Physical activity, physical fitness and self-rated health: cross-sectional and longitudinal associations in adolescents
Objectives To evaluate the independent associations of physical activity and physical fitness with self-rated health in adolescents.Methods Data from a 2-year observational study (2013–2015) were used (n=256, 58% girls, 13.7±0.3 years at baseline). Self-rated health was assessed with a questionnaire...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2024-03-01
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| Series: | BMJ Open Sport & Exercise Medicine |
| Online Access: | https://bmjopensem.bmj.com/content/10/1/e001642.full |
| _version_ | 1797224436326203392 |
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| author | Urho M Kujala Jari Parkkari Alan R Barker Laura Joensuu Heidi J Syväoja Tuija H Tammelin |
| author_facet | Urho M Kujala Jari Parkkari Alan R Barker Laura Joensuu Heidi J Syväoja Tuija H Tammelin |
| author_sort | Urho M Kujala |
| collection | DOAJ |
| description | Objectives To evaluate the independent associations of physical activity and physical fitness with self-rated health in adolescents.Methods Data from a 2-year observational study (2013–2015) were used (n=256, 58% girls, 13.7±0.3 years at baseline). Self-rated health was assessed with a questionnaire, physical activity by an accelerometer and a questionnaire, and physical fitness via the measurements included in the Finnish national Move! monitoring system for physical functional capacity and their z-score average (fitness index).Results Self-reported physical activity had cross-sectional associations with self-rated health (girls β 0.213, p=0.006, β 0.221 boys p=0.021) while accelerometer-based moderate-to-vigorous physical activity did not. Higher self-reported physical activity at baseline was associated with higher self-rated health at follow-up in boys (β 0.289, p<0.001), but not in girls (β −0.056, p=0.430). Accelerometer-based moderate-to-vigorous physical activity had positive longitudinal associations with future self-rated health in boys, but some of these similar associations were negative in girls. Fitness index had a positive cross-sectional association with self-rated health in boys (β 0.282 or β 0.283, p=0.002), but not in girls (β 0.162 or β 0.161, p=0.051). Physical fitness was not longitudinally associated with self-rated health.Conclusions Self-reported physical activity showed potential to explain current and future self-rated health better than accelerometer-based physical activity or physical fitness. We recommended to consider self-reported physical activity as an adequate metric of adolescent health in the population-level surveillance systems. |
| first_indexed | 2024-04-24T13:53:05Z |
| format | Article |
| id | doaj.art-ec3b34c7489b4c4f8b547ebe85bdd223 |
| institution | Directory Open Access Journal |
| issn | 2055-7647 |
| language | English |
| last_indexed | 2024-04-24T13:53:05Z |
| publishDate | 2024-03-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open Sport & Exercise Medicine |
| spelling | doaj.art-ec3b34c7489b4c4f8b547ebe85bdd2232024-04-04T04:25:09ZengBMJ Publishing GroupBMJ Open Sport & Exercise Medicine2055-76472024-03-0110110.1136/bmjsem-2023-001642Physical activity, physical fitness and self-rated health: cross-sectional and longitudinal associations in adolescentsUrho M Kujala0Jari Parkkari1Alan R Barker2Laura Joensuu3Heidi J Syväoja4Tuija H Tammelin5Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, FinlandTampere Research Center of Sports Medicine, UKK Institute, Tampere, Pirkanmaa, Finland1 Children’s Health & Exercise Research Centre, Sport and Health Sciences, University of Exeter, Exeter, UKFaculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, FinlandLIKES Research Centre for Physical Activity and Health, Jyväskylä, Finland12 JAMK University of Applied Sciences, School of Health and Social Studies, LIKES, Jyväskylä, FinlandObjectives To evaluate the independent associations of physical activity and physical fitness with self-rated health in adolescents.Methods Data from a 2-year observational study (2013–2015) were used (n=256, 58% girls, 13.7±0.3 years at baseline). Self-rated health was assessed with a questionnaire, physical activity by an accelerometer and a questionnaire, and physical fitness via the measurements included in the Finnish national Move! monitoring system for physical functional capacity and their z-score average (fitness index).Results Self-reported physical activity had cross-sectional associations with self-rated health (girls β 0.213, p=0.006, β 0.221 boys p=0.021) while accelerometer-based moderate-to-vigorous physical activity did not. Higher self-reported physical activity at baseline was associated with higher self-rated health at follow-up in boys (β 0.289, p<0.001), but not in girls (β −0.056, p=0.430). Accelerometer-based moderate-to-vigorous physical activity had positive longitudinal associations with future self-rated health in boys, but some of these similar associations were negative in girls. Fitness index had a positive cross-sectional association with self-rated health in boys (β 0.282 or β 0.283, p=0.002), but not in girls (β 0.162 or β 0.161, p=0.051). Physical fitness was not longitudinally associated with self-rated health.Conclusions Self-reported physical activity showed potential to explain current and future self-rated health better than accelerometer-based physical activity or physical fitness. We recommended to consider self-reported physical activity as an adequate metric of adolescent health in the population-level surveillance systems.https://bmjopensem.bmj.com/content/10/1/e001642.full |
| spellingShingle | Urho M Kujala Jari Parkkari Alan R Barker Laura Joensuu Heidi J Syväoja Tuija H Tammelin Physical activity, physical fitness and self-rated health: cross-sectional and longitudinal associations in adolescents BMJ Open Sport & Exercise Medicine |
| title | Physical activity, physical fitness and self-rated health: cross-sectional and longitudinal associations in adolescents |
| title_full | Physical activity, physical fitness and self-rated health: cross-sectional and longitudinal associations in adolescents |
| title_fullStr | Physical activity, physical fitness and self-rated health: cross-sectional and longitudinal associations in adolescents |
| title_full_unstemmed | Physical activity, physical fitness and self-rated health: cross-sectional and longitudinal associations in adolescents |
| title_short | Physical activity, physical fitness and self-rated health: cross-sectional and longitudinal associations in adolescents |
| title_sort | physical activity physical fitness and self rated health cross sectional and longitudinal associations in adolescents |
| url | https://bmjopensem.bmj.com/content/10/1/e001642.full |
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