Physical Activity and Sedentary Behavior From 6 to 11 Years

Author:

Schwarzfischer Phillipp1,Gruszfeld Dariusz2,Stolarczyk Anna3,Ferre Natalia4,Escribano Joaquin4,Rousseaux Déborah5,Moretti Melissa5,Mariani Benedetta6,Verduci Elvira6,Koletzko Berthold1,Grote Veit1

Affiliation:

1. Division of Metabolic and Nutritional Medicine, Dr von Hauner Children’s Hospital, University of Munich Medical Centre, Munich, Germany;

2. Neonatal Intensive Care Unit and

3. Department of Gastroenterology, Children’s Memorial Health Institute, Warsaw, Poland;

4. Pediatrics Research Unit, Universitat Rovira i Virgili, Institut d'Investigació Sanitària Pere Virgili, Reus, Spain;

5. Centre Hospitalier Chretien St Vincent, Liège-Rocourt, Belgium; and

6. Department of Pediatrics, San Paolo Hospital, University of Milan, Milan, Italy

Abstract

OBJECTIVES: Physical activity (PA) is presumed to decline during childhood and adolescence, but only few long-term studies about PA development during this period of life exist. We assessed PA and sedentary behavior (SB) over a 5-year period to gain a better understanding of the extent of change in activity and potential influencing factors. METHODS: PA and SB of 600 children from the Childhood Obesity Project were objectively measured with the SenseWear Armband 2 at the ages of 6, 8, and 11 years, resulting in 1254 observations. Longitudinal changes of total PA, moderate-to-vigorous physical activity (MVPA), light physical activity (LPA), and SB were modeled with mixed-effects models. RESULTS: Total PA revealed a significant quadratic decline with age (P < .001), resulting in a change of total PA by −75.3 minutes per day from 6 to 11 years. LPA linearly declined (P < .001) by 44.6 minutes per day, MVPA quadratically declined (P < .001) by an overall 30.7 minutes, whereas SB increased significantly (+107 minutes; P = .001). Boys showed a steeper decline in LPA (P = .003) and MVPA (P < .001) than did girls. Higher fat mass index and BMI z scores were associated with lower levels of total PA and MVPA and higher levels of SB (all P < .001). CONCLUSIONS: We showed that PA decreased, and SB increased in earlier years than previously thought. MVPA remained relatively stable until 8 years, but revealed a drop-off at 11 years, identifying this period as a crucial time for intervention.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology and Child Health

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