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Araujo RHO, Werneck AO, Glenn Weaver R, Tassitano RM, Szwarcwald CL, Jesus GM, Malta DC, Brazo-Sayavera J, Mielke GI, Tremblay MS, Silva DRP. No or Low Moderate-to-Vigorous Physical Activity: Focusing on the Least Active as an Additional Approach for Physical Activity Surveillance. J Phys Act Health 2024:1-5. [PMID: 38484725 DOI: 10.1123/jpah.2023-0654] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2023] [Revised: 01/15/2024] [Accepted: 02/07/2024] [Indexed: 03/22/2024]
Affiliation(s)
- Raphael H O Araujo
- Graduation Program in Health Sciences, Londrina State University (UEL), Londrina, Brazil
- School of Public Health, The University of Queensland, Brisbane, Australia
| | - André O Werneck
- Department of Nutrition, Center for Epidemiological Research in Nutrition and Health, School of Public Health, Universidade de São Paulo (USP), Sao Paulo, Brazil
| | - R Glenn Weaver
- Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
| | - Rafael M Tassitano
- Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Champaign, IL, USA
| | - Célia L Szwarcwald
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde (ICICT), Fundação Oswaldo Cruz (Fiocruz), Rio de Janeiro, Brazil
| | - Gilmar M Jesus
- Department of Health, State University of Feira de Santana (UEFS), Feira de Santana, BA, Brazil
- Public Health Post-Graduate Program, State University of Feira de Santana, Feira de Santana, Brazil
| | - Deborah C Malta
- Programa de Pós-graduação em Saúde Pública, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Javier Brazo-Sayavera
- Department of Sports and Computer Science, Universidad Pablo de Olavide (UPO), Seville, Spain
| | - Grégore I Mielke
- School of Public Health, The University of Queensland, Brisbane, Australia
| | - Mark S Tremblay
- Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada
- Department of Pediatrics, University of Ottawa, Ottawa, ON, Canada
- Department of Health Sciences, Carleton University, Ottawa, ON, Canada
| | - Danilo R P Silva
- Department of Physical Education, Federal University of Sergipe (UFS), São Cristóvão, Brazil
- Faculty of Health Sciences, Universidad Autónoma de Chile, Providencia, Chile
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Araujo RHO, Werneck AO, Martins CL, Barboza LL, Tassitano RM, Aguilar-Farias N, Jesus GM, Ramírez-Vélez R, Tesler R, Oyeyemi AL, Silva ECM, Weaver RG, Tremblay MS, Brazo-Sayavera J, Mielke GI, Silva DRP. Global prevalence and gender inequalities in at least 60 min of self-reported moderate-to-vigorous physical activity 1 or more days per week: An analysis with 707,616 adolescents. J Sport Health Sci 2023:S2095-2546(23)00109-6. [PMID: 37923057 DOI: 10.1016/j.jshs.2023.10.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Revised: 07/30/2023] [Accepted: 09/07/2023] [Indexed: 11/07/2023]
Abstract
BACKGROUND Guidelines recommend that adolescents should accumulate an average of 60 min per day of moderate-to-vigorous physical activity (MVPA). However, using only this cut-off could hide important information. For instance, from a population-level point of view, increasing physical activity for those with no or low physical activity could provide more health benefits than increasing physical activity for those with intermediate levels. Also, including a more sensitive cut-point of ≥1 day per week could be an additional strategy for identifying those with low access/opportunities for physical activity practice. Thus, the current study aims to estimate the prevalence of ≥60 min of MVPA ≥1 days per week among adolescents globally, and to describe any relevant gender inequalities. METHODS We used representative datasets from 146 countries/territories collected between 2003 and 2019. MVPA was self-reported. Participants were grouped into younger (≤14 years old) and older (>14 years old) adolescents. Crude Poisson regression models were used to identify the relative differences in ≥60 min of MVPA ≥1 days per week between boys and girls, and random-effects meta-analysis models were used to identify the pooled estimates. Analyses were stratified by country and region. RESULTS Approximately 80% of both younger and older adolescents reported ≥60 min of MVPA ≥1 days per week. This prevalence was ≥94% in Europe and Central Asia and North America, while the estimates for the other regions were <77%. The prevalence of ≥60 min of MVPA ≥1 days per week was higher among boys than girls, with the largest differences occurring among the oldest adolescents (PR≤14y: 1.04 (95% confidence interval (95%CI): 1.03‒1.04) vs. PR>14y: 1.09 (95%CI: 1.08‒1.10)). CONCLUSION Approximately 8 out of 10 adolescents reported accumulating ≥60 min of MVPA ≥1 day per week, with notable differences between regions. Gender differences were observed in several countries, especially among the oldest adolescents. Priorities for physical activity promotion among adolescents should include increasing access/opportunities for physical activity among those who do not achieve ≥60 min of MVPA ≥1 days per week and reducing gender inequalities.
