Physical Activity and Sedentary Behavior Patterns Are Associated With Selected Adolescent Health Risk Behaviors
Abstract
OBJECTIVE. Little is known about how physical activity (PA), sedentary behavior, and various adolescent health risk behaviors are associated. The objective of this study was to examine relationships between PA and sedentary behavior patterns and an array of risk behaviors, including leading causes of adolescent morbidity/mortality. METHODS. Nationally representative self-reported data were collected (National Longitudinal Study of Adolescent Health; wave I: 1994–1995; II: 1996; N = 11957). Previously developed and validated cluster analyses identified 7 homogeneous groups of adolescents sharing PA and sedentary behaviors. Poisson regression predicted the relative risk of health risk behaviors, other weekly activities, and self-esteem across the 7 PA/sedentary behavior clusters controlling for demographics and socioeconomic status. Main outcome measures were adolescent risk behaviors (eg, truancy, cigarette smoking, sexual intercourse, delinquency), other weekly activities (eg, work, academic performance, sleep), self-esteem. RESULTS. Relative to high television (TV) and video viewers, adolescents in clusters characterized by skating and video gaming, high overall sports and sports participation with parents, using neighborhood recreation center, strict parental control of TV, reporting few activities overall, and being active in school were less likely to participate in a range of risky behaviors, ranging from an adjusted risk ratio (ARR) of 0.42 (outcome: illegal drug use, cluster: strict parental control of TV) to 0.88 (outcome: violence, cluster: sports with parents). Active teens were less likely to have low self-esteem (eg, adolescents engaging in sports with parents, ARR: 0.73) and more likely to have higher grades (eg, active in school, ARR: 1.20). CONCLUSIONS. Participation in a range of PA-related behaviors, particularly those characterized by high parental sports/exercise involvement, was associated with favorable adolescent risk profiles. Adolescents with high TV/video viewership were less likely to have positive risk behavior outcomes. Enhancing opportunities for PA and sport may have a beneficial effect on leading adolescent risk behaviors.
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Participation in a range of physical activity-related behaviors, particularly those characterized by high parental sports/exercise involvement, is associated with favorable adolescent risk profiles and less risky behaviors.
“Participation in a range of physical activity-related behaviors, particularly those characterized by high parental sports/exercise involvement, is associated with favorable adolescent risk profiles and less risky behaviors.2”
From Association of Physical Activity, Sports, and Screen Time With Adolescent Behaviors in Youth Who Visit the Pediatric Emergency Department (2022) · cites this paper as [2]
Cites
Society and the Adolescent Self-Image
Rosenberg, M. (1965) · doi:10.1515/9781400876136 · Cited by 30,126 · see citing works
Physical Activity and Health: A Report of the Surgeon General
(1995) · PsycEXTRA Dataset · doi:10.1037/e525162010-001 · Cited by 5,488 · see citing works
Compendium of Physical Activities: Classification of energy costs of human physical activities
