Skip to main content

Advertisement

Log in

Relationship of Objectively Measured Physical Activity, Sedentary Behavior and Sleep Time with Cardiovascular and Mtabolic Outcomes in Adolescents (A Pilot Study): ABCD Growth Study

  • Published:
Maternal and Child Health Journal Aims and scope Submit manuscript

Abstract

Study objective

Different behaviors are considered important factors that may influence a healthy lifestyle. Given this fact, we aim to analyze the relationship between moderate-vigorous physical activity (MVPA), sleep time, and sedentary time, with cardiometabolic outcomes in adolescents.

Methods

Cross-sectional study, with 152 eutrophic and healthy adolescents. The behavioral variables were collected objectively and the arterial thickness was measured through ultrasound. Blood variables (LDL, TG, HDL, glucose, and insulin) were collected in a private laboratory. To analyze the data, the Student t test and Kruskal-Wallis test were used to compare the groups. All analyses adopted p < 0.05.

Results

Girls who demonstrated better combined behaviors, presented significant results for TG (p = 0.045), BP (p = 0.016), and cardiovascular score (p = 0.049) when compared to their peers. Furthermore, the practice of physical activity combined with sufficient sleep time was associated with lower values of arterial thickening (p = 0.017).

Conclusions

In view of the results presented, it is possible to state that the aggregation of behaviors was more consistent in females and that the practice of physical activity and adequate sleep time can reflect on cardiovascular health.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Agostinis-Sobrinho, C., Gómez-Martínez, S., Nova, E., Hernandez, A., Labayen, I., Kafatos, A., Gottand, F., Molnár, D., Ferrari, M., Moreno, L. A., González-Gross, M., Michels, N., Ruperez, A., Ruiz, J. R., & Marcos, A. (2019). Lifestyle patterns and endocrine, metabolic, and immunological biomarkers in European adolescents: The HELENA study. Pediatric Diabetes, 20(1), 23–31. https://doi.org/10.1111/pedi.12802

    Article  CAS  PubMed  Google Scholar 

  • AINSWORTH, B. E., HASKELL, W. L., MECKES, H. E. R. R. M. A. N. N. S. D., TUDOR-LOCKE, N. B. A. S. S. E. T. T. D. R., & WHITT-GLOVER, C. G. R. E. E. R. J. L. V. E. Z. I. N. A. J., M. C.,LEON, A. S (2011). 2011 Compendium of Physical Activities. Medicine & Science in Sports & Exercise, 43(8), 1575–1581. https://doi.org/10.1249/MSS.0b013e31821ece12

    Article  Google Scholar 

  • Barker, A. R., Gracia-Marco, L., Ruiz, J. R., Castillo, M. J., Aparicio-Ugarriza, R., González-Gross, M., Kafatos, A., Androutsos, O., Polito, A., Molnar, D., Widhalm, K., & Moreno, L. A. (2018). Physical activity, sedentary time, TV viewing, physical fitness and cardiovascular disease risk in adolescents: The HELENA study. International Journal of Cardiology, 254, 303–309. https://doi.org/10.1016/j.ijcard.2017.11.080

    Article  PubMed  Google Scholar 

  • Belem, L. H. J., Nogueira, A. C. S., Schettino, C. D., Barros, M. V. L., de Alcantara, M. L., Studart, P. C., de Araújo, C., de Amaral, P. P., do, S. I., Barretto, S., & Guimarães, J. I. (2004). Normatização dos equipamentos e das técnicas para a realização de exames de ultra-sonografia vascular. Arquivos Brasileiros de Cardiologia, 82, 1–14. https://doi.org/10.1590/S0066-782X2004001200001

    Article  PubMed  Google Scholar 

  • Bull, F. C., Al-Ansari, S. S., Biddle, S., Borodulin, K., Buman, M. P., Cardon, G., Carty, C., Chaput, J. P., Chastin, S., Chou, R., Dempsey, P. C., DiPietro, L., Ekelund, U., Firth, J., Friedenreich, C. M., Garcia, L., Gichu, M., Jago, R., Katzmarzyk, P. T., & Willumsen, J. F. (2020). World Health Organization 2020 guidelines on physical activity and sedentary behaviour. British Journal of Sports Medicine, 54(24), 1451–1462. https://doi.org/10.1136/bjsports-2020-102955