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Affiliation(s)
- Raphael H O Araujo
- Graduation Program in Health Sciences, Londrina State University (UEL), Londrina 86057-970, Brazil.
| | - André O Werneck
- Center for Epidemiological Research in Nutrition and Health, Department of Nutrition, School of Public Health, Universidade de São Paulo (USP) 01246-904, Brazil
| | - Clarice L Martins
- Department of Physical Education, Federal University of Paraíba, Paraíba 58051-900, Brazil; Research Centre of Physical Activity, Health and Leisure, Faculty of Sports, Laboratory for Integrative and Translational Research in Population Health (ITR), University of Porto, Porto 4500, Portugal
| | - Luciana L Barboza
- Postgraduate Program in Physical Education, University of Brasília, Brasília 70910-900, Brazil
| | - Rafael M Tassitano
- Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Champaign, IL 61801-3841, USA
| | - Nicolas Aguilar-Farias
- Department of Physical Education, Sports and Recreation, Universidad de La Frontera, Temuco 4680000, Chile
| | - Gilmar M Jesus
- Department of Health, State University of Feira de Santana, Feira de Santana 44036-900, Brazil
| | - Robinson Ramírez-Vélez
- Navarrabiomed, Hospital Universitario de Navarra (HUN), Navarra Institute for Health Research (IdiSNA), Universidad Pública de Navarra (UPNA), Pamplona 31006, Spain; Facultad de Ciencias de la Educación, Unidad Central del Valle del Cauca (UCEVA), Tuluá, Valle del Cauca 763022, Colombia
| | - Riki Tesler
- Health Management Department, Faculty of Heath sciences, Ariel University, Ariel, 40700 Israel
| | - Adewale L Oyeyemi
- College of Health Solutions, Arizona State University, Phoenix, AZ 85004, USA
| | - Ellen C M Silva
- Graduation Program in Health Sciences, Londrina State University (UEL), Londrina 86057-970, Brazil
| | - Robert G Weaver
- Arnold School of Public Health, University of South Carolina, Columbia, SC, 29208, USA
| | - Mark S Tremblay
- Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON K1H 8L1, Canada; Department of Pediatrics, University of Ottawa, Ottawa, ON K1H 8L1, Canada; Department of Health Sciences, Carleton University, Ottawa, ON, K1S 5B6, Canada
| | - Javier Brazo-Sayavera
- Department of Sports and Computer Science, Universidad Pablo de Olavide (UPO), Seville 41013, Spain; Centro Universitario Regional Noreste, Universidad de la República, Rivera 40000, Uruguay
| | - Grégore I Mielke
- School of Public Health, The University of Queensland, Brisbane 4006, Australia
| | - Danilo R P Silva
- Department of Physical Education, Federal University of Sergipe (UFS), São Cristóvão 490100-000, Brazil; Faculty of Health Sciences, Universidad Autónoma de Chile, Providencia, Chile
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Soares AHG, Wendt A, Crochemore-Silva I, Martins C, Barbosa AO, de Barros MVG, Tassitano RM. Prevalence and Sociodemographic Correlates of Meeting the 24-Hour Movement Guidelines Among Low-Income Brazilian Older Adults With Chronic Diseases. J Aging Phys Act 2023; 31:756-764. [PMID: 36870344 DOI: 10.1123/japa.2022-0200] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2022] [Revised: 12/12/2022] [Accepted: 12/13/2022] [Indexed: 03/06/2023]
Abstract
This study examined the prevalence and sociodemographic correlates of meeting individual behavior and 24-hr movement behavior guidelines among Brazilian older adults with chronic diseases. The sample comprised 273 older adults aged ≥60 years (80.2% women) with chronic diseases from Recife, Pernambuco, Brazil. Sociodemographic variables were self-reported, while 24-hr movement behaviors were assessed by accelerometry. Participants were classified as meeting (or not meeting) individual and integrated recommendations for moderate-to-vigorous physical activity (MVPA), sedentary behavior, and sleep duration. No participant met the 24-hr movement behavior guidelines, while only 8.4% met integrated MVPA/sleep recommendations. The prevalence of meeting recommendations of MVPA, sedentary behavior, and sleep was 28.9%, 0.4%, and 32.6%, respectively. Discrepancies according to sociodemographic variables on meeting MVPA recommendations existed. The findings show the need for dissemination and implementation strategies to foster adoption of the 24-hr movement behavior guidelines among Brazilian older adults with chronic diseases.
