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Enjoyment of Physical Activity-Not MVPA during Physical Education-Predicts Future MVPA Participation and Sport Self-Concept. Sports (Basel) 2021; 9:sports9090128. [PMID: 34564333 PMCID: PMC8470923 DOI: 10.3390/sports9090128] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2021] [Revised: 09/03/2021] [Accepted: 09/06/2021] [Indexed: 11/25/2022] Open
Abstract
There exists a general understanding that physical education (PE) is a means to create a physically healthy population. However, disagreements arise over primary practices within PE to achieve this end. The primary divergence is whether PE facilitators should primarily ensure participants exert a specific level of energy during class or develop their confidence, competence, knowledge, and motivation for meaningful physical activity (PA) participation outside of the PE classroom (referred to as physical literacy (PL)). This study uses structural equation modeling to examine associations between enjoyment of PA and minutes of moderate to vigorous physical activity (MVPA) in PE class in grade 5 (mean age = 10) and participation in PA and feelings about PA 1 year later, in grade 6 (mean age = 11), in the NICHD Study of Early Child Care and Youth Development (SECCYD, N = 1364). Enjoyment of PA in grade 5 predicted sport self-concept (β = 0.347, p ≤ 0.001), MVPA (β = 0.12, p ≤ 0.001), and enjoyment of PA (β = 0.538, p ≤ 0.001) in grade 6. These associations remained when including weekday MVPA performed in grade 5 as an indirect effect (β = 0.058, p ≤ 0.001). MVPA performed during PE in grade 5 was not associated with any PA outcomes in grade 6. Findings suggest PE instructors should prioritize PL development over maintenance of high energy expenditure during PE class for long-term MVPA.
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Hammond MM, Zhang Y, Pathiravasan CH, Lin H, Sardana M, Trinquart L, Benjamin EJ, Borrelli B, Manders ES, Fusco K, Kornej J, Spartano NL, Kheterpal V, Nowak C, McManus DD, Liu C, Murabito JM. Relations between body mass index trajectories and habitual physical activity measured by smartwatch in the electronic cohort of the Framingham Heart Study: Cohort Study (Preprint). JMIR Cardio 2021; 6:e32348. [PMID: 35476038 PMCID: PMC9096636 DOI: 10.2196/32348] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2021] [Revised: 01/14/2022] [Accepted: 03/14/2022] [Indexed: 12/11/2022] Open
Abstract
Background Objective Methods Results Conclusions
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Affiliation(s)
- Michael M Hammond
- Boston University's and National Heart, Lung, and Blood Institute's Framingham Heart Study, Framingham, MA, United States
| | - Yuankai Zhang
- Department of Biostatistics, Boston University School of Public Health, Boston, MA, United States
| | | | - Honghuang Lin
- Division of Clinical Informatics, Department of Medicine, University of Massachusetts Medical School, Worcester, MA, United States
| | - Mayank Sardana
- Cardiology Division, Department of Medicine, University of California San Francisco, San Francisco, CA, United States
| | - Ludovic Trinquart
- Department of Biostatistics, Boston University School of Public Health, Boston, MA, United States
| | - Emelia J Benjamin
- Boston University's and National Heart, Lung, and Blood Institute's Framingham Heart Study, Framingham, MA, United States
- Section of Cardiovascular Medicine, Department of Medicine, Boston Medical Center and Boston University School of Medicine, Boston, MA, United States
- Department of Epidemiology, Boston University School of Public Health, Boston, MA, United States
| | - Belinda Borrelli
- Department of Health Policy & Health Services Research, Henry M Goldman School of Dental Medicine, Boston University, Boston, MA, United States
| | - Emily S Manders
- Boston University's and National Heart, Lung, and Blood Institute's Framingham Heart Study, Framingham, MA, United States
| | - Kelsey Fusco
- Boston University's and National Heart, Lung, and Blood Institute's Framingham Heart Study, Framingham, MA, United States
| | - Jelena Kornej
- Boston University's and National Heart, Lung, and Blood Institute's Framingham Heart Study, Framingham, MA, United States
| | - Nicole L Spartano
- Section of Endocrinology, Diabetes, Nutrition, and Weight Management, Boston University School of Medicine, Boston, MA, United States
| | | | | | - David D McManus
- Cardiology Division, Department of Medicine, University of Massachusetts Medical School, Worcester, MA, United States
- Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA, United States
| | - Chunyu Liu
- Department of Biostatistics, Boston University School of Public Health, Boston, MA, United States
| | - Joanne M Murabito
- Boston University's and National Heart, Lung, and Blood Institute's Framingham Heart Study, Framingham, MA, United States
- Section of General Internal Medicine, Department of Medicine, Boston University School of Medicine, Boston, MA, United States
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Garcia AS, Takahashi S, Anderson-Knott M, Dev D. Determinants of Physical Activity for Latino and White Middle School-Aged Children. THE JOURNAL OF SCHOOL HEALTH 2019; 89:3-10. [PMID: 30506697 DOI: 10.1111/josh.12706] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/11/2017] [Revised: 10/31/2017] [Accepted: 09/28/2018] [Indexed: 06/09/2023]
Abstract
BACKGROUND Physical activity (PA) has long been acknowledged to contribute health benefits among children. However, research has consistently shown that PA declines as children grow older. Thus, this study examined the factors which are associated to children's PA in order to identify potential barriers to PA. METHODS Using data from the KidQuest Program, we conducted bivariate and multivariate analyses on survey data collected from fifth to seventh grade students in a small Midwestern city. RESULTS We found that food knowledge, eating breakfast, and talking with family about eating healthy foods, are positively related to PA. On the other hand, screen time is negatively related to PA. In addition, our results evinced differences between ethnicities and found that Latino children's screen time affects their PA levels more than their white counterpart. CONCLUSIONS There are different factors which can be tapped to increase PA among middle school-aged children. Given the differences between the Latino and white samples especially in screen time, schools should consider individualized intervention, rather than a "one size fits all" program, to increase PA participation.
