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Pubertal Physical Activity and Cardiorespiratory Fitness in Relation to Late Adolescent Body Fatness in Boys: A 6-Year Follow-Up Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18094881. [PMID: 34063732 PMCID: PMC8125597 DOI: 10.3390/ijerph18094881] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/13/2021] [Revised: 04/30/2021] [Accepted: 05/02/2021] [Indexed: 11/17/2022]
Abstract
There is a lack of studies investigating whether objectively measured physical activity (PA) and cardiorespiratory fitness (CRF) in puberty is associated with healthier body composition in late adolescence. The study sample included 71 boys, who were measured at puberty (mean age of 12.1 years) and again at late adolescence (mean age of 18.1 years). Physical activity was measured by accelerometry, and total PA, moderate-to-vigorous PA (MVPA), and sedentary time (SED) were calculated, while CRF was assessed by a peak oxygen consumption test. Body composition was measured by dual-energy X-ray absorptiometry, and body fat percentage (%BF), fat mass index (FMI), trunk fat mass index (TFMI), and fat-free mass index (FFMI) were calculated. Body mass index (BMI) and SED time increased, while MVPA, total PA, and CRF decreased from puberty to late adolescence. A relatively high degree of tracking for BMI and CRF, and a low tracking for PA from puberty to late adolescence was observed. Only the CRF value at puberty negatively predicted adolescent BF% (β = -0.221; p = 0.015), FMI (β = -0.212; p = 0.006), and TFMI (β = -0.189; p = 0.015) values. Adolescents whose CRF was above the median at puberty had lower BMI, BF%, FMI, and TFMI in comparison to those whose CRF was below the median at puberty. In conclusion, measured CRF and PA values decreased from puberty to late adolescence. Pubertal CRF predicted body fatness indices six years later in healthy adolescents.
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Theses for a metatheory of personality. PERSONALITY AND INDIVIDUAL DIFFERENCES 2019. [DOI: 10.1016/j.paid.2019.05.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Sasayama K, Adachi M. Tracking of objective physical activity and physical fitness in Japanese children. BMC Res Notes 2019; 12:252. [PMID: 31064396 PMCID: PMC6503543 DOI: 10.1186/s13104-019-4288-y] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2019] [Accepted: 04/30/2019] [Indexed: 01/27/2023] Open
Abstract
Objective The purpose of this study was to examine the tracking of objective physical activity and physical fitness from childhood to adolescence in Japanese children. The longitudinal study comprised 368 participants (aged 9–10 years) in 2008, and the study involved 134 participants (aged 13–14 years, a dropout rate of 63.6%) in 2011. After excluding participants with missing data, a total of 111 participants (46 boys and 65 girls) were available for study. Step counts and moderate-to-vigorous physical activity (MVPA) were measured using a uniaxial accelerometer. Physical fitness was assessed using the following tests: hand grip, sit-ups, sit and reach, side-to-side steps, 20-m shuttle run, 50-m dash, standing broad jump and ball throwing. Results In boys, there was a significant correlation between objective physical activity and all physical fitness tests at baseline and follow-up. In girls, although there was no significant correlation between objective physical activity at baseline and follow-up, all physical fitness tests at baseline and follow-up were significantly correlated. In conclusion, moderate tracking was shown in objective physical activity of boys from childhood to adolescence. In addition, moderate to high tracking was shown in physical fitness of both sexes from childhood to adolescence.
