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Effect of baseline physical activity on the fat gain of adolescents in a 5-year cohort study in Ho Chi Minh City, Viet Nam. Br J Nutr 2022; 128:948-954. [PMID: 34622754 DOI: 10.1017/s0007114521004098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Differences in physical activity (PA) might lead to long-term weight control. Studies on inverse relations between PA and changes in fatness among adolescents are limited. This paper examined the effect of PA on adolescents' changing body fatness over 5 years in Ho Chi Minh City (HCMC). Two hundred thirty-five boys and 247 girls who have had skinfold thickness measurements in the baseline survey in 2004 were selected to follow yearly. We estimated PA as the average number of accelerometers' counts/h. Slopes of triceps, sub-scapular skinfolds and BMI were calculated and classified as increasing or stable/decreasing. To assess the effects of the low level of activity (i.e. below the median of the average number of counts) on the fat gain (i.e. increasing slopes), relative risk and 95 % CI were estimated using Poisson regression. The average number of counts/h in boys (7·8) was significantly higher than that in girls (5·0) (P < 0·001). On average, active girls still gained 0·51 mm in triceps skinfold (TSF) over 5 years, while active boys lost 0·12 mm. After controlling for baseline energy intake, baseline triceps and baseline age, inactive adolescents were 1·39 times higher than active ones to increase the slope of triceps (95 % CI 1·19, 1·63). The risk ratio was 1·62 for those with more body fat at baseline. In general, inactive students gained substantially more subcutaneous fat, especially in their TSF, than more active ones. Thus, strategies to prevent adolescent obesity in HCMC should consider the important role of PA to control this problem in adolescents effectively.
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Teenage Sport Trajectory Is Associated With Physical Activity, but Not Body Composition or Blood Pressure in Early Adulthood. J Adolesc Health 2022; 71:119-126. [PMID: 35428561 DOI: 10.1016/j.jadohealth.2022.02.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/08/2021] [Revised: 02/10/2022] [Accepted: 02/11/2022] [Indexed: 11/21/2022]
Abstract
PURPOSE Commonly held hypotheses in practice suggest that compared to single-sport participation, multi-sport participation is associated with higher physical activity (PA) levels and health benefits in the long term. To verify this in the general population, we identified sport participation trajectories during adolescence and examined their associations with PA and health outcomes in young adulthood. METHODS Participants (n = 655) from the Nicotine Dependence in Teens study self-reported sport involvement up to four times per year from age 12 to 17 years. At age 24, PA was assessed using questionnaires and accelerometers, and body composition (i.e., body mass index, waist circumference, skinfold thickness) and blood pressure were measured objectively. We used group-based trajectory modeling to identify sport participation trajectories from age 12 to 17. Associations between trajectories and outcomes in early adulthood were estimated in multivariable linear regression models. RESULTS We identified four sport participation trajectories during adolescence: non-participants (n = 148, 22%), dropouts (n = 133, 21%), single-sport (n = 248, 37%), and multi-sport participation (n = 126, 20%). Compared to non-participation, multi-sport participation during adolescence was associated with higher self-reported PA in early adulthood (β [95% confidence interval] = 0.26 [0.00-0.52], MET-minutes/week). No association was detected between sport trajectories and accelerometer-measured PA, body composition or blood pressure in early adulthood. DISCUSSION Our results partially support models suggesting the existence of distinct sport participation trajectories during adolescence and that multi-sport participation is associated with higher self-reported PA levels in adulthood. Our results do not support that sport participation trajectories during adolescence are linked to lower blood pressure or healthier body composition in adulthood.
