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Bi-directional associations between physical activity and growth indicators of pre-school aged children
Otávio Amaral de Andrade Leão1, Thaynã Ramos Flores1, Jaime Barratt2
1Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil.
Insights
Regular physical activity in young children is linked to healthier growth. This study found a two-way relationship between physical activity and weight indicators in children under five.
Area of Science:
- Child Health
- Developmental Pediatrics
- Exercise Science
Background:
- Physical activity offers numerous health and developmental benefits for young children.
- The interplay between physical activity and growth indicators in early childhood is not well understood.
Purpose of the Study:
- To investigate the bidirectional associations between physical activity and growth indicators in children younger than five years.
- To examine how physical activity influences growth and how growth impacts physical activity levels over time.
Main Methods:
- A prospective study involving 1,575 children, with data collected at 12, 24, and 48 months.
- Physical activity was measured using accelerometers.
- Growth indicators including length/height-for-age, weight-for-length/height, weight-for-age, and body mass index (BMI)-for-age Z-scores were calculated.
Main Results:
- Physical activity was significantly associated with lower weight-related growth indicators (BMI-for-age, weight-for-age, weight-for-length/height).
- Higher BMI-for-age was associated with lower physical activity levels.
- A bidirectional relationship was confirmed, with stronger associations observed when physical activity was the exposure.
Conclusions:
- Physical activity plays a crucial role in regulating weight-related growth in early childhood.
- Promoting physical activity from a young age is essential for healthy child development.
- The findings underscore the importance of early interventions to encourage physical activity in children.
Abstract:
Physical activity for young children provides a wealth of benefits for health and development. However, little is known about the inter-relationship of physical activity and growth indicators. The aim of this study was to test the bi-directional associations of physical activity and growth indicators in children under five years of age. This prospective study included 1,575 children with data on physical activity and growth indicators at ages 12, 24 and 48 months. Accelerometers were used to measure physical activity. Z-scores for length/height-for-age, weight-for-length/height, weight-for-age and body mass index (BMI)-for-age were calculated. Bi-directional associations between physical activity and growth indicators were evaluated using cross-lagged panels based on Generalized Estimating Equations and cross-lagged structural equation models. Physical activity was consistently associated with lower weight-related growth indicators: BMI-for-age: β=-0.12; Weight-for-age: β=-0.11; Weight-for-length/height: β=-0.12. Higher BMI-for-age indicated lower physical activity (β=-0.06). When the exposure was lagged, the association of physical activity on weight-related growth indicators remained, but weight-related growth indicators showed a negative association on physical activity. A bi-directional association between physical activity and weight-related growth indicators was observed. The magnitude of associations were stronger when physical activity was modelled as exposure. These results reinforce the importance of physical activity since early years.
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