    Article  PubMed  Google Scholar 

  • Cayres, S. U., Vanderlei, L. C. M., MacHado-Rodrigues, A. M., Werneck, A. O., Barbosa, M. F., & Fernandes, R. A. (2019). Adiposity and physical activity do not mediate the longitudinal association between sleep quality and arterial thickness among adolescents. Journal of Clinical Sleep Medicine, 15(2), 215–221. https://doi.org/10.5664/jcsm.7620

    Article  PubMed  PubMed Central  Google Scholar 

  • Christofaro, D. G. D., De Andrade, S. M., Mesas, A. E., Fernandes, R. A., & Farias Júnior, J. C. (2016). Higher screen time is associated with overweight, poor dietary habits and physical inactivity in Brazilian adolescents, mainly among girls. European Journal of Sport Science, 16(4), 498–506. https://doi.org/10.1080/17461391.2015.1068868

    Article  PubMed  Google Scholar 

  • Christofaro, D. G. D., Fernandes, R. A., Gerage, A. M., Alves, M. J., Polito, M. D., & De Oliveira, A. R. (2009). Validação do monitor de medida de pressão arterial Omron HEM 742 em adolescentes. Arquivos Brasileiros de Cardiologia, 92(1), 9–14. https://doi.org/10.1590/S0066-782X2009000100003

    Article  Google Scholar 

  • da Costa, B. G. G., da Silva, K. S., Bandeira, A. S., Martins, C. R., Vieira, J. A. J., & Petroski, E. L. (2019). Pattern of Sedentary Behavior in Different Periods of School Time of Brazilian Adolescents. Journal of School Health, 89(2), 99–105. https://doi.org/10.1111/josh.12716

    Article  PubMed  Google Scholar 

  • Ekelund, U., Brage, S., Froberg, K., Harro, M., Anderssen, S. A., Sardinha, L. B., Riddoch, C., & Andersen, L. B. (2006). TV Viewing and Physical Activity Are Independently Associated with Metabolic Risk in Children: The European Youth Heart Study. PLoS Medicine, 3(12), e488. https://doi.org/10.1371/journal.pmed.0030488

    Article  PubMed  PubMed Central  Google Scholar 

  • Felden, É. P. G., Filipin, D., Barbosa, D. G., Andrade, R. D., Meyer, C., Beltrame, T. S., & Pelegrini, A. (2016). Adolescentes com sonolência diurna excessiva passam mais tempo em comportamento sedentário. Revista Brasileira de Medicina Do Esporte, 22(3), 186–190. https://doi.org/10.1590/1517-869220162203147290

    Article  Google Scholar 

  • Fernandes, R. A., Christofaro, D. G. D., Casonatto, J., Kawaguti, S. S., Ronque, E. R. V., Cardoso, J. R., Júnior, F., I. F., & Oliveira, A. R. (2011). Cross-sectional association between healthy and unhealthy food habits and leisure physical activity in adolescents Artigo originAl. J Pediatr (Rio J), 87(3), 252–256. https://doi.org/10.2223/JPED.2093

    Article  Google Scholar 

  • Garaulet, M., Ortega, F. B., Ruiz, J. R., Rey-López, J. P., Béghin, L., Manios, Y., Cuenca-García, M., Plada, M., Diethelm, K., Kafatos, A., Molnár, D., Al-Tahan, J., & Moreno, L. A. (2011). Short sleep duration is associated with increased obesity markers in European adolescents: Effect of physical activity and dietary habits. the HELENA study. International Journal of Obesity, 35(10), 1308–1317. https://doi.org/10.1038/ijo.2011.149

    Article  CAS  PubMed  Google Scholar 

  • Guerra, P. H., de Farias Júnior, J. C., & Florindo, A. A. (2016). Sedentary behavior in Brazilian children and adolescents: a systematic review. Revista de Saude Publica, 50, 9. https://doi.org/10.1590/S1518-8787.2016050006307

