Obesity and decrease of daily physical activity among children and adolescents: a follow-up study
DOI:
https://doi.org/10.1590/1980-0037.2021v23e78251Keywords:
Uso de drogas, Famílias, Saúde mental.Abstract
We analyzed the effect of obesity on daily physical activity (DPA) and on light-intensity physical activity (LPA), moderate-intensity physical activity (MPA) and vigorous- intensity physical activity (VPA). Overall, 462 students from a public school (53.6% boys; aged 7-12 years) were involved in this one-year longitudinal study. Physical activities and sedentary behaviors (SB) were reported in the questionnaire Food Intake and Physical Activity of Students (Web-CAAFE). Obesity was evaluated through Body Mass Index (BMI z score ? 2). Obesity was observed in 16.5% of participants, but it did not influence LPA, MPA or DPA. However, VPA were 20% less frequent among obese students (?²=0.80; CI 95%: 0.66-0.98). Obese girls showed less frequency of VPA than non-obese boys (Mean Difference = -0.97; CI 95%: -1.36 to -0.57). Non-obese girls showed less VPA than non-obese boys (Mean Difference = -1.18; CI 95%: -1.40 to -0.95) and obese ones (Mean Difference = -0.57; CI 95%: -0.90 to -0.24). Obese boys showed fewer VPA, if compared to non-obese ones (Mean Difference = -0.61; CI 95%: -0.96 to -0.26). The analysis of the obesity-sex-age interaction showed that there was a greater reduction in VPA among obese girls aged 10 years or more when compared to obese girls aged 7-9 years, and to boys obese and non-obese regardless of age. Amounts of VPA and SB increased simultaneously among non-obese boys and non-obese children aged 7-9 years. Obesity reduced VPA in the sample during the follow up of one year, independently of age and SB.
References
Jimenez-Pavon D, Kelly J, Reilly JJ. Associations between objectively measured habitual physical activity and adiposity in children and adolescents: systematic review. Int J Pediatr Obes 2010;5(1):3-18. Doi: 10.3109/17477160903067601
Metcalf BS, Hosking J, Jeffery NA, Voss LD, Henley W, Wilkin TJ. Fatness leads to inactivity, but inactivity does not lead to fatness: a longitudinal study in children. Arch Dis Child. 2011 Oct; 96:942-947. Doi: 10.1136/adc.2009.175927.
Dunton G, McConnell R, Jerrett M, Wolch J, Lam C, Gilliland F, et al. Organized physical activity in young school children and subsequent 4-year change in body mass index. Arch Pediatr Adolesc Med 2012 Aug;66(8):713-718. Doi: 10.1001/archpediatrics.2012.20
Kelley GA, Kelley KS, Pate RR. Exercise and BMI in overweight and obese children and adolescents: a systematic review and trial sequential meta-analyses. Biomed Res Int 2015:704539. Doi: 10.1155/2015/704539
Cairney J, Veldhuizen S. Organized sport and physical activity participation and body mass index in children and youth: A longitudinal study. Prev Med Rep 2017;6:336‐338. Doi: 10.1016/j.pmedr.2017.04.005
Devís-Devís J, Lizandra J, Valencia-Peris A, Pérez-Gimeno E, Garcia-Massò X, Peiró-Velert C. Longitudinal Changes in Physical Activity, Sedentary Behavior and Body Mass Index in Adolescence: Migrations Towards Different Weight Cluster. PLoS One 2017;12(6):e0179502. Doi: 10.1371/journal.pone.0179502.
Ekelund U, Hildebrand M, Collings PJ. Physical activity, sedentary time and adiposity during the first two decades of life. Proc Nutr Soc 2014;73(2):319‐329. Doi:10.1017/S0029665114000019
Instituto Brasileiro de Geografia e Estatística [homepage na internet] População estimada: IBGE, Diretoria de Pesquisas, Coordenação de População e Indicadores Sociais, Estimativas da população residente com data de referência 1° de julho de 2020 [acesso em 11 jun 2021]. Disponível em: http: www.ibge.gov.br.
de Onis M, Onyango AW, Borghi E, et al. Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ 2007;85(9):660–7. doi: 10.2471/blt.07.043497.
