Temporal Trends in Overweight and Obesity, Physical Activity and Screen Time among Czech Adolescents from 2002 to 2014: A National Health Behaviour in School-Aged Children Study
Language English Country Switzerland Media electronic
Document type Journal Article, Research Support, Non-U.S. Gov't
PubMed
26393638
PubMed Central
PMC4586711
DOI
10.3390/ijerph120911848
PII: ijerph120911848
Knihovny.cz E-resources
- Keywords
- HBSC study, computer (PC) use, excess body weight, obesity, physical activity, school-aged children, television (TV) watching,
- MeSH
- Time Factors MeSH
- Exercise * MeSH
- Child MeSH
- Humans MeSH
- Logistic Models MeSH
- Adolescent MeSH
- Overweight epidemiology etiology MeSH
- Obesity epidemiology etiology MeSH
- Computers * statistics & numerical data MeSH
- Prevalence MeSH
- Check Tag
- Child MeSH
- Humans MeSH
- Adolescent MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
- Geographicals
- Czech Republic epidemiology MeSH
This study examines trends in overweight and obesity, physical activity (PA) and screen time (ST) among Czech adolescents over a recent 12-year study period. Nationally representative samples consisted of 19,940 adolescents (9760 boys and 10,180 girls) aged 10.5-16.5 years from the Czech Health Behaviour in School-aged Children (HBSC) questionnaire-based surveys conducted in 2002, 2006, 2010 and 2014. Trends in the prevalence of overweight/obesity, meeting the recommendations for moderate-to-vigorous PA (MVPA) (≥60 min per day of MVPA) and excessive ST (>2 h per day) were estimated using logistic regression. Significant increases (p < 0.001) in the prevalence of overweight/obesity between the years 2002 and 2014 were evident for both adolescent boys (18.3%(2002)-24.8%(2014)) and girls (8.3%(2002)-11.9%(2014)). Compared to 2002, in 2014 significant decreases (p < 0.001) in meeting MVPA recommendations were observed among boys (32.2%(2002)-25.6%(2014)) and girls (23.2%(2002)-19.2%(2014)). Moreover, in boys we observed significant increases (p < 0.001) in excessive ST on weekdays (75.1%(2002)-88.8%(2014)), as well as on weekends (78.3%(2002)-91.9%(2014)) between the years 2002 and 2014. Increases in overweight/obesity with concomitant decreases in PA provide evidence in support of the current and upcoming efforts of government and commercial organizations in implementing interventions aimed at reducing excessive body weight among Czech adolescents.
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Ng M., Fleming T., Robinson M., Thomson B., Graetz N., Margono C., Mullany E.C., Biryukov S., Abbafati C., Abera S.F., et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: A systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2014;384:766–781. PubMed PMC
Dos Santos F.K., Maia J.A.R., Gomes T.N.Q.F., Daca T., Madeira A., Katzmarzyk P.T., Prista A. Secular trends in growth and nutritional status of Mozambican school-aged children and adolescents. PLos ONE. 2014;9 doi: 10.1371/journal.pone.0114068. PubMed DOI PMC
Van Nassau F., Singh A.S., Van Mechelen W., Brug J., Chinapaw M.J.M. Body mass index, waist circumference and skin-fold thickness in 12- to 14-year-old Dutch adolescents: Differences between 2006 and 2011. Pediatr. Obes. 2014;9:e137–e140. doi: 10.1111/ijpo.233. PubMed DOI
Stamatakis E., Zaninotto P., Falaschetti E., Mindel J., Head J. Time trends in childhood and adolescent obesity in England from 1995 to 2007 and projections of prevalence to 2015. J. Epidemiol. Community Health. 2010;64:167–174. doi: 10.1136/jech.2009.098723. PubMed DOI
Sigmundová D., Sigmund E., Hamrik Z., Kalman M. Trends of overweight and obesity, physical activity and sedentary behaviour in Czech schoolchildren: HBSC study. Eur. J. Public Health. 2014;24:210–215. doi: 10.1093/eurpub/ckt085. PubMed DOI PMC