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Affiliation(s)
| | - Andrea Wendt
- Programa de Pós-Graduação em Tecnologia em Saúde, Pontifícia Universidade Católica do Paraná, Curitiba, PR,Brazil
| | - Inácio Crochemore-Silva
- Programa de Pós-Graduação em Tecnologia em Saúde, Pontifícia Universidade Católica do Paraná, Curitiba, PR,Brazil
- Postgraduate Program in Physical Education, Federal University of Pelotas, Pelotas, RS,Brazil
| | - Clarice Martins
- Research Centre of Physical Activity, Health and Leisure, Faculty of Sports; Laboratory for Integrative and Translational Research in Population Health (ITR), University of Porto, 4500, Porto,Portugal
- Department of Physical Education, Federal University of Paraiba, Paraiba, PB,Brazil
| | | | | | - Rafael M Tassitano
- Postgraduate Program in Physical Education, University of Pernambuco, Recife, PE,Brazil
- Department of Physical Education, Federal Rural University of Pernambuco, Recife, PE,Brazil
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Ding D, Carson V, Hunter RF, Jáuregui A, Kolbe-Alexander T, Lee EY, Mair JL, Mielke GI, Oyeyemi AL, Ramírez Varela A, Salvo D, Siefken K, Tassitano RM, van Sluijs E, Hallal PC. Science has no Borders, so Should Scientific Publishing: A Position Statement from the Journal of Physical Activity and Health. J Phys Act Health 2022; 19:809-810. [PMID: 36318917 DOI: 10.1123/jpah.2022-0570] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2022] [Accepted: 10/27/2022] [Indexed: 11/07/2022]
Affiliation(s)
- Ding Ding
- Australian Systems Approaches to Physical Activity (ASAPa) Project, Prevention Research Collaboration, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW,Australia
- The Charles Perkins Centre, The University of Sydney, Camperdown, NSW,Australia
| | - Valerie Carson
- Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, AB,Canada
| | - Ruth F Hunter
- Centre for Public Health, Queen's University Belfast, Belfast,United Kingdom
| | - Alejandra Jáuregui
- Department of Physical Activity and Healthy Lifestyles, Center for Nutrition and Health Research, Instituto Nacional de Salud Pública, Cuernavaca,Mexico
| | - Tracy Kolbe-Alexander
- School of Health and Wellbeing, University of Southern Queensland, Ipswich, QLD,Australia
| | - Eun-Young Lee
- School of Kinesiology and Health Studies (cross-appointment with the Department of Gender Studies), Queen's University, Kingston, ON,Canada
| | - Jacqueline L Mair
- Future Health Technologies, Singapore-ETH Centre, Campus for Research Excellence and Technological Enterprise, Singapore,Singapore
| | - Gregore Iven Mielke
- School of Public Health, The University of Queensland, Brisbane, QLD,Australia
| | - Adewale L Oyeyemi
- Department of Physiotherapy, College of Medical Sciences, University of Maiduguri, Maiduguri, Borno State,Nigeria
| | | | - Deborah Salvo
- Department of Kinesiology and Health Education, College of Education, The University of Texas at Austin, Austin, TX,USA
| | - Katja Siefken
- Institute of Interdisciplinary Exercise Science and Sports Medicine, MSH Medical School Hamburg, Hamburg,Germany
| | - Rafael M Tassitano
- Department of Physical Education, Federal Rural University of Pernambuco, Recife, PE,Brazil
| | - Esther van Sluijs
- MRC Epidemiology Unit & UKCRC Centre for Diet and Activity Research (CEDAR), School of Clinical Medicine, University of Cambridge, Cambridge,United Kingdom
| | - Pedro C Hallal
- Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Urbana, IL,USA
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Mota J, de Souza AA, Clark C, Duncan MJ, Tassitano RM, MArtins CMM. Movement Behaviors In Short Versus Adequate Nocturnal Sleepers: A Compositional Analysis Of Preschoolers. Med Sci Sports Exerc 2022. [DOI: 10.1249/01.mss.0000877892.63656.1a] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Araujo RHO, Werneck AO, Barboza LL, Ramírez-Vélez R, Martins CML, Tassitano RM, Silva ECM, de Jesus GM, Matias TS, de Lima LRA, Brazo-Sayavera J, Silva DR. Prevalence and sociodemographic correlates of physical activity and sitting time among South American adolescents: a harmonized analysis of nationally representative cross-sectional surveys. Int J Behav Nutr Phys Act 2022; 19:52. [PMID: 35527268 PMCID: PMC9080195 DOI: 10.1186/s12966-022-01291-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2021] [Accepted: 03/31/2022] [Indexed: 11/17/2022] Open
Abstract