Lohman TG, Roche AF, Martorell R. Anthropometric standardization reference manual. Champaign, IL: Human Kinetics Books; 1988.
da Costa FF, Schmoelz CP, Davies VF, Di Pietro PF, Kupek E, Assis MAA. Assessment of Diet and Physical Activity of Brazilian Schoolchildren: Usability Testing of a Web-Based Questionnaire. JMIR Res Protoc 2013;2(2):e31. Doi: 10.2196/resprot.2646.
Jesus GM, Assis MAA, Kupek E, Dias LA. Avaliação da atividade física de escolares com um questionário via internet. Rev Bras Med Esporte 2016;22(4): 261-6. Doi: https://doi.org/10.1590/1517-869220162204157067.
Davies VF, Kupek E, de Assis MA, Natal S, Di Pietro PF, Baranowski T. Validation of a web-based questionnaire to assess the dietary intake of Brazilian children aged 7-10 years. J Hum Nutr Diet 2015;28(Suppl.1):93-102. Doi: 10.1111/jhn.12262.
Jesus GM, Assis MAA, Kupek E. Validade e reprodutibilidade de questionário baseado na Internet (Web-CAAFE) para avaliação do consumo alimentar de escolares de 7 a 15 anos. Cad Saúde Pública 2017;33(5):e00163016. Doi: https://doi.org/10.1590/0102-311x00163016.
Jesus GM, Assis MAA, Kupek E, Dias LA. Avaliação da consistência de valores de peso, altura e índice de massa corporal no questionário Consumo Alimentar e Atividade Física de Escolares: o controle da qualidade da entrada de dados no sistema. Rev Bras Epidemiol 2017; 20(04): 573-585. Doi: https://doi.org/10.1590/1980-5497201700040002.
Ridley K, Ainsworth BE, Olds TS. Development of a compendium of energy expenditures for youth. Int J Behav Nutr Phys Act 2008;5:45. Doi:10.1186/1479-5868-5-45.
Guimarães LSP, Hirakata VN. Uso do Modelo de Equações de Estimações Generalizadas na análise de dados longitudinais. Revista HCPA 2012;32(4):503-511.2012.
Bacil EDA, Mazzardo Júnior O, Rech CR, Legnani RFS, Campos W. Atividade física e maturação biológica: uma revisão sistemática. Rev Paul Pediatr 2015;33(1):114-21. Doi:http://dx.doi.org/10.1016/j.rpped.2014.11
Jago R, Salway R, Lawlor DA, Emm-collison L, Heron J, Thompson JL, Sebire SJ. Profiles of children’s physical activity and sedentary behavior between age 6 and 9: a latent profile and transition analysis. Int J Behav Nutr Phys Act 2018;15(103). Doi: 10.1186/s12966-018-0735-8.
Riddoch CJ, Leary SD, Ness AR, Blair SN, Deere K, Mattocks C, et al. Prospective associations between objective measures of physical activity and fat mass in 12-14 year old children: the Avon Longitudinal Study of Parents and Children (ALSPAC). BMJ 2009;339:b4544. Doi:10.1136/bmj. b4544
Sahoo K, Sahoo B, Choudhury AK, Sofi NY, Kumar R, Bhadoria AS. Childhood obesity: causes and consequences. J Family Med Prim Care 2015;4(2):187-192. Doi:10.4103/2249-4863.154628.
Leech RM, McNaughton SA, Timperio A. The clustering of diet, physical activity and sedentary behavior in children and adolescents: a review. Int J Behav Nutr Phys Act 2014;11:4. Doi: https://doi.org/10.1186/1479-5868-11-4.
Chaput JP, Saunders TJ, Carson V. Interactions between sleep, movement and other nonmovement behaviors in the pathogenesis of childhood obesity. Obesity Reviews 2017;18(Suppl. 1):7-14. Doi: https://doi.org/10.1111/obr.12508.
Biddle SJH, Bengoechea EG, Wiesner G. Sedentary behavior and adiposity in youth: a systematic review of reviews and analysis of causality. Int J Behav Nutr Phys Act 2017;14:43. Doi: https://doi.org/10.1186/s12966-017-0497-8.
Silva DAS, Chaput J-P, Tremblay MS. Participation frequency in physical education classes and physical activity and sitting time in Brazilian adolescents. PLoS one 2019;14(3):e0213785. Doi: https://doi.org/10.1371/journal.pone.0213785.
