Association between physical activity and sedentary behavior with the risk of overweight and obesity in primary school students

WANG Junmin; GONG Tengyun

doi:10.16835/j.cnki.1000-9817.2021.11.019

Volume 42 Issue 11

Nov. 2021

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WANG Junmin, GONG Tengyun. Association between physical activity and sedentary behavior with the risk of overweight and obesity in primary school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(11): 1683-1687. doi: 10.16835/j.cnki.1000-9817.2021.11.019

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WANG Junmin, GONG Tengyun. Association between physical activity and sedentary behavior with the risk of overweight and obesity in primary school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(11): 1683-1687. doi: 10.16835/j.cnki.1000-9817.2021.11.019

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Association between physical activity and sedentary behavior with the risk of overweight and obesity in primary school students

doi: 10.16835/j.cnki.1000-9817.2021.11.019

WANG Junmin¹,
GONG Tengyun²

1.
School of Physical Education, Huaiyin Normal University, Huaian (223300), Jiangsu Province, China

Received Date: 2021-01-04
Rev Recd Date: 2021-06-25

Available Online: 2021-12-01

Publish Date: 2021-11-25

Abstract

Abstract

Objective To investigate the association between moderate to vigorous physical activity (MVPA) and sedentary behavior with the risk of overweight/obesity in children, and to provide a reference for health life style of primary school students. Methods From November to December 2018, a cross-sectional survey of 949 school children aged 9-12 years in Guangdong Province was conducted. Children were classified as normal weight or overweight/obesity based on body mass index(BMI). Participants were advised to wear a wristwatch-type Gene Active accelerometer for 24 hours to record MVPA and sedentary time. Children's screen time (ST) was provided by parents. Poisson regression was used to analyze the independent associations between MVPA, sedentary time, screen time and overweight/obesity risk. Results About 20.8%(197) of the children were overweight/obesity. The percentage of children who met the MVPA recommendation was 22.1%(210), and the amount of sedentary time (excluding sleep) during the school day was 60.8%(577), or as high as 8.5 hours per day. Only 12.3%(117) of children have less than two hours of screen time per day. Compared with Q4, pupils with MVPA of Q1 had a 4.38 higher risk of overweight/obesity compared with normal pupils (P < 0.01), no similar associations were observed for sedentary time. Compared with pupils who met the recommended MVPA, pupils with lower MVPA had an increased risk of overweight/obesity by 2.54 times(95%CI=1.59-3.77). Pupils with more than 2 hours per day had an increased risk of overweight/obesity by 1.87 times(95%CI=1.21-3.02) compared with pupils with less than 2 hours per day. Conclusion The risk of overweight/obesity decreases with the increase of MVPA. The proportion of students meeting the MVPA recommendation is relatively low, the proportion exceeding screen time recommendation is high.
- Motor activity,
- Behavior,
- Overweight,
- Obesity,
- Regression analysis,
- Students

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References(29)