Background To identify the prevalence and sociodemographic correlates of different domains of physical activity (PA) and higher sitting time among South American adolescents. Methods Data from national surveys of 11 South American countries were analyzed, and comprised information on 166,901 adolescents. PA (≥ 60 min/day of moderate-vigorous PA), physical education classes (PEC) (≥ 3 classes/wk), active commuting to school (≥ 1 d/wk), and higher sitting time (≥ 3 h/d) were self-reported. Sociodemographic correlates, such as gender, age, and food security status were explored using a random effect meta-analysis for logistic parameters. Results Recommended PA ranged between 7.5% (Brazil) and 19.0% (Suriname). Peru (2.2%) and Guyana (43.1%) presented the lowest prevalence of PEC and active commuting to school, respectively. Higher sitting time was less prevalent in Bolivia (24.6%) and more prevalent in Argentina (55.6%). Compared to girls, boys were more prone to reach recommendations for PA [OR = 1.94(1.65;2.28)]; to reach ≥ 3 PEC [OR = 1.17(1.04;1.33)] and to be active in commuting to school [(OR = 1.14(1.06;1.23)], but less prone to higher sitting time [OR = 0.89(0.82;0.96)]. Older adolescents had less odds of reach PA guidelines [OR = 0.86(0.77; 0.97)] and accumulated higher sitting time [OR = 1.27(1.14;1.41)]. Adolescents with food insecurity reported more PEC [OR = 1.12(1.04;1.21)] and active commuting to school [OR = 1.12(1.02;1.22)] but had less higher sitting time than their food security pairs [OR = 0.89(0.81;0.98)]. Conclusions Few adolescents reach the PA recommendation. Actions aiming the promotion of PA and the reduction of sitting time must consider girls and older adolescents as target groups, as well as the specifics of each country. Supplementary Information The online version contains supplementary material available at 10.1186/s12966-022-01291-3.
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Weaver RG, Tassitano RM, Tenório MCM, Brazendale K, Beets MW. Temporal Trends in Children's School Day Moderate to Vigorous Physical Activity: A Systematic Review and Meta-Regression Analysis. J Phys Act Health 2021; 18:1446-1467. [PMID: 34627126 PMCID: PMC8669348 DOI: 10.1123/jpah.2021-0254] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2021] [Revised: 07/25/2021] [Accepted: 07/26/2021] [Indexed: 11/18/2022]
Abstract
BACKGROUND Evidence from a limited sample of countries indicates that time for physical education and recess during school have declined. Schools are called to provide children with 30 minutes of moderate to vigorous physical activity (MVPA). This systematic review and meta-analysis estimated temporal trends in children's school day MVPA. METHODS Three online databases were searched to identify studies with objectively measured MVPA, during school hours, in school aged children (5-18 y). Multilevel random-effects meta-analyses estimated MVPA by year, and meta-regression analyses estimated temporal trends in school day MVPA. RESULTS Studies (N = 65) providing 171 MVPA estimates, representing 60,779 unique children, from 32 countries, and spanning 2003-2019 were identified. Most studies were conducted in North America (n = 33) or Europe (n = 21). School day MVPA ranged from 18.1 (95% confidence interval, 15.1-21.1) to 47.1 (95% confidence interval, 39.4-54.8) minutes per day in any given year. Meta-regression analyses indicated that MVPA declined from 2003 to 2010 (approximately 15 min decline), plateaued from 2010 to 2015 (approximately 1 min decrease), and increased from 2015 to 2019 (approximately 5 min increase). CONCLUSIONS School day MVPA decreased from 2003 to 2010 and has recently begun to increase. However, the majority of the evidence is from North America and Europe with some evidence from Oceania and very little evidence from Asia to South America.
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de Souza AA, Mota JAPS, da Silva GMG, Tassitano RM, Clark CCT, Duncan MJ, Martins CMDL. Associations between Movement Behaviours and Obesity Markers among Preschoolers Compliant and Non-Compliant with Sleep Duration: A Latent Profile Analysis. Int J Environ Res Public Health 2021; 18:9492. [PMID: 34574417 PMCID: PMC8472778 DOI: 10.3390/ijerph18189492] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/11/2021] [Revised: 09/02/2021] [Accepted: 09/02/2021] [Indexed: 11/20/2022]
Abstract
This study identifies physical activity (PA) and sedentary behaviour (SB) clusters in preschoolers compliant (C) or non-compliant (NC) with sleep recommendations; and associates these clusters with obesity markers. PA and SB were objectively assessed (Actigraph WGT3-X) in 272 preschoolers (4.4 ± 0.7 years old). Sleep duration was parent-reported, and preschoolers were classified as C (3-4 years old: 600-780 min/day; 5 years old: 540-660 min/day) or NC with sleep recommendations. Body mass index (BMI) and waist circumference (WC) were assessed according to international protocols. Moderate to vigorous physical activity (MVPA) and light physical activity (LPA) were categorized as low/high (<60 min/>60 min/day or <180 min/180 min/day, respectively). SB was defined according to mean values between clusters. Latent profile analysis was performed. Associations between the observed clusters and obesity markers were determined using linear regression (RStudio; 1.3.1073). Four cluster solutions for C and NC preschoolers were identified. A negative association between C/Low MVPA cluster and BMI, and a positive association between NC/Low MVPA and BMI (β = -0.8, 95%CI = -1.6;-0.1, and β = 0.9, 95%CI = 0.1;1.7, respectively) were observed. No association was seen for SB clusters. Adequate sleep duration may have a protective role for preschoolers' BMI, even if the children do not comply with MVPA recommendations.