AINSWORTH, B. E., HASKELL, W. L., LEON, A. S., JACOBS, D. R., MONTOYE, H. J., SALLIS, J. F., & PAFFENBARGER, R. S. (1993) · Medicine & Science in Sports & Exercise · doi:10.1249/00005768-199301000-00011 · Cited by 4,102 · see citing works
Pollock, M. L., Gaesser, G. A., Butcher, J. D., Despr??s, J.-P., Dishman, R. K., Franklin, B. A., & Garber, C. E. (1998) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-199806000-00032 · Cited by 3,051 · see citing works
Physical Fitness and All-Cause Mortality: A Prospective Study of Healthy Men and Women
Blair, S. N. (1989) · JAMA · doi:10.1001/jama.1989.03430170057028 · Cited by 2,658 · see citing works
Aldenderfer, M. S. (1984) · Cited by 2,502 · see citing works
National Highway Traffic Safety Administration
Michigan, & Haberfeld, M. R. (2004) · Sage eBooks · doi:10.4135/9781412952415.n323 · Cited by 2,304 · see citing works
Estimating the Relative Risk in Cohort Studies and Clinical Trials of Common Outcomes
McNutt, L. (2003) · American Journal of Epidemiology · doi:10.1093/aje/kwg074 · Cited by 2,098 · see citing works
Effects of the amount and intensity of exercise on plasma lipoproteins
Kraus, W. E., Houmard, J. A., Duscha, B. D., Knetzger, K. J., Wharton, M. B., McCartney, J. S., Bales, C. W., Henes, S., Samsa, G. P., Otvos, J. D., et al. (2002) · New England Journal of Medicine · doi:10.1056/nejmoa020194 · Cited by 1,554 · see citing works
Andersen, R. E., Crespo, C. J., Bartlett, S. J., Cheskin, L. J., & Pratt, M. (1998) · JAMA · doi:10.1001/jama.279.12.938 · Cited by 1,333 · see citing works
Determinants of Adolescent Physical Activity and Inactivity Patterns
Gordon‐Larsen, P., McMurray, R. G., & Popkin, B. M. (2000) · PEDIATRICS · doi:10.1542/peds.105.6.e83 · Cited by 955 · see citing works
Self-citationDose–response issues concerning physical activity and health: an evidence-based symposium
ANTERO KESANIEMI (Chair), Y., DANFORTH, E., JENSEN, M. D., KOPELMAN, P. G., LEF??BVRE, P., & REEDER, B. A. (2001) · Medicine and Science in Sports and Exercise · doi:10.1097/00005768-200106001-00003 · Cited by 843 · see citing works
Seven-day recall and other physical activity self-reports in children and adolescents
Sallis, J. F., Buono, M. J., Roby, J. J., Micale, F. G., & Nelson, J. A. E. (1993) · Medicine & Science in Sports & Exercise · doi:10.1249/00005768-199301000-00014 · Cited by 778 · see citing works
Wiswell, T. E., Gannon, C. M., Jacob, J., Goldsmith, L. S., Szyld, E. G., Weiss, K., Schutzman, D. L., Cleary, G. M., Filipov, P., Kurlat, I. R., et al. (2000) · PEDIATRICS · doi:10.1542/peds.105.1.1 · Cited by 716 · see citing works
Resurrecting Free Play in Young Children
Burdette, H. L., & Whitaker, R. C. (2005) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpedi.159.1.46 · Cited by 632 · see citing works
Young and active? Young people and health-enhancing physical activity - evidence and implications
Biddle, S., Sallis, J. F., & Cavill, N. (1998) · Victoria University Research Repository (Victoria University) · Cited by 611 · see citing works
PATE, R. R., Heath, G. W., Dowda, M. C., & Trost, S. G. (1996) · American Journal of Public Health · doi:10.2105/ajph.86.11.1577 · Cited by 529 · see citing works
Popkin, B., & Udry, J. (1998) · Journal of NutriLife · doi:10.1093/jn/128.4.701 · Cited by 525 · see citing works
Environmental determinants of physical activity and sedentary behavior.