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Riglea T, Doré I, O'Loughlin J, Bélanger M, Sylvestre MP. Contemporaneous trajectories of physical activity and screen time in adolescents. Appl Physiol Nutr Metab 2021; 46:676-684. [PMID: 33406004 DOI: 10.1139/apnm-2020-0631] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Adolescents often report low moderate-to-vigorous physical activity (MVPA) and high screen time. We modeled sex-specific MVPA and screen time trajectories during adolescence and identified contemporaneous patterns of evolution. Data were drawn from 2 longitudinal investigations. The Nicotine Dependence in Teens (NDIT) study included 1294 adolescents recruited at age 12-13 years who completed questionnaires every 3 months for 5 years. The Monitoring Activities of Teenagers to Comprehend their Habits (MATCH) study included 937 participants recruited at age 9-12 years who completed questionnaires every 4 months for 7 years. MVPA was measured as the number of days per week of being active for at least 5 min (NDIT) or 60 min (MATCH). In both studies, screen time was measured as the number of hours spent weekly in screen activities. In each study, sex-specific group-based trajectories were modeled separately for MVPA and screen time from grade 7 to 11. Contemporaneous patterns of evolution were examined in mosaic plots. In both studies, 5 MVPA trajectories were identified in both sexes, and 4 and 5 screen time trajectories were identified in boys and girls, respectively. All combinations of MVPA and screen time trajectories were observed. However, the contemporaneous patterns of evolution were favourable in 14%-31% of participants (i.e., they were members of the stable high MVPA and the lower screen time trajectories). Novelty: MVPA and screen time trajectories during adolescence and their combinations showed wide variability in 2 Canadian studies. Up to 31% of participants showed favourable contemporaneous patterns of evolution in MVPA and screen time. Using uniform methods for trajectory modeling may increase the potential for replication across studies.
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Affiliation(s)
- Teodora Riglea
- Centre de recherche du centre hospitalier de l'Université de Montréal, Montréal, QC H2X 0A9, Canada
| | - Isabelle Doré
- Centre de recherche du centre hospitalier de l'Université de Montréal, Montréal, QC H2X 0A9, Canada.,School of Kinesiology and Physical Activity Sciences, Faculty of Medicine, Université de Montréal, Montréal, QC H3T 1J4, Canada
| | - Jennifer O'Loughlin
- Centre de recherche du centre hospitalier de l'Université de Montréal, Montréal, QC H2X 0A9, Canada.,Department of Social and Preventive Medicine, School of Public Health, Université de Montréal, Montréal, QC H3N 1X9, Canada
| | - Mathieu Bélanger
- Department of Family Medicine, Université de Sherbrooke, Sherbrooke, QC J1H 5N4, Canada.,Centre de formation médicale du Nouveau-Brunswick, Moncton, NB E1A 3E9, Canada.,Research Services, Vitalité Health Network, Bathurst, NB E2A 1A9, Canada
| | - Marie-Pierre Sylvestre
- Centre de recherche du centre hospitalier de l'Université de Montréal, Montréal, QC H2X 0A9, Canada.,Department of Social and Preventive Medicine, School of Public Health, Université de Montréal, Montréal, QC H3N 1X9, Canada
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Wellman RJ, Sylvestre MP, Abi Nader P, Chiolero A, Mesidor M, Dugas EN, Tougri G, O'Loughlin J. Intensity and frequency of physical activity and high blood pressure in adolescents: A longitudinal study. J Clin Hypertens (Greenwich) 2020; 22:283-290. [PMID: 31955514 DOI: 10.1111/jch.13806] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2019] [Revised: 11/30/2019] [Accepted: 12/10/2019] [Indexed: 02/01/2023]
Abstract
Despite limited evidence on the association between physical activity (PA) and blood pressure (BP) in youth, experts recommend that adolescents engage regularly in moderate-to-vigorous PA. We examined the relationships between PA intensity and frequency and the likelihood of having high BP in a population-based cohort of adolescents from Montréal, Canada. PA was self-reported every 3 months from grade 7 to 11, and BP was measured at ages 12.8, 15.2, and 17.0 years on average. We analyzed data from 993 participants (mean [SD] age = 16.0 [1.0], 51.6% female) with BP data at ages 15.2 and/or 17.0 years, using pooled ordinal logistic regression. BP (normal/elevated/hypertensive range) was the outcome, and past-year PA intensity and frequency were potential predictors. Eight percent of participants had elevated BP (120-129/<80), and 3.2% had BP in the hypertensive range (≥130/≥80). Participants engaged in a median (interquartile range) of 7.0 (4.5, 9.3) and 5.5 (2, 10.8) moderate and vigorous PA sessions/week, respectively. After adjusting for age, sex, mother's education, use of alcohol and cigarette consumption, engaging in PA more intense than light during the previous year was associated with a lower odds of having BP in the hypertensive range (ORs [95% CIs] = 0.93 [0.88, 0.97] to 0.97 [0.94, 0.99]). The relationships were not altered by adjusting for BMI. Our findings support recommendations that adolescents engage in at least moderate PA on a regular basis to prevent development of BP in the hypertensive range.
