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Does birth weight influence physical activity in youth? A combined analysis of four studies using objectively
Charlotte L Ridgway1, Søren Brage, Stephen J Sharp
1MRC Epidemiology Unit, Institute of Metabolic Science, Cambridge, United Kingdom.
Insights
Birth weight does not appear to significantly impact physical activity or sedentary time in children and adolescents. This large-scale study found no consistent evidence linking birth weight to habitual activity levels or sedentary behavior.
Area of Science:
- Pediatric Health
- Exercise Physiology
- Public Health
Background:
- Animal models and adult self-reports suggest a link between low birth weight and reduced physical activity.
- Understanding the biological determinants of physical activity is crucial for public health interventions.
Purpose of the Study:
- To investigate if birth weight is a biological determinant of physical activity and sedentary time in children and adolescents.
- To analyze data from multiple large cohorts to provide robust findings.
Main Methods:
- Combined analysis of four cohorts (three European, one South American) with 4,170 participants.
- Objective measurement of physical activity (PA) using accelerometry for at least 3 days/10 hours per day.
- Standardized data analysis for total physical activity (counts per minute), moderate-to-vigorous physical activity (MVPA), and sedentary time.
Main Results:
- No significant association was found between birth weight and total physical activity (p=0.9) or MVPA (p=0.7) across the combined cohorts.
- No overall evidence of an association between birth weight and sedentary time (p=0.8) was observed.
- A single cohort (Pelotas) showed a tentative association between higher birth weight and lower physical activity/higher sedentary time, which was not significant after adjusting for gestational age.
Conclusions:
- This large combined analysis suggests birth weight is not a significant biological determinant of habitual physical activity or sedentary behavior in children and adolescents.
- Findings challenge previous suggestions from animal models and adult self-reports.
- Further research may explore other early-life factors influencing long-term physical activity patterns.
Abstract:
Animal models suggest growth restriction in utero leads to lower levels of motor activity. Furthermore, individuals with very low birth weight report lower levels of physical activity as adults. The aim of this study was to examine whether birth weight acts as a biological determinant of physical activity and sedentary time. This study uses combined analysis of three European cohorts and one from South America (n = 4,170). Birth weight was measured or parentally reported. Height and weight were measured and used to calculate Body Mass Index (BMI). PA was objectively measured using accelerometry for ≥3 days, ≥10 hours day. Data was standardized to allow comparisons between different monitors. Total physical activity was assessed as counts per minute (cpm), with time spent above moderate activity (MVPA) >2,000 counts and time spent sedentary (<100 counts). There was no evidence for an association between birth weight and total physical activity (p = 0.9) or MVPA (p = 0.7). Overall there was no evidence for an association between birth weight and sedentary time (p = 0.8). However in the Pelotas study we did find an association between higher birth weight (kg) and lower overall physical activity (cpm) (β = -31, 95%CI: -58, -46, p = 0.03) and higher birth weight and greater sedentary time (mins/day) (β = 16.4, 95%CI: 5.3, 27.5, p = 0.004), although this was attenuated and no longer significant with further adjustment for gestational age. Overall this combined analysis suggests that birth weight may not be an important biological determinant of habitual physical activity or sedentary behaviour in children and adolescents.
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