Owen, N. G., Leslie, E. R., Salmon, J., & Fotheringham, M. J. (2000) · PubMed · Cited by 515 · see citing works
Sports Participation and Health-Related Behaviors Among US Youth
Pate, R. R., Trost, S. G., Levin, S., & Dowda, M. (2000) · Archives of Pediatrics & Adolescent Medicine · doi:10.1001/archpedi.154.9.904 · Cited by 503 · see citing works
Sports participation and emotional wellbeing in adolescents
Steptoe, A. S., & Butler, N. (1996) · The Lancet · doi:10.1016/s0140-6736(96)91616-5 · Cited by 429 · see citing works
Effects of Physical Activity on Psychological Variables in Adolescents
Calfas, K. J., & Taylor, W. C. (1994) · Pediatric Exercise Science · doi:10.1123/pes.6.4.406 · Cited by 402 · see citing works
Associations of Depression, Self-Esteem, and Substance Use with Sexual Risk among Adolescents
Shrier, L. A., Harris, S. K., Sternberg, M., & Beardslee, W. R. (2001) · Preventive Medicine · doi:10.1006/pmed.2001.0869 · Cited by 386 · see citing works
Patterns of health behavior in U.S. adults
Berrigan, D., Dodd, K., Troiano, R. P., Krebs-Smith, S. M., & Barbash, R. B. (2003) · Preventive Medicine · doi:10.1016/s0091-7435(02)00067-1 · Cited by 382 · see citing works
Gordon-Larsen, P., McMurray, R. G., & Popkin, B. M. (1999) · The Journal of Pediatrics · doi:10.1016/s0022-3476(99)70124-1 · Cited by 382 · see citing works
Self-citationBaranowski, T. (1988) · Research Quarterly for Exercise and Sport · doi:10.1080/02701367.1988.10609379 · Cited by 348 · see citing works
Physical Activity, TV Viewing, and Weight in U.S. Youth: 1999 Youth Risk Behavior Survey
Eisenmann, J. C., Bartee, R. T., & Wang, M. Q. (2002) · Obesity Research · doi:10.1038/oby.2002.52 · Cited by 320 · see citing works
Schmitz, K. H., Lytle, L. A., Phillips, G. A., Murray, D. M., Birnbaum, A. S., & Kubik, M. Y. (2002) · Preventive Medicine · doi:10.1006/pmed.2001.0982 · Cited by 274 · see citing works
Physical activity and the initiation of high-risk health behaviors in adolescents
Aaron, D. J., Dearwater, S. R., Anderson, R., Olsen, T., Kriska, A. M., & LaPorte, R. E. (1995) · Medicine & Science in Sports & Exercise · doi:10.1249/00005768-199512000-00010 · Cited by 176 · see citing works
Adolescent physical activity and sedentary behavior
Laska, M. N., Gordon‐Larsen, P., Adair, L. S., & Popkin, B. M. (2005) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2004.12.006 · Cited by 170 · see citing works
Self-citationClustering of Health-Related Behaviors among 18-Year-Old Australians
Burke, V., Milligan, R., Beilin, L. J., Dunbar, D., Spencer, M., Balde, E., & Gracey, M. S. (1997) · Preventive Medicine · doi:10.1006/pmed.1997.0198 · Cited by 168 · see citing works
Brosnahan, J., Steffen, L., Lytle, L., Patterson, J., & Boostrom, A. (2004) · Archives of Pediatrics & Adolescent Medicine · doi:10.1001/archpedi.158.8.818 · Cited by 164 · see citing works
Psychosocial Correlates of Physical Activity among Fifth and Eighth Graders
Craig, S., Goldberg, J. P., & Dietz, W. H. (1996) · Preventive Medicine · doi:10.1006/pmed.1996.0083 · Cited by 163 · see citing works
Physical Activity Trends—United States, 1990-1998
(2001) · JAMA · doi:10.1001/jama.285.14.1835-jwr0411-3-1 · Cited by 158 · see citing works
Health Lifestyle Patterns of U.S. Adults
Patterson, R. E., Haines, P. S., & Popkin, B. M. (1994) · Preventive Medicine · doi:10.1006/pmed.1994.1062 · Cited by 155 · see citing works
Is Physical Activity Differentially Associated With Different Types of Sedentary Pursuits?
Feldman, D. E., Barnett, T. A., Shrier, I., Rossignol, M., & Abenhaim, L. L. (2003) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpedi.157.8.797 · Cited by 147 · see citing works
Patterns of Tobacco and Alcohol Use Among Sedentary, Exercising, Nonathletic, and Athletic Youth
Rainey, C. J., McKeown, R. E., Sargent, R. G., & Valois, R. F. (1996) · Journal of School Health · doi:10.1111/j.1746-1561.1996.tb06254.x · Cited by 127 · see citing works
PUBERTAL DEVELOPMENT, SOCIAL FACTORS, AND DELINQUENCY AMONG ADOLESCENT BOYS*
Felson, R. B., & HAYNIE, D. L. (2002) · Criminology · doi:10.1111/j.1745-9125.2002.tb00979.x · Cited by 122 · see citing works
Sport and delinquency: an examination of the deterrence hypothesis in a longitudinal study.