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Affiliation(s)
- Kensaku Sasayama
- Faculty of Education, Okayama University of Science, 1-1, Ridai-cho, Kita-ku, Okayama, 700-0005, Japan.
| | - Minoru Adachi
- Graduate School of Education, Okayama University, 3-1-1, Tsushima-naka, Kita-ku, Okayama, 700-8530, Japan
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Kemp BJ, Cliff DP, Chong KH, Parrish AM. Longitudinal changes in domains of physical activity during childhood and adolescence: A systematic review. J Sci Med Sport 2018; 22:695-701. [PMID: 30630743 DOI: 10.1016/j.jsams.2018.12.012] [Citation(s) in RCA: 33] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2018] [Revised: 11/02/2018] [Accepted: 12/13/2018] [Indexed: 01/18/2023]
Abstract
OBJECTIVES Physical activity (PA) participation is prone to decline during adolescence. An understanding of the domains of PA that are susceptible to decline may support a more targeted approach to PA and health promotion. The aim of this study was to review longitudinal trends in participation in four PA domains during childhood and adolescence: organized PA, non-organized PA, active transport and active chores. DESIGN Systematic review. METHODS 5517 research articles were sourced from five electronic databases (covering January 1997-April 2018). Eligibility criteria included repeated measurements of at least one PA domain among the same participants (5-18years of age). RESULTS 23 studies were included, cumulatively reporting data from 27,231 participants. Few studies had a low risk of bias (n=6). Most studies of active transport reported an increase in participation during childhood, no change in the transition to adolescence, and no change or decline during adolescence. Most studies of organized PA reported an increase during childhood, an increasing or stable pattern in the transition to adolescence, and no change or decline during adolescence. Non-organized PA participation tended to remain stable among adolescent girls and decline among adolescent boys. Active chores increased during the transition to adolescence and then stabilized. CONCLUSIONS Potential strategies for PA promotion among youth may include targeting non-organized PA among adolescent boys or organized PA among late adolescent boys and girls. However, there is a continuing need for high-quality, longitudinal studies of participation in PA domains, particularly non-organized PA and active chores. PROSPERO Registration: CRD42017076888.
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Affiliation(s)
- Byron J Kemp
- Early Start, University of Wollongong, Australia; School of Health and Society, Faculty of Social Sciences, University of Wollongong, Australia.
| | - Dylan P Cliff
- Early Start, University of Wollongong, Australia; School of Education, Faculty of Social Sciences, University of Wollongong, Australia; Illawarra Health and Medical Research Institute, University of Wollongong, Australia
| | - Kar Hau Chong
- Early Start, University of Wollongong, Australia; School of Education, Faculty of Social Sciences, University of Wollongong, Australia
| | - Anne-Maree Parrish
- Early Start, University of Wollongong, Australia; School of Health and Society, Faculty of Social Sciences, University of Wollongong, Australia; Illawarra Health and Medical Research Institute, University of Wollongong, Australia
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Jürimäe J, Lätt E, Remmel L, Purge P, Tillmann V. Longitudinal changes in bone-testis axis and their associations with insulin resistance in 11- to 12-year-old boys. Bone 2018; 108:115-120. [PMID: 29309847 DOI: 10.1016/j.bone.2018.01.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/25/2017] [Revised: 01/03/2018] [Accepted: 01/04/2018] [Indexed: 10/18/2022]
Abstract
PURPOSE Associations between osteocalcin (OCN), an osteoblast-specific hormone, and different markers of energy metabolism and insulin resistance have been reported in adults, but few studies have investigated this in children. The aim of the current study was to investigate serum OCN levels during pubertal development in normal weight (NW) and overweight (OW) boys, and to evaluate possible associations of OCN with body composition, testosterone, insulin resistance and adipocytokine values during puberty. METHODS Ninety 11- to 12-year-old boys were investigated at 12-month intervals over the next 2years. Boys were divided by their BMI into NW (n=60) and OW (n=30) groups. Serum OCN, testosterone, leptin, adiponectin, insulin, HOMA-IR score, and body composition were measured. RESULTS Pubertal development over the 2-year period was similar in both groups. Serum OCN was not different at the beginning of the study and increased similarly in both groups. However, at the end of the study, NW had higher OCN than OW (142.9±5.2 vs. 124.0±7.4ng/ml; p<0.05). OW had higher leptin, insulin and HOMA-IR compared to NW, and these differences remained significant through the 2-year period. Testosterone, insulin and HOMA-IR increased through the study period in both groups. In multiple regression analyses increment in OCN was associated with the increase in testosterone in NW (p<0.001) and OW (p=0.049) boys. Increment in OCN was also associated with the increase in insulin (p=0.019) and HOMA-IR (p=0.012) over the 2-year period in NW boys. CONCLUSION Serum OCN concentration increases in puberty and the increment is positively associated with the rise in testosterone level in both NW and OW boys. The positive association between the rise in OCN and insulin in NW boys would suggest that OCN may have a role in the development of insulin resistance.