References

[1]	HOU X, LU J, WENG J, et al. Impact of waist circumference and body mass index on risk of cardiometabolic disorder and cardiovascular disease in Chinese adults: a national diabetes and metabolic disorders survey[J]. PLoS One, 2013, 8(3): 1-10. http://pubmedcentralcanada.ca/pmcc/articles/PMC3592870/
[2]	邹志春, 陈佩杰. 青少年体质、体力活动与心血管疾病发生风险之关系[J]. 上海体育学院学报, 2010, 34(6): 50-54. https://www.cnki.com.cn/Article/CJFDTOTAL-STYB201006015.htm ZOU Z C, CHEN P J. Relationship between physique, physical activity and coronary artery disease risk in teenagers[J]. J Shanmghai Univ Sport, 2010, 34(6): 50-54. https://www.cnki.com.cn/Article/CJFDTOTAL-STYB201006015.htm
[3]	MORRIS C. Designed to move[J]. Nation Civic Rev, 2013, 102(4): 55-56. doi: 10.1002/ncr.21157
[4]	BASSETT D R, BIELAK K M. Physical activity measures[M]. Switzerland: Springer International Publishing, 2016.
[5]	JIMÉNEZ-PAVÓN D, KELLY J, Reilly J J. Associations between objectively measured habitual physical activity and adiposity in children and adolescents: systematic review[J]. Int J Pediatr Obes, 2011, 5(1): 3-18. http://www.onacademic.com/detail/journal_1000035805942110_9855.html
[6]	THORP A A, OWEN N, NEUHAUS M, et al. Sedentary behaviors and subsequent health outcomes in adults a systematic review of longitudinal studies, 1996-2011[J]. Am JPrev Med, 2011, 41(2): 207-215. doi: 10.1016/j.amepre.2011.05.004
[7]	COSTA B, CHAPUT J P, LOPES M, et al. Association between screen time and accelerometer-measured 24-h movement behaviors in a sample of Brazilian adolescents[J]. Public Health, 2021, 195(4): 32-38. http://www.sciencedirect.com/science/article/pii/S0033350621001414
[8]	TREMBLAY M S, LEBLANC A G, KHO M E, et al. Systematic review of sedentary behaviour and health indicators in school-aged children and youth[J]. Int J Behav Nutr Phys Act, 2011, 8(1): 98. doi: 10.1186/1479-5868-8-98
[9]	侯筱, 刘静民. 学校层面干预策略对青少年身体活动水平的影响[J]. 中国学校卫生, 2019, 40(7): 1110-1116. doi: 10.16835/j.cnki.1000-9817.2019.07.044 HOU X, LIU J M. Effects of school-level intervention strategies on adolescent physical activity levels[J]. Chin J Sch Health, 2019, 40(7): 1110-1116. doi: 10.16835/j.cnki.1000-9817.2019.07.044
[10]	SCHOEPPE S, REBAR A L, SHORT C E, et al. How is adults' screen time behaviour influencing their views on screen time restrictions for children? A cross-sectional study[J]. BMC Public Health, 2016, 16: 201. doi: 10.1186/s12889-016-2789-3
[11]	LEBLANC A G, KATZMARZYK P T, BARREIRA T V, et al. Correlates of total sedentary time and screen time in 9-11 year-old children around the world: the international study of childhood obesity, lifestyle and the environment[J]. PLoS One, 2015, 10(6): 1-20. http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.796.3303&rep=rep1&type=pdf
[12]	PEARSON N, BRAITHWAITE R E, BIDDLE S J H, et al. Associations between sedentary behaviour and physical activity in children and adolescents: a Meta-analysis[J]. Obes Rev, 2014, 15(8): 666-675. doi: 10.1111/obr.12188
[13]	PARKER K, TIMPERIO A, SALMON J, et al. Correlates of dual trajectories of physical activity and sedentary time in youth: the up & down longitudinal study[J]. Scand J Med Sci Sports, 2021, 31(5): 1126-1134. doi: 10.1111/sms.13927
[14]	MITCHELL J A, PATE R R, BEETS M W, et al. Time spent in sedentary behavior and changes in childhood BMI: a longitudinal study from ages 9 to 15 years[J]. Int J Obes, 2013, 37(1): 54-60. doi: 10.1038/ijo.2012.41
[15]	KANELLOPOULOU A, DIAMANTIS D V, NOTARA V, et al. Extracurricular sports participation and sedentary behavior in association with dietary habits and obesity risk in children and adolescents and the role of family structure: a literature review[J]. Curr Nutr Rep, 2021, 10(1): 1-11. doi: 10.1007/s13668-021-00352-6
