Volume 44 Issue 11
Nov.  2023
Turn off MathJax
Article Contents
FENG Zhanpeng, TAN Sijie, LIU Yan, SONG Yunfeng, ZHANG Guojun, ZHANG Chen, ZHANG Xiaogang. Establishment of an intervention model for adolescent obesity based on component isochronous substitution method[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(11): 1641-1644. doi: 10.16835/j.cnki.1000-9817.2023.11.010
Citation: FENG Zhanpeng, TAN Sijie, LIU Yan, SONG Yunfeng, ZHANG Guojun, ZHANG Chen, ZHANG Xiaogang. Establishment of an intervention model for adolescent obesity based on component isochronous substitution method[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(11): 1641-1644. doi: 10.16835/j.cnki.1000-9817.2023.11.010

Establishment of an intervention model for adolescent obesity based on component isochronous substitution method

doi: 10.16835/j.cnki.1000-9817.2023.11.010
  • Received Date: 2023-07-14
  • Rev Recd Date: 2023-08-23
  • Available Online: 2023-11-27
  • Publish Date: 2023-11-25
  •   Objective  To explore the relationship between isochronous substitution and BMI, waist circumference (WC), and body fat rate (FAT) among physical activity (PA), sedentary (SB), and sleep (SLP), so as to provide effective measures for obesity control in adolescents.  Methods  A total of 193 adolescents aged 12-15 (90 males and 103 females) was randomly selected, and their height, weight, and BMI were measured using routine testing methods from May to August 2022. The PA, SB and SLP of the participants were measured using a 3D accelerometer (ActiGraph GT3X+).  Results  The arithmetic mean value overestimated SLP (40.8%) and SB (39.6%) to some extent, and underestimated LPA (16.1%) and MVPA (3.5%) to some extent. Based on the ISM at 15 min, MVPA was substituted for other activity, BMI-Z decreased by 0.17-0.22 units, WC-Z decreased by 0.16-0.20 units, and FAT-Z decreased by 0.17-0.22 units. The substitution between MVPA and for other activity exhibited significant asymmetry. The effects of MVPA substitutions for SB was the largest, followed by the effects of MVPA substitutions for SLP, and the effects of MVPA substitutions for LPA was the lowest. As MVPA substitutions for other behaviors, it reached its maximum (0.06-0.08 units) when the MVPA time increased by 5 minutes.  Conclusions  MVPA plays an irreplaceable role in the control of adolescent obesity. While reducing SB time, MVPA duration should be increased to ensure that the daily MVPA duration is not less than 55 minutes in order to effectively control obesity.
  • loading
  • [1]
    MACIAŁCZYK-PAPROCKA K, STAWIÑSKA-WITOSZYÑSKA B, KOTWICKI T, et al. Prevalence of incorrect body posture in children and adolescents with overweight and obesity[J]. Eur J Pediatr, 2017, 176(5): 563-572. doi: 10.1007/s00431-017-2873-4
    [2]
    KASOVIC M, ŠTEFAN L, PILER P, et al. Longitudinal associations between sport participation and fat mass with body posture in children: a 5-year follow-up from the Czech ELSPAC study[J]. PLoS One, 2022, 17(4): e0266903. doi: 10.1371/journal.pone.0266903
    [3]
    BENDOR C D, BARDUGO A, PINHAS-HAMIEL O, et al. Cardiovascular morbidity, diabetes and cancer risk among children and adolescents with severe obesity[J]. Cardiovasc Diabetol, 2020, 19(1): 79. doi: 10.1186/s12933-020-01052-1
    [4]
    GENUA I, FRANCH-NADAL J, NAVAS E, et al. Obesity and related comorbidities in a large population-based cohort of subjects with type 1 diabetes in Catalonia[J]. Front Endocrinol (Lausanne), 2022, 13: 1015614. doi: 10.3389/fendo.2022.1015614
    [5]
    中国儿童中心, 苑立新. 中国儿童发展报告(2021)[M]. 北京: 北京社会科学文献出版社, 2021.

