Trajectories of objectively measured physical activity and childhood overweight: longitudinal analysis of the IDEFICS/I.Family cohort
Autor: | Luis Moreno, Kenn Konstabel, Fabio Lauria, Gabriele Eiben, Karin Bammann, Wolfgang Ahrens, Christoph Buck, Ole Sprengeler, Vera Verbestel, Hermann Pohlabeln, Dénes Molnár, Angie S Page, Lucia A. Reisch, Yannis P. Pitsiladis, Michael Tornaritis |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Male
Pediatric Obesity Percentile RC620-627 Adolescent Dose-response relationship Physical Therapy Medicine (miscellaneous) Physical Therapy Sports Therapy and Rehabilitation Physical activity recommendations Sports Therapy and Rehabilitation Clinical nutrition Overweight Pediatrics Body Mass Index Odds Cohort Studies Medicine and Health Sciences Humans Medicine Longitudinal Studies Child Nutritional diseases. Deficiency diseases Exercise Sport and Fitness Sciences Nutrition and Dietetics business.industry Idrottsvetenskap Research Pediatrik Public Health Global Health Social Medicine and Epidemiology Odds ratio Health-enhancing physical activity Pediatric overweight Obesity prevention Europe Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Child Preschool Cohort Female medicine.symptom Public aspects of medicine RA1-1270 business Body mass index Cohort study Demography |
Zdroj: | International Journal of Behavioral Nutrition and Physical Activity, Vol 18, Iss 1, Pp 1-12 (2021) INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY International journal of behavioral nutrition and physical activity, 18:103 The International Journal of Behavioral Nutrition and Physical Activity |
ISSN: | 1479-5868 |
Popis: | Background: Since only few longitudinal studies with appropriate study designs investigated the relationship between objectively measured physical activity (PA) and overweight, the degree PA can prevent excess weight gain in children, remains unclear. Moreover, evidence is limited on how childhood overweight determines PA during childhood. Therefore, we analyzed longitudinal trajectories of objectively measured PA and their bi-directional association with weight trajectories of children at 2- and 6-year follow-ups. Methods: Longitudinal data of three subsequent measurements from the IDEFICS/I.Family cohort study were used to analyze the bi-directional association between moderate-to-vigorous PA (MVPA) and weight status by means of multilevel regression models. Analyses comprised 3393 (2-year follow-up) and 1899 (6-year follow-up) children aged 2–15.9 years from eight European countries with valid accelerometer data and body mass index (BMI) measurements. For categorized analyses, children’s weight status was categorized as normal weight or overweight (cutoff: 90th percentile of BMI) and children’s PA as (in-) sufficiently active (cutoffs: 30, 45 and 60 min of MVPA per day). Results: Children engaging in at least 60 min MVPA daily at baseline and follow-ups had a lower odds of becoming overweight (odds ratio [OR] at 2-year follow-up: 0.546, 95% CI: 0.378, 0.789 and 6-year follow-up: 0.393, 95% CI: 0.242, 0.638), compared to less active children. Similar associations were found for 45 min MVPA daily. On the other side, children who became overweight had the lowest odds to achieve 45 or 60 min MVPA daily (ORs: 0.459 to 0.634), compared to normal weight children. Conclusions: Bi-directional associations between MVPA and weight status were observed. In summary, at least 60 min MVPA are still recommended for the prevention of childhood overweight. To prevent excess weight gain, 45 min MVPA per day also showed preventive effects. CC BY 4.0© The Author(s). 2021 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.Correspondence: pohlabeln@leibniz-bips.de |
Databáze: | OpenAIRE |
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