Cross-sectional and prospective associations between moderate to vigorous physical activity and sedentary time with adiposity in children
Open accessAbstract
Background Physical activity (PA) and sedentary time (SED) have both been suggested as potential risk factors for adiposity in children. However, there is paucity of data examining the temporal associations between these variables.Objective This study aimed to analyze the cross-sectional and prospective associations between PA, SED and body composition in children.Methods A total of 510 children (age at baseline 10.1±0.8, age at follow-up 11.8±0.9) from six Portuguese schools from the Oeiras Municipality participated in this study. PA and SED were measured by accelerometry and trunk fat mass (TFM) and body fat mass (BFM) were measured by dual energy X-ray absorptiometry. Fat mass index (FMI) was calculated as BFM divided by height squared. Several regression models adjusted for age, sex, maturity status, follow-up duration, baseline levels of the outcome variable and SED or moderate to vigorous PA (MVPA) were performed.Results MVPA (min per day) was cross-sectionally inversely associated with adiposity indexes (FMI, TFM and BFM). Adiposity indexes were inversely associated with time in MVPA. In prospective analyses, MVPA was associated with a lower levels of FMI (β=-0.37, 95% confidence interval (CI): -0.49 to -0.26, P<0.001), TFM (β=-0.20, 95% CI: -0.29 to -0.10, P<0.001) and BFM (β=-0.37, 95% CI: -0.49 to -0.26, P<0.001). When the model was adjusted for age, sex, maturity status and for baseline levels of the outcome variables MVPA remained a significant predictor of lower adiposity indexes (FMI: β=-0.09, 95% CI: -0.16 to -0.01, P<0.05; TFM: β=-0.08, 95% CI: -0.15 to -0.01, P<0.05; BFM: β=-0.07, 95% CI: -0.15 to 0.00, P<0.05). Adiposity was not associated with MVPA when modeled as the exposure in prospective analyses. SED was not related with adiposity indexes, except for the relationship with FMI.Conclusions In cross-sectional and prospective analyses, MVPA is associated with lower adiposity independent of covariates and SED. Results suggest that promoting MVPA is important for preventing gain in adiposity in healthy children.
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Isolated adherence to MVPA, screen time and sleep duration recommendations has been associated with lower adiposity indicators in children and adolescents.
“Isolated adherence to MVPA, screen time and sleep duration recommendations have been associated with lower adiposity indicators in children and adolescents [3, 5–10].”
From Proportion of children meeting recommendations for 24-hour movement guidelines and associations with adiposity in a 12-country study (2016) · cites this paper as [7]
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Cites
Establishing a standard definition for child overweight and obesity worldwide: international survey
Cole, T. J. (2000) · BMJ · doi:10.1136/bmj.320.7244.1240 · Cited by 16,500 · see citing works
Genetics of Food Intake Self-Regulation in Childhood: Literature Review and Research Opportunities
Faith, M. S., Carnell, S., & Kral, T. V. E. (2013) · Human Heredity · doi:10.1159/000353879 · Cited by 7,628 · see citing works
Janssen, I., & LeBlanc, A. G. (2010) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-7-40 · Cited by 4,829 · see citing works
An assessment of maturity from anthropometric measurements
Mirwald, R. L., Baxter-Jones, A. D. G., Bailey, D. A., & Beunen, G. P. (2002) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-200204000-00020 · Cited by 2,364 · see citing works
Long-term health benefits of physical activity – a systematic review of longitudinal studies
Reiner, M., Niermann, C. Y. N., Jekauc, D., & Wöll, A. (2013) · BMC Public Health · doi:10.1186/1471-2458-13-813 · Cited by 1,475 · see citing works
Comparison of Accelerometer Cut Points for Predicting Activity Intensity in Youth
TROST, S. G., LOPRINZI, P. D., MOORE, R., & PFEIFFER, K. A. (2011) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e318206476e · Cited by 1,360 · see citing works
Hill, J. O., Wyatt, H. R., & Peters, J. C. (2012) · Circulation · doi:10.1161/circulationaha.111.087213 · Cited by 1,317 · see citing works
Ekelund, U. (2012) · JAMA · doi:10.1001/jama.2012.156 · Cited by 1,158 · see citing works
