Epidemiological Transition in Physical Activity and Sedentary Time in Children
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Date
2019
Authors
Barreira, Tiago V.
Broyles, Stephanie T.
Tudor-Locke, Catrine
Chaput, Jean-Philippe
Fogelholm, Mikael
Hu, Gang
Kuriyan, Rebecca
Lambert, Estelle V.
Maher, Carol A.
Maia, José A.
Journal Title
Journal ISSN
Volume Title
Publisher
Human Kinetics Publishers Inc.
Abstract
To determine if children’s moderate to vigorous physical activity (MVPA) and sedentary time varied across levels
of household income in countries at different levels of Human Development Index (HDI), consistent with the theory of
epidemiological transition. Methods: Data from 6548 children (55% girls) aged 9–11 years from 12 countries at different HDI
levels are used in this analysis to assess MVPA and sedentary time (measured using ActiGraph accelerometers) across levels of
household income. Least-square means are estimated separately for boys and girls at the estimated 10th, 50th, and 90th
percentiles of HDI for the sample. Results: For boys, time in MVPA is negatively associated with income at the 10th and 50th
percentiles of HDI (both P < .002). For girls, time in MVPA is negatively associated with income at the 10th and 50th percentiles
of HDI (all P < .01) and positively related with income at the 90th percentile (P = .04). Sedentary time is positively associated
with income at the 10th percentile of HDI for boys (P = .03), but not for girls. Conclusions: Results support the possibility of an
epidemiological transition in physical activity, with lower levels of MVPA observed at opposite levels of income depending on
the HDI percentile. This phenomenon was not observed for sedentary time.
Description
Research Article
Keywords
Accelerometry, Epidemiology, Pediatrics, Sedentary behavior, Youth
Citation
Barreira, T. V., Broyles, S. T., Tudor-Locke, C., Chaput, J. P., Fogelholm, M., Hu, G., ... & Olds, T. (2019). Epidemiological transition in physical activity and sedentary time in children. Journal of Physical Activity and Health, 16(7), 518-524.