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Oliveira LFD, Santos EAD, Franco AM, Marin KA, Nascimento-Ferreira MV. Assessment of the validity of a sedentary behavior questionnaire among university students from low-income regions. NUTR HOSP 2023; 40:771-777. [PMID: 37073740 DOI: 10.20960/nh.04430] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/20/2023] Open
Abstract
Introduction Introduction: to reduce the prevalence of overweight and obesity, lifestyle interventions, particularly in nutritional education programs, should be prioritized among university students. Monitoring sedentary behavior is an important step toward preventing and controlling obesity. Therefore, we assessed the reliability and validity of an online questionnaire on sedentary behavior among university students from low-income regions. Methods: this cross-sectional methodological feasibility study evaluated the psychometric properties of the South American Youth/Child Cardiovascular and Environmental (SAYCARE) questionnaire. We administered this questionnaire in an online format to 195 and 117 university students (aged between 17 and 53 years) to assess its validity and reliability, respectively. The questionnaire measures the daily time spent watching TV, playing electronic games, using a computer, studying and passive commuting on weekdays and weekends. The questionnaire involved two stages (Q1 and Q2) separated by an interval of 2 weeks. Reliability was assessed using Spearman's correlation analysis. The structural validity of the construct was evaluated by exploratory factor analysis. Results: all variables showed acceptable reliability (Spearman's rho > 0.30 and p < 0.05). Regarding construct structural validity, the exploratory factor analysis identified 4 factors (variance explained: 71.4 %) and did not exclude any items. Conclusion: the online SAYCARE questionnaire exhibited acceptable reliability and structural validity for assessing sedentary behavior among university students from low-income regions.
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Affiliation(s)
- Luiz Fernando de Oliveira
- Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group. Universidade Federal do Tocantins
| | | | - Alaiana Marinho Franco
- Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group. Universidade Federal do Tocantins
| | - Kliver Antonio Marin
- Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group. Universidade Federal do Tocantins
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Questionnaires Measuring 24-Hour Movement Behaviors in Childhood and Adolescence: Content Description and Measurement Properties-A Systematic Review. J Phys Act Health 2023; 20:50-76. [PMID: 36473481 DOI: 10.1123/jpah.2022-0399] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2022] [Revised: 09/29/2022] [Accepted: 10/12/2022] [Indexed: 12/12/2022]
Abstract
BACKGROUND We aim to systematically review the literature on measurement properties of self- and proxy-reported questionnaires measuring 24-hour movement behaviors in children and adolescents. METHODS PubMed, PsycINFO, SPORTDiscus, and EMBASE were searched until June 2021. Studies were included if the sample size for validity studies had 50 participants (minimum) and included, at least, both validity and test-retest reliability results of questionnaires. The review followed an adaptation of the Consensus-based Standards for the selection of health Measurement INstruments guidelines, to evaluate the quality of measurements properties of the questionnaires (content, convergent and criterion validity, reliability, measurement error, and responsiveness), as well as the risk of bias of each measurement property. RESULTS This review included 29 studies, describing 37 questionnaires. Sixty-eight percent showed "adequate" content validity. None of the questionnaires showed overall "adequate" criterion validity, and the risk of bias was "very low" for 92%. One questionnaire showed "adequate" convergent validity, and 73% of the studies were classified with a "high risk of bias." Seven questionnaires showed "adequate" reliability, and 27.3% of the studies were rated with a "very low risk of bias." None of the questionnaires showed "adequate" criterion validity and reliability, simultaneously. CONCLUSIONS Existing questionnaires have insufficient measurement properties, and none considered the 24-hour movement behavior paradigm. These results highlight the need for better questionnaires of movement behavior combinations, to improve the monitoring and surveillance systems of 24-hour movement behaviors in this population.