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Affiliation(s)
- Jaak Jürimäe
- Institute of Sport Sciences and Physiotherapy, Faculty of Medicine, University of Tartu, Tartu, Estonia.
| | - Evelin Lätt
- Institute of Sport Sciences and Physiotherapy, Faculty of Medicine, University of Tartu, Tartu, Estonia
| | - Liina Remmel
- Institute of Sport Sciences and Physiotherapy, Faculty of Medicine, University of Tartu, Tartu, Estonia
| | - Priit Purge
- Institute of Sport Sciences and Physiotherapy, Faculty of Medicine, University of Tartu, Tartu, Estonia
| | - Vallo Tillmann
- Department of Paediatrics, Faculty of Medicine, University of Tartu, Tartu, Estonia
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Booth FW, Roberts CK, Thyfault JP, Ruegsegger GN, Toedebusch RG. Role of Inactivity in Chronic Diseases: Evolutionary Insight and Pathophysiological Mechanisms. Physiol Rev 2017; 97:1351-1402. [PMID: 28814614 PMCID: PMC6347102 DOI: 10.1152/physrev.00019.2016] [Citation(s) in RCA: 341] [Impact Index Per Article: 48.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2016] [Revised: 03/06/2017] [Accepted: 03/09/2017] [Indexed: 12/13/2022] Open
Abstract
This review proposes that physical inactivity could be considered a behavior selected by evolution for resting, and also selected to be reinforcing in life-threatening situations in which exercise would be dangerous. Underlying the notion are human twin studies and animal selective breeding studies, both of which provide indirect evidence for the existence of genes for physical inactivity. Approximately 86% of the 325 million in the United States (U.S.) population achieve less than the U.S. Government and World Health Organization guidelines for daily physical activity for health. Although underappreciated, physical inactivity is an actual contributing cause to at least 35 unhealthy conditions, including the majority of the 10 leading causes of death in the U.S. First, we introduce nine physical inactivity-related themes. Next, characteristics and models of physical inactivity are presented. Following next are individual examples of phenotypes, organ systems, and diseases that are impacted by physical inactivity, including behavior, central nervous system, cardiorespiratory fitness, metabolism, adipose tissue, skeletal muscle, bone, immunity, digestion, and cancer. Importantly, physical inactivity, itself, often plays an independent role as a direct cause of speeding the losses of cardiovascular and strength fitness, shortening of healthspan, and lowering of the age for the onset of the first chronic disease, which in turn decreases quality of life, increases health care costs, and accelerates mortality risk.
