Cross-sectional and longitudinal associations between physical activity, sedentary behaviour and bone stiffness index across weight status in European children and adolescents

Abstract Background The associations between physical activity (PA), sedentary behaviour (SB) and bone health may be differentially affected by weight status during growth. This study aims to assess the cross-sectional and longitudinal associations between PA, SB and bone stiffness index (SI) in Eur...

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Main Authors: Lan Cheng, Hermann Pohlabeln, Wolfgang Ahrens, Fabio Lauria, Toomas Veidebaum, Charalambos Chadjigeorgiou, Dénes Molnár, Gabriele Eiben, Nathalie Michels, Luis A. Moreno, Angie S. Page, Yannis Pitsiladis, Antje Hebestreit, On behalf of the IDEFICS and I. Family Consortia
Format: Article
Language:English
Published: BMC 2020-04-01
Series:International Journal of Behavioral Nutrition and Physical Activity
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12966-020-00956-1
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author Lan Cheng
Hermann Pohlabeln
Wolfgang Ahrens
Fabio Lauria
Toomas Veidebaum
Charalambos Chadjigeorgiou
Dénes Molnár
Gabriele Eiben
Nathalie Michels
Luis A. Moreno
Angie S. Page
Yannis Pitsiladis
Antje Hebestreit
On behalf of the IDEFICS and I. Family Consortia
author_facet Lan Cheng
Hermann Pohlabeln
Wolfgang Ahrens
Fabio Lauria
Toomas Veidebaum
Charalambos Chadjigeorgiou
Dénes Molnár
Gabriele Eiben
Nathalie Michels
Luis A. Moreno
Angie S. Page
Yannis Pitsiladis
Antje Hebestreit
On behalf of the IDEFICS and I. Family Consortia
author_sort Lan Cheng
collection DOAJ
description Abstract Background The associations between physical activity (PA), sedentary behaviour (SB) and bone health may be differentially affected by weight status during growth. This study aims to assess the cross-sectional and longitudinal associations between PA, SB and bone stiffness index (SI) in European children and adolescents, taking the weight status into consideration. Methods Calcaneus SI was first measured by quantitative ultrasound among children aged 2–9 years old in 2007/08. It was measured again after 2 years in the IDEFICS study and after 6 years in the I. Family study. A sample of 2008 participants with time spent at sports clubs, watching TV and playing computer/games self-reported by questionnaire, and a subsample of 1037 participants with SB, light PA (LPA) and moderate-to-vigorous PA (MVPA) objectively measured using Actigraph accelerometers were included in the analyses. Weight status was defined as thin/normal and overweight/obese according to the extended International Obesity Task Force criteria. Linear mixed-effects models were used to estimate the cross-sectional and longitudinal associations between PA, SB and SI percentiles, stratified by weight status. Results The cross-sectional association between weekly duration of watching TV and SI percentiles was negative in thin/normal weight group (β = − 0.35, p = 0.008). However, baseline weekly duration of watching TV (β = − 0.63, p = 0.021) and change after 2 years (β = − 0.63, p = 0.022) as well as the change in weekly duration of playing computer/games after 6 years (β = − 0.75, p = 0.019) were inversely associated with corresponding changes in SI percentiles in overweight/obese group. Change in time spent at sports clubs was positively associated with change in SI percentiles after 2 years (β = 1.28, p = 0.001), with comparable effect sizes across weight status. In the subsample with accelerometer data, we found a positive cross-sectional association between MVPA and SI percentiles in thin/normal weight group. Baseline MVPA predicted changes in SI percentiles after 2 and 6 years in all groups. Conclusions Our results suggested the beneficial effect of PA on SI. However, the increasing durations of screen-based SB might be risk factors for SI development, especially in overweight/obese children and adolescents.
