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Published on: July 27, 2022
No differences in physical activity between children with overweight and children of normal-weight
Janneke van Leeuwen1, Bart W Koes2, Winifred D Paulis3
1Department of General Practice, Erasmus MC, University Medical Center, Wytemaweg 80, P.O. Box 2040, 3000, CA, Rotterdam, The Netherlands. j.vanleeuwen.2@erasmusmc.nl.
Insights
Overweight children spend less time sedentary but similar moderate-to-vigorous physical activity compared to normal-weight peers. Self-reported activity levels showed no significant differences between groups.
Area of Science:
- Pediatrics
- Public Health
- Sports Science
Background:
- Childhood obesity is a growing public health concern.
- Understanding physical activity patterns in normal-weight versus overweight children is crucial.
- Objective and self-reported measures offer different insights into physical activity.
Purpose of the Study:
- To compare objectively measured physical activity between overweight and normal-weight children.
- To compare self-reported physical activity between overweight and normal-weight children.
- To identify discrepancies between objective and self-reported physical activity in children.
Main Methods:
- Prospective cohort study in the Netherlands.
- Inclusion of children aged 4-15 years, categorized by weight status.
- Objective physical activity measurement using accelerometers and subjective via diaries for one week.
Main Results:
- Overweight children spent significantly less time sedentary (p<0.05).
- No significant differences in moderate-to-vigorous physical activity were observed between groups.
- Self-reported physical activity did not differ significantly between normal-weight and overweight children.
Conclusions:
- Objectively, overweight children are not less physically active than normal-weight children.
- Increased awareness and interventions may contribute to these findings.
- Discrepancies between objective and self-reported measures warrant further investigation.
Background:
The aim of this study was to investigate the differences in objectively measured physical activity and in self-reported physical activity between overweight and normal-weight children.
Methods:
Data from a prospective cohort study including children, presenting at the participating general practices in the south-west of the Netherlands, were used. Children (aged 4-15 years) were categorized as normal-weight or overweight using age- and sex specific cut-off points. They wore an ActiGraph accelerometer for one week to register physical activity, and filled out a diary for one week about physical activity.
Results:
A total of 57 children were included in this study. Overweight children spent significantly less percentage time per day in sedentary behavior (β - 1.68 (95%CI -3.129, - 0.07)). There were no significant differences in percentage time per day spent in moderate to vigorous physical activity (β 0.33 (- 0.11, 0.78)). No significant differences were found between children of normal-weight and overweight in self-reported measures of physical activity.
Conclusions:
Overweight children are not less physically active than normal-weight children, which may be associated with the risen awareness towards overweight/obesity and with implemented interventions for children with overweight/obesity.
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