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Oliveira GA, Marcelino AC, Tristão Parra M, Nascimento-Ferreira MV, De Moraes ACF. Validity and Reliability of Questionnaires That Assess Barriers and Facilitators of Sedentary Behavior in the Pediatric Population: A Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:16834. [PMID: 36554715 PMCID: PMC9778761 DOI: 10.3390/ijerph192416834] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/31/2022] [Revised: 12/08/2022] [Accepted: 12/10/2022] [Indexed: 06/17/2023]
Abstract
We systematically reviewed the literature about the validity and reliability of barriers and facilitators of sedentary behavior questionnaires for children and adolescents, considering accelerometers as the reference method. We included studies that assessed the agreement between the barriers and facilitators of sedentary behavior through a questionnaire and an objective measure (e.g., accelerometry). We searched four electronic databases (MEDLINE/PubMed, CINAHL, Web of Science, and SCOPUS): these databases were searched for records from inception to 5 March 2021, and updated to November 2022. The search strategy used the following descriptors: children and adolescents; barriers or facilitators; questionnaires; accelerometers; and validation or reliability coefficient. Studies identified in the search were selected independently by two reviewers. The inclusion criteria were: (i) population of children and adolescents, (ii) original studies, (iii) subjective and objective measurement methods, (iv) studies that report validity or reliability, and (v) population without specific diseases. Seven studies were eligible for our review. The main exclusion reasons were studies that did not report validity or reliability coefficients (56.6%) and non-original studies (14.5%). The participants' ages in the primary studies ranged from 2 to 18 years. Cronbach's alpha coefficient was the most reported reliability assessment among the eligible articles, while Pearson and Spearman's coefficients were prevalent for validity. The reliability of self-report questionnaires for assessing sedentary behavior ranged from r = 0.3 to 1.0. The validity of the accelerometers ranged from r = -0.1 to 0.9. Family environment was the main factor associated with sedentary behavior. Our findings suggest that questionnaires assessing the barriers and facilitators of sedentary behavior are weak to moderate. PROSPERO Registration (CRD42021233945).
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Affiliation(s)
- Guilherme Augusto Oliveira
- Department of Epidemiology, School of Public Health, University of Sao Paulo, Sao Paulo 01246-904, Brazil
| | - Andressa Costa Marcelino
- Department of Epidemiology, School of Public Health, University of Sao Paulo, Sao Paulo 01246-904, Brazil
- Undergraduate Course in Nutrition, Ninth of July University, Sao Paulo 01504-001, Brazil
| | - Maíra Tristão Parra
- Hebert Wertheim School of Public Health and Human Longevity Science, University of California, San Diego, CA 92093, USA
| | | | - Augusto César Ferreira De Moraes
- The University of Texas Health Science Center at Houston, School of Public Health Austin Campus, Department of Epidemiology, Human Genetics, and Environmental Science, Michael & Susan Dell Center for Healthy Living, Austin, TX 78701, USA
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Nascimento-Ferreira MV, Marin KA, Abrão Ferreira RK, Oliveira LF, Bandeira AC, Silva Sousa P, Miranda de Sousa J, de Almeida Cardoso AG, Conceição da Silva LC, Rosa ACA, de Carvalho MV, Pereira de Carvalho Silva IS, Franco AM, Torres-Leal FL, Barbosa de Carvalho H, Ferreira de Moraes AC. 24 h movement behavior and metabolic syndrome study protocol: A prospective cohort study on lifestyle and risk of developing metabolic syndrome in undergraduate students from low-income regions during a pandemic. FRONTIERS IN EPIDEMIOLOGY 2022; 2:1010832. [PMID: 38455302 PMCID: PMC10910976 DOI: 10.3389/fepid.2022.1010832] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/03/2022] [Accepted: 09/07/2022] [Indexed: 03/09/2024]
Abstract
Introduction Obesity and its comorbidities are increasingly prevalent in Latin America, with a more rapid growth in individuals with lower income. The composition of movement behaviors within a 24 h period may have important implications for obesity, metabolic and mental health in cross-sectional data. However, a longitudinal study is needed to confirm the findings from the primarily cross-sectional evidence. The COVID-19 pandemic has been associated with cardiometabolic outcomes and has impeded healthy behavior. Objectives The first objective is to evaluate the time elapsed since the diagnosis of not meeting 24 h movement guidelines and the potential subsequent onset of metabolic syndrome in undergraduate students from low-income regions within 4 years of follow up. The second objective is to test the association between 24 h movement, mental wellbeing, eating behaviors, and abdominal obesity in the period of this pandemic. Methods The 24 h movement behavior and metabolic syndrome (24 h-MESYN) study is a multicentre cohort study that will include participants from two Brazilian cities within the 2022-2025 period to asses the first objective, and also a nested case-control study at the baseline will be carried out to evaluate the second objective. Previously, we conducted a feasibility study in the academic year of 2021 to assessing the psychometric properties of subjective tools, refine our study protocol, and adjust the epidemiological conditions of the cohort's subsequent phases (like as prevalence of exposure of interest, sampling process, and study adherence). Statistical tests as Cohen's kappa agreement; factorial analysis; logistic, Poisson and linear regression; and Kaplan-Meier analysis will be performed, in accordance with the objectives.
