Relationships Between Outdoor Time, Physical Activity, Sedentary Time, and Body Mass Index in Children: A 12-Country Study

被引:46
作者
Larouche, Richard [1 ,2 ]
Mire, Emily F. [3 ]
Belanger, Kevin [1 ]
Barreira, Tiago, V [3 ]
Chaput, Jean-Philippe [1 ,4 ]
Fogelholm, Mikael [5 ,18 ]
Hu, Gang [3 ,16 ]
Lambert, Estelle, V [6 ]
Maher, Carol [7 ]
Maia, Jose [8 ,21 ]
Olds, Tim [7 ]
Onywera, Vincent [9 ,20 ]
Sarmiento, Olga L. [10 ]
Standage, Martyn [11 ,23 ]
Tudor-Locke, Catrine [3 ,12 ,24 ]
Katzmarzyk, Peter T. [3 ,13 ]
Tremblay, Mark S. [1 ,4 ,20 ]
Church, Timothy S. [13 ]
Lambert, Denise G. [13 ]
Barreira, Tiago [13 ]
Broyles, Stephanie [13 ]
Butitta, Ben [13 ]
Champagne, Catherine [13 ]
Cocreham, Shannon [13 ]
Dentro, Kara [13 ]
Drazba, Katy [13 ]
Harrington, Deirdre [13 ]
Johnson, William [13 ]
Milauskas, Dione [13 ]
Mire, Emily [13 ]
Tohme, Allison [13 ]
Rodarte, Ruben [13 ]
Amoroso, Bobby [14 ]
Luopa, John [14 ]
Neiberg, Rebecca [14 ]
Rushing, Scott [14 ]
Olds, Timothy [7 ]
Lewis, Lucy [7 ]
Ferrar, Katia [7 ]
Georgiadis, Effie [7 ]
Stanley, Rebecca [7 ]
Rodrigues Matsudo, Victor Keihan [15 ]
Matsudo, Sandra [15 ]
Araujo, Timoteo [15 ]
de Oliveira, Luis Carlos [15 ]
Rezende, Leandro [15 ]
Fabiano, Luis [15 ]
Bezerra, Diogo [15 ]
Ferrari, Gerson [15 ]
Belanger, Priscilla [1 ]
机构
[1] Childrens Hosp Eastern Ontario, Res Inst, Ottawa, ON, Canada
[2] Univ Lethbridge, Fac Hlth Sci, Lethbridge, AB, Canada
[3] Pennington Biomed Res Ctr, 6400 Perkins Rd, Baton Rouge, LA 70808 USA
[4] Univ Ottawa, Fac Hlth Sci, Ottawa, ON, Canada
[5] Univ Helsinki, Dept Food & Environm Sci, Helsinki, Finland
[6] Univ Cape Town, UCT MRC Res Unit Exercise Sci & Sports Med ESSM, Dept Human Biol, Fac Hlth Sci, Rondebosch, South Africa
[7] Univ South Australia, Adelaide, SA, Australia
[8] Univ Porto, Fac Desporto, Porto, Portugal
[9] Kenyatta Univ, Dept Recreat Management & Exercise Sci, Nairobi, Kenya
[10] Univ Los Andes, Fac Med, Bogota, Colombia
[11] Univ Bath, Dept Hlth, Bath, Avon, England
[12] Univ Massachusetts, Sch Publ Hlth & Hlth Sci, Amherst, MA 01003 USA
[13] Pennington Biomed Res Ctr, Coordinating Ctr, 6400 Perkins Rd, Baton Rouge, LA 70808 USA
[14] Wake Forest Univ, Data Management Ctr, Winston Salem, NC 27109 USA
[15] CELAFISCS Brazil, Sao Caetano do Sul, SP, Brazil
[16] Tianjin Womens & Childrens Hlth Ctr, Tianjin, Peoples R China
[17] Univ Los Andes, Bogota, Colombia
[18] Univ Helsinki, Helsinki, Finland
[19] St Johns Res Inst, Bengaluru, Karnataka, India
[20] Kenyatta Univ, Nairobi, Kenya
[21] Univ Porto, Porto, Portugal
[22] Univ Cape Town, Cape Town, South Africa
[23] Univ Bath, Bath, Avon, England
[24] Pennington Biomed, Baton Rouge, LA USA
[25] Teesside Univ, Middlesbrough, Cleveland, England
[26] Univ Calif San Diego, San Diego, CA 92103 USA
[27] Ctr Dis Control & Prevent, Atlanta, GA USA
[28] Verona Univ, Med Sch, Verona, Italy
关键词
exercise; epidemiology; health promotion; motor behavior; LIFE-STYLE; YOUTH; OBESITY; FITNESS; HEALTH; PLAY; ADOLESCENTS; TRANSITION; MOBILITY; BEHAVIOR;
D O I
10.1123/pes.2018-0055
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Purpose: This study investigated the relationship between outdoor time and physical activity (PA), sedentary time (SED), and body mass index z scores among children from 12 lower-middle-income, upper-middle-income, and high-income countries.Methods: In total, 6478 children (54.4% girls) aged 9-11 years participated. Outdoor time was self-reported, PA and SED were assessed with ActiGraph GT3X+ accelerometers, and height and weight were measured. Data on parental education, neighborhood collective efficacy, and accessibility to neighborhood recreation facilities were collected from parent questionnaires. Country latitude and climate statistics were collected through national weather data sources. Gender-stratified multilevel models with parental education, climate, and neighborhood variables as covariates were used to examine the relationship between outdoor time, accelerometry measures, and body mass index z scores. Results: Each additional hour per day spent outdoors was associated with higher moderate- to vigorous-intensity PA (boys: +2.8 min/d; girls: +1.4 min/d), higher light-intensity PA (boys: +2.0 min/d; girls: +2.3 min/d), and lower SED (boys: -6.3 min/d; girls: -5.1 min/d). Effect sizes were generally weaker in lower-middle-income countries. Outdoor time was not associated with body mass index z scores. Conclusions: Outdoor time was associated with higher PA and lower SED independent of climate, parental education, and neighborhood variables, but effect sizes were small. However, more research is needed in low- and middle-income countries.
引用
收藏
页码:118 / 129
页数:12
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