Self-citationCalibration of Accelerometer Output for Children
Freedson, P. S., POBER, D. M., & Janz, K. F. (2005) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000185658.28284.ba · Cited by 1,106 · see citing works
Accelerometer Use in Physical Activity: Best Practices and Research Recommendations
WARD, D. S., EVENSON, K. R., VAUGHN, A., RODGERS, A. B., & TROIANO, R. P. (2005) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000185292.71933.91 · Cited by 779 · see citing works
Ekelund, U., Sardinha, L. B., Anderssen, S. A., Harro, M., Franks, P. W., Brage, S., Cooper, A. R., Andersen, L. B., Riddoch, C., & Froberg, K. (2004) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/80.3.584 · Cited by 419 · see citing works
Self-citationTracking of Activity and Sedentary Behaviors in Childhood
Janz, K. F., Burns, T. L., & Levy, S. M. (2005) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2005.06.001 · Cited by 369 · see citing works
Boone, J. E., Gordon‐Larsen, P., Adair, L. S., & Popkin, B. M. (2007) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-4-26 · Cited by 288 · see citing works
Steele, R. M., van Sluijs, E. M. F., Cassidy, A., Griffin, S. J., & Ekelund, U. (2009) · American Journal of Clinical Nutrition · doi:10.3945/ajcn.2009.28153 · Cited by 263 · see citing works
Self-citationPhysical activity, sedentary behavior, and childhood obesity: A review of cross-sectional studies
Prentice-Dunn, H., & Prentice‐Dunn, S. (2011) · Psychology Health & Medicine · doi:10.1080/13548506.2011.608806 · Cited by 242 · see citing works
Metcalf, B. S., Hosking, J., Jeffery, A., Voss, L. D., Henley, W., & Wilkin, T. J. (2010) · Archives of Disease in Childhood · doi:10.1136/adc.2009.175927 · Cited by 240 · see citing works
Mitchell, J. A., Pate, R. R., Beets, M. W., & Nader, P. R. (2012) · International Journal of Obesity · doi:10.1038/ijo.2012.41 · Cited by 232 · see citing works
Bürgi, F., Meyer, U., Granacher, U., Schindler, C., Marques-Vidal, P. M., Kriemler, S., & Puder, J. J. (2011) · International Journal of Obesity · doi:10.1038/ijo.2011.54 · Cited by 231 · see citing works
Riddoch, C., Leary, S. D., Ness, A., Blair, S. N., Deere, K. C., Mattocks, C., Griffiths, A., Smith, G. D., & Tilling, K. M. (2009) · BMJ · doi:10.1136/bmj.b4544 · Cited by 218 · see citing works
Prevalence of the Portuguese Population Attaining Sufficient Physical Activity
Baptista, F., Santos, D. A., Silva, A. M., Mota, J. A. P. S., Santos, R., Vale, S. M. C. G., Ferreira, J. P., Raimundo, A. M. D. M., Moreira, H., & Sardinha, L. B. (2011) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e318230e441 · Cited by 206 · see citing works
Self-citationRichmond, R. C., Davey Smith, G., Ness, A. R., den Hoed, M., McMahon, G., & Timpson, N. J. (2014) · PLoS Medicine · doi:10.1371/journal.pmed.1001618 · Cited by 167 · see citing works
Wilks, D. C., Besson, H., Lindroos, A. K., & Ekelund, U. (2011) · Obesity Reviews · doi:10.1111/j.1467-789x.2010.00775.x · Cited by 142 · see citing works
Self-citationMetabolic and behavioral predictors of weight gain in Hispanic children: the Viva la Familia Study
Butte, N. F., Cai, G., Cole, S. A., Wilson, T. A., Fisher, J. O., Zakeri, I., Ellis, K. J., & Comuzzie, A. G. (2007) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/85.6.1478 · Cited by 141 · see citing works
Hjorth, M. F., Chaput, J.-P., Ritz, C., Dalskov, S.-M., Andersen, R., Astrup, A., Tetens, I., Michaelsen, K. F., & Sjödin, A. (2014) · International Journal of Obesity · doi:10.1038/ijo.2013.229 · Cited by 136 · see citing works
Intensity of Physical Activity, Cardiorespiratory Fitness, and Body Mass Index in Youth
Aires, L., Silva, P., Silva, G., Santos, M. P., Ribeiro, J. C., & Mota, J. A. P. S. (2010) · Journal of Physical Activity and Health · doi:10.1123/jpah.7.1.54 · Cited by 134 · see citing works
Tanaka, C., Reilly, J. J., & Huang, W. Y. (2014) · Obesity Reviews · doi:10.1111/obr.12195 · Cited by 118 · see citing works
Physical activity vs. sedentary time: independent associations with adiposity in children
Chaput, J., Lambert, M. A., Mathieu, M.-E., Tremblay, M. S., O’Loughlin, J. L., & Tremblay, A. (2012) · Pediatric Obesity · doi:10.1111/j.2047-6310.2011.00028.x · Cited by 102 · see citing works
Physical Activity Intensity and Risk of Overweight and Adiposity in Children