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Affiliation(s)
- Marcus Vinicius Nascimento-Ferreira
- Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group, Universidade Federal do Tocantins, Miracema, Brazil
- Youth/Child Cardiovascular Risk and Environmental (YCARE) Research Group, Faculdade de Medicina, School of Medicine, University of São Paulo, São Paulo, Brazil
| | - Kliver Antonio Marin
- Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group, Universidade Federal do Tocantins, Miracema, Brazil
| | - Ruhena Kelber Abrão Ferreira
- Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group, Universidade Federal do Tocantins, Miracema, Brazil
| | - Luiz Fernando Oliveira
- Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group, Universidade Federal do Tocantins, Miracema, Brazil
- Instituto de Ensino Superior do Sul do Maranhão (IESMA/UNISULMA), Imperatriz, Brazil
| | - Ana Caroline Bandeira
- Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group, Universidade Federal do Tocantins, Miracema, Brazil
- Instituto de Ensino Superior do Sul do Maranhão (IESMA/UNISULMA), Imperatriz, Brazil
| | - Paula Silva Sousa
- Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group, Universidade Federal do Tocantins, Miracema, Brazil
- Instituto de Ensino Superior do Sul do Maranhão (IESMA/UNISULMA), Imperatriz, Brazil
| | - Josilene Miranda de Sousa
- Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group, Universidade Federal do Tocantins, Miracema, Brazil
- Instituto de Ensino Superior do Sul do Maranhão (IESMA/UNISULMA), Imperatriz, Brazil
| | - Antonio Gibran de Almeida Cardoso
- Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group, Universidade Federal do Tocantins, Miracema, Brazil
- Instituto de Ensino Superior do Sul do Maranhão (IESMA/UNISULMA), Imperatriz, Brazil
| | - Lorrane Cristine Conceição da Silva
- Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group, Universidade Federal do Tocantins, Miracema, Brazil
- Instituto de Ensino Superior do Sul do Maranhão (IESMA/UNISULMA), Imperatriz, Brazil
| | - Ana Clara Arrais Rosa
- Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group, Universidade Federal do Tocantins, Miracema, Brazil
- Instituto de Ensino Superior do Sul do Maranhão (IESMA/UNISULMA), Imperatriz, Brazil
| | - Millena Vaz de Carvalho
- Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group, Universidade Federal do Tocantins, Miracema, Brazil
- Instituto de Ensino Superior do Sul do Maranhão (IESMA/UNISULMA), Imperatriz, Brazil
| | - Ithamara Sthefanny Pereira de Carvalho Silva
- Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group, Universidade Federal do Tocantins, Miracema, Brazil
- Instituto de Ensino Superior do Sul do Maranhão (IESMA/UNISULMA), Imperatriz, Brazil
| | - Alaiana Marinho Franco
- Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group, Universidade Federal do Tocantins, Miracema, Brazil
- Instituto de Ensino Superior do Sul do Maranhão (IESMA/UNISULMA), Imperatriz, Brazil
| | - Francisco Leonardo Torres-Leal
- Metabolic Diseases, Exercise and Nutrition Research Group (DOMEN), Department of Biophysics and Physiology, Centre for Health Sciences, Federal University of Piaui, Teresina, Brazil
| | - Heráclito Barbosa de Carvalho
- Youth/Child Cardiovascular Risk and Environmental (YCARE) Research Group, Faculdade de Medicina, School of Medicine, University of São Paulo, São Paulo, Brazil
| | - Augusto César Ferreira de Moraes
- Michael & Susan Dell Center for Healthy Living, Department of Epidemiology, Human Genetics and Environmental Science, The University of Texas Health Science Center, Houston School of Public Health (UTHealth School of Public Health), Austin Campus, Austin, TX, United States
