Fatness predicts decreased physical activity and increased sedentary time, but not vice versa: support from a longitudinal study in 8- to 11-year-old children

M. F. Hjorth, J.-P. Chaput, C. Ritz, S.-M. Dalskov, Rikke Andersen, A. Astrup, Inge Tetens, K. F. Michaelsen, A. Sjödin

Research output: Contribution to journalJournal articleResearchpeer-review

Abstract

Objective:
To examine independent and combined cross-sectional associations between movement behaviors (physical activity (PA), sedentary time, sleep duration, screen time and sleep disturbance) and fat mass index (FMI), as well as to examine longitudinal associations between movement behaviors and FMI.
Methods:
Cross-sectional and longitudinal analyses were done using data from the OPUS school meal study on 785 children (52% boys, 13.4% overweight, ages 8–11 years). Total PA, moderate-to-vigorous PA (MVPA), sedentary time and sleep duration (7 days and 8 nights) were assessed by an accelerometer and FMI was determined by dual-energy X-ray absorptiometry (DXA) on three occasions over 200 days. Demographic characteristics, screen time and sleep disturbance (Children’s Sleep Habits Questionnaire) were also obtained.
Results:
Total PA, MVPA and sleep duration were negatively associated with FMI, while sedentary time and sleep disturbances were positively associated with FMI (Pless than or equal to0.01). However, only total PA, MVPA and sleep duration were independently associated with FMI after adjustment for multiple covariates (P<0.001). Nevertheless, combined associations revealed synergistic effects among the different movement behaviors. Changes over time in MVPA were negatively associated with changes in FMI (P<0.001). However, none of the movement behaviors at baseline predicted changes in FMI (P>0.05), but higher FMI at baseline predicted a decrease in total PA and MVPA, and an increase in sedentary time (Pless than or equal to0.001), even in normal-weight children (Pless than or equal to0.03).
Conclusion:
Total PA, MVPA and sleep duration were independently associated with FMI, and combined associations of movement behaviors showed a synergistic effect with FMI. In the longitudinal study design, a high FMI at baseline was associated with lower PA and higher sedentary time after 200 days but not vice versa, even in normal-weight children. Our results suggest that adiposity is a better predictor of PA and sedentary behavior changes than the other way around.
Original languageEnglish
JournalInternational Journal of Obesity
Volume38
Issue number7
Pages (from-to)959-965
ISSN0307-0565
DOIs
Publication statusPublished - 2014

Keywords

  • Physical activity
  • Sedentary behavior
  • Sleet
  • Adiposity
  • Children

Cite this

Hjorth, M. F. ; Chaput, J.-P. ; Ritz, C. ; Dalskov, S.-M. ; Andersen, Rikke ; Astrup, A. ; Tetens, Inge ; Michaelsen, K. F. ; Sjödin, A. / Fatness predicts decreased physical activity and increased sedentary time, but not vice versa: support from a longitudinal study in 8- to 11-year-old children. In: International Journal of Obesity. 2014 ; Vol. 38, No. 7. pp. 959-965.
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title = "Fatness predicts decreased physical activity and increased sedentary time, but not vice versa: support from a longitudinal study in 8- to 11-year-old children",
abstract = "Objective: To examine independent and combined cross-sectional associations between movement behaviors (physical activity (PA), sedentary time, sleep duration, screen time and sleep disturbance) and fat mass index (FMI), as well as to examine longitudinal associations between movement behaviors and FMI.Methods: Cross-sectional and longitudinal analyses were done using data from the OPUS school meal study on 785 children (52{\%} boys, 13.4{\%} overweight, ages 8–11 years). Total PA, moderate-to-vigorous PA (MVPA), sedentary time and sleep duration (7 days and 8 nights) were assessed by an accelerometer and FMI was determined by dual-energy X-ray absorptiometry (DXA) on three occasions over 200 days. Demographic characteristics, screen time and sleep disturbance (Children’s Sleep Habits Questionnaire) were also obtained.Results: Total PA, MVPA and sleep duration were negatively associated with FMI, while sedentary time and sleep disturbances were positively associated with FMI (Pless than or equal to0.01). However, only total PA, MVPA and sleep duration were independently associated with FMI after adjustment for multiple covariates (P<0.001). Nevertheless, combined associations revealed synergistic effects among the different movement behaviors. Changes over time in MVPA were negatively associated with changes in FMI (P<0.001). However, none of the movement behaviors at baseline predicted changes in FMI (P>0.05), but higher FMI at baseline predicted a decrease in total PA and MVPA, and an increase in sedentary time (Pless than or equal to0.001), even in normal-weight children (Pless than or equal to0.03).Conclusion: Total PA, MVPA and sleep duration were independently associated with FMI, and combined associations of movement behaviors showed a synergistic effect with FMI. In the longitudinal study design, a high FMI at baseline was associated with lower PA and higher sedentary time after 200 days but not vice versa, even in normal-weight children. Our results suggest that adiposity is a better predictor of PA and sedentary behavior changes than the other way around.",
keywords = "Physical activity, Sedentary behavior, Sleet, Adiposity, Children",
author = "Hjorth, {M. F.} and J.-P. Chaput and C. Ritz and S.-M. Dalskov and Rikke Andersen and A. Astrup and Inge Tetens and Michaelsen, {K. F.} and A. Sj{\"o}din",
year = "2014",
doi = "10.1038/ijo.2013.229",
language = "English",
volume = "38",
pages = "959--965",
journal = "International Journal of Obesity",
issn = "0307-0565",
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Fatness predicts decreased physical activity and increased sedentary time, but not vice versa: support from a longitudinal study in 8- to 11-year-old children. / Hjorth, M. F.; Chaput, J.-P.; Ritz, C.; Dalskov, S.-M.; Andersen, Rikke; Astrup, A.; Tetens, Inge; Michaelsen, K. F.; Sjödin, A.

