Age, puberty, body dissatisfaction, and physical activity decline in adolescents. Results of the German Health Interview and Examination Survey (KiGGS)

International Journal of Behavioral Nutrition and Physical Activity

Petra Kolip²  Thomas Lampert¹  Jens Bucksch³  Emily Finne² 

[1] Robert Koch Institute, Department of Epidemiology and Health Reporting, General-Pape-Str. 62-66, D-12101 Berlin, Germany;Bielefeld University, School of Public Health, PO Box 10 01 31, D-33501 Bielefeld, Germany;University of Stuttgart, Department of Sport and Exercise Science, Allmandring 28, D-70569 Stuttgart, Germany

关键词: body dissatisfaction;    pubertal timing;    sexual maturation;    adolescents;    physical activity;   

Others  :  1153531
DOI  :  10.1186/1479-5868-8-119

 received in 2011-03-14, accepted in 2011-10-27,  发布年份 2011

【 摘 要 】

Background

Physical activity (PA) shows a marked decline during adolescence. Some studies have pointed to pubertal status or timing as possible PA determinants in this age group. Furthermore, it was supposed that the impact of pubertal changes on PA might be mediated by psychological variables like body dissatisfaction (BDS).

Methods

The 11- to 17-year-old subsample of the German Health Interview and Examination Survey (KiGGS) was used (n = 6 813; 51.3% male, response rate = 66.6%). Through sex-specific sequential multinomial logistic regressions we analysed the univariate and independent associations of chronological age, absolute pubertal status, relative pubertal timing, and BDS with the frequency of PA.

Results

Chronological age showed a significantly negative association with PA in both sexes, independent of puberty. The odds of inactivity in contrast to nearly daily PA increased about 70% in boys and 35% in girls for each year of age, respectively. Adjusted for age and other possible confounders, inactivity was significantly less likely for boys in late pubertal stages (OR = 0.27, 95% CI = 0.09-0.78). The risk of inactivity was more than doubled in boys maturing earlier than peers in terms of relative pubertal timing (OR = 2.20, 95% CI = 1.36-3.56). No clear significant puberty effects were found in girls, but the inactivity was more likely for those with irregular menstruation (OR = 1.71, 95% CI = 1.06-2.75). BDS also contributed to the prediction of PA in both sexes. It partially mediated puberty effects in boys but not in girls.

Conclusions

Overall, chronological age was a far more important predictor of PA in German adolescents than absolute pubertal status or relative pubertal timing. Further possible explanatory variables like sociocultural influences, social support or increasing time requirements for education should be analysed in conjunction with chronological age in future studies.

