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Bi-directional prospective associations between sedentary time, physical activity and adiposity in 10-year old
Turid Skrede1,2, Eivind Aadland1, Sigmund Alfred Anderssen1,2
1Faculty of Education, Arts and Sports, Western Norway University of Applied Sciences, Sogndal, Norway.
Insights
Physical activity and sedentary time do not predict future adiposity in children. Instead, higher baseline adiposity predicts more sedentary time and less vigorous physical activity (PA) in boys.
Area of Science:
- Pediatric Health
- Exercise Science
- Obesity Research
Background:
- Cross-sectional studies show associations between sedentary time, physical activity (PA), and adiposity.
- Inconsistent findings raise questions about the directionality of these relationships.
Purpose of the Study:
- To investigate the bi-directional prospective associations between sedentary time, different intensities of PA, and adiposity indicators in children.
- To clarify the causal pathways between lifestyle factors and obesity development.
Main Methods:
- Utilized data from the Active Smarter Kids Study, including 869 ten-year-old children.
- Measured sedentary time and PA using accelerometry.
- Assessed adiposity via body mass index (BMI), waist circumference (WC), and sum of four skinfolds (S4SF) at baseline and follow-up.
Main Results:
- Neither overall PA nor sedentary time predicted future BMI or WC.
- Moderate-to-vigorous PA (MVPA) and vigorous PA (VPA) predicted lower S4SF in boys.
- Baseline adiposity measures (BMI, WC) predicted reduced overall PA, MVPA, and VPA in boys.
- Adiposity predicted increased sedentary time in boys at follow-up.
Conclusions:
- Overall PA and sedentary time do not appear to predict future adiposity in children.
- Higher baseline adiposity may lead to increased sedentary behavior and decreased higher-intensity PA in boys.
- Findings suggest adiposity may influence lifestyle behaviors, rather than vice versa.
Abstract:
There is an adverse cross-sectional association between sedentary time, physical activity (PA) and adiposity, but weak and inconsistent estimates raise question to the direction of associations. The present study aims to examine whether the prospective association between sedentary time, different PA intensities and indicators of adiposity is bi-directional. The Active Smarter Kids Study obtained data from 869 ten-year-old children with valid measurements for sedentary time, PA, and adiposity at baseline and follow-up. Time spent sedentary and PA was measured by accelerometry, adiposity was assessed by three different measures: body mass index (BMI), waist circumference (WC) and sum of four skinfolds (S4SF). Neither overall PA nor time spent sedentary predicted lower BMI or WC at follow-up, but the time spent in moderate-and-vigorous PA (MVPA) and vigorous PA (VPA) predicted lower S4SF at follow-up among boys (MVPA β - 0.066 [95% CI -0.105, -0.027] p = 0.001). Baseline BMI and WC predicted less overall PA, MVPA and VPA in boys. All adiposity measures predicted more time spent sedentary at follow-up in boys. The results suggest that overall PA and sedentary time do not predict future adiposity. Baseline adiposity may rather predict more sedentary time and less higher intensity activity.
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