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Affiliation(s)
- Alesandra A. de Souza
- Department of Physical Education, Federal University of Tocantins, Tocantinopolis 77900-000, Brazil
| | - Jorge A. P. S. Mota
- Research Centre of Physical Activity, Health and Leisure, Faculty of Sport Sciences, University of Porto, 4050-313 Porto, Portugal; (J.A.P.S.M.); (C.M.d.L.M.)
- Laboratory for Integrative and Translational Research in Population Health (ITR), 4050-091 Porto, Portugal
| | - Gustavo M. G. da Silva
- Research Centre in Sports Sciences, Health Sciences and Human Development (CIDESD), University of Maia (ISMAI), 4475-690 Maia, Portugal;
| | - Rafael M. Tassitano
- Department of Physical Education, Federal Rural University of Pernambuco, Recife 50010-000, Brazil;
| | - Cain C. T. Clark
- Faculty of Health and Life Sciences, Coventry University, Coventry CV1 5FB, UK;
| | - Michael J. Duncan
- Centre for Applied Biological and Exercise Sciences, Coventry University, Coventry CV1 5FB, UK;
| | - Clarice M. de L. Martins
- Research Centre of Physical Activity, Health and Leisure, Faculty of Sport Sciences, University of Porto, 4050-313 Porto, Portugal; (J.A.P.S.M.); (C.M.d.L.M.)
- Laboratory for Integrative and Translational Research in Population Health (ITR), 4050-091 Porto, Portugal
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Brazendale K, Beets MW, Armstrong B, Weaver RG, Hunt ET, Pate RR, Brusseau TA, Bohnert AM, Olds T, Tassitano RM, Tenorio MCM, Garcia J, Andersen LB, Davey R, Hallal PC, Jago R, Kolle E, Kriemler S, Kristensen PL, Kwon S, Puder JJ, Salmon J, Sardinha LB, van Sluijs EMF. Children's moderate-to-vigorous physical activity on weekdays versus weekend days: a multi-country analysis. Int J Behav Nutr Phys Act 2021; 18:28. [PMID: 33568183 PMCID: PMC7877033 DOI: 10.1186/s12966-021-01095-x] [Citation(s) in RCA: 33] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2020] [Accepted: 01/29/2021] [Indexed: 12/20/2022] Open
Abstract
Purpose The Structured Days Hypothesis (SDH) posits that children’s behaviors associated with obesity – such as physical activity – are more favorable on days that contain more ‘structure’ (i.e., a pre-planned, segmented, and adult-supervised environment) such as school weekdays, compared to days with less structure, such as weekend days. The purpose of this study was to compare children’s moderate-to-vigorous physical activity (MVPA) levels on weekdays versus weekend days using a large, multi-country, accelerometer-measured physical activity dataset. Methods Data were received from the International Children’s Accelerometer Database (ICAD) July 2019. The ICAD inclusion criteria for a valid day of wear, only non-intervention data (e.g., baseline intervention data), children with at least 1 weekday and 1 weekend day, and ICAD studies with data collected exclusively during school months, were included for analyses. Mixed effects models accounting for the nested nature of the data (i.e., days within children) assessed MVPA minutes per day (min/day MVPA) differences between weekdays and weekend days by region/country, adjusted for age, sex, and total wear time. Separate meta-analytical models explored differences by age and country/region for sex and child weight-status. Results/findings Valid data from 15 studies representing 5794 children (61% female, 10.7 ± 2.1 yrs., 24% with overweight/obesity) and 35,263 days of valid accelerometer data from 5 distinct countries/regions were used. Boys and girls accumulated 12.6 min/day (95% CI: 9.0, 16.2) and 9.4 min/day (95% CI: 7.2, 11.6) more MVPA on weekdays versus weekend days, respectively. Children from mainland Europe had the largest differences (17.1 min/day more MVPA on weekdays versus weekend days, 95% CI: 15.3, 19.0) compared to the other countries/regions. Children who were classified as overweight/obese or normal weight/underweight accumulated 9.5 min/day (95% CI: 6.9, 12.2) and 10.9 min/day (95% CI: 8.3, 13.5) of additional MVPA on weekdays versus weekend days, respectively. Conclusions Children from multiple countries/regions accumulated significantly more MVPA on weekdays versus weekend days during school months. This finding aligns with the SDH and warrants future intervention studies to prioritize less-structured days, such as weekend days, and to consider providing opportunities for all children to access additional opportunities to be active.
