Seasonal Variations in Meeting Physical Activity Recommendations and Development of Overweight during Adolescence

Melanie L Kornides, Eric B Rimm, Jorge E Chavarro, Matthew W Gillman, Bernard Rosner, Alison E Field, Melanie L Kornides, Eric B Rimm, Jorge E Chavarro, Matthew W Gillman, Bernard Rosner, Alison E Field

Abstract

Background: Few longitudinal studies have examined seasonal variation in meeting physical activity (PA) recommendations in association with incident overweight among adolescents.

Methods: We assessed self-reported, season-specific PA among 12,949 adolescents in two US cohorts (Growing Up Today Studies 1 and 2). We examined the relationship between the number of seasons per year that adolescents met the recommended amount of moderate-to-vigorous physical activity (MVPA) and vigorous physical activity (VPA), respectively, and the development of incident overweight at the next survey period. The sex-specific analyses controlled for follow-up time, survey month, age, race/ethnicity, sexual maturation, television viewing, region of the country, and intakes of sugar-sweetened beverages and fried foods away from home.

Results: About one-third (34%) of adolescents met the MVPA recommendation of 60 minutes/day, and one-quarter (24%) the VPA recommendation of 3 hours/week, for four seasons of the baseline year. The risk of becoming overweight was 23% (95% confidence interval [CI]: 5%-45%) higher for girls who met the MVPA recommendation for 2 (vs. 4) seasons/year. The risk was similar for girls who met the recommendation for 1 (vs. 4) season/year (odds ratio = 1.23, 95% CI: 1.05-1.44). The number of seasons each year boys met the MVPA recommendation, or girls or boys met the VPA recommendation, was not associated with an increased risk of incident overweight.

Conclusions: Meeting the MVPA recommendation for 1 or 2 (vs. 4) seasons/year is related to higher risk of becoming overweight among adolescent girls but not boys. Interventions to increase PA levels each season may contribute to overweight prevention efforts among girls.

Keywords: exercise; health behavior; pediatrics; physical activity; weight status.

Conflict of interest statement

No competing financial interests exist.

Figures

Figure 1.
Figure 1.
Median weekly hours of self-reported MVPA and VPA by cohort, sex, season, and year. GUTS 1 and GUTS 2, Growing Up Today Studies 1 and 2; MVPA, moderate-to-vigorous physical activity; VPA, vigorous physical activity.