    Article  PubMed  PubMed Central  Google Scholar 

  • Hallal, P. C., Andersen, L. B., Bull, F. C., Guthold, R., Haskell, W., Ekelund, U., Alkandari, J. R., Bauman, A. E., Blair, S. N., Brownson, R. C., Craig, C. L., Goenka, S., Heath, G. W., Inoue, S., Kahlmeier, S., Katzmarzyk, P. T., Kohl, H. W., Lambert, E. V., Lee, I. M., & Wells, J. C. (2012). Global physical activity levels: Surveillance progress, pitfalls, and prospects. The Lancet, 380(9838), 247–257. https://doi.org/10.1016/S0140-6736(12)60646-1

    Article  Google Scholar 

  • Hallal, P. C., Martins, R. C., & Ramírez, A. (2014). The Lancet Physical Activity Observatory: Promoting physical activity worldwide. The Lancet, 384(9942), 471–472. https://doi.org/10.1016/S0140-6736(14)61321-0

    Article  Google Scholar 

  • Hernández-Vicente, A., Santos-Lozano, A., de Cocker, K., & Garatachea, N. (2016). Validation study of Polar V800 accelerometer. Annals of Translational Medicine, 4(15), 278–278. https://doi.org/10.21037/atm.2016.07.16

    Article  PubMed  PubMed Central  Google Scholar 

  • Janssen, I., & Leblanc, A. G. (2010). Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. InInternational Journal of Behavioral Nutrition and Physical Activity(Vol. 7). http://www.ijbnpa.org/content/7/1/40

  • Kira, G., Maddison, R., Hull, M., Blunden, S., & Olds, T. (2014). Sleep education improves the sleep duration of adolescents: A randomized controlled pilot study. Journal of Clinical Sleep Medicine, 10(7), 787–792. https://doi.org/10.5664/jcsm.3874

    Article  PubMed  PubMed Central  Google Scholar 

  • Lee, Z., Chu, G., & Zhu (2020). Effects of a Fundamental Motor Skill-Based Afterschool Program on Children’s Physical and Cognitive Health Outcomes. International Journal of Environmental Research and Public Health, 17(3), 733. https://doi.org/10.3390/ijerph17030733

    Article  PubMed Central  Google Scholar 

  • Loomba-albrecht, L. A., & Styne, D. M. (2009). Effect of puberty on body composition. Current Opinion in Endocrinology Diabetes & Obesity, 16, 10–15. https://doi.org/10.1097

    Article  CAS  Google Scholar 

  • Miot, H. A. (2011). Tamanho da amostra em estudos clínicos e experimentais. Jornal Vascular Brasileiro, 10(4), 275–278. https://doi.org/10.1590/S1677-54492011000400001

    Article  Google Scholar 

  • MIRWALD, R. L., BAXTER-JONES, G., A. D., BAILEY, D. A., & BEUNEN, G. P. (2002). An assessment of maturity from anthropometric measurements. Medicine & Science in Sports & Exercise, 34(4), 689–694. https://doi.org/10.1097/00005768-200204000-00020

    Article  Google Scholar 

  • Morell-Azanza, L., Ojeda-Rodríguez, A., Ochotorena-Elicegui, A., Martín-Calvo, N., Chueca, M., Marti, A., & Azcona-San Julian, C. (2019). Changes in objectively measured physical activity after a multidisciplinary lifestyle intervention in children with abdominal obesity: a randomized control trial. BMC Pediatrics, 19(1), 90. https://doi.org/10.1186/s12887-019-1468-9

    Article  PubMed  PubMed Central  Google Scholar 

  • NCD, R. F. C. (2017). Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016 : a pooled analysis of 2416 population-based measurement studies in 128 · 9 million children, adolescents, and adults. The Lancet, 6736(17), 1–16. https://doi.org/10.1016/S0140-6736(17)32129-3

    Article  Google Scholar 

  • Paim, J., Travassos, C., Almeida, C., Bahia, L., & MacInko, J. (2011). The Brazilian health system: History, advances, and challenges. The Lancet, 377(9779), 1778–1797. https://doi.org/10.1016/S0140-6736(11)60054-8

    Article  Google Scholar 

  • Pereira, É. F., Bernardo, M. P. S. L., D’Almeida, V., & Louzada, F. M. (2011). Sono, trabalho e estudo: duração do sono em estudantes trabalhadores e não trabalhadores. Cadernos de Saúde Pública, 27(5), 975–984. https://doi.org/10.1590/S0102-311X2011000500015