Wittmeier, K. D. M., Mollard, R. C., & Kriellaars, D. J. (2008) · Obesity · doi:10.1038/oby.2007.73 · Cited by 91 · see citing works
on behalf of the ProActive study group, Golubić, R., Wijndaele, K., Sharp, S. J., Simmons, R. K., Griffin, S. J., Wareham, N. J., Ekelund, U., & Brage, S. (2014) · International Journal of Obesity · doi:10.1038/ijo.2014.66 · Cited by 85 · see citing works
Self-citationPearce, M. S., Basterfield, L., Mann, K. D., Parkinson, K. N., Adamson, A., & John J. Reilly on behalf of the Gateshead Millennium Study Core Team (2012) · PLoS ONE · doi:10.1371/journal.pone.0037975 · Cited by 74 · see citing works
Physical activity, sedentary time and adiposity during the first two decades of life
Ekelund, U., Hildebrand, M., & Collings, P. J. (2014) · Proceedings of The Nutrition Society · doi:10.1017/s0029665114000019 · Cited by 63 · see citing works
Self-citationEffects of Adiposity on Physical Activity in Childhood
Kwon, S., Janz, K. F., Burns, T. L., & Levy, S. M. (2010) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e3181ef3b0a · Cited by 54 · see citing works
Hallal, P. C., Reichert, F. F., Ekelund, U., Dumith, S. C., Menezes, A. M. B., Victora, C. G., & Wells, J. C. K. (2011) · Journal of Sports Sciences · doi:10.1080/02640414.2011.631570 · Cited by 45 · see citing works
Self-citationQuaresma, A. M. M., Palmeira, A. L., Martins, S., Minderico, C. S., & Sardinha, L. B. (2014) · Health Education Research · doi:10.1093/her/cyu056 · Cited by 38 · see citing works
Self-citationHow to make overweight children exercise and follow the recommendations
Deforche, B. I., Haerens, L. L., & Bourdeaudhuij, I. D. (2011) · International Journal of Pediatric Obesity · doi:10.3109/17477166.2011.583660 · Cited by 35 · see citing works
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- [4]WHO Global recommendations on physical activity for health 2010 World Health Organization Geneva, Switzerland 26180873
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for the ISCOLE Research Group, Roman-Viñas, B., Chaput, J.-P., Katzmarzyk, P. T., Fogelholm, M., Lambert, E. V., Maher, C., Maia, J., Olds, T., Onywera, V., et al. (2016) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-016-0449-8 · Cited by 368 · see citing works
Correlates of compliance with recommended levels of physical activity in children
Gomes, T. N., Katzmarzyk, P. T., Hedeker, D., Fogelholm, M., Standage, M., Onywera, V., Lambert, E. V., Tremblay, M. S., Chaput, J.-P., Tudor-Locke, C., et al. (2017) · Scientific Reports · doi:10.1038/s41598-017-16525-9 · Cited by 55 · see citing works
- Authors
- Marques, A., Minderico, C., Martins, S., Palmeira, A., Ekelund, U., & Sardinha, L. B.
- Affiliations
- University of Lisbon (PT)
- Universidade Lusófona de Humanidades e Tecnologias (PT)
- University of Cambridge (GB)
- Corresponding author
- Sardinha, L B
- Venue
- International Journal of Obesity
- Published
- 2015-08-25
- Volume
- 40
- Issue
- 1
- Pages
- 28-33
- ISSN
- 0307-0565 (ISSN-L)
- 1476-5497
- PMC
- PMC4757733
- OpenAlex
- W1566688587
- Cited by
- 64
- References
- 35
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 7 · 2023: 6 · 2022: 7 · 2021: 4 · 2020: 6 · 2019: 6 · 2018: 8 · 2017: 10 · 2016: 6
- FWCI
- 5.83
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- International Journal of Obesity (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Apollo (University of Cambridge) (acceptedVersion)
- Funders
- Medical Research Council (MC_UU_12015/4, MC_UU_12015/3)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Social Sciences › Life-span and Life-course Studies › Sports and Physical Education Studies
- Keywords
- moderate-to-vigorous physical activity, sedentary time, childhood adiposity, body composition, fat mass index, trunk fat mass, fat mass, temporal association, children, elementary school students, physical activity interventions, obesity prevention, body mass index, waist circumference, waist-to-hip ratio, body fat percentage, body fat distribution, cardiorespiratory fitness, sedentary behavior interventions
- MeSH terms
- Child, Cross-Sectional Studies, Physical Exertion, Female, Follow-Up Studies, Humans, Male, Motor Activity, Physical Fitness, Portugal, Prospective Studies, School Health Services, Body Mass Index, Adiposity, Waist Circumference, Sedentary Behavior, Accelerometry, Pediatric Obesity
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