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Affiliation(s)
- Frank W Booth
- Department of Biomedical Sciences, University of Missouri, Columbia, Missouri; Department of Medical Pharmacology and Physiology, University of Missouri, Columbia, Missouri; Department of Nutrition and Exercise Physiology, University of Missouri, Columbia, Missouri; Dalton Cardiovascular Research Center, University of Missouri, Columbia, Missouri; Geriatrics, Research, Education and Clinical Center (GRECC), VA Greater Los Angeles Healthcare System, Los Angeles, California; Department of Molecular and Integrative Physiology, University of Kansas Medical Center, Kansas City, Kansas; and Cardiovascular Division, Department of Medicine, University of Missouri, Columbia, Missouri
| | - Christian K Roberts
- Department of Biomedical Sciences, University of Missouri, Columbia, Missouri; Department of Medical Pharmacology and Physiology, University of Missouri, Columbia, Missouri; Department of Nutrition and Exercise Physiology, University of Missouri, Columbia, Missouri; Dalton Cardiovascular Research Center, University of Missouri, Columbia, Missouri; Geriatrics, Research, Education and Clinical Center (GRECC), VA Greater Los Angeles Healthcare System, Los Angeles, California; Department of Molecular and Integrative Physiology, University of Kansas Medical Center, Kansas City, Kansas; and Cardiovascular Division, Department of Medicine, University of Missouri, Columbia, Missouri
| | - John P Thyfault
- Department of Biomedical Sciences, University of Missouri, Columbia, Missouri; Department of Medical Pharmacology and Physiology, University of Missouri, Columbia, Missouri; Department of Nutrition and Exercise Physiology, University of Missouri, Columbia, Missouri; Dalton Cardiovascular Research Center, University of Missouri, Columbia, Missouri; Geriatrics, Research, Education and Clinical Center (GRECC), VA Greater Los Angeles Healthcare System, Los Angeles, California; Department of Molecular and Integrative Physiology, University of Kansas Medical Center, Kansas City, Kansas; and Cardiovascular Division, Department of Medicine, University of Missouri, Columbia, Missouri
| | - Gregory N Ruegsegger
- Department of Biomedical Sciences, University of Missouri, Columbia, Missouri; Department of Medical Pharmacology and Physiology, University of Missouri, Columbia, Missouri; Department of Nutrition and Exercise Physiology, University of Missouri, Columbia, Missouri; Dalton Cardiovascular Research Center, University of Missouri, Columbia, Missouri; Geriatrics, Research, Education and Clinical Center (GRECC), VA Greater Los Angeles Healthcare System, Los Angeles, California; Department of Molecular and Integrative Physiology, University of Kansas Medical Center, Kansas City, Kansas; and Cardiovascular Division, Department of Medicine, University of Missouri, Columbia, Missouri
| | - Ryan G Toedebusch
- Department of Biomedical Sciences, University of Missouri, Columbia, Missouri; Department of Medical Pharmacology and Physiology, University of Missouri, Columbia, Missouri; Department of Nutrition and Exercise Physiology, University of Missouri, Columbia, Missouri; Dalton Cardiovascular Research Center, University of Missouri, Columbia, Missouri; Geriatrics, Research, Education and Clinical Center (GRECC), VA Greater Los Angeles Healthcare System, Los Angeles, California; Department of Molecular and Integrative Physiology, University of Kansas Medical Center, Kansas City, Kansas; and Cardiovascular Division, Department of Medicine, University of Missouri, Columbia, Missouri
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Mengel E, Tillmann V, Remmel L, Kool P, Purge P, Lätt E, Jürimäe J. Extensive BMI Gain in Puberty is Associated with Lower Increments in Bone Mineral Density in Estonian Boys with Overweight and Obesity: A 3-Year Longitudinal Study. Calcif Tissue Int 2017; 101:174-181. [PMID: 28374175 DOI: 10.1007/s00223-017-0273-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/03/2017] [Accepted: 03/24/2017] [Indexed: 01/01/2023]
Abstract
The aim of this 3-year prospective study was to examine changes in bone mineral characteristics during pubertal maturation in boys with different BMI values at the beginning of puberty and with different BMI increments during puberty. 26 boys with overweight and obesity (OWB) and 29 normal weight boys (NWB) were studied yearly for 3 years from the age of 11 years to measure the changes in different bone mineral characteristics. The OWB group was further divided into two subgroups according to extensive or non-extensive BMI increment during 3-year period. OWB had higher (P < 0.01) baseline total body (TB) bone mineral density (BMD), TB bone mineral content (BMC), TB BMC for height, lumbar spine (LS) BMD, and LS BMC compared to NWB. Throughout the study period, OWB gained more TB BMD (P = 0.0001), TB BMC (P = 0.0048), TB BMC for height (P = 0.0124), LS BMD (P = 0.0029), and LS BMC (P = 0.0022) compared to NWB. Also during the study period, TB BMD (P = 0.0065), TB BMC (P = 0.0141), TB BMC for height (P = 0.0199), LS BMD (P = 0.0066), LS apparent volumetric BMD (BMAD) (P = 0.0075), and LS BMC (P = 0.017) increased significantly less in those OWB whose BMI increased more extensively. Extensive BMI gain is associated with lower increments in bone mineral characteristics in boys with overweight and obesity. Unfavorable increment in total body fat mass and percentage during pubertal years could be one reason for that.