【 授权许可】

   
2011 Finne et al; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Strong WB, Malina RM, Blimkie CJR, Daniels SR, Dishman RK, Gutin B, Hergenroeder AC, Must A, Nixon PA, Pivarnik JM, et al.: Evidence based physical activity for school-age youth. J Pediatr 2005, 146:732-737.
• [2]Riddoch CJ, Bo Andersen L, Wedderkopp N, Harro M, Klasson-Heggebø L, Sardinha LB, Cooper AR, Ekelund ULF: Physical activity levels and patterns of 9- and 15-yr-old European children. Med Sci Sports Exerc 2004, 36:86-92.
• [3]Nader PR, Bradley RH, Houts RM, McRitchie SL, O'Brien M: Moderate-to-vigorous physical activity from ages 9 to 15 years. JAMA 2008, 300:295-305.
• [4]World Health Organization Europe: Inequalities in young people's health. In Health Behaviour in School-aged Children international report from the 2005/2006 survey. Copenhagen: World Health Organization Regional Office for Europe; 2008.
• [5]Lampert T, Mensink G, Romahn N, Woll A: Körperlich-sportliche Aktivität von Kindern und Jugendlichen in Deutschland [Physical activity among children and adolescents in Germany. Results of the German Health Interview and Examination Survey for Children and Adolescents (KiGGS)] (in German). Bundesgesundheitsblatt 2007, 50:634-642.
• [6]Patton GC, Viner R: Pubertal transitions in health. The Lancet 2007, 369:1130-1139.
• [7]Simon AE, Wardle J, Jarvis MJ, Steggles N, Cartwright M: Examining the relationship between pubertal stage, adolescent health behaviours and stress. Psychol Med 2003, 33:1369-1379.
• [8]McCabe MP, Ricciardelli LA, Finemore J: The role of puberty, media and popularity with peers on strategies to increase weight, decrease weight and increase muscle tone among adolescent boys and girls. J Psychosom Res 2002, 52:145-153.
• [9]Michaud PA, Suris JC, Deppen A: Gender-related psychological and behavioural correlates of pubertal timing in a national sample of Swiss adolescents. Mol Cell Endocrinol 2006, 254-255:172-178.
• [10]Steinberg L, Morris AS: Adolescent development. Annu Rev Psychol 2001, 52:83-110.
• [11]Waylen A, Wolke D: Sex 'n' drugs 'n' rock 'n' roll: the meaning and social consequences of pubertal timing. Eur J Endocrinol 2004, 151:U151-159.
• [12]McCabe MP, Ricciardelli LA: Body image dissatisfaction among males across the lifespan: A review of past literature. J Psychosom Res 2004, 56:675-685.
• [13]Cafri G, Thompson JK, Ricciardelli L, McCabe M, Smolak L, Yesalis C: Pursuit of the muscular ideal: Physical and psychological consequences and putative risk factors. Clin Psychol Rev 2005, 25:215-239.
• [14]McCabe MP, Ricciardelli LA, Banfield S: Body image, strategies to change muscles and weight, and puberty: Do they impact on positive and negative affect among adolescent boys and girls? Eat Behav 2001, 2:129-149.
• [15]Biddle SJH, Whitehead SH, O'Donavon TM, Nevill ME: Correlates of participation in physical activity for adolescent girls: a systematic review of recent literature. J Phys Act Health 2005, 2:423-434.
• [16]van Jaarsveld CHM, Fidler JA, Simon AE, Wardle J: Persistent impact of pubertal timing on trends in smoking, food choice, activity, and stress in adolescence. Psychosom Med 2007, 69:798-806.
• [17]Alsaker FD: Annotation: The impact of puberty. J Child Psychol Psychiatry 1996, 37:249-258.
• [18]Sherar LB, Esliger DW, Baxter-Jones AD, Tremblay MS: Age and gender differences in youth physical activity: does physical maturity matter? Med Sci Sports Exerc 2007, 39:830-835.
• [19]Thompson AM, Baxter-Jones AD, Mirwald RL, Bailey DA: Comparison of physical activity in male and female children: does maturation matter? Med Sci Sports Exerc 2003, 35:1684-1690.
• [20]Baker BL, Birch LL, Trost SG, Davison KK: Advanced pubertal status at age 11 and lower physical activity in adolescent girls. J Pediatr 2007, 151:488-493.