References

    1. Morales LF, Gordon-Larsen P, Guilkey D. Obesity and health-related decisions: An empirical model of the determinants of weight status across the transition from adolescence to young adulthood. Econ Hum Biol 2016;23:46–62
    1. Jasik CB, Lustig RH. Adolescent obesity and puberty: The “Perfect Storm”. Ann N Y Acad Sci 2008;1135:265–279
    1. Hankinson AL, Daviglus ML, Bouchard C, et al. . Maintaining a high physical activity level over 20 years and weight gain. JAMA 2010;304:2603–2610
    1. Menschik D, Ahmed S, Alexander MH, et al. . Adolescent physical activities as predictors of young adult weight. Arch Pediatr Adolesc Med 2008;162:29–33
    1. Strong WB, Malina RM, Blimkie CJR, et al. . Evidence based physical activity for school-age youth. J Pediatr 2005;146:732–737
    1. Barlow SE. Expert committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity: Summary report. Pediatrics 2007;120:S164–S192
    1. US Department of Health and Human Services. Physical activity. 2012. Available at Last accessed August4, 2017
    1. Hills AP, King NA, Armstrong TP. The contribution of physical activity and sedentary behaviours to the growth and development of children and adolescents—Implications for overweight and obesity. Sports Med 2007;37:533–545
    1. Carson V, Spence JC. Seasonal variation in physical activity among children and adolescents: A review. Pediatr Exerc Sci 2010;22:81–92
    1. Downey DB, Boughton HR. Childhood body mass index gain during the summer versus during the school year. New Dir Youth Dev 2007:33–43
    1. Hull HR, Morrow ML, Heesch KC, et al. . Effect of the summer months on body weight and composition in college women. J Womens Health (Larchmt) 2007;16:1510–1515
    1. von Hippel PT, Powell B, Downey DB, et al. . The effect of school on overweight in childhood: Gain in body mass index during the school year and during summer vacation. Am J Public Health 2007;97:696–702
    1. Lamonte MJ, Ainsworth BE. Quantifying energy expenditure and physical activity in the context of dose response. Med Sci Sports Exerc 2001;33:S370–S378
    1. Berkey CS, Rockett HR, Gillman MW, et al. . One-year changes in activity and in inactivity among 10- to 15-year-old boys and girls: Relationship to change in body mass index. Pediatrics 2003;111(4 Pt 1):836–843
    1. Rich C, Griffiths LJ, Dezateux C. Seasonal variation in accelerometer-determined sedentary behaviour and physical activity in children: A review. Int J Behav Nutr Phys Act 2012;9:49.
    1. Troiano RP, McClain JJ, Brychta RJ, et al. . Evolution of accelerometer methods for physical activity research. Br J Sports Med 2014;48:1019–1023
    1. Shephard RJ, Aoyagi Y. Seasonal variations in physical activity and implications for human health. Eur J Appl Physiol 2009;107:251–271
    1. Garriguet D, Colley RC. A comparison of self-reported leisure-time physical activity and measured moderate-to-vigorous physical activity in adolescents and adults. Health Rep 2014;25:3–11
    1. Adamo KB, Prince SA, Tricco AC, et al. . A comparison of indirect versus direct measures for assessing physical activity in the pediatric population: A systematic review. Int J Pediatr Obes 2009;4:2–27
    1. Rich-Edwards JW, Goldman MB, Willett WC, et al. . Adolescent body mass index and infertility caused by ovulatory disorder. Am J Obstet Gynecol 1994;171:171–177
    1. Berkey CS, Rockett HR, Field AE, et al. . Activity, dietary intake, and weight changes in a longitudinal study of preadolescent and adolescent boys and girls. Pediatrics 2000;105:E56.
    1. Field AE, Sonneville KR, Falbe J, et al. . Association of sports drinks with weight gain among adolescents and young adults. Obesity (Silver Spring) 2014;22:2238–2243
    1. Rosner B. Percentage points for a generalized ESD many-outlier procedure. Technometrics 1983;25:165–172
    1. Rifas-Shiman SL, Gillman MW, Field AE, et al. . Comparing physical activity questionnaires for youth: Seasonal vs annual format. Am J Prev Med 2001;20:282–285
    1. Ainsworth BE, Haskell WL, Herrmann SD, et al. . Compendium of physical activities: A second update of codes and MET values. Med Sci Sports Exerc 2011;43:1575–1581
    1. Field AE, Aneja P, Rosner B. The validity of self-reported weight change among adolescents and young adults. Obesity (Silver Spring) 2007;15:2357–2364
    1. Brener ND, McManus T, Galuska DA, et al. . Reliability and validity of self-reported height and weight among high school students. J Adolesc Health 2003;32:281–287
    1. Cole TJ, Bellizzi MC, Flegal KM, et al. . Establishing a standard definition for child overweight and obesity worldwide: International survey. BMJ 2000;320:1240–1243
    1. Morris NM, Udry JR. Validation of a self-administered instrument to assess stage of adolescent development. J Youth Adolesc 1980;9:271–280
    1. Rockett HR, Breitenbach M, Frazier AL, et al. . Validation of a youth/adolescent food frequency questionnaire. Prev Med 1997;26:808–816
    1. Rockett HR, Wolf AM, Colditz GA. Development and reproducibility of a food frequency questionnaire to assess diets of older children and adolescents. J Am Diet Assoc 1995;95:336–340
    1. Taveras EM, Berkey CS, Rifas-Shiman SL, et al. . Association of consumption of fried food away from home with body mass index and diet quality in older children and adolescents. Pediatrics 2005;116:E518–E524
    1. Berkey CS, Rockett HRH, Field AE, et al. . Sugar-added beverages and adolescent weight change. Obes Res 2004;12:778–788
    1. Hanley JA, Negassa A, Edwardes MDD, et al. . Statistical analysis of correlated data using generalized estimating equations: An orientation. Am J Epidemiol 2003;157:364–375
    1. Baranowski T, O'Connor T, Johnston C, et al. . School year versus summer differences in child weight gain: A narrative review. Child Obes 2014;10:18–24
    1. McKee DP, Murtagh EM, Boreham CA, et al. . Seasonal and annual variation in young children's physical activity. Med Sci Sports Exerc 2012;44:1318–1324
    1. Carson V, Spence JC, Cutumisu N, et al. . Seasonal variation in physical activity among preschool children in a northern Canadian city. Res Q Exerc Sport 2010;81:392–399
    1. Mattocks C, Leary S, Ness A, et al. . Intraindividual variation of objectively measured physical activity in children. Med Sci Sports Exerc 2007;39:622–629
    1. Mahoney JL. Adolescent summer care arrangements and risk for obesity the following school year. J Adolesc 2011;34:737–749
    1. Story M, Nanney MS, Schwartz MB. Schools and obesity prevention: Creating school environments and policies to promote healthy eating and physical activity. Milbank Q 2009;87:71–100
    1. Etchison WC, Bloodgood EA, Minton CP, et al. . Body mass index and percentage of body fat as indicators for obesity in an adolescent athletic population. Sports Health 2011;3:249–252
    1. Nevill AM, Stewart AD, Olds T, et al. . Relationship between adiposity and body size reveals limitations of BMI. Am J Phys Anthropol 2006;129:151–156
    1. Ode JJ, Pivarnik JM, Reeves MJ, et al. . Body mass index as a predictor of percent fat in college athletes and nonathletes. Med Sci Sports Exerc 2007;39:403–409
    1. Troiano RP, Berrigan D, Dodd KW, et al. . Physical activity in the United States measured by accelerometer. Med Sci Sports Exerc 2008;40:181–188
    1. Chaput JP, Saunders J, Carson V. Interactions between sleep, movement and other non-movement behaviours in the pathogenesis of childhood obesity. Obes Rev 2017;18(Suppl 1):7–14

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