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Association of physical activity with adiposity in preschoolers using different clinical adiposity measures: a cross-sectional study
BACKGROUND: More research is needed about the association between physical activity (PA), sedentary behaviour (SB), and adiposity in preschoolers, particularly using more direct clinical measures of adiposity. Therefore, the main objective of this study was to investigate the association between obj...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6824011/ https://www.ncbi.nlm.nih.gov/pubmed/31672126 http://dx.doi.org/10.1186/s12887-019-1764-4 |
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author | Arhab, Amar Messerli-Bürgy, Nadine Kakebeeke, Tanja H. Stülb, Kerstin Zysset, Annina Leeger-Aschmann, Claudia S. Schmutz, Einat A. Meyer, Andrea H. Munsch, Simone Kriemler, Susi Jenni, Oskar G. Puder, Jardena J. |
author_facet | Arhab, Amar Messerli-Bürgy, Nadine Kakebeeke, Tanja H. Stülb, Kerstin Zysset, Annina Leeger-Aschmann, Claudia S. Schmutz, Einat A. Meyer, Andrea H. Munsch, Simone Kriemler, Susi Jenni, Oskar G. Puder, Jardena J. |
author_sort | Arhab, Amar |
collection | PubMed |
description | BACKGROUND: More research is needed about the association between physical activity (PA), sedentary behaviour (SB), and adiposity in preschoolers, particularly using more direct clinical measures of adiposity. Therefore, the main objective of this study was to investigate the association between objectively measured PA and different clinical adiposity measures in a large sample of preschoolers. METHODS: Four hundred sixty-three predominantly normal-weight (77%) 2–6-year-old preschool children participated in the Swiss Preschoolers’ Health Study (SPLASHY). Physical activity was measured using accelerometers and was analyzed using 15-s (uni-axial) epoch length using validated cut-offs. Adiposity measures included body mass index (BMI), the sum of four skinfolds, and waist circumference (WC). Multilevel linear regression modeling, adjusted for age, sex and wear time, was used to assess the association between PA and SB with BMI, WC, and skinfold thickness. RESULTS: Total PA and different PA intensities were positively and SB was inversely associated with BMI in the total sample and in the normal-weight children (p < 0.05). Total PA was inversely associated with skinfold thickness in overweight and obese children (p < 0.05), while there was only a weak association for vigorous PA (p > 0.05). Moderate and moderate-to-vigorous PA were positively, and SB was negatively associated with WC in the total sample and in the normal-weight children (p < 0.05). Additional adjustment for potential sociocultural and biological confounding variables attenuated some of the results. CONCLUSIONS: In this very young and predominantly normal-weight population, PA is positively related to BMI and WC, but this relationship is not observed in overweight and obese children. In this latter population, PA is inversely, and SB is positively related to skinfold thickness. Skinfold thickness could represent a useful and simple clinical measure of body fat in preschoolers. The role of vigorous PA in the prevention of early childhood obesity should be further investigated in future studies. TRIAL REGISTRATION: ISRCTN ISRCTN41045021. Retrospectively registered 06 May 2014. |
format | Online Article Text |
id | pubmed-6824011 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-68240112019-11-06 Association of physical activity with adiposity in preschoolers using different clinical adiposity measures: a cross-sectional study Arhab, Amar Messerli-Bürgy, Nadine Kakebeeke, Tanja H. Stülb, Kerstin Zysset, Annina Leeger-Aschmann, Claudia S. Schmutz, Einat A. Meyer, Andrea H. Munsch, Simone Kriemler, Susi Jenni, Oskar G. Puder, Jardena J. BMC Pediatr Research Article BACKGROUND: More research is needed about the association between physical activity (PA), sedentary behaviour (SB), and adiposity in preschoolers, particularly using more direct clinical measures of adiposity. Therefore, the main objective of this study was to investigate the association between objectively measured PA and different clinical adiposity measures in a large sample of preschoolers. METHODS: Four hundred sixty-three predominantly normal-weight (77%) 2–6-year-old preschool children participated in the Swiss Preschoolers’ Health Study (SPLASHY). Physical activity was measured using accelerometers and was analyzed using 15-s (uni-axial) epoch length using validated cut-offs. Adiposity measures included body mass index (BMI), the sum of four skinfolds, and waist circumference (WC). Multilevel linear regression modeling, adjusted for age, sex and wear time, was used to assess the association between PA and SB with BMI, WC, and skinfold thickness. RESULTS: Total PA and different PA intensities were positively and SB was inversely associated with BMI in the total sample and in the normal-weight children (p < 0.05). Total PA was inversely associated with skinfold thickness in overweight and obese children (p < 0.05), while there was only a weak association for vigorous PA (p > 0.05). Moderate and moderate-to-vigorous PA were positively, and SB was negatively associated with WC in the total sample and in the normal-weight children (p < 0.05). Additional adjustment for potential sociocultural and biological confounding variables attenuated some of the results. CONCLUSIONS: In this very young and predominantly normal-weight population, PA is positively related to BMI and WC, but this relationship is not observed in overweight and obese children. In this latter population, PA is inversely, and SB is positively related to skinfold thickness. Skinfold thickness could represent a useful and simple clinical measure of body fat in preschoolers. The role of vigorous PA in the prevention of early childhood obesity should be further investigated in future studies. TRIAL REGISTRATION: ISRCTN ISRCTN41045021. Retrospectively registered 06 May 2014. BioMed Central 2019-10-31 /pmc/articles/PMC6824011/ /pubmed/31672126 http://dx.doi.org/10.1186/s12887-019-1764-4 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Arhab, Amar Messerli-Bürgy, Nadine Kakebeeke, Tanja H. Stülb, Kerstin Zysset, Annina Leeger-Aschmann, Claudia S. Schmutz, Einat A. Meyer, Andrea H. Munsch, Simone Kriemler, Susi Jenni, Oskar G. Puder, Jardena J. Association of physical activity with adiposity in preschoolers using different clinical adiposity measures: a cross-sectional study |
title | Association of physical activity with adiposity in preschoolers using different clinical adiposity measures: a cross-sectional study |
title_full | Association of physical activity with adiposity in preschoolers using different clinical adiposity measures: a cross-sectional study |
title_fullStr | Association of physical activity with adiposity in preschoolers using different clinical adiposity measures: a cross-sectional study |
title_full_unstemmed | Association of physical activity with adiposity in preschoolers using different clinical adiposity measures: a cross-sectional study |
title_short | Association of physical activity with adiposity in preschoolers using different clinical adiposity measures: a cross-sectional study |
title_sort | association of physical activity with adiposity in preschoolers using different clinical adiposity measures: a cross-sectional study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6824011/ https://www.ncbi.nlm.nih.gov/pubmed/31672126 http://dx.doi.org/10.1186/s12887-019-1764-4 |
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