Changes in sedentary behavior patterns during the transition from childhood to adolescence and their association with adiposity: a prospective study based on compositional data analysis

Archives of Public Health

Jan Dygrýn¹  Jana Pelclová¹  Aleš Gába¹  Lukáš Jakubec¹  Lukáš Rubín²  Karel Hron³  Nikola Štefelová³ 

[1] Faculty of Physical Culture, Palacký University Olomouc, Olomouc, Czech Republic;Faculty of Physical Culture, Palacký University Olomouc, Olomouc, Czech Republic;Faculty of Science, Humanities and Education, Technical University of Liberec, Liberec, Czech Republic;Faculty of Science, Palacký University Olomouc, Olomouc, Czech Republic;

关键词: Movement behaviors;    Physical activity;    Sedentary lifestyle;    Prolonged sitting;    Fat mass;    Fat mass index;    Visceral adipose tissue;    Child;    Adolescent;   

DOI  :  10.1186/s13690-021-00755-5

来源: Springer

【 摘 要 】

BackgroundTo date, no longitudinal study using a compositional approach has examined sedentary behavior (SB) patterns in relation to adiposity in the pediatric population. Therefore, our aims were to (1) investigate the changes in SB patterns and adiposity from childhood to adolescence, (2) analyze the prospective compositional associations between changes in SB patterns and adiposity, and (3) estimate the changes in adiposity associated with substituting SB with physical activity (PA) of different intensities.MethodsThe study presents a longitudinal design with a 5-year follow-up. A total of 88 participants (61% girls) were included in the analysis. PA and SB were monitored for seven consecutive days using a hip-worn accelerometer. Adiposity markers (fat mass percentage [FM%], fat mass index [FMI], and visceral adiposity tissue [VAT]) were assessed using the multi-frequency bioimpedance analysis. The prospective associations were examined using compositional data analysis.ResultsOver the follow-up period, the proportion of time spent in total SB increased by 154.8 min/day (p < 0.001). The increase in total SB was caused mainly by an increase in middle and long sedentary bouts, as these SB periods increased by 79.8 min/day and 62.0 min/day (p < 0.001 for both), respectively. FM%, FMI, and VAT increased by 2.4% points, 1.0 kg/m2, and 31.5 cm2 (p < 0.001 for all), respectively. Relative to the remaining movement behaviors, the increase in time spent in middle sedentary bouts was significantly associated with higher FM% (βilr1 = 0.27, 95% confidence interval [CI]: 0.02 to 0.53) at follow-up. Lower VAT by 3.3% (95% CI: 0.8 to 5.7), 3.8% (95% CI: 0.03 to 7.4), 3.9% (95% CI: 0.8 to 6.9), and 3.8% (95% CI: 0.7 to 6.9) was associated with substituting 15 min/week spent in total SB and in short, middle, and long sedentary bouts, respectively, with an equivalent amount of time spent in vigorous PA.ConclusionsThis study showed unfavorable changes in SB patterns and adiposity status in the transition from childhood to adolescence. Incorporating high-intensity PA at the expense of SB appears to be an appropriate approach to reduce the risk of excess adiposity in the pediatric population.

【 授权许可】

CC BY