In: International Journal of Obesity, Vol. 38, No. 7, 2014, p. 959-965.

Research output: Contribution to journalJournal articleResearchpeer-review

TY - JOUR

T1 - Fatness predicts decreased physical activity and increased sedentary time, but not vice versa: support from a longitudinal study in 8- to 11-year-old children

AU - Hjorth, M. F.

AU - Chaput, J.-P.

AU - Ritz, C.

AU - Dalskov, S.-M.

AU - Andersen, Rikke

AU - Astrup, A.

AU - Tetens, Inge

AU - Michaelsen, K. F.

AU - Sjödin, A.

PY - 2014

Y1 - 2014

N2 - Objective: To examine independent and combined cross-sectional associations between movement behaviors (physical activity (PA), sedentary time, sleep duration, screen time and sleep disturbance) and fat mass index (FMI), as well as to examine longitudinal associations between movement behaviors and FMI.Methods: Cross-sectional and longitudinal analyses were done using data from the OPUS school meal study on 785 children (52% boys, 13.4% overweight, ages 8–11 years). Total PA, moderate-to-vigorous PA (MVPA), sedentary time and sleep duration (7 days and 8 nights) were assessed by an accelerometer and FMI was determined by dual-energy X-ray absorptiometry (DXA) on three occasions over 200 days. Demographic characteristics, screen time and sleep disturbance (Children’s Sleep Habits Questionnaire) were also obtained.Results: Total PA, MVPA and sleep duration were negatively associated with FMI, while sedentary time and sleep disturbances were positively associated with FMI (Pless than or equal to0.01). However, only total PA, MVPA and sleep duration were independently associated with FMI after adjustment for multiple covariates (P<0.001). Nevertheless, combined associations revealed synergistic effects among the different movement behaviors. Changes over time in MVPA were negatively associated with changes in FMI (P<0.001). However, none of the movement behaviors at baseline predicted changes in FMI (P>0.05), but higher FMI at baseline predicted a decrease in total PA and MVPA, and an increase in sedentary time (Pless than or equal to0.001), even in normal-weight children (Pless than or equal to0.03).Conclusion: Total PA, MVPA and sleep duration were independently associated with FMI, and combined associations of movement behaviors showed a synergistic effect with FMI. In the longitudinal study design, a high FMI at baseline was associated with lower PA and higher sedentary time after 200 days but not vice versa, even in normal-weight children. Our results suggest that adiposity is a better predictor of PA and sedentary behavior changes than the other way around.

AB - Objective: To examine independent and combined cross-sectional associations between movement behaviors (physical activity (PA), sedentary time, sleep duration, screen time and sleep disturbance) and fat mass index (FMI), as well as to examine longitudinal associations between movement behaviors and FMI.Methods: Cross-sectional and longitudinal analyses were done using data from the OPUS school meal study on 785 children (52% boys, 13.4% overweight, ages 8–11 years). Total PA, moderate-to-vigorous PA (MVPA), sedentary time and sleep duration (7 days and 8 nights) were assessed by an accelerometer and FMI was determined by dual-energy X-ray absorptiometry (DXA) on three occasions over 200 days. Demographic characteristics, screen time and sleep disturbance (Children’s Sleep Habits Questionnaire) were also obtained.Results: Total PA, MVPA and sleep duration were negatively associated with FMI, while sedentary time and sleep disturbances were positively associated with FMI (Pless than or equal to0.01). However, only total PA, MVPA and sleep duration were independently associated with FMI after adjustment for multiple covariates (P<0.001). Nevertheless, combined associations revealed synergistic effects among the different movement behaviors. Changes over time in MVPA were negatively associated with changes in FMI (P<0.001). However, none of the movement behaviors at baseline predicted changes in FMI (P>0.05), but higher FMI at baseline predicted a decrease in total PA and MVPA, and an increase in sedentary time (Pless than or equal to0.001), even in normal-weight children (Pless than or equal to0.03).Conclusion: Total PA, MVPA and sleep duration were independently associated with FMI, and combined associations of movement behaviors showed a synergistic effect with FMI. In the longitudinal study design, a high FMI at baseline was associated with lower PA and higher sedentary time after 200 days but not vice versa, even in normal-weight children. Our results suggest that adiposity is a better predictor of PA and sedentary behavior changes than the other way around.

KW - Physical activity

KW - Sedentary behavior

KW - Sleet

KW - Adiposity

KW - Children

U2 - 10.1038/ijo.2013.229

DO - 10.1038/ijo.2013.229

M3 - Journal article

VL - 38

SP - 959

EP - 965

JO - International Journal of Obesity

JF - International Journal of Obesity

SN - 0307-0565

IS - 7

ER -