• [21]Niven AG, Fawkner SG, Knowles A-M, Stephenson C: Maturational differences in physical self-perceptions and the relationship with physical activity in early adolescent girls. Pediatr Exerc Sci 2007, 19:472-480.
• [22]Knowles A-M, Niven AG, Fawkner SG, Henretty JM: A longitudinal examination of the influence of maturation on physical self-perceptions and the relationship with physical activity in early adolescent girls. J Adolesc 2009, 32:555-566.
• [23]Brodersen N, Steptoe A, Williamson S, Wardle J: Sociodemographic, developmental, environmental, and psychological correlates of physical activity and sedentary behavior at age 11 to 12. Ann Behav Med 2005, 29:2-11.
• [24]Wickel EE, Eisenmann JC, Welk GJ: Maturity-related variation in moderate-to-vigorous physical activity among 9-14 year olds. J Phys Act Health 2009, 6:597-605.
• [25]Davison KK, Werder JL, Trost SG, Baker BL, Birch LL: Why are early maturing girls less active? Links between pubertal development, psychological well-being, and physical activity among girls at ages 11 and 13. Soc Sci Med 2007, 64:2391-2404.
• [26]Kurth BM, Kamtsiuris P, Holling H, Schlaud M, Dolle R, Ellert U, Kahl H, Knopf H, Lange M, Mensink G, et al.: The challenge of comprehensively mapping children's health in a nation-wide health survey: Design of the German KiGGS-Study. BMC Public Health 2008, 8:196. BioMed Central Full Text
• [27]Tanner JM, Whitehouse RH: Clinical longitudinal standards for height, weight, height velocity, weight velocity, and stages of puberty. Arch Dis Child 1976, 51:170-179.
• [28]Malina RM, Bouchard C, Bar-Or O: Growth, maturation, and physical activity. 2nd edition. Champaign, IL: Human Kinetics; 2004.
• [29]Kahl H, Schaffrath Rosario A, Schlaud M: Sexuelle Reifung von Kindern und Jugendlichen in Deutschland [Sexual maturation of children and adolescents in Germany. Results of the German Health Interview and Examination Survey for Children and Adolescents (KiGGS)](in German). Bundesgesundheitsblatt 2007, 50:677-685.
• [30]Slaughter MH, Lohman TG, Boileau RA, Horswill CA, Stillman RJ, Van Loan MD, Bemben DA: Skinfold equations for estimation of body fatness in children and youth. Hum Biol 1988, 60:709-723.
• [31]Winkler J, Stolzenberg H: Der Sozialschichtindex im Bundes-Gesundheitssurvey [Social Status Scaling in the German National Health Interview and Examination Survey](in German). Gesundheitswesen 1999, 61:S178-S183.
• [32]Schenk L, Ellert U, Neuhauser H: Kinder und Jugendliche mit Migrationshintergrund in Deutschland [Children and adolescents in Germany with a migration background. Methodical aspects in the German Health Interview and Examination Survey for Children and Adolescents (KiGGS)] (in German). Bundesgesundheitsblatt 2007, 50:590-599.
• [33]SPSS Inc: SPSS. 15.0.1 edition. Chicago: SPSS Inc; 2006.
• [34]Rao JNK, Scott AJ: On chi-squared tests for multiway contingency tables with cell proportions estimated from survey data. Ann Stat 1984, 12:46-60.
• [35]Thomas DR, Rao JNK: Small-sample comparisons of level and power for simple goodness-of-fit statistics under cluster sampling. J Am Stat Assoc 1987, 82:630-636.
• [36]Tabachnick BG, Fidell LS: Using multivariate statistics. 5th edition. Boston, MA Pearson; 2006.
• [37]MacKinnon DP, Fairchild AJ, Fritz MS: Mediation Analysis. Annu Rev Psychol 2007, 58:593-614.
• [38]Holland BS, Copenhaver MD: An improved sequentially rejective Bonferroni test procedure. Biometrics 1987, 43:417-423.
• [39]Deligeoroglou E, Tsimaris P: Menstrual disturbances in puberty. Best Pract Res Clin Obstet Gynaecol 2010, 24:157-171.
