Associations between physical activity, sedentary time and cardiovascular risk factors among Dutch children

Gabrielle Ten Velde, Guy Plasqui, Maartje Willeboordse, Bjorn Winkens, Anita Vreugdenhil, Gabrielle Ten Velde, Guy Plasqui, Maartje Willeboordse, Bjorn Winkens, Anita Vreugdenhil

Abstract

Introduction: Physical activity (PA) plays an important role in the prevention of cardiovascular diseases, especially in children. Previous studies which investigated the role of PA and sedentary time (ST) in cardiovascular disease used different measurements and found inconsistent results. The current study used recommended standardized measures and provides an overview of PA and ST among Dutch primary school children and their associations with cardiovascular risk factors.

Methods: 503 children (55% girls, mean age (± SD) 10 ± 1y) were included. PA (total PA, lightPA and moderate to vigorous PA (MVPA)) and ST were measured with the Actigraph GT3X accelerometer. PA in different domains was measured with the BAECKE questionnaire. Cardiovascular risk factors included BMI z-score, waist circumference, blood pressure (z-score) and estimated cardiorespiratory fitness (CRF) as measured with the 20 meter shuttle run test.

Results: Children spent 57 ± 20 min/day (8%) on MVPA and 42% of the children reached the MVPA guideline of 60 min/day. Total PA and MVPA (h/day) were negatively associated with BMI z-score (B = -0.452, p = 0.011) and waist circumference (B = -3.553, p = 0.011) and positively associated with CRF (B = 2.527, p = <0.001). ST was positively associated with BMI z-score (B = 0.108, p = 0.048) and waist circumference (B = 0.920, p = 0.033). No significant associations were found between total PA or PA intensities and blood pressure.

Conclusion: This study used standardized measures of PA and therefore created an accurate overview of PA, ST and their associations with cardiovascular risk factors. PA and ST were associated with BMI z-score, waist circumference and CRF. The findings emphasize the importance of promoting MVPA in children, but also highlight the potential benefits of reducing ST to improve cardiovascular risk factors.

Trial registration: ClinicalTrials.gov NCT03440580.

Conflict of interest statement

The authors have declared that no competing interests exist.