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Affiliation(s)
- Robert J Wellman
- Department of Population and Quantitative Health Sciences, Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester, Massachusetts
| | - Marie-Pierre Sylvestre
- Centre de Recherche du Centre Hospitalier de l'Université de Montréal, Montréal, QC, Canada.,Department of Social and Preventive Medicine, School of Public Health, University of Montréal, Montréal, QC, Canada
| | - Patrick Abi Nader
- Centre de Recherche du Centre Hospitalier de l'Université de Montréal, Montréal, QC, Canada.,Centre de Formation Médicale du Nouveau-Brunswick, Université de Moncton, Moncton, NB, Canada
| | - Arnaud Chiolero
- Population Health Laboratory, University of Fribourg, Fribourg, Switzerland.,Institute of Primary Care (BIHAM), University of Bern, Bern, Switzerland.,Department of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montréal, QC, Canada
| | - Miceline Mesidor
- Centre de Recherche du Centre Hospitalier de l'Université de Montréal, Montréal, QC, Canada.,Department of Social and Preventive Medicine, School of Public Health, University of Montréal, Montréal, QC, Canada
| | - Erika N Dugas
- Centre de Recherche du Centre Hospitalier de l'Université de Montréal, Montréal, QC, Canada
| | | | - Jennifer O'Loughlin
- Centre de Recherche du Centre Hospitalier de l'Université de Montréal, Montréal, QC, Canada.,Department of Social and Preventive Medicine, School of Public Health, University of Montréal, Montréal, QC, Canada
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Narciso J, Silva AJ, Rodrigues V, Monteiro MJ, Almeida A, Saavedra R, Costa AM. Behavioral, contextual and biological factors associated with obesity during adolescence: A systematic review. PLoS One 2019; 14:e0214941. [PMID: 30958850 PMCID: PMC6453458 DOI: 10.1371/journal.pone.0214941] [Citation(s) in RCA: 31] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2018] [Accepted: 03/22/2019] [Indexed: 02/06/2023] Open
Abstract
INTRODUCTION/OBJECTIVE Adolescence is a critical period for the development of obesity. Obesity arises from a complex interaction between several factors, which are not yet fully understood. Therefore, the purpose of this review was to identify and assess the peer-reviewed scientific literature on the behavioral, contextual and biological factors associated with obesity in adolescents. METHODS PubMed and Scopus were systematically searched to identify prospective cohort studies concerning the relation between behavioral, contextual and biological factors and obesity in adolescents aged 10 to 18 years. RESULTS 40 studies published between the year 2000 and 2018 were included. A positive consistent association between genetic factors and obesity during adolescence was found. Also, there is evidence to support the association between socioeconomic status and obesity. There was conflicting evidence for the contribution of dietary intake, physical activity, sedentary behavior, sleep, food store environment, school food environment. For the remaining factors no associations were found, or no conclusions could be drawn due to the limited number of studies identified. CONCLUSIONS Further prospective studies that assess multiple obesity determinants simultaneously and use state-of-art measures are warranted to aid in the development of effective strategies and interventions to prevent obesity during adolescence.