Wijnhoven T.M.A., Van Raaij J.M.A., Spinelli A., Starc G., Hassapidou M., Spiroski I., Rutter H., Martos E., Rito A.I., Hovengen R., et al. WHO European Childhood Obesity Surveillance Initiative: Body mass index and level of overweight among 6–9-year-old children from school year 2007/2008 to school year 2009/2010. BMC Public Health. 2014;14 doi: 10.1186/1471-2458-14-806. PubMed DOI PMC
Marques D., De Matos M.G. Trends and correlates of overweight and obesity among adolescents from 2002 to 2010: A three-cohort study on a representative sample of Portuguese adolescents. Am. J. Hum. Biol. 2014;26:844–849. doi: 10.1002/ajhb.22613. PubMed DOI
Ogden C.L., Carroll M.D., Kit B.K., Flegal K.M. Prevalence of obesity and trends in body mass index among US children and adolescents, 1999–2010. J. Am. Med. Assoc. 2012;307:483–490. doi: 10.1001/jama.2012.40. PubMed DOI PMC
Olds T., Maher C., Zumin S., Péneau S., Lioret S., Castetbon K., Bellisle, de Wilde J., Hohepa M., Maddison R., et al. Evidence that the prevalence of childhood overweight is plateauing: Data from nine countries. Int. J. Pediatr. Obes. 2011;6:342–360. doi: 10.3109/17477166.2011.605895. PubMed DOI
Moraeus L., Lissner L., Sjöberg A. Stable prevalence of obesity in Swedish schoolchildren from 2008 to 2013 but widening socio-economic gap in girls. Acta Paediatr. 2014;103:1277–1284. doi: 10.1111/apa.12785. PubMed DOI
Keane E., Kearney P.M., Perry I., Kelleher C.C., Harrington M. Trends and prevalence of overweight and obesity in primary school aged children in the Republic of Ireland from 2002–2012: A systematic review. BMC Public Health. 2014;14 doi: 10.1186/1471-2458-14-974. PubMed DOI PMC
Lissner L., Sohlström A., Sundblom E., Sjöberg A. Trends in overweight and obesity in Swedish schoolchildren 1999–2005: Has the epidemic reached a plateau? Obes. Rev. 2010;11:553–559. doi: 10.1111/j.1467-789X.2009.00696.x. PubMed DOI
Iannoti R.J., Wang J. Trends in physical activity, sedentary behaviour, diet, and BMI among US adolescents, 2001–2009. Pediatrics. 2013;132:606–614. doi: 10.1542/peds.2013-1488. PubMed DOI PMC
Ahluwalia N., Dalmasso P., Rasmussen M., Lipsky L., Currie C., Haug E., Kelly C., Damsgaard M.T., Due P., Tabak I., et al. Trends in overweight prevalence among 11-, 13- and 15-year-olds in 25 countries in Europe, Canada and USA from 2002 to 2010. Eur. J. Public Health. 2014;24:28–32. doi: 10.1093/eurpub/ckv016. PubMed DOI
Katzmarzyk P.T., Barreira T.V., Broyles S.T., Champagne C.M., Chaput J.P., Fogelholm M., Hu G., Johnson W.D., Kuriyan R., Kurpad A., et al. The international study of childhood obesity, lifestyle and the environment (ISCOLE): Design and methods. BMC Public Health. 2013;13 doi: 10.1186/1471-2458-13-900. PubMed DOI PMC
Parikh T., Stratton G. Influence of intensity of physical activity on adiposity and cardiorespiratory fitness in 5–18 year olds. Sports Med. 2011;41:477–488. doi: 10.2165/11588750-000000000-00000. PubMed DOI
Ness A.R., Leary S.D., Mattocks C., Blair S.N., Reilly J.J., Wells J., Ingle S., Tilling K., Smith G.D., Riddoch C. Objectively measured physical activity and fat mass in a large cohort of children. PLos Med. 2007;4:476–484. doi: 10.1371/journal.pmed.0040097. PubMed DOI PMC
White J., Jago R. Prospective associations between physical activity and obesity among adolescent girls. Arch. Pediatr. Adolesc. Med. 2012;166:522–527. doi: 10.1001/archpediatrics.2012.99. PubMed DOI
Lissner L., Lanfer A., Gwozdz W., Olafsdottir S., Eiben G., Moreno L.A., Santaliestra-Pasías A.M., Kovács E., Barba G., Loit H.M., et al. Television habits in relation to overweight, diet and taste preferences in European children: The IDEFICS study. Eur. J. Epidemiol. 2012;27:705–715. doi: 10.1007/s10654-012-9718-2. PubMed DOI PMC
Sigmundová D., El Ansari W., Sigmund E., Frömel K. Secular trends: A ten-year comparison of the amount and type of physical activity and inactivity of random samples of adolescents in the Czech Republic. BMC Public Health. 2011;11 doi: 10.1186/1471-2458-11-731. PubMed DOI PMC