    China Children's Center, YUAN L X. China Children's Development Report (2021)[M]. Beijing: Beijing Social Science Literature Publishing House, 2021. (in Chinese)
    [6]
    CAO Z, XU C, ZHANG P, et al. Associations of sedentary time and physical activity with adverse health conditions: outcome-wide analyses using isotemporal substitution model[J]. E Clin Med, 2022, 48: 101424.
    [7]
    DOMINGUES S F, DINIZ DA SILVA C, FARIA F R, et al. Sleep, sedentary behavior, and physical activity in Brazilian adolescents: achievement recommendations and BMI associations through compositional data analysis[J]. PLoS One, 2022, 17(4): e0266926. doi: 10.1371/journal.pone.0266926
    [8]
    MEKARY R A, WILLETT W C, HU F B, et al. Isotemporal substitution paradigm for physical activity epidemiology and weight change[J]. Am J Epidemiol, 2009, 170(4): 519-527. doi: 10.1093/aje/kwp163
    [9]
    PROCHASKA J O. Multiple health behavior research represents the future of preventive medicine[J]. Prev Med, 2008, 46(3): 281-285. doi: 10.1016/j.ypmed.2008.01.015
    [10]
    CHASTIN S F, PALAREA-ALBALADEJO J, DONTJE M L, et al. Combined effects of time spent in physical activity, sedentary behaviors and sleep on obesity and cardio-metabolic health markers: a novel compositional data analysis approach[J]. PLoS One, 2015, 10(10): 1-37.
    [11]
    CARSON V, TREMBLAY M S, CHAPUT J P, et al. Associations between sleep duration, sedentary time, physical activity, and health indicators among Canadian children and youth using compositional analyses 1[J]. Appl Physiol Nutr Metabol, 2016, 6(Suppl 3): S294.
    [12]
    KIM Y, BURNS R D, LEE D C, et al. Associations of movement behaviors and body mass index: comparison between a report-based and monitor-based method using compositional data analysis[J]. Inter J Obes, 2021, 45(1): 266-275. doi: 10.1038/s41366-020-0638-z
    [13]
    NA X N, ZHU Z, CHEN Y Y, et al. Associations of distribution of time spent in physical activity and sedentary behavior with obesity[J]. J Peking Univ Health Sci, 2020, 52(3): 486-491.
    [14]
    FARRAHI V, KANGAS M, WALMSLEY R, et al. Compositional associations of sleep and activities within the 24-h cycle with cardiometabolic health markers in adults[J]. Med Sci Sports Exerc, 2021, 53(2): 324-332. doi: 10.1249/MSS.0000000000002481
    [15]
    DUMUID D, STANFORD T E, PEDIŠIC Ž, et al. Adiposity and the isotemporal substitution of physical activity, sedentary time and sleep among school-aged children: a compositional data analysis approach[J]. BMC Public Health, 2018, 18(1): 311. doi: 10.1186/s12889-018-5207-1
    [16]
    KNOFCZYNSKI G T. Sample sizes when using multiple linear regression for prediction[J]. Educ Psychol Meas, 2008, 68(3): 431-442. doi: 10.1177/0013164407310131
    [17]
    ZHU Z, CHEN P, ZHUANG J, et al. Intensity classification accuracy of accelerometer-measured physical activities in Chinese children and youth[J]. Res Q Exerc Sport, 2013, 84(Suppl 2): S4-S11.
    [18]
    DUMUID D, PEDIŠIC Ž, STANFORD T E, et al. The compositional isotemporal substitution model: a method for estimating changes in a health outcome for reallocation of time between sleep, physical activity and sedentary behaviour[J]. Stat Methods Med Res, 2019, 28(3): 846-857. doi: 10.1177/0962280217737805
    [19]
    CHAPUT J P, SAUNDERS T J, CARSON V, et al. Interactions between sleep, movement and other non-movement behaviours in the pathogenesis of childhood obesity[J]. Obes Rev, 2017, 18(S1): 7-14. doi: 10.1111/obr.12508
    [20]
    CURTIS R G, DUMUID D, OLDS T, et al. The association between time-use behaviors and physical and mental well-being in adults: a compositional isotemporal substitution analysis[J]. J Phys Activ Health, 2020, 18(S1): 7-14.
    [21]
    DIEGO J M. Associations of 24-hours activity composition with adiposity and cardiorespiratory fitness: the Pregn Active Project[J]. Scand J Med Sci Sport, 2020, 17(2): 197-203.
    [22]
    DUMUID D, WAKE M, CLIFFORD S, et al. The association of the body composition of children with 24-hour activity composition[J]. J Pediatr, 2019, 30(2): 295-302.
    [23]
    张婷, 李红娟, 张曌华, 等. 儿童青少年24 h活动行为与肥胖关联的系统评价[J]. 中国学校卫生, 2023, 44(1): 23-27. doi: 10.16835/j.cnki.1000-9817.2023.01.005

    ZHANG T, LI H J, ZHANG Z H, et al. A systematic review of the association between 24-hour movement behavior and obesity in children and adolescents[J]. Chin J Sch Health, 2023, 44(1): 23-27. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.01.005
    [24]
    VIDEIRA-SILVA A, SARDINHA L B, FONSECA H. Atherosclerosis prevention in adolescents with obesity: the role of moderate-vigorous physical activity[J]. Int J Environ Res Public Health, 2022, 33(9): 811-829.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(1)  / Tables(1)

    Article Metrics

    Article views (167) PDF downloads(36) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return