References

    1. Organization WH. Global status report on noncommunicable diseases 2014: World Health Organization; 2014.
    1. Shrestha R, Copenhaver M. Long-term effects of childhood risk factors on cardiovascular health during adulthood. Clinical medicine reviews in vascular health. 2015;7:1. doi: 10.4137/CMRVH.S29964
    1. Karnebeek K, Thapar S, Willeboordse M, van Schayck OC, Vreugdenhil AC. Comorbidities in primary versus secondary school children with obesity and responsiveness to lifestyle intervention. The Journal of Clinical Endocrinology & Metabolism. 2019. doi: 10.1210/jc.2018-02318
    1. Kraus WE, Bittner V, Appel L, Blair SN, Church T, Després J-P, et al.. The National Physical Activity Plan: a call to action from the American Heart Association: a science advisory from the American Heart Association. Circulation. 2015;131(21):1932–40. doi: 10.1161/CIR.0000000000000203
    1. Carson V, Hunter S, Kuzik N, Gray CE, Poitras VJ, Chaput J-P, et al.. Systematic review of sedentary behaviour and health indicators in school-aged children and youth: an update. Applied Physiology, Nutrition, and Metabolism. 2016;41(6 (Suppl. 3)):S240–S65.
    1. Bull FC, Al-Ansari SS, Biddle S, Borodulin K, Buman MP, Cardon G, et al.. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. British journal of sports medicine. 2020;54(24):1451–62. doi: 10.1136/bjsports-2020-102955
    1. Sylvia LG, Bernstein EE, Hubbard JL, Keating L, Anderson EJ. Practical guide to measuring physical activity. Journal of the Academy of Nutrition and Dietetics. 2014;114(2):199–208. doi: 10.1016/j.jand.2013.09.018
    1. Trost SG. State of the art reviews: measurement of physical activity in children and adolescents. American Journal of lifestyle medicine. 2007;1(4):299–314.
    1. Steene-Johannessen J, Hansen BH, Dalene KE, Kolle E, Northstone K, Møller NC, et al.. Variations in accelerometry measured physical activity and sedentary time across Europe–harmonized analyses of 47,497 children and adolescents. International Journal of Behavioral Nutrition and Physical Activity. 2020;17(1):1–14. doi: 10.1186/s12966-020-00930-x
    1. Van Kann D, Kremers S, De Vries N, De Vries S, Jansen M. The effect of a school-centered multicomponent intervention on daily physical activity and sedentary behavior in primary school children: The Active Living study. Preventive medicine. 2016;89:64–9. doi: 10.1016/j.ypmed.2016.05.022
    1. Bartelink NHM, van Assema P, Kremers SPJ, Savelberg H, Oosterhoff M, Willeboordse M, et al.. One- and Two-Year Effects of the Healthy Primary School of the Future on Children’s Dietary and Physical Activity Behaviours: A Quasi-Experimental Study. Nutrients. 2019;11(3). doi: 10.3390/nu11030689
    1. Verloigne M, Van Lippevelde W, Maes L, Yıldırım M, Chinapaw M, Manios Y, et al.. Levels of physical activity and sedentary time among 10- to 12-year-old boys and girls across 5 European countries using accelerometers: an observational study within the ENERGY-project. The international journal of behavioral nutrition and physical activity. 2012;9:34. doi: 10.1186/1479-5868-9-34
    1. Remmers T, Van Kann D, Kremers S, Ettema D, De Vries SI, Vos S, et al.. Investigating longitudinal context-specific physical activity patterns in transition from primary to secondary school using accelerometers, GPS, and GIS. International journal of behavioral nutrition and physical activity. 2020;17:1–14.
    1. Biddle SJ, Pearson N, Ross GM, Braithwaite R. Tracking of sedentary behaviours of young people: a systematic review. Preventive medicine. 2010;51(5):345–51. doi: 10.1016/j.ypmed.2010.07.018
    1. Cayres SU, Agostinete RR, de Moura Mello Antunes B, Lira FS, Fernandes RA. Impact of physical exercise/activity on vascular structure and inflammation in pediatric populations: A literature review. Journal for specialists in pediatric nursing: JSPN. 2016;21(3):99–108. doi: 10.1111/jspn.12149
    1. Janssen I, LeBlanc AG. Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. International journal of behavioral nutrition and physical activity. 2010;7(1):40. doi: 10.1186/1479-5868-7-40
    1. Poitras VJ, Gray CE, Borghese MM, Carson V, Chaput JP, Janssen I, et al.. Systematic review of the relationships between objectively measured physical activity and health indicators in school-aged children and youth. Applied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme. 2016;41(6 Suppl 3):S197–239. doi: 10.1139/apnm-2015-0663
    1. Andersen LB, Riddoch C, Kriemler S, Hills AP. Physical activity and cardiovascular risk factors in children. Br J Sports Med. 2011;45(11):871–6. doi: 10.1136/bjsports-2011-090333
    1. Strong WB, Malina RM, Blimkie CJ, Daniels SR, Dishman RK, Gutin B, et al.. Evidence based physical activity for school-age youth. J Pediatr. 2005;146(6):732–7. doi: 10.1016/j.jpeds.2005.01.055
    1. García-Hermoso A, Ezzatvar Y, Ramírez-Vélez R, Olloquequi J, Izquierdo M. Is device-measured vigorous-intensity physical activity associated with health-related outcomes in children and adolescents? A systematic review and meta-analysis. Journal of Sport and Health Science. 2020. doi: 10.1016/j.jshs.2020.12.001
    1. Tarp J, Child A, White T, Westgate K, Bugge A, Grøntved A, et al.. Physical activity intensity, bout-duration, and cardiometabolic risk markers in children and adolescents. International journal of obesity. 2018;42(9):1639–50. doi: 10.1038/s41366-018-0152-8
    1. Van Hecke L, Loyen A, Verloigne M, van der Ploeg HP, Lakerveld J, Brug J, et al.. Variation in population levels of physical activity in European children and adolescents according to cross-European studies: a systematic literature review within DEDIPAC. The international journal of behavioral nutrition and physical activity. 2016;13:70. doi: 10.1186/s12966-016-0396-4
