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Correlates of sedentary behaviour in 8- to 10-year-old children at elevated risk for obesity
Katya M Herman1, Catherine M Sabiston, Marie-Eve Mathieu
1a Department of Kinesiology and Physical Education, McGill University, Montreal, QC H2W 1S4, Canada.
Insights
Children with obese parents who are more sedentary tend to be older, less active, and watch more TV during dinner. Reducing screen time and increasing physical education (PE) classes may help decrease sedentary behavior (SED).
Area of Science:
- Pediatrics
- Public Health
- Obesity Research
Background:
- Childhood obesity is a growing public health concern, with parental obesity being a significant risk factor.
- Sedentary behavior (SED) and excessive screen time are key contributors to poor health outcomes in children.
- Understanding the factors associated with SED is crucial for developing effective interventions.
Purpose of the Study:
- To identify correlates of sedentary behavior (SED) in children at high risk for obesity due to parental obesity.
- To examine associations between SED, screen time, and environmental/familial factors in this at-risk population.
Main Methods:
- A cross-sectional study involving 534 children aged 8-10 years with at least one obese parent.
- Objective measurements of SED and physical activity (PA) using accelerometers; screen time assessed via self-report.
- Objective measurements of height, weight, waist circumference, and cardiovascular fitness; child self-report for environmental and familial data.
Main Results:
- Higher total SED time correlated with older age, higher Tanner stage, greater weight status/waist circumference, less self-reported PA, preference for screen time over PA, maternal endorsement of PA benefits, and fewer weekly physical education (PE) classes.
- Exceeding 2 hours/day of screen time was linked to older age, male sex, greater weight status/waist circumference, preference for screen time, and dinnertime TV viewing.
- Children watching TV during dinner had 2.3 times higher odds of exceeding screen time guidelines; those with ≤2 PE classes/week had 2.4 times higher odds of being in the highest SED tertile.
Conclusions:
- Sedentary children in this cohort were older, more mature, less active, more overweight/obese, had fewer PE classes, and favored screen time over PA, often watching TV during dinner.
- Physical education (PE) opportunities and mealtime TV habits represent potentially modifiable targets for reducing overall SED and screen time in at-risk children.
Abstract:
The purpose of this study was to describe correlates of sedentary behaviour (SED) in children at elevated risk of obesity because of parental obesity. Participants were 534 children aged 8-10 years with ≥ 1 obese parent. SED and physical activity (PA) were measured by accelerometer, screen time by self-report, and height, weight, waist circumference, and cardiovascular fitness objectively measured. Data describing the child, parents, friends, and home and neighbourhood environments were from child self-report. Higher total SED time was significantly positively associated with child's age, mother's age, Tanner stage, weight status or waist circumference, less self-reported PA, choosing screen time over PA/sport, mother saying PA/sport good for them, and fewer weekly physical education (PE) classes. Exceeding 2 h/day screen time was significantly associated with child's age, male sex, weight status or waist circumference, choosing screen time over PA/sport, and dinnertime TV viewing. Children regularly watching TV with dinner had 2.3 times greater odds (95% confidence interval (CI) 1.52, 3.58) of exceeding screen time guidelines compared with children rarely watching TV with dinner; children reporting ≤ 2 PE classes/week had 2.4 times greater odds (95% CI 1.41, 4.10) of being in the highest SED tertile compared with children reporting >2 PE classes/week. Hence, the most sedentary children are older, more biologically mature, less active, more overweight/obese, have fewer PE classes, and are more likely to choose screen time over PA and watch TV with dinner compared with less sedentary children. PE opportunities and mealtime TV viewing are potentially modifiable targets for reducing total SED and screen time in children.
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