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Affiliation(s)
- Keith Brazendale
- Department of Health Sciences, College of Health Professions and Sciences, University of Central Florida, 4364 Scorpius Street, Orlando, FL, 32816, USA.
| | - Michael W Beets
- Department of Exercise Science, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
| | - Bridget Armstrong
- Department of Exercise Science, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
| | - R Glenn Weaver
- Department of Exercise Science, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
| | - Ethan T Hunt
- Department of Exercise Science, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
| | - Russell R Pate
- Department of Exercise Science, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
| | - Timothy A Brusseau
- Department of Health & Kinesiology, College of Health, University of Utah, Salt Lake City, UT, USA
| | - Amy M Bohnert
- Department of Psychology, Loyola University Chicago, College of Arts and Sciences, Chicago, IL, USA
| | - Timothy Olds
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), University of South Australia, Adelaide, Australia
| | - Rafael M Tassitano
- Department of Physical Education, Federal Rural University of Pernambuco, Recife, PE, Brazil
| | - Maria Cecilia M Tenorio
- Department of Physical Education, Federal Rural University of Pernambuco, Recife, PE, Brazil
| | - Jeanette Garcia
- Department of Health Sciences, College of Health Professions and Sciences, University of Central Florida, 4364 Scorpius Street, Orlando, FL, 32816, USA
| | - Lars B Andersen
- Department of Teacher Education and Sport, Western Norwegian University of Applied Sciences, Sogndal, Norway
| | - Rachel Davey
- Health Research Institute, University of Canberra, Canberra, Australia
| | - Pedro C Hallal
- Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
| | - Russell Jago
- Centre for Exercise, Nutrition and Health Sciences, University of Bristol, Bristol, UK
| | - Elin Kolle
- Norwegian School of Sport Sciences, Oslo, Norway
| | - Susi Kriemler
- Epidemiology, Biostatistics and Prevention Institute, University of Zürich, Zürich, Switzerland
| | | | - Soyang Kwon
- Stanley Manne Children's Research Institute, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, USA
| | - Jardena J Puder
- Service of Obstetrics, Centre Hospitalier Universitaire Vaudois, University of Lausanne, Lausanne, Switzerland
| | - Jo Salmon
- Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, ZDeakin University, Geelong, Australia
| | - Luis B Sardinha
- Exercise and Health Laboratory, CIPER, Faculty of Human Movement, Universidade de Lisboa, Lisbon, Portugal
| | - Esther M F van Sluijs
- MRC Epidemiology Unit & Centre for Diet and Activity Research, University of Cambridge, Cambridge, UK
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Tassitano RM, Weaver RG, Tenório MCM, Brazendale K, Beets MW. Physical activity and sedentary time of youth in structured settings: a systematic review and meta-analysis. Int J Behav Nutr Phys Act 2020; 17:160. [PMID: 33276782 PMCID: PMC7716454 DOI: 10.1186/s12966-020-01054-y] [Citation(s) in RCA: 40] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2020] [Accepted: 11/09/2020] [Indexed: 01/27/2023] Open
Abstract
BACKGROUND Structured settings, such as school, childcare, afterschool programs, summer camps, and physical activity/sport programs are crucial to promoting physical activity (PA) opportunities and reducing sedentary (ST) for children and adolescents. However, little is known about how much PA and ST children and adolescents accumulate in structured settings. The aim of this study is to conduct a systematic review and meta-analysis of the absolute amount of time youth spend physically active and sedentary in different structured settings (Prospero number: 42018111804). METHODS Observational and experimental/quasi-experimental studies (baseline data only) with full-text available, written in English and published in a peer-reviewed journal, reporting the total amount of objectively measured PA (light, moderate, vigorous, and/or total physical activity) and/or time spent ST during structured settings among youth (3 to 18 years) were eligible. Adjusted meta-analysis was conducted to estimate the pooled mean of time spent in PA and ST, by settings and sex. RESULTS A total of 187 studies (childcare n=60; school n=91; afterschool programs n=14; summer camp n=4; and Physical activity/ sport programs n=18) from 30 countries (47.9% United States), representing 74,870 youth (mean age 8.6 years old) were included. Overall, there was a high variation between studies in outcomes and settings. The meta-analyses revealed, on average, youth spend 221.8 minutes (36.7 min/hour) in ST and 32.1 minutes (5.1 min/hour) in MVPA during childcare hours, and 223.9 minutes (36.7min/hour) in ST and 27.8 min (4.4 min/hour) in MVPA at school. Relatively, youth are engaged in more MVPA in afterschool programs (11.7 min/hour), PA/ sport programs (20.9 min/hour), and summer camps (6.4 min/hour), when compared to childcare and school. CONCLUSION Total PA accumulated during childcare and MVPA accumulated during schools hours were close to recommendations, despite high proportion of ST. Afterschool programs, summer camp and PA/ sport programs are important settings that can contribute to daily PA and reduced ST. Ensuring all youth have access to these structured settings may be an important step forward for public health.