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An Arabic Sedentary Behaviors Questionnaire (ASBQ): Development, Content Validation, and Pre-Testing Findings. Behav Sci (Basel) 2022; 12:bs12060183. [PMID: 35735393 PMCID: PMC9220100 DOI: 10.3390/bs12060183] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2022] [Revised: 05/25/2022] [Accepted: 06/06/2022] [Indexed: 12/10/2022] Open
Abstract
Background: Sedentary behaviors (SB) are very prevalent nowadays. Prolonged sitting associates with chronic disease risks and increased mortality even while controlling for physical activity. Objective measurement of SB is costly, requires technical expertise, and is challenging in terms of time and management. Currently, there is no validated self-reported instrument in the Arabic language that assesses SB among individuals and relates sedentary time to social, environmental, and health outcomes. The aim of this research was to develop a multi-item Arabic SB questionnaire (ASBQ). Methods: The ASBQ was developed through an extensive literature review and discussion by the research team (n = 5), then went through content validation (n = 10 experts) and pre-testing using cognitive interviewing procedures (n = 51 respondents, mean (SD) age was 38.3 (18.2) years, and with 49% females). Results: The ASBQ included 13 questions comprising a wide range of sedentary activities. The Arabic SB instrument showed excellent content validity for assessing sedentary time in adolescents and adults with a very high item-level and scale-level content validity index. A kappa statistic, a measure of interrater reliability, was 0.95. The pre-testing showed that the instrument was highly rated by a diverse sample of Saudi adolescents and adults. Conclusion: The ASBQ received excellent acceptance by a panel of experts with promising pre-test results. Further testing of psychometric properties, including test-retest reliability and criterion validity is required.
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Vanhelst J, Deken V, Boulic G, Duhamel A, Romon M. A feasible and reliable self-administered parental assessment of children’s lifestyle (SAPLACL): an ancillary study based on the VIF program. BMC Res Notes 2022; 15:179. [PMID: 35570308 PMCID: PMC9107754 DOI: 10.1186/s13104-022-06069-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2022] [Accepted: 05/05/2022] [Indexed: 12/04/2022] Open
Abstract
Objectives In children, achieving an acceptable degree of accuracy from dietary or physical activity (PA) assessments remains a challenge. Children tend to overestimate their time spent in daily PA and underestimate their dietary intake of fat and sugar. Because parents play a key role in family lifestyle decisions, including children’s food choices and PA levels, it is important to investigate the responses of parents regarding their children’s lifestyle habits. We aimed to develop a Self-Administered Parental Assessment of Children’s Lifestyle (SAPLACL) questionnaire and test its feasibility and reliability in 191 parents (29 fathers and 162 mothers). Results For each part of the questionnaire, the rate of missing or improper responses ranged from 0 to 24%. The highest proportion of problems in understanding was reported for the dietary intake dimension, especially for snacking in front of the TV. Some difficulty was also found regarding the question on leisure PA. Test–retest agreement was observed in 54.7–100% of the respondents. Overall, the kappa coefficients were favorable. Thus, the parent self-report questionnaire is a valid and accurate tool for analyzing children’s lifestyle habits in France.