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Affiliation(s)
- Eva Mengel
- Faculty of Medicine, Institute of Sport Sciences and Physiotherapy, University of Tartu, Jakobi 5, 50411, Tartu, Estonia.
- Children's Clinic of Tartu University Hospital, Tartu, Estonia.
| | - Vallo Tillmann
- Faculty of Medicine, Institute of Clinical Medicine, University of Tartu, Tartu, Estonia
- Children's Clinic of Tartu University Hospital, Tartu, Estonia
| | - Liina Remmel
- Faculty of Medicine, Institute of Sport Sciences and Physiotherapy, University of Tartu, Jakobi 5, 50411, Tartu, Estonia
| | - Pille Kool
- Faculty of Medicine, Institute of Clinical Medicine, University of Tartu, Tartu, Estonia
| | - Priit Purge
- Faculty of Medicine, Institute of Sport Sciences and Physiotherapy, University of Tartu, Jakobi 5, 50411, Tartu, Estonia
| | - Evelin Lätt
- Faculty of Medicine, Institute of Sport Sciences and Physiotherapy, University of Tartu, Jakobi 5, 50411, Tartu, Estonia
| | - Jaak Jürimäe
- Faculty of Medicine, Institute of Sport Sciences and Physiotherapy, University of Tartu, Jakobi 5, 50411, Tartu, Estonia
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Mengel E, Tillmann V, Remmel L, Kool P, Purge P, Lätt E, Jürimäe J. Changes in inflammatory markers in estonian pubertal boys with different BMI values and increments: A 3-Year Follow-Up Study. Obesity (Silver Spring) 2017; 25:600-607. [PMID: 28164479 DOI: 10.1002/oby.21756] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/12/2016] [Revised: 11/28/2016] [Accepted: 12/05/2016] [Indexed: 12/20/2022]
Abstract
OBJECTIVE Serum inflammatory markers could help to identify those boys with overweight (OWB) who gain weight more extensively during puberty. This study aimed to examine the longitudinal changes in different serum inflammatory markers through puberty in boys with different BMI values and increments. METHODS Twenty-six OWB and 29 normal-weight boys (NWB) were followed yearly for 3 years to measure changes in BMI and serum concentrations of 12 inflammatory markers. RESULTS OWB had higher (P < 0.033) baseline interleukin (IL)-6, IL-8, interferon gamma (IFN-γ), tumor necrosis factor alpha (TNF-α), and IL-1α concentrations in comparison with NWB. Over the 3-year period, IFN-γ (P = 0.0001) and TNF-α (P = 0.0042) decreased more in OWB compared to NWB. Serum IL-8, monocyte chemoattractant protein (MCP)-1, and leptin increased further in those OWB who gained BMI more extensively through puberty compared to OWB who gained weight at slower rates (P < 0.033). CONCLUSIONS Serum IFN-γ and TNF-α levels decreased more during pubertal years in OWB compared to NWB, indicating that pubertal maturation itself may have a favorable impact on the inflammation of obesity. Serum IL-8, MCP-1, and leptin could help to identify OWB who gain BMI more extensively during pubertal years.