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Affiliation(s)
- Rafael M Tassitano
- Department of Physical Education, Federal Rural University of Pernambuco, SN Dom Manoel de Medeiros St, Recife, PE, 52171-900, Brazil.
| | | | - Maria Cecília M Tenório
- Department of Physical Education, Federal Rural University of Pernambuco, SN Dom Manoel de Medeiros St, Recife, PE, 52171-900, Brazil
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Tassitano RM, Weaver RG, Tenório MCM, Brazendale K, Beets MW. Clusters of non-dietary obesogenic behaviors among adolescents in Brazil: a latent profile analysis. Int J Public Health 2020; 65:881-891. [PMID: 32632457 DOI: 10.1007/s00038-020-01418-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2019] [Revised: 06/11/2020] [Accepted: 06/22/2020] [Indexed: 01/19/2023] Open
Abstract
OBJECTIVES To identify patterns of non-dietary obesogenic behaviors, and social and environmental factors associated with overweight and obesity (OWOB). METHODS A representative sample (n = 5520) of high school students (55.4% girls, 16.3 ± 1.0 years) from Pernambuco State, Brazil. Latent profile analyses were performed using self-reported daily sleep duration, television use, computer use, videogame use, seated time during the week and weekend days, physical activity, and active commuting to school during the week. Social and environmental factors and body mass index were included to identify classes. Multinomial analysis explored differences in social, environmental factors, and BMI by classes. RESULTS Five patterns were identified [Computer users (C1), Short sleepers (C2), Typical behaviors (C3), Techno-active-gamers (C4), and Lower screen engagement (C5)]. Three groups (C1, C3 and C4) included students from better social conditions and a more urbanized environments. The prevalence of OWOB was higher in C1 (34.5%; 95% CI 31.1-38.0) and in C2 (29.7%; 95% CI 26.1-33.5) compared to C5 (23.3% 95% CI 21.3-25.3). CONCLUSIONS In one of the poorest regions of Brazil, different groups of social/environmental factors and behavior patterns emerged associated with OWOB.
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Affiliation(s)
- Rafael M Tassitano
- Department of Physical Education, Federal Rural University of Pernambuco, SN Dom Manoel de Medeiros St., Recife, PE, 50630-610, Brazil.
| | | | - Maria Cecília M Tenório
- Department of Physical Education, Federal Rural University of Pernambuco, SN Dom Manoel de Medeiros St., Recife, PE, 50630-610, Brazil
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Silva AOD, Diniz PR, Santos ME, Ritti‐Dias RM, Farah BQ, Tassitano RM, Oliveira LM. Health self‐perception and its association with physical activity and nutritional status in adolescents. Jornal de Pediatria (Versão em Português) 2019. [DOI: 10.1016/j.jpedp.2018.08.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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Silva AOD, Diniz PRB, Santos MEP, Ritti-Dias RM, Farah BQ, Tassitano RM, Oliveira LMFT. Health self-perception and its association with physical activity and nutritional status in adolescents. J Pediatr (Rio J) 2019; 95:458-465. [PMID: 29957248 DOI: 10.1016/j.jped.2018.05.007] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/10/2018] [Revised: 04/01/2018] [Accepted: 04/18/2018] [Indexed: 10/28/2022] Open
Abstract
OBJECTIVE To evaluate the association between total physical activities, physical activity in free time and nutritional status with self-perceived health in adolescents of both genders. METHODS This is a quantitative study that integrates the school-based, cross-sectional epidemiological survey with statewide coverage, whose sample consisted of 6261 adolescents (14-19 years old) selected by random conglomerate sampling. Data were collected using the Global School-based Student Health Survey. The chi-squared test (χ2) and the Poisson regression model with robust variance were used in the data analyses. RESULTS It was observed that 27.3% of the adolescents had a negative health self-perception, which was higher among girls (33.0% vs. 19.0%, p<0.001). After adjusting for potential confounding factors, it was observed that boys who did not practice physical activity during free time (PR=1.44, 95% CI: 1.15-1.81) and were classified as insufficiently active (PR=1.27, 95% CI: 1.04-1.56), as well as girls who did not practice physical activity during free time (PR=1.15, 95% CI: 1.02-1.29) and were classified as overweight (PR=1.27, 95% CI: 1.01-1.29) had a greater chance of negative health self-perception. CONCLUSION Behavioral issues may have different effects on health self-perception when comparing boys with girls. Negative health self-perception was associated with nutritional status in girls and a lower level of physical activity in boys, and the practice of physical activity in the free time was considered a protective factor against a negative health self-perception for adolescents of both genders.