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Supper W, Guay F, Talbot D. The Relation Between Television Viewing Time and Reading Achievement in Elementary School Children: A Test of Substitution and Inhibition Hypotheses. Front Psychol 2021; 12:580763. [PMID: 34733194 PMCID: PMC8558249 DOI: 10.3389/fpsyg.2021.580763] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2020] [Accepted: 09/16/2021] [Indexed: 11/29/2022] Open
Abstract
Research has focused on the relations between television (TV) viewing time and children’s reading achievement. Two hypotheses have been proposed to explain this relation. The substitution hypothesis proposes that TV viewing distracts students from activities that are important for their learning. The inhibition hypothesis proposes that watching television inhibits important affective/cognitive skills. In this study, we test both hypotheses by estimating the relation between TV viewing time and reading achievement. We use the frequency of students’ leisure reading and the frequency of interactions between students and their parents as potential mediators to test the substitution hypothesis, whereas for the inhibition one, we use students’ intrinsic motivation to read and their level of inattention. Data come from the Québec Longitudinal Study of Child Development (QLSCD). Designed by the Institut de la statistique du Québec, QLSCD covers a wide range of themes. The QLSCD is representative of children in Québec and contains 2223 participants who were followed from 0 to 21 years old. The four structural models tested are built as follows: the TV viewing time at 6 years old predicts the four mediating variables at 8 years old, which in turn predicts reading achievement at 10 years old. In addition, we have tested models’ gender invariance. Results indicate that TV viewing time is not directly or indirectly associated with reading achievement. Specifically, it is not associated with the mediating variables of child-parent interactions, intrinsic motivation, and inattention. However, the frequency of leisure reading is negatively associated with the time spent watching TV. This association is very small (−0.07) and has no indirect effect on reading achievement. Finally, results do not vary according to the gender of the participants. Our results are in line with those of previous studies in the field and cast some doubts on the potential negative effects of TV viewing time on reading achievement.
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Affiliation(s)
- Wilfried Supper
- Département des fondements et pratiques en éducation, Faculté des sciences de l'éducation, Université Laval, Quebec, QC, Canada
| | - Frédéric Guay
- Département des fondements et pratiques en éducation, Faculté des sciences de l'éducation, Université Laval, Quebec, QC, Canada
| | - Denis Talbot
- Département de médecine sociale et préventive, Faculté de Médecine, Université Laval, Quebec, QC, Canada
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Nascimento-Ferreira MV, Berg G, González Zapata LI, De Moraes ACF, Carvalho HB. Individualised prognosis for risk of developing abdominal obesity in the paediatric population. Clin Nutr ESPEN 2021; 45:333-340. [PMID: 34620337 DOI: 10.1016/j.clnesp.2021.07.025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2020] [Revised: 07/20/2021] [Accepted: 07/23/2021] [Indexed: 11/19/2022]
Abstract
AIMS To develop and validate risk scores for predicting abdominal obesity in South American children and adolescents based on extrinsic and intrinsic variables. METHODS Children (n = 358) and adolescents (n = 369) from seven South American cities from the South American Youth Cardiovascular and Environmental (SAYCARE) Study. The primary outcome was abdominal obesity. Potential predictors were based on sociodemographic, maternal, environmental, and behavioural factors and nutritional status. In multilevel logistic models, associated variables were tested to build the scores, which were internally validated. RESULTS We identified 120 children and 98 adolescents who were abdominally obese. We found at least five variables associated with the outcome in children with unacceptable predictive capacity. However, in adolescents, we found that biological sex, age, maternal body mass index (BMI), active commuting by bike, soft drink consumption (for risk score A), and weight (for score B) can predict abdominal obesity. Both scores, A and B, showed acceptable performance in the ROC curve [areas under curve: 0.70 (95% CI: 0.56-0.82) and 0.95 (95% CI: 0.89-1.00), respectively]. CONCLUSION The SAYCARE risk scores present accurate, individualised estimates for identifying adolescents who are at risk of developing abdominal obesity. However, these have not been externally validated.
