Physical Activity and Sedentary Behavior among Young Adolescents in 68 LMICs, and Their Relationships with National Economic Development

Ma, Chuanwei; Zhang, Yuanyuan; Zhao, Min; Bovet, Pascal; Xi, Bo

doi:10.3390/ijerph17217752

Cited by 19 publications

(18 citation statements)

References 36 publications

(42 reference statements)

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“…Previous studies have shown that PA levels of children and adolescents are signi cantly correlated with the economic development where they live (25). Here, we showed that areas of higher economic development were associated with lower levels of MVPA among children and adolescents, a nding consistent with previous global studies(6, 26).…”

Section: Discussionsupporting

confidence: 92%

Parental Influence on Physical Activity Levels among Children and Adolescents in Western China in the era of COVID-19

Shi

Zhao

et al. 2022

Preprint

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Purpose: This study aimed to examine the levels of physical activity (PA) among children and adolescents in western China, and the influence of parents on their PA, in the era of coronavirus disease 2019 (COVID-19). Methods: This cross-sectional study used a multistage questionnaire to evaluate 4800 children and adolescents of grades 4–12 (9-17 years old) from 48 primary and secondary schools across 16 districts and counties in western China. In addition to PA, questionnaires collected data on demography, family structure, and exercise habits. Data were assessed using the International Physical Activity Questionnaire-Short Form (IPAQ-SF) and analyzed using chi-square tests, t-tests, Spearman’s correlation, and logistic regression models in SPSS.Results: In this study, a minority (42.1%, n=1553) of children and adolescents met the daily exercise target (60 min) recommended by the World Health Organization (WHO). Moderate- to vigorous-intensity physical activity (MVPA) level of boys was significantly higher than that of girls. Regardless of sex, children with the highest MVPA levels were those in grades 4–6, and PA levels decreased with increasing age. Furthermore, for every hour of increase in the daily MVPA of parents, the MVPA also increased by 6.1–13.9 min in children and adolescents. Moreover, areas of higher economic development were associated with lower levels of MVPA.Conclusions: Overall, this study found a low level of MVPA in children and adolescents of western China; both family structure and parental activity have a significant influence on the PA levels. Nevertheless, the impact of COVID-19 on PA levels has not been entirely negative.

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Section: Discussionsupporting

confidence: 92%

Parental Influence on Physical Activity Levels among Children and Adolescents in Western China in the era of COVID-19

Shi

Zhao

et al. 2022

Preprint

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“…This epidemiologic transition has been identified in related fields of research, such as obesity, where it has been shown that in countries in transition, groups with higher incomes are the first to shift to a more sedentary lifestyle before those of lower income ( 28 ). Research among adolescents in 68 LMIC has also reported that increases in a country’s economic development were coupled with higher levels of sedentary behavior among both sexes ( 29 ). Our findings provide preliminary evidence of a potential sedentary behavior transition that appears to begin in early childhood.…”

Section: Discussionmentioning

confidence: 99%

Levels and Correlates of Objectively Measured Sedentary Behavior in Young Children: SUNRISE Study Results from 19 Countries

Kariippanon

Chong

Janssen

et al. 2022

Medicine &Amp; Science in Sports &Amp; Exercise

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PurposeThere is a paucity of global data on sedentary behavior during early childhood. The purpose of this study was to examine how device-measured sedentary behavior in young children differed across geographically, economically, and sociodemographically diverse populations, in an international sample.MethodsThis multinational, cross-sectional study included data from 1071 children 3–5 yr old from 19 countries, collected between 2018 and 2020 (pre-COVID). Sedentary behavior was measured for three consecutive days using activPAL accelerometers. Sedentary time, sedentary fragmentation, and seated transport duration were calculated. Linear mixed models were used to examine the differences in sedentary behavior variables between sex, country-level income groups, urban/rural settings, and population density.ResultsChildren spent 56% (7.4 h) of their waking time sedentary. The longest average bout duration was 81.1 ± 45.4 min, and an average of 61.1 ± 50.1 min·d−1 was spent in seated transport. Children from upper-middle–income and high-income countries spent a greater proportion of the day sedentary, accrued more sedentary bouts, had shorter breaks between sedentary bouts, and spent significantly more time in seated transport, compared with children from low-income and lower-middle–income countries. Sex and urban/rural residential setting were not associated with any outcomes. Higher population density was associated with several higher sedentary behavior measures.ConclusionsThese data advance our understanding of young children’s sedentary behavior patterns globally. Country income levels and population density appear to be stronger drivers of the observed differences, than sex or rural/urban residential setting.

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“…Macroeconomic indicators are associated with different domains of physical activity, especially for leisure physical activity in women 39 . According to Ma et al, comparing the lowest to the highest quintiles of a country's purchasing power parity per capita, both physical activity and sedentary behaviour increased 40 . Physical activity could influence nutritional status, and thus create uncertainty in the moderation effect of economic status in the association between early life famine exposure and MAFLD in men and in women.…”

Section: Discussionmentioning

confidence: 99%

Moderation effect of economic status in the association between early life famine exposure and MAFLD in adulthood

Wang

Zhang

Xia

et al. 2021

Liver International

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Background & Aims: The double burden of malnutrition (DBM) in China resulted in high prevalence of diet-related non-communicable diseases. The aim of this study was to analyse the moderation of economic status in the association between early famine exposure and metabolic dysfunction associated with fatty liver disease (MAFLD) in adulthood. Methods: 10 190 participants in the SPECT-China study enrolled from 2014 to 2016 were included in this study. Participants with fetal famine exposure (birth year 1959-1962) or early-childhood famine exposure (birth year 1955-1958) formed the exposure group. The associations with MAFLD were assessed via regression analyses. Results:In men, economic status could not moderate the association between early life famine and MAFLD after adjusting for age, excess alcohol drinking, current smokers, famine severity, waist circumference, diabetes, hypertension, and dyslipidemia (P for interaction = .52). However, in women and in the total population, economic status could moderate the association between early life famine and MAFLD after adjusting for the above confounders (P for interaction = .01). In the total population and in women, early life famine exposure was associated with MAFLD in both low economic status and high economic status. However, in men, early life famine exposure was not associated with MAFLD in low economic status, while in high economic status, early-childhood famine exposure was associated with MAFLD.Conclusions: Economic status could moderate the association between early life famine exposure and MAFLD in total population and in women.

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Physical Activity and Sedentary Behavior among Young Adolescents in 68 LMICs, and Their Relationships with National Economic Development

Cited by 19 publications

References 36 publications

Parental Influence on Physical Activity Levels among Children and Adolescents in Western China in the era of COVID-19

Parental Influence on Physical Activity Levels among Children and Adolescents in Western China in the era of COVID-19

Levels and Correlates of Objectively Measured Sedentary Behavior in Young Children: SUNRISE Study Results from 19 Countries

Moderation effect of economic status in the association between early life famine exposure and MAFLD in adulthood

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