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Affiliation(s)
- Eva Mengel
- Institute of Sport Sciences and Physiotherapy, Faculty of Medicine, University of Tartu, Tartu, Estonia
- Children's Clinic of Tartu University Hospital, Tartu, Estonia
| | - Vallo Tillmann
- Children's Clinic of Tartu University Hospital, Tartu, Estonia
- Institute of Clinical Medicine, Faculty of Medicine, University of Tartu, Tartu, Estonia
| | - Liina Remmel
- Institute of Sport Sciences and Physiotherapy, Faculty of Medicine, University of Tartu, Tartu, Estonia
| | - Pille Kool
- Children's Clinic of Tartu University Hospital, Tartu, Estonia
- Institute of Clinical Medicine, Faculty of Medicine, University of Tartu, Tartu, Estonia
| | - Priit Purge
- Institute of Sport Sciences and Physiotherapy, Faculty of Medicine, University of Tartu, Tartu, Estonia
| | - Evelin Lätt
- Institute of Sport Sciences and Physiotherapy, Faculty of Medicine, University of Tartu, Tartu, Estonia
| | - Jaak Jürimäe
- Institute of Sport Sciences and Physiotherapy, Faculty of Medicine, University of Tartu, Tartu, Estonia
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Rääsk T, Mäestu J, Lätt E, Jürimäe J, Jürimäe T, Vainik U, Konstabel K. Comparison of IPAQ-SF and Two Other Physical Activity Questionnaires with Accelerometer in Adolescent Boys. PLoS One 2017; 12:e0169527. [PMID: 28056080 PMCID: PMC5215940 DOI: 10.1371/journal.pone.0169527] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2016] [Accepted: 12/19/2016] [Indexed: 11/30/2022] Open
Abstract
Self-report measures of physical activity (PA) are easy to use and popular but their reliability is often questioned. Therefore, the general aim of the present study was to investigate the association of PA questionnaires with accelerometer derived PA, in a sample of adolescent boys. In total, 191 pubertal boys (mean age 14.0 years) completed three self-report questionnaires and wore an accelerometer (ActiGraph GT1M) for 7 consecutive days. The PA questionnaires were: International Physical Activity Questionnaire-Short Form (IPAQ-SF), Tartu Physical Activity Questionnaire (TPAQ), and the Inactivity subscale from Domain-Specific Impulsivity (DSI) scale. All three questionnaires were significantly correlated with accelerometer derived MVPA: the correlations were 0.31 for the IPAQ-SF MVPA, 0.34 for the TPAQ MVPA and -0.29 for the DSI Inactivity scale. Nevertheless, none of the questionnaires can be used as a reliable individual-level estimate of MVPA in male adolescents. The boys underreported their MVPA in IPAQ-SF as compared to accelerometer-derived MVPA (respective averages 43 and 56 minutes); underreporting was more marked in active boys with average daily MVPA at least 60 minutes, and was not significant in less active boys. Conversely, MVPA index from TPAQ overestimated the MVPA in less active boys but underestimated it in more active boys. The sedentary time reported in IPAQ-SF was an underestimate as compared to accelerometer-derived sedentary time (averages 519 and 545 minutes, respectively).
