration during the day may increase risk of type 2 diabetes. It remains unclear how diet and physical activity affect glycemic variability in real-world conditions in persons without diabetes. OBJECTIVE We examined metabolic and lifestyle determinants (diet, physical activity, and sleep) of blood glucose levels over a seven-day period in people at high risk for diabetes METHODS Twenty-eight participants with a mean age of 46.0 (SD 9.9) years and a mean body mass index (BMI) of 27.5 (SD 1.8) kg/m2 underwent a mixed meal tolerance test to assess glucose homeostasis at baseline. Subsequently, they wore an accelerometer to assess movement behaviors, recorded their dietary intakes through a mobile phone application, and wore a flash glucose monitoring device that measured glucose levels every 15 min for seven days. Generalized estimating equation models were used to assess the associations of metabolic and lifestyle risk factors with daily mean glucose levels (mmol/L), the coefficient of variation (CV%) of glucose levels, and time-in-range (3.0 to 7.8 mmol/L, %). RESULTS A higher BMI (β = 0.12 per kg/m2; P = 0.01), body fat (β = 0.03 per kg; P = 0.01), and selected markers of hyperglycemia and insulin resistance from the meal tolerance test were associated with higher mean glucose levels during the seven days. Moderate-to-vigorous intensity physical activity (β = -1.77 per hr./d, P = 0.008) and polyunsaturated fat intake (β = -2.23 per 5 energy %, P < 0.001) were independently associated with less variation in glucose levels (CV%). Higher protein (β = 0.90, P = 0.007) and polyunsaturated fatty acid (β = 3.21, P = 0.02) intakes were associated with more time-in-range. In contrast, higher carbohydrates intake was associated with less time-in-range (β = -0.59, P = 0.04). Sleep, sedentary behavior, or light intensity physical activity were not independently associated with glucose measures. CONCLUSIONS Body fatness was associated with higher mean glucose levels, and moderate-to-vigorous intensity physical activity was associated with less glycemic variability throughout a week. Diets with higher protein and polyunsaturated fat, and lower carbohydrates were associated with more time in normal glucose range. Physical activity and dietary composition can substantially influence glucose variation in people at high risk of diabetes.


2021 ◽  
pp. bjsports-2021-104231
Author(s):  
Jason M Nagata ◽  
Eric Vittinghoff ◽  
Kelley Pettee Gabriel ◽  
Andrea K Garber ◽  
Andrew E Moran ◽  
...  

ObjectivesTo determine the association between moderate-to-vigorous intensity physical activity (MVPA) trajectories (course over age and time) through the adult life course and onset of metabolic disease (diabetes and dyslipidaemia).MethodsWe analysed prospective community-based cohort data of 5115 participants in the Coronary Artery Risk Development in Young Adults study, who were black and white men and women aged 18–30 years at baseline (1985–1986) at four urban sites, collected through 30 years of follow-up. Individualised MVPA trajectories were developed for each participant using linear mixed models.ResultsLower estimated MVPA score at age 18 was associated with a 12% (95% CI 6% to 18%) higher odds of incident diabetes, a 4% (95% CI 1% to 7%) higher odds of incident low high-density lipoprotein (HDL) and a 6% (95% CI 2% to 11%) higher odds of incident high triglycerides. Each additional annual 1-unit reduction in the MVPA score was associated with a 6% (95% CI 4% to 9%) higher annual odds of diabetes incidence and a 4% (95% CI 2% to 6%) higher annual odds of high triglyceride incidence. Analysing various MVPA trajectory groups, participants who were in the most active group at age 18 (over 300 min/week), but with sharp declines in midlife, had higher odds of high low-density lipoprotein and low HDL incidence, compared with those in the most active group at age 18 with subsequent gains.ConclusionGiven recent trends in declining MVPA across the life course and associated metabolic disease risk, young adulthood is an important time period for interventions to increase and begin the maintenance of MVPA.


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