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spelling doaj.art-6e8a4eb867e74b75bcbd6fb065ce54372022-12-21T17:46:01ZengBMCInternational Journal of Behavioral Nutrition and Physical Activity1479-58682020-04-0117111310.1186/s12966-020-00956-1Cross-sectional and longitudinal associations between physical activity, sedentary behaviour and bone stiffness index across weight status in European children and adolescentsLan Cheng0Hermann Pohlabeln1Wolfgang Ahrens2Fabio Lauria3Toomas Veidebaum4Charalambos Chadjigeorgiou5Dénes Molnár6Gabriele Eiben7Nathalie Michels8Luis A. Moreno9Angie S. Page10Yannis Pitsiladis11Antje Hebestreit12On behalf of the IDEFICS and I. Family ConsortiaLeibniz Institute for Prevention Research and Epidemiology – BIPSLeibniz Institute for Prevention Research and Epidemiology – BIPSLeibniz Institute for Prevention Research and Epidemiology – BIPSInstitute of Food Sciences, National Research CouncilDepartment of Chronic Diseases, National Institute for Health DevelopmentResearch and Education Institute of Child HealthDepartment of Pediatrics, Medical School, University of PécsDepartment of Public Health, School of Health Sciences, University of SkövdeDepartment of Public Health, Faculty of Medicine and Health Sciences, Ghent UniversityGENUD (Growth, Exercise, Nutrition and Development) Research Group, Instituto Agroalimentario de Aragón (IA2), Instituto de Investigación Sanitaria Aragón (IIS Aragón), Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y Nutrición (CIBERObn), University of ZaragozaCentre for Exercise, Nutrition & Health Sciences, University of BristolCollaborating Centre of Sports Medicine, University of BrightonLeibniz Institute for Prevention Research and Epidemiology – BIPSAbstract Background The associations between physical activity (PA), sedentary behaviour (SB) and bone health may be differentially affected by weight status during growth. This study aims to assess the cross-sectional and longitudinal associations between PA, SB and bone stiffness index (SI) in European children and adolescents, taking the weight status into consideration. Methods Calcaneus SI was first measured by quantitative ultrasound among children aged 2–9 years old in 2007/08. It was measured again after 2 years in the IDEFICS study and after 6 years in the I. Family study. A sample of 2008 participants with time spent at sports clubs, watching TV and playing computer/games self-reported by questionnaire, and a subsample of 1037 participants with SB, light PA (LPA) and moderate-to-vigorous PA (MVPA) objectively measured using Actigraph accelerometers were included in the analyses. Weight status was defined as thin/normal and overweight/obese according to the extended International Obesity Task Force criteria. Linear mixed-effects models were used to estimate the cross-sectional and longitudinal associations between PA, SB and SI percentiles, stratified by weight status. Results The cross-sectional association between weekly duration of watching TV and SI percentiles was negative in thin/normal weight group (β = − 0.35, p = 0.008). However, baseline weekly duration of watching TV (β = − 0.63, p = 0.021) and change after 2 years (β = − 0.63, p = 0.022) as well as the change in weekly duration of playing computer/games after 6 years (β = − 0.75, p = 0.019) were inversely associated with corresponding changes in SI percentiles in overweight/obese group. Change in time spent at sports clubs was positively associated with change in SI percentiles after 2 years (β = 1.28, p = 0.001), with comparable effect sizes across weight status. In the subsample with accelerometer data, we found a positive cross-sectional association between MVPA and SI percentiles in thin/normal weight group. Baseline MVPA predicted changes in SI percentiles after 2 and 6 years in all groups. Conclusions Our results suggested the beneficial effect of PA on SI. However, the increasing durations of screen-based SB might be risk factors for SI development, especially in overweight/obese children and adolescents.http://link.springer.com/article/10.1186/s12966-020-00956-1Physical activitySedentary behaviourOverweightBone stiffness indexObservational study
spellingShingle Lan Cheng
Hermann Pohlabeln
Wolfgang Ahrens
Fabio Lauria
Toomas Veidebaum
Charalambos Chadjigeorgiou
Dénes Molnár
Gabriele Eiben
Nathalie Michels
Luis A. Moreno
Angie S. Page
Yannis Pitsiladis
Antje Hebestreit
On behalf of the IDEFICS and I. Family Consortia
Cross-sectional and longitudinal associations between physical activity, sedentary behaviour and bone stiffness index across weight status in European children and adolescents
International Journal of Behavioral Nutrition and Physical Activity
Physical activity
Sedentary behaviour
Overweight
Bone stiffness index
Observational study
title Cross-sectional and longitudinal associations between physical activity, sedentary behaviour and bone stiffness index across weight status in European children and adolescents
title_full Cross-sectional and longitudinal associations between physical activity, sedentary behaviour and bone stiffness index across weight status in European children and adolescents
title_fullStr Cross-sectional and longitudinal associations between physical activity, sedentary behaviour and bone stiffness index across weight status in European children and adolescents
title_full_unstemmed Cross-sectional and longitudinal associations between physical activity, sedentary behaviour and bone stiffness index across weight status in European children and adolescents
title_short Cross-sectional and longitudinal associations between physical activity, sedentary behaviour and bone stiffness index across weight status in European children and adolescents
title_sort cross sectional and longitudinal associations between physical activity sedentary behaviour and bone stiffness index across weight status in european children and adolescents
topic Physical activity
Sedentary behaviour
Overweight
Bone stiffness index
Observational study
url http://link.springer.com/article/10.1186/s12966-020-00956-1
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