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Affiliation(s)
| | - Paula R B Diniz
- Universidade Federal de Pernambuco (UFPE), Recife, PE, Brazil
| | - Maria E P Santos
- Centro Universitário Tabosa de Almeida (Asces-Unita), Caruaru, PE, Brazil
| | | | - Breno Q Farah
- Universidade Federal Rural de Pernambuco (UFRPE), Recife, PE, Brazil
| | | | - Luciano M F T Oliveira
- Universidade Federal de Pernambuco (UFPE), Recife, PE, Brazil; Centro Universitário Tabosa de Almeida (Asces-Unita), Caruaru, PE, Brazil
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Tassitano RM, Marinho Tenório MC. Psychosocial Factors As Predictors Of Physical Activity In Brazilian College Students. Med Sci Sports Exerc 2015. [DOI: 10.1249/01.mss.0000477874.02310.3a] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Dumith SC, Muniz LC, Tassitano RM, Hallal PC, Menezes AMB. Clustering of risk factors for chronic diseases among adolescents from Southern Brazil. Prev Med 2012; 54:393-6. [PMID: 22484392 PMCID: PMC4210640 DOI: 10.1016/j.ypmed.2012.03.014] [Citation(s) in RCA: 72] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/06/2011] [Revised: 03/20/2012] [Accepted: 03/21/2012] [Indexed: 11/24/2022]
Abstract
OBJECTIVE To investigate the clustering of risk behaviors for chronic non-communicable diseases and their associated factors among adolescents from Southern Brazil. METHODS In 2008, a survey was conducted with 3990 adolescents aged 14-15 years (mean: 14.3; SD: 0.6) from the 1993 Pelotas Birth Cohort Study. Clustering was determined by comparing observed (O) and expected (E) prevalence of all possible combinations of the four risk factors investigated (smoking, alcohol intake, low fruit intake, and physical inactivity). We carried out Poisson regression to evaluate the effect of individual characteristics on the presence of at least three risk behaviors. RESULTS All risk factors tended to cluster together (O/E prevalence=3.0), especially smoking and alcohol intake (odds ratio to present on behavior in the presence of other >5.0). Approximately 15% of adolescents displayed three or more risk behaviors. Females (adjusted OR=1.55), people 15 years and older (OR=1.47), with black skin color (OR=1.23), and of low socioeconomic level (OR=1.29) were more likely to display three or more risk factors. CONCLUSION These findings suggest that lifestyle-related risk factors tend to cluster among adolescents. Identifying subgroups at greater risk of simultaneously engaging in multiple risk behaviors may aid in the planning of preventive strategies.
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Affiliation(s)
- Samuel C Dumith
- Department of Population and Health, Federal University of Rio Grande, Rio Grande, Brazil.
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Tassitano RM, Barros MVG, Tenório MCM, Bezerra J, Florindo AA, Reis RS. Enrollment in physical education is associated with health-related behavior among high school students. J Sch Health 2010; 80:126-133. [PMID: 20236414 DOI: 10.1111/j.1746-1561.2009.00476.x] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
BACKGROUND Physical education (PE) plays a critical role in the healthy development of youth; however, the influence of PE classes in helping to provide students with health-related behavior patterns is not clear. This study aims to analyze whether participation in PE classes is associated with health-related behavior among high school students. METHODS A total of 4210 students attending public high schools in Pernambuco (northeast of Brazil) were selected using random 2-stage cluster sampling. Data were collected by using the Global School-based Student Health Survey. The independent variable was the frequency of participation in PE classes, whereas physical activity, television viewing, smoking, and alcohol, fruit, vegetables and soda consumption were dependent variables. Logistic regressions were carried out to perform crude and adjusted analysis of the association between enrollment in PE classes and health-related behaviors. RESULTS Sixty-five percent of students do not take part in PE classes, with a significantly higher proportion among females (67.8%). It was observed that enrollment in PE classes was positively associated with physical activity, TV viewing, and fruit consumption, but was negatively associated with soda drinking. The likelihood of reporting being active and eating fruit on a daily basis was 27% and 45% higher, respectively, among those who participate in at least 2 classes per week in comparison with those who do not. Students who participate in PE classes had 28-30% higher likelihood of reporting lower TV viewing during week days. CONCLUSIONS Findings suggest that higher levels of enrollment in PE classes could play a role in the promotion of health-related behaviors among high school students.
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Affiliation(s)
- Rafael M Tassitano
- Universidade Federal Rural de Pernambuco/Associação Caruaruense de Ensino Superior Teles Júnior, 33 Apto 501 Aflitos, Recife, PE, Brazil.
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