[16]	MICKLESFIELD L K, HANSON S K, LOBELO F, et al. Adolescent physical activity, sedentary behavior and sleep in relation to body composition at age 18years in urban South Africa, Birth-to-Twenty+Cohort[J]. BMC Pediatr, 2021, 21(1): 1-13. doi: 10.1186/s12887-020-02457-3
[17]	ORTEGA F B, RUIZ J R, SJÖSTRÖM M. Physical activity, overweight and central adiposity in Swedish children and adolescents: the european youth heart study[J]. Int J Behav Nutr Phys Act, 2007, 4(1): 61. doi: 10.1186/1479-5868-4-61
[18]	国家卫生健康委员会. 学龄儿童青少年超重与肥胖筛查: WS/T 586—2018[S]. 2018-08-01. National Health Commission of the PRC. Overweight and obesity screening for school-age children and adolescents: WS/T 586-2018[S]. 2018-08-01.
[19]	PHILLIPS L R, PARFITT G, ROWLANDS A V. Calibration of the GENEA accelerometer for assessment of physical activity intensity in children[J]. J Sci Med Sport, 2013, 16(2): 124-128. doi: 10.1016/j.jsams.2012.05.013
[20]	HARDY L L, BOOTH M L, OKELY A D. The reliability of the Adolescent Sedentary Activity Questionnaire (ASAQ)[J]. Prev Med, 2007, 45(1): 71-74. doi: 10.1016/j.ypmed.2007.03.014
[21]	郭强. 中国儿童青少年身体活动水平及其影响因素的研究[D]. 上海: 华东师范大学, 2016. QIANG G. The influencing factors on physical activity level among children and adolescents in China[D]. Shanghai: East China Normal University, 2016.
[22]	教育部. 教育部对中小学生睡眠时间作出明确要求[EB/OL]. (2021-03-31). https://baijiahao.baidu.com/s?id=1695937234621295821&wfr=spider&for=pc. Ministry of Education of the PRC. Ministry of education has made clear requirements on the sleep time of primary and middle school students![EB/OL]. (2021-03-31). https://baijiahao.baidu.com/s?id=1695937234621295821&wfr=spider&for=pc.
[23]	张玉景. 河南农村中小学生的体育锻炼习惯影响因素调查[J]. 林区教学, 2008(2): 91-93. https://www.cnki.com.cn/Article/CJFDTOTAL-LQXJ200802046.htm ZHANG Y J. Investigation on influencing factors of physical exercise habits of primary and secondary school students in rural Henan Province[J]. Teach Forest Reg, 2008(2): 91-93. https://www.cnki.com.cn/Article/CJFDTOTAL-LQXJ200802046.htm
[24]	何毅鹏. 泉州市中学生体育锻炼现状及影响因素的调查研究[D]. 福州: 福建师范大学, 2009. HE Y P. The investigation and research of current situation and its influencing factors of physical exercise of Quanzhou middle school students[D]. Fuzhou: Fujian Normal University, 2009.
[25]	宫舒, 李爽, 韩中丰, 等. 大连市14~17岁城市青少年参加课外体育锻炼的现状调查与分析[J]. 体育科技文献通报, 2011, 19(9): 93-95, 99. https://www.cnki.com.cn/Article/CJFDTOTAL-SPOR201109043.htm GONG S, LI S, HAN Z F, et al. Investigation on status of junior students aged 14-17 participating in extra-curricular sports activity in Dalian City[J]. Bull Sport Sci Technol, 2011, 19(9): 93-95, 99. https://www.cnki.com.cn/Article/CJFDTOTAL-SPOR201109043.htm
[26]	任亚锋, 周里. 新疆石河子市中学生运动锻炼的影响因素分析[J]. 当代体育科技, 2012, 2(32): 6-7. https://www.cnki.com.cn/Article/CJFDTOTAL-DYKJ201232005.htm REN Y F, ZHOU L. Analysis on the influencing factors of middle school students' exercise in Shihezi, Xinjiang[J]. Contemp Sports Technol, 2012, 2(32): 6-7. https://www.cnki.com.cn/Article/CJFDTOTAL-DYKJ201232005.htm
[27]	赵胜. 上海市中小学生久坐行为与身体质量指数和体质的关系研究[D]. 上海: 上海体育学院, 2019. ZHAO S. Relationship between sedentary behavior and body mass index, physical fitness of primary school and junior school students in Shanghai[D]. Shanghai: Shanghai University of Sport, 2019.
[28]	RUBINO F, PUHL R M, CUMMINGS D E, et al. Joint international consensus statement for ending stigma of obesity[J]. Nat Med, 2020, 26(4): 1-13. http://www.ncbi.nlm.nih.gov/pubmed/32127716?utm_source=research-news&utm_medium=referral&utm_campaign=research-news
[29]	王道, 刘欣, 徐亮亮, 等. GT3X+加速度计测量20~30岁成年人走跑运动能耗的信效度研究[J]. 中国运动医学杂志, 2015, 34(3): 291-296. https://www.cnki.com.cn/Article/CJFDTOTAL-YDYX201503013.htm WANG D, LIU X, XU L L, et al. Reliability and validity of GT3X+ accelerometer for measuring walking and running energy expenditure of young adults[J]. Chin J Sports Med, 2015, 34(3): 291-296. https://www.cnki.com.cn/Article/CJFDTOTAL-YDYX201503013.htm