TY - JOUR
T1 - Physical Activity and Pediatric Obesity
T2 - A Quantile Regression Analysis
AU - Mitchell, Jonathan A.
AU - Dowda, Marsha
AU - Pate, Russell R.
AU - Kordas, Katarzyna
AU - Froberg, Karsten
AU - Sardinha, Luís B.
AU - Kolle, Elin
AU - Page, Angela
N1 - Funding Information:
The funding partners relevant to this award are the following: British Heart Foundation, Cancer Research UK, Department of Health, Diabetes UK, Economic and Social Research Council, Medical Research Council, Research and Development Office for the Northern Ireland Health and Social Services, Chief Scientist Office, Scottish Executive Health Department, The Stroke Association, Welsh Assembly Government, and World Cancer Research Fund. This work was additionally supported by the Medical Research Council (grant nos. MC-UU-12015/ 3 and MC-UU-12015/7), Bristol University, Loughborough University, and Norwegian School of Sport Sciences. The authors also gratefully acknowledge the contribution of Prof. Chris Riddoch, Prof. Ken Judge, and Dr. Pippa Griew to the development of ICAD.
Publisher Copyright:
© Copyright 2017 by the American College of Sports Medicine.
PY - 2017/3/1
Y1 - 2017/3/1
N2 - Purpose We aimed to determine whether moderate to vigorous physical activity (MVPA) and sedentary behavior (SB) were independently associated with body mass index (BMI) and waist circumference (WC) in children and adolescents. Methods Data from the International Children's Accelerometry Database were used to address our objectives (N = 11,115; 6-18 yr; 51% female). We calculated age- and gender-specific BMI and WC z-scores and used accelerometry to estimate MVPA and total SB. Self-reported television viewing was used as a measure of leisure time SB. Quantile regression was used to analyze the data. Results MVPA and total SB were associated with lower and higher BMI and WC z-scores, respectively. These associations were strongest at the higher percentiles of the z-score distributions. After including MVPA and total SB in the same model, the MVPA associations remained, but the SB associations were no longer present. For example, each additional hour per day of MVPA was not associated with BMI z-score at the 10th percentile (b = -0.02, P = 0.170) but was associated with lower BMI z-score at the 50th (b = -0.19, P < 0.001) and 90th percentiles (b = -0.41, P < 0.001). More television viewing was associated with higher BMI and WC, and the associations were strongest at the higher percentiles of the z-score distributions, with adjustment for MVPA and total SB. Conclusions Our observation of stronger associations at the higher percentiles indicates that increasing MVPA and decreasing television viewing at the population-level could shift the upper tails of the BMI and WC frequency distributions to lower values, thereby lowering the number of children and adolescents classified as obese.
AB - Purpose We aimed to determine whether moderate to vigorous physical activity (MVPA) and sedentary behavior (SB) were independently associated with body mass index (BMI) and waist circumference (WC) in children and adolescents. Methods Data from the International Children's Accelerometry Database were used to address our objectives (N = 11,115; 6-18 yr; 51% female). We calculated age- and gender-specific BMI and WC z-scores and used accelerometry to estimate MVPA and total SB. Self-reported television viewing was used as a measure of leisure time SB. Quantile regression was used to analyze the data. Results MVPA and total SB were associated with lower and higher BMI and WC z-scores, respectively. These associations were strongest at the higher percentiles of the z-score distributions. After including MVPA and total SB in the same model, the MVPA associations remained, but the SB associations were no longer present. For example, each additional hour per day of MVPA was not associated with BMI z-score at the 10th percentile (b = -0.02, P = 0.170) but was associated with lower BMI z-score at the 50th (b = -0.19, P < 0.001) and 90th percentiles (b = -0.41, P < 0.001). More television viewing was associated with higher BMI and WC, and the associations were strongest at the higher percentiles of the z-score distributions, with adjustment for MVPA and total SB. Conclusions Our observation of stronger associations at the higher percentiles indicates that increasing MVPA and decreasing television viewing at the population-level could shift the upper tails of the BMI and WC frequency distributions to lower values, thereby lowering the number of children and adolescents classified as obese.
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U2 - 10.1249/MSS.0000000000001129
DO - 10.1249/MSS.0000000000001129
M3 - Article
C2 - 27755284
AN - SCOPUS:84991737410
SN - 0195-9131
VL - 49
SP - 466
EP - 473
JO - Medicine and science in sports and exercise
JF - Medicine and science in sports and exercise
IS - 3
ER -