Joint Associations between Weekday and Weekend Physical Activity or Sedentary Time and Childhood Obesity
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Date
2019
Authors
Li, Nan
Zhao, Pei
Diao, Chengming
Qiao, Yijuan
Katzmarzyk, Peter T.
Chaput, Jean-Philippe
Fogelholm, Mikael
Kuriyan, Rebecca
Kurpad, Anura
Lambert, Estelle V.
Journal Title
Journal ISSN
Volume Title
Publisher
HHS Public Access
Abstract
Objective—To evaluate the single and joint associations of objectively measured moderate-to-vigorous physical activity (MVPA) and sedentary time on week and weekend days with obesity in children from 12 countries across all inhabited continents.
Methods—A multinational, 12-country cross-sectional study of 5,779 children aged 9–11 years was conducted. Time spent in MVPA and sedentary behaviors was assessed by waist-worn accelerometry. Logistic regression was used to examine the independent and joint associations of MVPA and sedentary time on weekdays and weekend with the odds of obesity.
Results—After adjustment for all confounding factors, the odds ratios (ORs) of childhood obesity were the highest among children with a low level of MVPA on both weekdays and weekend (OR 4.67), high among children with a high level of MVPA on weekdays and a low level of MVPA on weekend (OR 1.99) and high among children with a low level of MVPA on weekdays and a high levels of MVPA on weekend (OR 2.20), compared to those with a high level of MVPA on both weekdays and weekend. Similarly, the ORs of childhood obesity were significantly higher among children with a high level of sedentary time on both weekdays and
weekend (OR 1.87) compared with those with low levels of sedentary time on both weekdays and
weekend.
Conclusions—Lower levels of MVPA or higher levels of sedentary time on either weekdays or
weekend were associated with increased odds of obesity in 9–11 year old children in 12 countries.
Description
An Article Published in Int J Obes (Lond).
Keywords
Children, Moderate-to-vigorous physical activity, Obesity, Accelerometry