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Physical activity intensity, sedentary behavior, body composition and physical fitness in 4-year-old children: results from the ministop trial.
Int J Obes (Lond). 2016 07; 40(7):1126-33.IJ

Abstract

BACKGROUND

Existing knowledge on associations of physical activity (PA) and sedentary behavior (SB) with body composition and physical fitness in preschoolers is limited.

OBJECTIVE

To examine associations of PA and SB with body composition and physical fitness in healthy Swedish 4-year-old children.

METHODS

We utilized baseline data collected in 2014 for the population-based MINISTOP trial (n=307). Light-intensity PA (LPA), moderate-intensity PA (MPA), vigorous-intensity PA (VPA), moderate-to-vigorous PA (MVPA) and SB were measured using accelerometry (ActiGraph-wGT3x-BT). Body composition was measured using air-displacement plethysmography, and physical fitness (that is, cardiorespiratory fitness, lower and upper body muscular strength and motor fitness) was measured using the PREFIT fitness test battery. Multiple linear regression models adjusted for relevant confounders, and in addition, isotemporal substitution models were applied.

RESULTS

Greater MVPA was associated with lower fat mass percent (%FM, P=0.015), and greater VPA and MVPA were associated with higher fat-free mass index (FFMI, P=0.002 and P=0.011). In addition, greater VPA and MVPA were associated with higher scores for all physical fitness tests (P=0.042 to P<0.001). The results for MVPA were primarily due to VPA. SB was associated with weaker handgrip strength (P=0.031) when PA was not adjusted, but after adjusting also for VPA, the significant association disappeared (P=0.25). Substituting 5 min per day of SB, LPA or MPA with 5 min per day of VPA was associated with higher FFMI and better scores for cardiorespiratory fitness and motor fitness. Correspondingly, substituting 5 min per day of VPA with SB or LPA was associated with weaker performance for lower muscular strength.

CONCLUSIONS

Time spent on VPA was associated with higher FFMI and better physical fitness. The results suggest that promoting VPA may be important to improve childhood body composition and physical fitness already at an early age.

Authors+Show Affiliations

Department of Health Sciences, University of Jyvaskyla, FI-40014 University of Jyvaskyla, Jyvaskyla, Finland.Department of Biosciences and Nutrition, Karolinska Institutet, NOVUM, Huddinge, Sweden.Department of Clinical and Experimental Medicine, Faculty of Health Science, Linkoping University, Linkoping, Sweden. PROmoting FITness and Health through physical activity research group (PROFITH), Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, Granada, Spain.Marshfield Clinic Research Foundation, Marshfield, WI, USA.PROmoting FITness and Health through physical activity research group (PROFITH), Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, Granada, Spain.PROmoting FITness and Health through physical activity research group (PROFITH), Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, Granada, Spain.PROmoting FITness and Health through physical activity research group (PROFITH), Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, Granada, Spain.Department of Biosciences and Nutrition, Karolinska Institutet, NOVUM, Huddinge, Sweden. Department of Clinical and Experimental Medicine, Faculty of Health Science, Linkoping University, Linkoping, Sweden.

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

27087109

Citation

Leppänen, M H., et al. "Physical Activity Intensity, Sedentary Behavior, Body Composition and Physical Fitness in 4-year-old Children: Results From the Ministop Trial." International Journal of Obesity (2005), vol. 40, no. 7, 2016, pp. 1126-33.
Leppänen MH, Nyström CD, Henriksson P, et al. Physical activity intensity, sedentary behavior, body composition and physical fitness in 4-year-old children: results from the ministop trial. Int J Obes (Lond). 2016;40(7):1126-33.
Leppänen, M. H., Nyström, C. D., Henriksson, P., Pomeroy, J., Ruiz, J. R., Ortega, F. B., Cadenas-Sánchez, C., & Löf, M. (2016). Physical activity intensity, sedentary behavior, body composition and physical fitness in 4-year-old children: results from the ministop trial. International Journal of Obesity (2005), 40(7), 1126-33. https://doi.org/10.1038/ijo.2016.54
Leppänen MH, et al. Physical Activity Intensity, Sedentary Behavior, Body Composition and Physical Fitness in 4-year-old Children: Results From the Ministop Trial. Int J Obes (Lond). 2016;40(7):1126-33. PubMed PMID: 27087109.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Physical activity intensity, sedentary behavior, body composition and physical fitness in 4-year-old children: results from the ministop trial. AU - Leppänen,M H, AU - Nyström,C Delisle, AU - Henriksson,P, AU - Pomeroy,J, AU - Ruiz,J R, AU - Ortega,F B, AU - Cadenas-Sánchez,C, AU - Löf,M, Y1 - 2016/04/18/ PY - 2015/10/23/received PY - 2016/02/23/revised PY - 2016/02/28/accepted PY - 2016/4/19/entrez PY - 2016/4/19/pubmed PY - 2018/1/19/medline SP - 1126 EP - 33 JF - International journal of obesity (2005) JO - Int J Obes (Lond) VL - 40 IS - 7 N2 - BACKGROUND: Existing knowledge on associations of physical activity (PA) and sedentary behavior (SB) with body composition and physical fitness in preschoolers is limited. OBJECTIVE: To examine associations of PA and SB with body composition and physical fitness in healthy Swedish 4-year-old children. METHODS: We utilized baseline data collected in 2014 for the population-based MINISTOP trial (n=307). Light-intensity PA (LPA), moderate-intensity PA (MPA), vigorous-intensity PA (VPA), moderate-to-vigorous PA (MVPA) and SB were measured using accelerometry (ActiGraph-wGT3x-BT). Body composition was measured using air-displacement plethysmography, and physical fitness (that is, cardiorespiratory fitness, lower and upper body muscular strength and motor fitness) was measured using the PREFIT fitness test battery. Multiple linear regression models adjusted for relevant confounders, and in addition, isotemporal substitution models were applied. RESULTS: Greater MVPA was associated with lower fat mass percent (%FM, P=0.015), and greater VPA and MVPA were associated with higher fat-free mass index (FFMI, P=0.002 and P=0.011). In addition, greater VPA and MVPA were associated with higher scores for all physical fitness tests (P=0.042 to P<0.001). The results for MVPA were primarily due to VPA. SB was associated with weaker handgrip strength (P=0.031) when PA was not adjusted, but after adjusting also for VPA, the significant association disappeared (P=0.25). Substituting 5 min per day of SB, LPA or MPA with 5 min per day of VPA was associated with higher FFMI and better scores for cardiorespiratory fitness and motor fitness. Correspondingly, substituting 5 min per day of VPA with SB or LPA was associated with weaker performance for lower muscular strength. CONCLUSIONS: Time spent on VPA was associated with higher FFMI and better physical fitness. The results suggest that promoting VPA may be important to improve childhood body composition and physical fitness already at an early age. SN - 1476-5497 UR - https://www.unboundmedicine.com/medline/citation/27087109/Physical_activity_intensity_sedentary_behavior_body_composition_and_physical_fitness_in_4_year_old_children:_results_from_the_ministop_trial_ L2 - http://dx.doi.org/10.1038/ijo.2016.54 DB - PRIME DP - Unbound Medicine ER -