Begg, D., Langley, J., Moffitt, T. E., & Marshall, S. W. (1996) · British Journal of Sports Medicine · doi:10.1136/bjsm.30.4.335 · Cited by 122 · see citing works
Kulig, K., Brener, N. D., & McManus, T. (2003) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpedi.157.9.905 · Cited by 101 · see citing works
Wirfält, E., Mattisson, I., Gullberg, B., & Berglund, G. L. (2000) · Public Health Nutrition · doi:10.1017/s1368980000000197 · Cited by 72 · see citing works
Winnail, S. D., Valois, R. F., McKeown, R. E., Saunders, R. P., & PATE, R. R. (1995) · Journal of School Health · doi:10.1111/j.1746-1561.1995.tb08209.x · Cited by 62 · see citing works
Relationships between health protective behaviors
Krick, J. P., & Sobal, J. (1990) · Journal of Community Health · doi:10.1007/bf01350183 · Cited by 55 · see citing works
A cluster-analytical approach toward physical activity and other health related behaviors
Bourdeaudhuij, I. D., & Oost, P. V. (1999) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-199904000-00019 · Cited by 48 · see citing works
Psychological determinants of adolescent exercise adherence.
Douthitt, V. L. (1994) · PubMed · Cited by 47 · see citing works
Examination of the factor structure of physical activity behaviors
Prochaska, J. J., Sallis, J. F., SARKIN, J. A., & Calfas, K. J. (2000) · Journal of Clinical Epidemiology · doi:10.1016/s0895-4356(99)00233-4 · Cited by 25 · see citing works
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Systematic review of sedentary behaviour and health indicators in school-aged children and youth.
Tremblay, M. S., LeBlanc, A. G., Kho, M. E., Saunders, T. J., Larouche, R., Colley, R. C., Goldfield, G., & Gorber, S. (2011) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-8-98 · Cited by 2,085 · see citing works
Carson, V., Hunter, S., Kuzik, N., Gray, C. E., Poitras, V. J., Chaput, J.-P., Saunders, T. J., Katzmarzyk, P. T., Okely, A. D., Connor Gorber, S., et al. (2016) · Applied Physiology, Nutrition, and Metabolism · doi:10.1139/apnm-2015-0630 · Cited by 1,380 · see citing works
Physical education, school physical activity, school sports and academic performance
Trudeau, F., & Shephard, R. J. (2008) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-5-10 · Cited by 879 · see citing works
Hoare, E., Milton, K., Foster, C., & Allender, S. (2016) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-016-0432-4 · Cited by 616 · see citing works
Singh, A. (2012) · Archives of Pediatrics & Adolescent Medicine · doi:10.1001/archpediatrics.2011.716 · Cited by 604 · see citing works
Basch, C. E. (2011) · Journal of School Health · doi:10.1111/j.1746-1561.2011.00632.x · Cited by 521 · see citing works
Oswald, T. K., Rumbold, A. R., Kedzior, S. G. E., & Moore, V. M. (2020) · PLoS ONE · doi:10.1371/journal.pone.0237725 · Cited by 367 · see citing works
Physical activity and cognition in adolescents: A systematic review
Esteban-Cornejo, I., Tejero-Gonzalez, C. M., Sallis, J. F., & Veiga, O. L. (2015) · Journal of Science and Medicine in Sport · doi:10.1016/j.jsams.2014.07.007 · Cited by 336 · see citing works
Fox, C. K., Barr-Anderson, D., Neumark-Sztainer, D., & Wall, M. (2010) · Journal of School Health · doi:10.1111/j.1746-1561.2009.00454.x · Cited by 293 · see citing works
Iannotti, R. J., Kogan, M. D., Janssen, I., & Boyce, W. F. (2009) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2008.10.142 · Cited by 260 · see citing works
Screen time, physical activity and mental health among urban adolescents in China
