Physical Activity for Health Group, School of Psychological Sciences & Health, University of Strathclyde, Glasgow G1 1QE, UK.
Aspetar, Orthopaedic and Sports Medicine Hospital, FIFA Medical Centre of Excellence, Doha P.O. Box 29222, Qatar.
Int J Environ Res Public Health. 2021 Dec 16;18(24):13283. doi: 10.3390/ijerph182413283.
In a previous study based on this cohort, only 15% of the participants belonged to a favourable physical activity/sedentary behaviour trajectory group (characterised by relatively high moderate-vigorous intensity physical activity and relatively low sedentary behaviour across childhood and adolescence). Since this favourable trajectory is protective against obesity, we aimed to identify factors associated with membership of this group. In this longitudinal study, 671 participants were assessed at ages 7, 9, 12 and 15 years. Participants' demographics, socio-economic status (SES) and physical activity environment such as, sports club participation and commuting school were assessed at ages 7, 9 and 12 and analysed with favourable trajectory membership as an outcome using multinomial logistic regression. Sex (male) and SES (higher) were the non-modifiable factors associated with favourable trajectory group. Of the modifiable factors, commuting to school at age 7, a safe environment to play at age 7 and sports club participation at age 12 were all associated with more than 2.0 times increased probability of being in the most favourable trajectory. Future interventions to promote a favourable trajectory could focus on girls and participants with low SES. Promoting active commuting, safe local spaces to play and sports participation should also help lead to a favourable trajectory for physical activity and sedentary behaviour across childhood and adolescence.
在之前基于该队列的研究中,只有 15%的参与者属于有利的体力活动/久坐行为轨迹组(其特征是在儿童期和青春期相对较高的中等至剧烈强度体力活动和相对较低的久坐行为)。由于这种有利的轨迹可以预防肥胖,我们旨在确定与属于该组相关的因素。在这项纵向研究中,671 名参与者在 7 岁、9 岁、12 岁和 15 岁时接受了评估。参与者的人口统计学、社会经济地位(SES)和体力活动环境(如参加运动俱乐部和上学交通方式)在 7 岁、9 岁和 12 岁时进行了评估,并使用多变量逻辑回归分析将有利轨迹成员身份作为结果进行了分析。性别(男性)和 SES(较高)是与有利轨迹组相关的不可改变因素。在可改变的因素中,7 岁时上学交通方式、7 岁时安全的玩耍环境和 12 岁时参加运动俱乐部都与增加 2 倍以上的最有利轨迹概率相关。未来促进有利轨迹的干预措施可以侧重于女孩和 SES 较低的参与者。促进积极的上学交通方式、安全的当地玩耍空间和体育参与也应该有助于在儿童期和青春期形成有利的体力活动和久坐行为轨迹。