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Physical Activity and Sedentary Time Associations with Metabolic Health Across Weight Statuses in Children and Adolescents
Author(s) -
Kuzik Nicholas,
Carson Valerie,
Andersen Lars Bo,
Sardinha Luís B.,
Grøntved Anders,
Hansen Bjørge Herman,
Ekelund Ulf
Publication year - 2017
Publication title -
obesity
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.438
H-Index - 199
eISSN - 1930-739X
pISSN - 1930-7381
DOI - 10.1002/oby.21952
Subject(s) - overweight , odds , obesity , medicine , multinomial logistic regression , odds ratio , demography , logistic regression , physical activity , sedentary lifestyle , gerontology , physical therapy , mathematics , statistics , sociology
Objective The aim of this study was to examine the prevalence of metabolic health across weight statuses and the associations of physical activity and sedentary time within and across metabolic health‐weight status groups. Methods Six studies ( n = 4,581) from the International Children's Accelerometry Database were used. Sedentary time, light physical activity, and moderate to vigorous physical activity (MVPA) were accelerometer derived. Individuals were classified with normal weight (NW), overweight, or obesity. Strict and lenient composite definitions of metabolic health were created. Binomial and multinomial logistic regressions controlling for age, sex, study, and accelerometer wear time were conducted. Results The metabolically unhealthy (MU) prevalence was 26.4% and 45.6% based on two definitions. Across definitions, more sedentary time was associated with higher odds of MU classification compared with metabolically healthy (MH) classification for the NW group. More MVPA was associated with lower odds of MU classification than MH classification for NW and overweight groups. For multinomial logistic regressions, more MVPA was associated with lower odds of MH‐obesity classification, as well as MU‐NW, ‐overweight, and ‐obesity classifications, compared with the MH‐NW group. Furthermore, more sedentary time was associated with higher odds of MU‐NW classification compared with the MH‐NW group. Conclusions More MVPA was beneficial for metabolic health and weight status, whereas lower sedentary time was beneficial for metabolic health alone, although associations were weak.