    Article  PubMed  Google Scholar 

  • Pérez-Bey, A., Segura-Jiménez, V., Fernández-Santos, J. R., Esteban-Cornejo, I., Gómez-Martínez, S., Veiga, O. L., Marcos, A., Ortega, F. B., & Castro-Piñero, J. (2019a). The influence of cardiorespiratory fitness on clustered cardiovascular disease risk factors and the mediator role of body mass index in youth: The UP&DOWN Study. Pediatric Diabetes, 20(1), 32–40. https://doi.org/10.1111/pedi.12800

    Article  CAS  PubMed  Google Scholar 

  • Pérez-Bey, A., Segura-Jiménez, V., Fernández-Santos, J. R., Esteban-Cornejo, I., Gómez-Martínez, S., Veiga, O. L., Marcos, A., Ortega, F. B., & Castro-Piñero, J. (2019b). The influence of cardiorespiratory fitness on clustered cardiovascular disease risk factors and the mediator role of body mass index in youth: The UP&DOWN Study. Pediatric Diabetes, 20(1), 32–40. https://doi.org/10.1111/pedi.12800

    Article  CAS  PubMed  Google Scholar 

  • Pickering, T. G., Hall, J. E., Appel, L. J., Falkner, B. E., Graves, J., Hill, M. N., Jones, D. W., Kurtz, T., Sheps, S. G., & Roccella, E. J. (2005). Recommendations for blood pressure measurement in humans and experimental animals: Part 1: Blood pressure measurement in humans - A statement for professionals from the Subcommittee of Professional and Public Education of the American Heart Association Council on high blood pressure research. In Circulation. Circulation, 111(5), 697–716. https://doi.org/10.1161/01.CIR.0000154900.76284.F6

    Article  PubMed  Google Scholar 

  • Sehn, A. P., Gaya, A. R., Dias, A. F., Brand, C., Mota, J., Pfeiffer, K. A., Sayavera, J. B., Renner, J. D. P., & Reuter, C. P. (2020). Relationship between sleep duration and TV time with cardiometabolic risk in adolescents. Environmental Health and Preventive Medicine, 25(1), 1–9. https://doi.org/10.1186/s12199-020-00880-7

    Article  Google Scholar 

  • Tell, G. S., & Vellar, O. D. (1988). Physical fitness, physical activity, and cardiovascular disease risk factors in adolescents: The Oslo youth study. Preventive Medicine, 17(1), 12–24. https://doi.org/10.1016/0091-7435(88)90068-0

    Article  CAS  PubMed  Google Scholar 

  • Tremblay, M. S., Colley, R. C., Saunders, T. J., Healy, G. N., & Owen, N. (2010). Physiological and health implications of a sedentary lifestyle. Applied Physiology Nutrition and Metabolism, 35(6), 725–740. https://doi.org/10.1139/H10-079

    Article  Google Scholar 

  • Werneck, A. O., Agostinete, R. R., Cayres, S. U., Urban, J. B., Wigna, A., Chagas, L. G., de Torres, M., W., & Fernandes, R. A. (2018). Association between Cluster of Lifestyle Behaviors and HOMA-IR among Adolescents: ABCD Growth Study. Medicina (Kaunas Lithuania), 54(6), https://doi.org/10.3390/medicina54060096

  • WHO | What is Moderate-intensity and Vigorous-intensity Physical Activity? (2014). WHO

Download references

Acknowledgements

None.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Andrea Wigna.

Ethics declarations

Consent for Publication

All authors agree with the final version to be published.

Consent to Participate

All authors agree to be accountable for all aspects of the work and being at the disposal of request for data and materials.

Financial Support

The authors thank the Sao Paulo Research Suppot Fundation (FAPESP [Process: 2018/19122-2 and [Process: 15/19710-3]).

Conflict of Interest

None.

Ethical Standards

The study was approved by the Human Research Ethics Committee (Process: 1.677.938/2016).

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Wigna, A., Urban, J.B., Torres, W. et al. Relationship of Objectively Measured Physical Activity, Sedentary Behavior and Sleep Time with Cardiovascular and Mtabolic Outcomes in Adolescents (A Pilot Study): ABCD Growth Study. Matern Child Health J 26, 2293–2299 (2022). https://doi.org/10.1007/s10995-022-03471-w

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10995-022-03471-w

Keywords

Navigation