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Affiliation(s)
- Triin Rääsk
- Institute of Sport Sciences and Physiotherapy, Faculty of Medicine, University of Tartu, Tartu, Estonia
| | - Jarek Mäestu
- Institute of Sport Sciences and Physiotherapy, Faculty of Medicine, University of Tartu, Tartu, Estonia
| | - Evelin Lätt
- Institute of Sport Sciences and Physiotherapy, Faculty of Medicine, University of Tartu, Tartu, Estonia
| | - Jaak Jürimäe
- Institute of Sport Sciences and Physiotherapy, Faculty of Medicine, University of Tartu, Tartu, Estonia
| | - Toivo Jürimäe
- Institute of Sport Sciences and Physiotherapy, Faculty of Medicine, University of Tartu, Tartu, Estonia
| | - Uku Vainik
- Department of Psychology, University of Tartu, Tartu, Estonia
| | - Kenn Konstabel
- Department of Psychology, University of Tartu, Tartu, Estonia
- National Institute for Health Development, Tallinn, Estonia
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Diet misreporting can be corrected: confirmation of the association between energy intake and fat-free mass in adolescents. Br J Nutr 2016; 116:1425-1436. [DOI: 10.1017/s0007114516003317] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
AbstractSubjective energy intake (sEI) is often misreported, providing unreliable estimates of energy consumed. Therefore, relating sEI data to health outcomes is difficult. Recently, Börnhorst et al. compared various methods to correct sEI-based energy intake estimates. They criticised approaches that categorise participants as under-reporters, plausible reporters and over-reporters based on the sEI:total energy expenditure (TEE) ratio, and thereafter use these categories as statistical covariates or exclusion criteria. Instead, they recommended using external predictors of sEI misreporting as statistical covariates. We sought to confirm and extend these findings. Using a sample of 190 adolescent boys (mean age=14), we demonstrated that dual-energy X-ray absorptiometry-measured fat-free mass is strongly associated with objective energy intake data (onsite weighted breakfast), but the association with sEI (previous 3-d dietary interview) is weak. Comparing sEI with TEE revealed that sEI was mostly under-reported (74 %). Interestingly, statistically controlling for dietary reporting groups or restricting samples to plausible reporters created a stronger-than-expected association between fat-free mass and sEI. However, the association was an artifact caused by selection bias – that is, data re-sampling and simulations showed that these methods overestimated the effect size because fat-free mass was related to sEI both directly and indirectly via TEE. A more realistic association between sEI and fat-free mass was obtained when the model included common predictors of misreporting (e.g. BMI, restraint). To conclude, restricting sEI data only to plausible reporters can cause selection bias and inflated associations in later analyses. Therefore, we further support statistically correcting sEI data in nutritional analyses. The script for running simulations is provided.
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Rääsk T, Lätt E, Jürimäe T, Mäestu J, Jürimäe J, Konstabel K. Association of Subjective Ratings to Objectively Assessed Physical Activity in Pubertal Boys with Differing BMI. Percept Mot Skills 2015; 121:245-59. [DOI: 10.2466/10.03.pms.121c13x7] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The associations between subjective ratings and objectively measured moderate-to-vigorous physical activity (MVPA) were examined in normal, and overweight and obese, pubertal boys and compared with their parents' reports. In total, 224 boys (M age = 12.2 yr.) completed the self-report questionnaire and wore an accelerometer for 7 consecutive days. Questionnaire-based indexes of physical activity (PA) were weakly associated with the accelerometer PA data. Correlations between subjective and objective assessments were significantly higher in overweight and obese groups. Parent reports predicted sedentary time better than boys' self-reports but no difference was found for MVPA. Future studies must consider that the source of rating, season, and weight status may be possible sources of confounding when using subjective assessments of PA.
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Affiliation(s)
- Triin Rääsk
- Faculty of Exercise and Sport Sciences, Centre of Behavioural, Social and Health Sciences, University of Tartu, Estonia
| | - Evelin Lätt
- Faculty of Exercise and Sport Sciences, Centre of Behavioural, Social and Health Sciences, University of Tartu, Estonia
| | - Toivo Jürimäe
- Faculty of Exercise and Sport Sciences, Centre of Behavioural, Social and Health Sciences, University of Tartu, Estonia
| | - Jarek Mäestu
- Faculty of Exercise and Sport Sciences, Centre of Behavioural, Social and Health Sciences, University of Tartu, Estonia
| | - Jaak Jürimäe
- Faculty of Exercise and Sport Sciences, Centre of Behavioural, Social and Health Sciences, University of Tartu, Estonia
| | - Kenn Konstabel
- National Institute for Health Development, Tallinn, Estonia
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