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Affiliation(s)
- Aileen S Garcia
- Department of Counseling and Human Development, 206 Wenona Hall, South Dakota State University, Brookings, SD, 57007
| | - Shinya Takahashi
- Department of Nutrition and Health Sciences, 104 E Levinson Hall, University of Nebraska-Lincoln, Lincoln, NE 68583-0806
| | - Mindy Anderson-Knott
- Social and Behavioral Sciences Research Consortium, 234 Prem S. Paul Research Center at Whittier, University of Nebraska-Lincoln, Lincoln, NE 68583-0866
| | - Dipti Dev
- Department of Child, Youth and Family Studies, 135 Mabel Lee Hall, University of Nebraska-Lincoln, Lincoln, NE 68588-0236
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Prinz N, Schwandt A, Becker M, Denzer C, Flury M, Fritsch M, Galler A, Lemmer A, Papsch M, Reinehr T, Rosenbauer J, Holl RW. Trajectories of Body Mass Index from Childhood to Young Adulthood among Patients with Type 1 Diabetes-A Longitudinal Group-Based Modeling Approach Based on the DPV Registry. J Pediatr 2018; 201:78-85.e4. [PMID: 29937081 DOI: 10.1016/j.jpeds.2018.05.014] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/13/2018] [Revised: 04/05/2018] [Accepted: 05/09/2018] [Indexed: 12/18/2022]
Abstract
OBJECTIVE To identify distinct longitudinal patterns of body mass index (BMI) z score in type 1 diabetes from childhood to young adulthood and secondly to determine sex differences as well as associated clinical covariates. STUDY DESIGN A total of 5665 patients with type 1 diabetes (51% male) with follow-up from 8 to 20 years of age from the multicenter diabetes prospective registry DPV were studied (baseline diabetes duration ≥1 years, BMI z score aggregated per year of life). Latent class growth modeling (SAS: PROC TRAJ) was applied to analyze BMI z score over time. RESULTS Six distinct BMI z score trajectories were identified (group 1: 7% of patients, group 2: 22%, group 3: 20%, group 4: 16%, group 5: 25%, and group 6: 10%). Group 1, 2, 5, and 6 had an almost stable BMI z score, either in the low, near-normal, high stable, or chronic overweight range. Group 3 (60% girls) increased their BMI during puberty, whereas group 4 (65% boys) had a BMI decrease. Similar patterns were observed for girls only, whereas boys followed nearly stable trajectories without fluctuation over time. Between the near-normal and the other groups, significant differences (P < .05) in sex ratio, migration background, mental health, height z score, glycated hemoglobin A1c, diabetes treatment, dyslipidemia, hypertension, and smoking were observed. CONCLUSIONS In youth with type 1 diabetes, a great heterogeneity of BMI z score trajectories exists that highlight the importance of personalized sex-specific intervention programs for subjects at risk for unfavorable BMI development.
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Affiliation(s)
- Nicole Prinz
- Institute of Epidemiology and Medical Biometry, Central Institute for Biomedical Technology, University of Ulm, Ulm, Germany; German Center for Diabetes Research (DZD), Munich-Neuherberg, Germany.