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Affiliation(s)
- Janine Narciso
- Department of Sports Sciences, University of Beira Interior, Covilhã, Portugal
| | - António José Silva
- Department of Sports, Exercise and Health Sciences, University of Trás-os-Montes e Alto Douro, Vila Real, Portugal
- Research Center in Sports Sciences, Health Sciences and Human Development, CIDESD, Vila Real, Portugal
| | - Vitor Rodrigues
- Research Center in Sports Sciences, Health Sciences and Human Development, CIDESD, Vila Real, Portugal
- Superior School of Health, University of Trás-os-Montes e Alto Douro, Vila Real, Portugal
| | - Maria João Monteiro
- Superior School of Health, University of Trás-os-Montes e Alto Douro, Vila Real, Portugal
- Center for Health Technology and Services Research, CINTESIS, Porto, Portugal
| | - António Almeida
- Superior School of Health, University of Trás-os-Montes e Alto Douro, Vila Real, Portugal
| | - Raquel Saavedra
- Department of Sports, Exercise and Health Sciences, University of Trás-os-Montes e Alto Douro, Vila Real, Portugal
| | - Aldo Matos Costa
- Department of Sports Sciences, University of Beira Interior, Covilhã, Portugal
- Research Center in Sports Sciences, Health Sciences and Human Development, CIDESD, Vila Real, Portugal
- Health Sciences Research Center, CICS-UBI, Covilhã, Portugal
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Wellman RJ, Vaughn JA, Sylvestre MP, O'Loughlin EK, Dugas EN, O'Loughlin JL. Relationships Between Current and Past Binge Drinking and Systolic Blood Pressure in Young Adults. J Adolesc Health 2016; 58:352-7. [PMID: 26903432 DOI: 10.1016/j.jadohealth.2015.10.251] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/20/2015] [Revised: 10/28/2015] [Accepted: 10/28/2015] [Indexed: 12/28/2022]
Abstract
PURPOSE Heavy episodic (i.e., "binge") drinking (i.e., ≥five drinks/occasion) is highly prevalent among young adults; those who binge do so four times per month on average, consuming nine drinks on average on each occasion. Although it is well established that chronic heavy drinking (≥two alcoholic beverages per day) increases the risk of hypertension, the relationship between binge drinking and blood pressure is not well described. Our aim was to describe the relationship between frequency of binge drinking, both current (at age 24 years) and past (at age 20 years), and systolic blood pressure (SBP) at age 24 years. METHODS Participants (n = 756) from the longitudinal Nicotine Dependence in Teens study reported alcohol consumption at ages 20 and 24 years and had SBP measured at age 24 years. We examined the association between binge drinking and SBP using multiple linear regression, controlling for sex, race/ethnicity, education, monthly drinking in high school, cigarette smoking, and body mass index. RESULTS Compared to nonbinge drinkers, SBP at age 24 years was 2.61 [.41, 4.82] mm Hg higher among current monthly bingers and 4.03 [1.35, 6.70] mm Hg higher among current weekly bingers. SBP at age 24 years was 2.90 [.54, 5.25] mm Hg higher among monthly bingers at age 20 years and 3.64 [.93, 6.35] mm Hg higher among weekly bingers at age 20 years, compared to nonbinge drinkers. CONCLUSIONS Frequent binge drinking at ages 20 and 24 years is associated with higher SBP at age 24 years and may be implicated in the development of hypertension.
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Affiliation(s)
- Robert J Wellman
- Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, Massachusetts
| | - John A Vaughn
- Student Health Service and Department of Community and Family Medicine, Duke University, Durham, North Carolina
| | - Marie-Pierre Sylvestre
- Department of Social and Preventive Medicine, University of Montréal, Montreal, Québec, Canada; Centre de Recherche du Centre Hospitalier de l'Université de Montréal, Montreal, Québec, Canada
| | - Erin K O'Loughlin
- Centre de Recherche du Centre Hospitalier de l'Université de Montréal, Montreal, Québec, Canada; INDI Department, Concordia University, Montreal, Québec, Canada
| | - Erika N Dugas
- Centre de Recherche du Centre Hospitalier de l'Université de Montréal, Montreal, Québec, Canada
| | - Jennifer L O'Loughlin
- Department of Social and Preventive Medicine, University of Montréal, Montreal, Québec, Canada; Centre de Recherche du Centre Hospitalier de l'Université de Montréal, Montreal, Québec, Canada.
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Dubé E, O'Loughlin J, Karp I, Jutras-Aswad D. Cigarette smoking may modify the association between cannabis use and adiposity in males. Pharmacol Biochem Behav 2015; 135:121-7. [PMID: 26026899 DOI: 10.1016/j.pbb.2015.04.018] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/27/2014] [Revised: 03/10/2015] [Accepted: 04/22/2015] [Indexed: 11/17/2022]
Abstract
INTRODUCTION The few population-based studies that investigate the association between cannabis use and adiposity are inconclusive possibly because nicotine moderates the effect of cannabis on adiposity. The objective was to test the hypotheses that the association between cannabis use and adiposity in young men and women is modified by cigarette smoking. METHODS Data were drawn from the Nicotine Dependence in Teens (NDIT) study, a 13-year prospective cohort investigation of the natural course of nicotine dependence. A total of 271 males and 319 females aged 12-13years at cohort inception provided data on past-year cannabis use and number of cigarettes smoked per day in the past three months, at age 20years. Outcomes included change in body mass index (BMI) and in waist circumference (WC) from ages 17 to 24years. The hypothesis was tested in multiple linear regression models that included interaction terms for cannabis use and cigarette smoking and controlled for physical activity, sedentary behavior, alcohol use, and level of the outcome at baseline. RESULTS The association between cannabis use and change in adiposity was U-shaped in male non-smokers and in females, and an inverted U-shape in male smokers. In males, the interaction between cannabis use and cigarette smoking was significant in both the models for change in BMI (p=0.004; n=271) and change in WC (p=0.04; n=250). In females, the interaction between cannabis use and cigarette smoking was not significant. CONCLUSION Smoking cigarettes appears to modify the association between cannabis use and adiposity in young men.
