The Physical Behaviour Intensity Spectrum and Body Mass Index in School-Aged Youth: A Compositional Analysis of Pooled Individual Participant Data

被引:5
作者
Fairclough, Stuart J. [1 ]
Hurter, Liezel [2 ]
Dumuid, Dorothea [3 ,4 ]
Gaba, Ales [5 ]
Rowlands, Alex, V [6 ,7 ,8 ]
Cruz, Borja del Pozo [9 ]
Cox, Ashley [1 ]
Crotti, Matteo [2 ]
Foweather, Lawrence [2 ]
Graves, Lee E. F. [2 ]
Jones, Owen [2 ]
McCann, Deborah A. [2 ]
Noonan, Robert J. [10 ]
Owen, Michael B. [11 ]
Rudd, James R. [12 ]
Taylor, Sarah L. [2 ]
Tyler, Richard [1 ]
Boddy, Lynne M. [2 ]
机构
[1] Edge Hill Univ, Dept Sport & Phys Act, Movement Behav Nutr Hlth & Wellbeing Res Grp, St Helens Rd, Ormskirk L39 4QP, England
[2] Liverpool John Moores Univ, Res Inst Sport & Exercise Sci, Liverpool L3 3AF, Merseyside, England
[3] Univ South Australia, Allied Hlth & Human Performance, Alliance Res Exercise Nutr & Act, Adelaide, SA 5001, Australia
[4] Murdoch Childrens Res Inst, Ctr Adolescent Hlth, Melbourne, Vic 3052, Australia
[5] Palacky Univ Olomouc, Fac Phys Culture, CZ-77900 Olomouc, Czech Republic
[6] Univ Leicester, Leicester Gen Hosp, Diabet Res Ctr, Gwendolen Rd, Leicester LE5 4PW, Leics, England
[7] Univ Hosp Leicester NHS Trust, Leicester Biomed Res Ctr BRC, Natl Inst Hlth Res NIHR, Leicester LE5 4PW, Leics, England
[8] Univ Leicester, Leicester LE5 4PW, Leics, England
[9] Univ Southern Denmark, Dept Sports Sci & Clin Biomech, DK-5230 Odense, Denmark
[10] Univ Liverpool, Dept Psychol, Liverpool L69 7ZA, Merseyside, England
[11] Edge Hill Univ, Fac Hlth Social Care & Med, Dept Appl Hlth & Social Care & Social Work, Ormskirk L39 4QP, England
[12] Norwegian Sch Sport Sci, Dept Teacher Educ & Outdoor Studies, N-0863 Oslo, Norway
基金
英国医学研究理事会; 澳大利亚国家健康与医学研究理事会;
关键词
accelerometer; CoDa; children; adolescents; physical activity; adiposity; intensity spectrum; HEALTH INDICATORS; SLEEP DURATION; CHILDREN; ACCELEROMETER; ASSOCIATIONS; OBESITY; RISK; RAW;
D O I
10.3390/ijerph19148778
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
We examined the compositional associations between the intensity spectrum derived from incremental acceleration intensity bands and the body mass index (BMI) z-score in youth, and investigated the estimated differences in BMI z-score following time reallocations between intensity bands. School-aged youth from 63 schools wore wrist accelerometers, and data of 1453 participants (57.5% girls) were analysed. Nine acceleration intensity bands (range: 0-50 mg to >= 700 mg) were used to generate time-use compositions. Multivariate regression assessed the associations between intensity band compositions and BMI z-scores. Compositional isotemporal substitution estimated the differences in BMI z-score following time reallocations between intensity bands. The >= 700 mg intensity bandwas strongly and inversely associated with BMI z-score (p < 0.001). The estimated differences in BMI z-score when 5 min were reallocated to and from the >= 700 mg band and reallocated equally among the remaining bands were -0.28 and 0.44, respectively (boys), and -0.39 and 1.06, respectively (girls). The time in the >= 700 mg intensity band was significantly associated with BMI z-score, irrespective of sex. When even modest durations of time in this band were reallocated, the asymmetrical estimated differences in BMI z-score were clinically meaningful. The findings highlight the utility of the full physical activity intensity spectrum over a priori-determined absolute intensity cut-point approaches.
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页数:15
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