| | - Anke Schwandt
- Institute of Epidemiology and Medical Biometry, Central Institute for Biomedical Technology, University of Ulm, Ulm, Germany; German Center for Diabetes Research (DZD), Munich-Neuherberg, Germany
| | - Marianne Becker
- Department of Pediatrics, Diabetes & Endocrinology Care Clinique Pédiatrique, Centre Hospitalier Luxembourg, Luxembourg, Luxembourg
| | - Christian Denzer
- Department of Pediatrics and Adolescent Medicine, Division of Pediatric Endocrinology and Diabetes, Interdisciplinary Obesity Unit, University Medical Center Ulm, Ulm, Germany
| | - Monika Flury
- Department of Pediatrics and Adolescent Medicine, Division of Pediatric Endocrinology and Diabetes, Medical University Carl Gustav Carus, Dresden, Germany
| | - Maria Fritsch
- Department of Pediatrics and Adolescent Medicine, Medical University of Vienna, Vienna, Austria
| | - Angela Galler
- Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin Institute of Health, Sozialpädiatrisches Zentrum, Abteilung Interdisziplinär, Pediatric Endocrinology and Diabetology, Berlin, Germany
| | - Andreas Lemmer
- Department of Pediatrics and Adolescent Medicine, Helios Clinical Center, Erfurt, Germany
| | - Matthias Papsch
- Department of Pediatrics and Adolescent Medicine, Marienhospital GmbH, Gelsenkirchen, Germany
| | - Thomas Reinehr
- Department of Pediatric Endocrinology, Diabetes, and Nutrition Medicine, Hospital for Children and Adolescents, University of Witten/Herdecke, Datteln, Germany
| | - Joachim Rosenbauer
- German Center for Diabetes Research (DZD), Munich-Neuherberg, Germany; Institute for Biometrics and Epidemiology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich Heine University Düsseldorf, Düsseldorf, Germany
| | - Reinhard W Holl
- Institute of Epidemiology and Medical Biometry, Central Institute for Biomedical Technology, University of Ulm, Ulm, Germany; German Center for Diabetes Research (DZD), Munich-Neuherberg, Germany
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Fan HY, Lee YL, Yang SH, Chien YW, Chao JCJ, Chen YC. Comprehensive determinants of growth trajectories and body composition in school children: A longitudinal cohort study. Obes Res Clin Pract 2018; 12:270-276. [DOI: 10.1016/j.orcp.2017.11.006] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/08/2017] [Revised: 11/20/2017] [Accepted: 11/27/2017] [Indexed: 12/31/2022]
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Paediatric obesity and cardiovascular risk factors - A life course approach. Porto Biomed J 2017; 2:102-110. [PMID: 32258598 DOI: 10.1016/j.pbj.2017.02.004] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2017] [Accepted: 02/09/2017] [Indexed: 12/20/2022] Open
Abstract
Childhood obesity is increasingly prevalent worldwide, and Portugal presents one of the highest prevalence of obesity and overweight among the European countries. Since childhood obesity is a risk factor for obesity in adulthood, the high prevalence of overweight and obesity in paediatric age currently experienced is expected to lead to even higher prevalence of obesity in adulthood in future decades. It is well known that the prenatal period and infancy are critical or sensitive periods for obesity development, but a growing body of evidence also suggests a relevant role of childhood and adolescence. The exposure to some factors during these periods or specific time frames within these periods may confer additional risk for obesity development. Paediatric obesity is associated with cardiovascular risk factors both in the short or medium-term, but also in the long term, conferring additional risk for future adult health. However, it is not clear whether the relation between paediatric obesity and adult health is independent of adult adiposity. There is a moderate to high tracking of obesity from paediatric age into adulthood, which may partially explain the association with adult outcomes. Therefore, there has been increasing interest on life course frameworks to study the effect of the dynamics of adiposity across paediatric age on adult outcomes, namely on the cardiovascular disease risk. The use of this approach to study determinants and consequences of obesity raises methodological challenges to summarize the exposure to adiposity/obesity across the life span, being the identification of growth trajectories and the quantification of the duration of obesity among the most used methods. However, further investigation is still needed to explore the best methods to summarize exposure to adiposity and its variation across time.
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Nesbit KC, Low JA, Sisson SB. Adolescent BMI trajectories with clusters of physical activity and sedentary behaviour: an exploratory analysis. Obes Sci Pract 2016; 2:115-122. [PMID: 27840687 PMCID: PMC5089652 DOI: 10.1002/osp4.36] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2015] [Revised: 02/09/2016] [Accepted: 02/21/2016] [Indexed: 11/16/2022] Open
Abstract
Objective The purpose of this study is to identify distinct body mass index (BMI) trajectories associated with weight classification, and to examine demographic characteristics and clusters of obesogenic behaviours in adolescents with these trajectories. Methods Data were extracted from the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development (n = 1,006, Grades 5–8). The independent variables were physical activity (accelerometer and child report), sports participation, television/video watching time and recreational computer use. The dependent variable was raw BMI. Growth mixture modelling, mixture modelling and independent t‐test analyses were used. Results Two distinct BMI trajectories were identified – one with the mean BMI within the Overweight–Obese classification (≥85th percentile) and the other within the healthy weight classification (5th– 84th percentile). Two clusters of physical and sedentary behaviours were identified in adolescents with the Overweight–Obese BMI trajectory. These clusters differed in the type of sedentary behaviour (computer vs. television/video). Three clusters were identified in adolescents with the Healthy Weight BMI trajectory. These clusters differed in levels of physical activity and types of sedentary behaviour. Conclusion This study contributes to the understanding of multi‐dimensional obesogenic behavioural patterns and highlights the importance of understanding types of sedentary behaviour in adolescents.
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Affiliation(s)
- K C Nesbit
- Department of Physical Therapy University of the Pacific Stockton CA USA
| | - J A Low
- Department of Educational and School Psychology University of the Pacific Stockton CA USA
| | - S B Sisson
- University of Oklahoma Health Sciences Center Department of Nutritional Sciences Oklahoma City OK USA
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