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Affiliation(s)
- Emily Dubé
- Department of Social and Preventive Medicine, University of Montreal, 7101 ave du Parc, Montreal, Quebec H3N 1X7, Canada.
| | - Jennifer O'Loughlin
- Department of Social and Preventive Medicine, University of Montreal, 7101 ave du Parc, Montreal, Quebec H3N 1X7, Canada; Centre de Recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM), 850 Saint-Denis, Montreal, Quebec H2X 0A9, Canada; Institut National de Santé Publique du Québec, 190 Crémazie E, Montreal, Quebec H2P 1E2, Canada.
| | - Igor Karp
- Department of Social and Preventive Medicine, University of Montreal, 7101 ave du Parc, Montreal, Quebec H3N 1X7, Canada; Centre de Recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM), 850 Saint-Denis, Montreal, Quebec H2X 0A9, Canada; Department of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, University of Western Ontario, 1151 Richmond St., London, Ontario N6A 5C1, Canada.
| | - Didier Jutras-Aswad
- Centre de Recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM), 850 Saint-Denis, Montreal, Quebec H2X 0A9, Canada; Department of Psychiatry, Université de Montréal, 2900, Édouard-Montpetit, Montreal, Quebec H3C 3J7, Canada.
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Jiménez-Pavón D, Fernández-Vázquez A, Alexy U, Pedrero R, Cuenca-García M, Polito A, Vanhelst J, Manios Y, Kafatos A, Molnar D, Sjöström M, Moreno LA. Association of objectively measured physical activity with body components in European adolescents. BMC Public Health 2013; 13:667. [PMID: 23866681 PMCID: PMC3723445 DOI: 10.1186/1471-2458-13-667] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2013] [Accepted: 06/25/2013] [Indexed: 12/03/2022] Open
Abstract
Background Physical activity (PA) is suggested to contribute to fat loss not only through increasing energy expenditure “per se” but also increasing muscle mass; therefore, it would be interesting to better understand the specific associations of PA with the different body’s components such as fat mass and muscle mass. The aim of the present study was to examine the association between objectively measured PA and indices of fat mass and muscle components independently of each other giving, at the same time, gender-specific information in a wide cohort of European adolescents. Methods A cross-sectional study in a school setting was conducted in 2200 (1016 males) adolescents (14.7 ±1.2 years). Weight, height, skinfold thickness, bioimpedance and PA (accelerometry) were measured. Indices of fat mass (body mass index, % fat mass, sum of skinfolds) and muscular component (assessed as fat-free mass) were calculated. Multiple regression analyses were performed adjusting for several confounders including fat-free mass and fat mass when possible. Results Vigorous PA was positively associated with height (p < 0.05) in males, whilst, vigorous PA, moderate-vigorous PA and average PA were negatively associated with all the indices of fat mass (all p < 0.01) in both genders, except for average PA in relation with body mass index in females. Regarding muscular components, vigorous PA showed positive associations with fat-free mass and muscle mass (all p < 0.05) in both genders. Average PA was positively associated with fat-free mass (both p < 0.05) in males and females. Conclusion The present study suggests that PA, especially vigorous PA, is negatively associated with indices of fat mass and positively associated with markers of muscle mass, after adjusting for several confounders (including indices of fat mass and muscle mass when possible). Future studies should focus not only on the classical relationship between PA and fat mass, but also on PA and muscular components, analyzing the independent role of both with the different PA intensities.
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Affiliation(s)
- David Jiménez-Pavón
- GENUD (Growth, Exercise, Nutrition and Development), Department of Physiotherapy and Nursing, Research Group, Faculty of Health Sciences, University of Zaragoza, Avd, Domingo Miral s/n, CP: 50009, Zaragoza, Spain.
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