Patterns of movement behaviors and their association with overweight and obesity in youth
- 745 Downloads
To identify underlying subgroups based on patterns of physical activity, screen-based sedentary behavior, and sleep in a large sample of Canadian youth and to examine the associations between the identified subgroups and overweight and obesity.
The study is based on 19,831 youth aged 13–18 years from across Ontario, Canada in the COMPASS study. Participants self-reported their movement behaviors (i.e., physical activity, sedentary behavior and sleep), height and weight, and demographics. Latent class analysis and logistic regression models were conducted.
Three underlying subgroups were identified in the total sample and male and female subsamples (i.e., unhealthiest movers, active screenies, healthiest movers). In the total sample, the active screenies subgroup was 1.19 (95 % CI 1.09–1.29) times and the unhealthiest movers subgroup was 1.24 (1.14–1.36) times more likely to be classified as overweight/obese compared to the healthiest movers subgroup. Similar associations were observed in the female subsample but not in the male subsample.
Public health interventions targeting youth subgroups at increased risk of overweight and obesity through integrated approaches accounting for multiple movement behaviors should be considered, especially for females.
KeywordsAdolescent Obesity Physical activity Television Computers Sleep
The authors would like to thank Chad Bredin (COMPASS study project manager), Dr. Dana Church (COMPASS study recruitment coordinator), and Audra Thompson-Haile (COMPASS school coordinator) for their assistance with this project. The COMPASS study was supported by a bridge grant from the Canadian Institutes of Health Research (CIHR) Institute of Nutrition, Metabolism and Diabetes (INMD) through the “Obesity—Interventions to Prevent or Treat” priority funding awards (OOP-110788; Grant awarded to ST. Leatherdale) and an operating grant from the Canadian Institutes of Health Research (CIHR) Institute of Population and Public Health (IPPH) (MOP-114875; Grant awarded to ST. Leatherdale).
- Health Canada (2011) Eating well with Canada’s Food Guide. http://www.hc-sc.gc.ca/fn-an/food-guide-aliment/index-eng.php. Accessed March 2014
- Lanza ST, Collins LM, Lemmon DR, Schafer JL (2007) PROC LCA: a SAS procedure for latent class analysis structural equation modeling. Multidiscip J 14:671–694Google Scholar
- Leatherdale ST, Brown KS, Carson V et al (2014a) The COMPASS study: a longitudinal hierarchical research platform for evaluating natural experiments related to changes in school-level programs, policies and built environment resources. BMC Public Health 14:331. doi: 10.1186/1471-2458-14-331 PubMedCentralPubMedCrossRefGoogle Scholar
- Leatherdale ST, Laxer RE, Faulkner G (2014b) Reliability and validity of the weight status and dietary intake measures in the COMPASS study. COMPASS Technical Report Series vol 2. Waterloo, ONGoogle Scholar
- Marshall SJ, Biddle SJ, Sallis JF, McKenzie T, Conway T (2002) Clustering of sedentary behaviors and physical activity among youth: a cross-national study. Pediatr Exerc Sci 14:401–417Google Scholar
- Mota J, Santos P, Guerra S, Riberio JC, Duarte JA, Sallis JF (2002) Validation of a physical activity self-report questionnaire in a Portuguese pediatric population. Pediatr Exerc Sci 14:269–276Google Scholar
- Olds T, Dollman J, Ridley K, Boshoff K, Hartshorne S, Kennaugh S (2004) Children and sport. Australian Sports Commission, BelconnenGoogle Scholar
- Rothman KJ, Greenland S, Lash TL (2008) Modern Epidemiology, 3rd edn. Lippincott Williams & Wilkins, PhiladelphiaGoogle Scholar
- te Velde SJ, De Bourdeaudhuij I, Thorsdottir I, Rasmussen M, Hagstromer M, Klepp KI, Brug J (2007) Patterns in sedentary and exercise behaviors and associations with overweight in 9–14-year-old boys and girls––a cross-sectional study. BMC Public Health 7:16. doi: 10.1186/1471-2458-7-16 CrossRefGoogle Scholar
- Thompson-Haile A, Bredin C, Leatherdale ST (2013) Rationale for using an active-information passive-consent permission protocol in COMPASS, vol 1. Waterloo, OntarioGoogle Scholar