• [40]Bradley CB, McMurray RG, Harrell JS, Deng S: Changes in common activities of 3rd through 10th graders: the CHIC Study. Med Sci Sports Exerc 2000, 32:2071-2078.
• [41]Prince S, Adamo K, Hamel M, Hardt J, Gorber S, Tremblay M: A comparison of direct versus self-report measures for assessing physical activity in adults: a systematic review. Int J Behav Nutr Phys Act 2008, 5:56. BioMed Central Full Text
• [42]Hayward C, Sanborn K: Puberty and the emergence of gender differences in psychopathology. J Adolesc Health 2002, 30:49-58.
• [43]Susman EJ, Rogol A: Puberty and psychological development. In Handbook of adolescent psychology. 2nd edition. Edited by Lerner RM, Steinberg LD. Hoboken, NJ: Wiley; 2004:15-44.
• [44]Kemper HC, Post GB, Twisk JW: Rate of maturation during the teenage years: nutrient intake and physical activity between ages 12 and 22. Int J Sport Nutr 1997, 7:229-240.
• [45]Sherar LB, Gyurcsik NC, Humbert ML, Dyck RF, Fowler-Kerry S, Baxter-Jones AD: Activity and barriers in girls (8-16 yr) based on grade and maturity status. Med Sci Sports Exerc 2009, 41:87-95.
• [46]Sherar LB, Cumming SP, Eisenmann JC, Baxter-Jones AD, Malina RM: Adolescent biological maturity and physical activity: biology meets behavior. Pediatr Exerc Sci 2010, 22:332-349.
• [47]Crocker PRE, Sabiston CM, Kowalski KC, McDonough MH, Kowalski N: Longitudinal assessment of the relationship between physical self-concept and health-related behavior and emotion in adolescent girls. J Appl Sport Psychol 2006, 18:185-200.
• [48]Neumark-Sztainer D, Paxton SJ, Hannan PJ, Haines J, Story M: Does body satisfaction matter? Five-year longitudinal associations between body satisfaction and health behaviors in adolescent females and males. J Adolesc Health 2006, 39:244-251.
• [49]Cumming SP, Standage M, Loney T, Gammon C, Neville H, Sherar LB, Malina RM: The mediating role of physical self-concept on relations between biological maturity status and physical activity in adolescent females. J Adolesc 2010, 34:465-473.
• [50]van den Berg P, Mond J, Eisenberg M, Ackard D, Neumark-Sztainer D: The link between body dissatisfaction and self-esteem in adolescents: similarities across gender, age, weight status, race/ethnicity, and socioeconomic status. J Adolesc Health 2010, 47:290-296.
• [51]Grogan S: Body Image and Health. J Health Psychol 2006, 11:523-530.
• [52]Cohane GH, Pope HG: Body image in boys: A review of the literature. Int J Eat Disord 2001, 29:373-379.
• [53]Sallis JF, Saelens BE: Assessment of physical activity by self-report: status, limitations, and future directions. Res Q Exerc Sport 2000, 71:S1-14.
• [54]Prochaska JJ, Sallis JF, Long B: A physical activity screening measure for use with adolescents in primary care. Arch Pediatr Adolesc Med 2001, 155:554-559.
• [55]Coleman L, Coleman J: The measurement of puberty: a review. J Adolesc 2002, 25:535-550.
• [56]Sherar LB, Baxter-Jones AD, Mirwald RL: Limitations to the use of secondary sex characteristics for gender comparisons. Ann Hum Biol 2004, 31:586-593.
• [57]Sallis JF: Age-related decline in physical activity: a synthesis of human and animal studies. Med Sci Sports Exerc 2000, 32:1598-1600.
• [58]Gordon-Larsen P, Nelson MC, Popkin BM: Longitudinal physical activity and sedentary behavior trends: Adolescence to adulthood. Am J Prev Med 2004, 27:277-283.
• [59]Davison KK, Jago R: Change in parent and peer support across ages 9 to 15 yr and adolescent girls' physical activity. Med Sci Sports Exerc 2009, 41:1816-1825.
• [60]Ornelas I, Perreira K, Ayala G: Parental influences on adolescent physical activity: a longitudinal study. Int J Behav Nutr Phys Act 2007, 4:3. BioMed Central Full Text
• [61]Whitehead S, Biddle S: Adolescent girls' perceptions of physical activity: A focus group study. Eur Phys Educ Rev 2008, 14:243-262.