Cao, H., Qian, Q., Weng, T., Yuan, C., Sun, Y., Wang, H., & Tao, F. (2011) · Preventive Medicine · doi:10.1016/j.ypmed.2011.09.002 · Cited by 211 · see citing works
Patterns and Determinants of Physical Activity in U.S. Adolescents
Kahn, J. A., Huang, B., Gillman, M. W., Field, A. E., Austin, S. B., Colditz, G. A., & Frazier, A. L. (2008) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2007.11.143 · Cited by 209 · see citing works
Ward, J. S., Duncan, J. S., Jarden, A., & Stewart, T. (2016) · Health & Place · doi:10.1016/j.healthplace.2016.04.015 · Cited by 201 · see citing works
Sufficient Sleep, Physical Activity, and Sedentary Behaviors
Foti, K. E., Eaton, D. K., Lowry, R., & McKnight-Ely, L. R. (2011) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2011.08.009 · Cited by 183 · see citing works
Busch, V., Loyen, A., Lodder, M., Schrijvers, A. J. P., van Yperen, T. A., & de Leeuw, J. R. J. (2014) · Review of Educational Research · doi:10.3102/0034654313518441 · Cited by 142 · see citing works
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Gao, Z., Hannan, P., Xiang, P., Stodden, D. F., & Valdez, V. E. (2013) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2012.11.023 · Cited by 131 · see citing works
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Zhu, X., Haegele, J. A., Tang, Y., & Wu, X. (2017) · BioMed Research International · doi:10.1155/2017/7540147 · Cited by 47 · see citing works
Babey, S. H., Wu, S., & Cohen, D. (2014) · Preventive Medicine · doi:10.1016/j.ypmed.2014.10.013 · Cited by 50 · see citing works
Poulain, T., Peschel, T., Vogel, M., Jurkutat, A., & Kiess, W. (2018) · BMC Public Health · doi:10.1186/s12889-018-5489-3 · Cited by 43 · see citing works
Shenoi, R. P., Linakis, J. G., Bromberg, J. R., Casper, T. C., Richards, R., Chun, T. H., Gonzalez, V. M., Mello, M. J., & Spirito, A. (2022) · Clinical Pediatrics · doi:10.1177/00099228221075094 · Cited by 12 · see citing works
- Authors
- Nelson, M. C., & Gordon-Larsen, P.
- Affiliations
- Division of Epidemiology and Community Health, University of Minnesota, Minneapolis, Minnesota
- Department of Nutrition, University of North Carolina, Chapel Hill, North Carolina
- Venue
- Pediatrics
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2006-04-01
- Volume
- 117
- Issue
- 4
- Pages
- 1281-1290
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- OpenAlex
- W2002513251
- Cited by
- 419
- References
- 47
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 12 · 2023: 11 · 2022: 9 · 2021: 15 · 2020: 17 · 2019: 19 · 2018: 25 · 2017: 22 · 2016: 25 · 2015: 35 · 2014: 40 · 2013: 38 · 2012: 31
- FWCI
- 13.29
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- PEDIATRICS (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (K01HD044263, R01HD039183, R01-HD39183, P01- HD31921, P01HD031921, R01HD041375)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Social Sciences › Life-span and Life-course Studies › Sports and Physical Education Studies
- Social Sciences › Safety Research › Youth Development and Social Support
- Keywords
- physical activity, sedentary behavior, adolescent health risk behaviors, television viewing, video gaming, self-esteem, truancy, cigarette smoking, sexual intercourse, delinquency, illicit drug use, violence, academic performance, sleep, Add Health
- MeSH terms
- Absenteeism, Adolescent, Adolescent Behavior, Alcohol Drinking, Female, Humans, Male, Risk-Taking, Self Concept, Sexual Behavior, Smoking, Socioeconomic Factors, Health Behavior, Exercise
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