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Affiliation(s)
- Marcus Vinicius Nascimento-Ferreira
- YCARE (Youth/Child and Cardiovascular Risk and Environmental) Research Group, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil; Health, Physical Activity and Behavior ReseArch (Healthy-BRA) Group, Federal University of Tocantins, Miracema Do Tocantins, TO, Brazil.
| | - Gabriela Berg
- Universidad de Buenos Aires, Facultad de Farmacia y Bioquímica, Instituto de Fisiopatología y Bioquímica Clínica (INFIBIOC), Buenos Aires, Argentina.
| | - Laura Inés González Zapata
- Social and Economic Determinants of Health and Nutrition Research Group, School of Nutrition and Dietetics, University of Antioquia, Medellin, Colombia.
| | - Augusto César Ferreira De Moraes
- YCARE (Youth/Child and Cardiovascular Risk and Environmental) Research Group, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil; Department of Epidemiology, Graduate Program in Public Health and Graduate Program in Epidemiology School of Public Health, University of Sao Paulo, Sao Paulo, SP, Brazil; Department of Epidemiology, Human Genetics and Environmental Science (EHGES) of the School of Public Health, The University of Texas at Austin (UTHealth), USA.
| | - Heráclito Barbosa Carvalho
- YCARE (Youth/Child and Cardiovascular Risk and Environmental) Research Group, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil.
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Brazo-Sayavera J, Aubert S, Barnes JD, González SA, Tremblay MS. Gender differences in physical activity and sedentary behavior: Results from over 200,000 Latin-American children and adolescents. PLoS One 2021; 16:e0255353. [PMID: 34383803 PMCID: PMC8360534 DOI: 10.1371/journal.pone.0255353] [Citation(s) in RCA: 26] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2020] [Accepted: 07/14/2021] [Indexed: 11/18/2022] Open
Abstract
More physical activity and less sedentary behavior is beneficial for children and adolescents. Worldwide, gender differences are >8% favorable for men and the Latin-American region presents an even higher level of insufficient physical activity among women, with a lack of information in young population. Thus, the aim of the current study was to describe the gender differences in physical activity and recreational sedentary behavior in children and adolescents from Latin-American countries. The targeted age range was 5 to 17 years and included 219,803 participants (106,698 boys and 113,105 girls) from 33 out of 47 Latin-American countries identified. Physical activity guidelines from the World Health Organization (≥60 minutes of moderate-to-vigorous physical activity seven days of the week) and <3 hours recreational sedentary behavior daily were the references. In general, boys showed a higher prevalence of meeting physical activity guidelines in comparison with girls. A higher proportion of girls met the <3 hours recreational sedentary behavior cut-point in only ten countries. Thirty percent of the identified countries had no available data. The majority had data from the Global School-based Student Health Survey with data principally on adolescents and only 11/33 countries reported data in the last 5-year period. In conclusion, gender differences in the compliance with physical activity guidelines and the <3 hours recreational sedentary behavior cut-point are evident among children and adolescents from Latin-American countries, with boys being more active than girls.
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Affiliation(s)
- Javier Brazo-Sayavera
- PDU EFISAL, Centro Universitario Regional Noreste, Universidad de la República, Rivera, Uruguay
- Healthy Active Living and Obesity Research Group, CHEO Research Institute, Ottawa, Ontario, Canada
- * E-mail:
| | - Salomé Aubert
- Healthy Active Living and Obesity Research Group, CHEO Research Institute, Ottawa, Ontario, Canada
| | - Joel D. Barnes
- Healthy Active Living and Obesity Research Group, CHEO Research Institute, Ottawa, Ontario, Canada
| | - Silvia A. González
- Healthy Active Living and Obesity Research Group, CHEO Research Institute, Ottawa, Ontario, Canada
| | - Mark S. Tremblay
- Healthy Active Living and Obesity Research Group, CHEO Research Institute, Ottawa, Ontario, Canada
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