    1. Sherar LB, Griew P, Esliger DW, Cooper AR, Ekelund U, Judge K, et al.. International children’s accelerometry database (ICAD): design and methods. BMC public health. 2011;11(1):1–13. doi: 10.1186/1471-2458-11-485
    1. Giles-Corti B, Timperio A, Bull F, Pikora T. Understanding physical activity environmental correlates: increased specificity for ecological models. Exercise and sport sciences reviews. 2005;33(4):175–81. doi: 10.1097/00003677-200510000-00005
    1. Ten Velde G, Plasqui G, Willeboordse M, Winkens B, Vreugdenhil A. Feasibility and Effect of the Exergame BOOSTH Introduced to Improve Physical Activity and Health in Children: Protocol for a Randomized Controlled Trial. JMIR research protocols. 2020;9(12):e24035. doi: 10.2196/24035
    1. Reilly JJ, Penpraze V, Hislop J, Davies G, Grant S, Paton JY. Objective measurement of physical activity and sedentary behaviour: review with new data. Archives of disease in childhood. 2008;93(7):614–9. doi: 10.1136/adc.2007.133272
    1. Evenson KR, Catellier DJ, Gill K, Ondrak KS, McMurray RG. Calibration of two objective measures of physical activity for children. Journal of sports sciences. 2008;26(14):1557–65. doi: 10.1080/02640410802334196
    1. Baecke JA, Burema J, Frijters JE. A short questionnaire for the measurement of habitual physical activity in epidemiological studies. The American journal of clinical nutrition. 1982;36(5):936–42. doi: 10.1093/ajcn/36.5.936
    1. De Onis M, Lobstein T. Defining obesity risk status in the general childhood population: which cut-offs should we use?: Taylor & Francis; 2010. doi: 10.3109/17477161003615583
    1. Cole TJ, Green PJ. Smoothing reference centile curves: the LMS method and penalized likelihood. Statistics in medicine. 1992;11(10):1305–19. doi: 10.1002/sim.4780111005
    1. Wühl E, Witte K, Soergel M, Mehls O, Schaefer F, Hypertension GWGoP. Distribution of 24-h ambulatory blood pressure in children: normalized reference values and role of body dimensions. Journal of hypertension. 2002;20(10):1995–2007. doi: 10.1097/00004872-200210000-00019
    1. Leger LA, Mercier D, Gadoury C, Lambert J. The multistage 20 metre shuttle run test for aerobic fitness. Journal of sports sciences. 1988;6(2):93–101. doi: 10.1080/02640418808729800
    1. Janssen X, Mann KD, Basterfield L, Parkinson KN, Pearce MS, Reilly JK, et al.. Development of sedentary behavior across childhood and adolescence: longitudinal analysis of the Gateshead Millennium Study. The international journal of behavioral nutrition and physical activity. 2016;13:88. doi: 10.1186/s12966-016-0413-7
    1. Salmon J, Tremblay MS, Marshall SJ, Hume C. Health risks, correlates, and interventions to reduce sedentary behavior in young people. American journal of preventive medicine. 2011;41(2):197–206. doi: 10.1016/j.amepre.2011.05.001
    1. Labbrozzi D, Robazza C, Bertollo M, Bucci I, Bortoli L. Pubertal development, physical self-perception, and motivation toward physical activity in girls. Journal of adolescence. 2013;36(4):759–65. doi: 10.1016/j.adolescence.2013.06.002
    1. Willenberg LJ, Ashbolt R, Holland D, Gibbs L, MacDougall C, Garrard J, et al.. Increasing school playground physical activity: a mixed methods study combining environmental measures and children’s perspectives. J Sci Med Sport. 2010;13(2):210–6. doi: 10.1016/j.jsams.2009.02.011
    1. Reimers AK, Schoeppe S, Demetriou Y, Knapp G. Physical Activity and Outdoor Play of Children in Public Playgrounds-Do Gender and Social Environment Matter? Int J Environ Res Public Health. 2018;15(7). doi: 10.3390/ijerph15071356
    1. Sorof JM, Lai D, Turner J, Poffenbarger T, Portman RJ. Overweight, ethnicity, and the prevalence of hypertension in school-aged children. Pediatrics. 2004;113(3):475–82.
    1. Lauer R, Clarke W. Childhood risk factors for high adult blood pressure: the Muscatine Study. Pediatrics. 1989;84(4):633–41.
    1. Urrutia-Rojas X, Egbuchunam CU, Bae S, Menchaca J, Bayona M, Rivers PA, et al.. High blood pressure in school children: prevalence and risk factors. BMC pediatrics. 2006;6(1):1–7. doi: 10.1186/1471-2431-6-32
    1. Betz HH, Eisenmann JC, Laurson KR, DuBose KD, Reeves MJ, Carlson JJ, et al.. Physical Activity, BMI, and Blood Pressure in US Youth: NHANES 2003–2006. Pediatric exercise science. 2018;30(3):418–25. doi: 10.1123/pes.2017-0127
    1. Janssen X, Cliff DP. Issues related to measuring and interpreting objectively measured sedentary behavior data. Measurement in physical education and exercise science. 2015;19(3):116–24.
    1. Trost SG, Loprinzi PD, Moore R, Pfeiffer KA. Comparison of accelerometer cut points for predicting activity intensity in youth. Med Sci Sports Exerc. 2011;43(7):1360–8. doi: 10.1249/MSS.0b013e318206476e
    1. Sallis JF, Prochaska JJ, Taylor WC. A review of correlates of physical activity of children and adolescents. Medicine and science in sports and exercise. 2000;32(5):963–75. doi: 10.1097/00005768-200005000-00014
    1. Ishii K, Shibata A, Adachi M, Nonoue K, Oka K. Gender and grade differences in objectively measured physical activity and sedentary behavior patterns among Japanese children and adolescents: a cross-sectional study. BMC Public Health. 2015;15(1):1254. doi: 10.1186/s12889-015-2607-3
    1. Mishra A, Pandey RK, Minz A, Arora V. Sleeping Habits among School Children and their Effects on Sleep Pattern. Journal of caring sciences. 2017;6(4):315–23. doi: 10.15171/jcs.2017.030

Source: PubMed

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