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Longitudinal association of childhood physical activity and physical fitness with physical activity in adolescence: insights from the IDEFICS/I.Family study
Department of Human Health and Nutritional Sciences, University of Guelph, Canada ; Leibniz Institute for Prevention Research and Epidemiology-BIPS, Bremen, Germany ; Faculty of Mathematics and Computer Science, University of Bremen, Germany.
Leibniz Institute for Prevention Research and Epidemiology-BIPS, Bremen, Germany.
Department of Chronic Diseases, National Institute for Health Development, Tallinn, Estonia.
Research and Education Institute of Child health, Strovolos, Cyprus.
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2022 (English)In: International Journal of Behavioral Nutrition and Physical Activity, E-ISSN 1479-5868, Vol. 19, no 1, article id 147Article in journal (Refereed) Published
Abstract [en]

Background: This study aimed to examine associations of early childhood physical fitness and physical activity (PA) with PA during later childhood/early adolescence while accounting for gender differences. Methods: We selected data of N = 4329 children from the IDEFICS/I. Family cohort (age 2.4–11.7 years) with data on baseline fitness and accelerometer measurements. At baseline, physical fitness tests were conducted including Flamingo balance, Backsaver sit and reach, Handgrip strength, Standing Long Jump, 40-m sprint and 20-m Shuttle run (to estimate cardio-respiratory fitness levels). PA was measured with Actigraph accelerometers over 3 days at baseline (ActiTrainer or GT1M) and 7 days at follow-up (GT3X). Evenson cutpoints were used to determine moderate-to-vigorous PA (MVPA) time, and children with ≥60mins/day of average MVPA were deemed as having met WHO guidelines at baseline and follow-up. Linear and logistic regressions were performed to examine longitudinal associations between meeting WHO guidelines, MVPA, and physical fitness tests at baseline with meeting WHO guidelines and MVPA at follow-up. Models were conducted on the entire sample, the sex-stratified sample, and stratified by sex and pubertal status at follow-up. Results: Results showed that meeting WHO guidelines for MVPA at baseline was positively associated with MVPA (Standardized Beta (B) = 0.13, 95%CI:(5.6;11.1)) and meeting WHO guidelines at follow-up for the entire sample (OR = 2.1, 95%CI:(1.5; 3.14), and stratified by males (OR = 2.5, 95%CI:(1.5; 4.1)) and females (OR = 1.8, 95%CI:(1.0; 3.2)). This was also found for both male pre/early pubertal and pubertal groups but only in the female pre/early pubertal group, and not the female pubertal group (MVPA: B =.00, 95%CI:(− 6.1; 5.6), WHO: OR = 0.61, 95%CI:(0.23;1.6)). Models indicated that Standing Long jump, 40-m sprint, Shuttle run and Flamingo balance at baseline were associated with MVPA and meeting the guidelines at follow-up. Conclusions: Meeting WHO guidelines and certain fitness tests at baseline were strongly associated with MVPA and meeting WHO guidelines at follow-up, but this association varied with sex and pubertal status. Consequently, these findings underline the importance of ensuring sufficient physical activity in terms of quality and quantity for children at the earliest stages of life. Trial registration: ISRCTN62310987. 

Place, publisher, year, edition, pages
BioMed Central (BMC), 2022. Vol. 19, no 1, article id 147
Keywords [en]
Accelerometry, PA guidelines, Physical activity, Physical fitness
National Category
Public Health, Global Health, Social Medicine and Epidemiology Pediatrics Sport and Fitness Sciences
Research subject
Research on Citizen Centered Health, University of Skövde (Reacch US)
Identifiers
URN: urn:nbn:se:his:diva-22158DOI: 10.1186/s12966-022-01383-0ISI: 000896591500004PubMedID: 36494689Scopus ID: 2-s2.0-85143794625OAI: oai:DiVA.org:his-22158DiVA, id: diva2:1721543
Funder
European Commission, 016181European Commission, 266044
Note

CC BY 4.0

CC0 1.0

© 2022, The Author(s).

on behalf of the IDEFICS/I.Family consortia

Correspondence: buck@leibniz-bips.de

Open Access funding enabled and organized by Projekt DEAL. This study as part of the IDEFICS and I. Family studies was financially supported by the European Commission within the Sixth RTD Framework Programme Contract No.016181 (FOOD) and the Seventh RTD Framework Programme Contract No.266044, respectively. The funding body was not involved in the study design, data collection, analysis, and interpretation as well as manuscript writing. Work of the first author was funded by the Erasmus+ programme of the EC.

Available from: 2022-12-22 Created: 2022-12-22 Last updated: 2024-01-17Bibliographically approved

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Eiben, Gabriele

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