Kalman M., Inchley J., Sigmundová D., Iannotti R.J., Tynjälä J.A., Hamrik Z., Haug E., Bucksch J. Secular trends in moderate-to-vigorous physical activity in 32 countries from 2002 to 2010: A cross-national perspective. Eur. J. Public Health. 2015;24:37–40. doi: 10.1093/eurpub/ckv024. PubMed DOI
Dos Santos F.K., Maia J.A.R., Gomes T.N.Q.F., Daca T., Madeira A., Damasceno A., Katzmarzyk P.T., Prista A. Secular trends in habitual physical activities of Mozambican children and adolescents from Maputo city. Int. J. Environ. Res. Public Health. 2014;11:10940–10950. doi: 10.3390/ijerph111010940. PubMed DOI PMC
Raustorp A., Ekroth Y. Eight-year secular trends of pedometer-determined physical activity in young Swedish adolescents. J. Phys. Act. Health. 2010;7:369–374. PubMed
Eithdóttir S.T., Kristjánsson Á.L., Sigfúsdóttir I.D., Allegrante J.P. Trends in physical activity and participation in sports clubs among Icelandic adolescents. Eur. J. Public. Health. 2008;18:289–293. doi: 10.1093/eurpub/ckn004. PubMed DOI
Bassett D.R., John D., Conger S.A., Fitzhugh E.C., Coe D.P. Trends in physical activity and sedentary behaviors of U.S. youth. J. Phys. Act. Health. 2014 doi: 10.1123/jpah.2014-0050. PubMed DOI
Bucksch J., Inchley J., Hamrik Z., Finne E., Kolip Z., HBSC Study Group Germany Trends in television time, non-gaming PC use and moderate-to-vigorous physical activity among German adolescents 2002–2010. BMC Public Health. 2014;14 doi: 10.1186/1471-2458-14-351. PubMed DOI PMC
Lopes A.S., Silva K.S., Filho V.C.B., Bezerra J., De Oliveira E.S.A., Nahas M.V. Trends in screen time on week and weekend days in a representative sample of Southern Brazil students. J. Public Health. 2014;36:608–614. doi: 10.1093/pubmed/fdt133. PubMed DOI
Cui Z., Hardy L.L., Dibley M.J., Bauman A. Temporal trends and recent correlates in sedentary behaviours in Chinese children. Int. J. Behav. Nutr. Phys. Act. 2011;8 doi: 10.1186/1479-5868-8-93. PubMed DOI PMC
Lehnert T., Sonntag D., Konnopka A., Riedel-Heller S., König H.H. Economic costs of overweight and obesity. Best Pract. Res. Clin. Endocrinol. Metable. 2013;27:105–115. doi: 10.1016/j.beem.2013.01.002. PubMed DOI
Von Lengerke T., Krauth C. Economic costs of adult obesity: A review of recent European studies with a focus on subgroup-specific costs. Maturitas. 2011;69:220–229. doi: 10.1016/j.maturitas.2011.04.005. PubMed DOI
Herman K.M., Craig C.L., Gauvin L., Katzmarzyk P.T. Tracking of obesity and physical activity from childhood to adulthood: The Physical Activity Longitudinal Study. Int. J. Pediatr. Obes. 2009;4:281–288. doi: 10.3109/17477160802596171. PubMed DOI
Wennberg P., Gustafsson P.E., Howard B., Wennberg M., Hammarström A. Television viewing over the life course and the metabolic syndrome in mid-adulthood: A longitudinal population-based study. J. Epidemiol. Community Health. 2014;68:928–933. doi: 10.1136/jech-2013-203504. PubMed DOI
Rangul V., Bauman A., Holmen T.L., Midthjell K. Is physical activity maintenance from adolescence to young adulthood associated with reduced CVD risk factors, improved mental health and satisfaction with life: The HUNT Study, Norway. Int. J. Behav. Nutr. Phys. Act. 2012;9 doi: 10.1186/1479-5868-9-144. PubMed DOI PMC
Sigmund E., El Ansari W., Sigmundová D. Does school-based physical activity decrease overweight and obesity in children aged 6–9 years? A two-year non-randomized longitudinal intervention study in the Czech Republic. BMC Public Health. 2012;12 doi: 10.1186/1471-2458-12-570. PubMed DOI PMC
Sigmund E., Sigmundová D. Longitudinal 2-year follow-up on the effect of a non-randomised school-based physical activity intervention on reducing overweight and obesity of Czech children aged 10–12 years. Int. J. Environ. Res. Public Health. 2013;10:3667–3683. doi: 10.3390/ijerph10083667. PubMed DOI PMC
Webber L., Kilpi F., Marsh T., Rtveladze K., McPherson K., Brown M. Modelling obesity trends and related diseases in Eastern Europe. Obes. Rev. 2012;13:744–751. doi: 10.1111/j.1467-789X.2012.00999.x. PubMed DOI
Currie C., Nic Gabhainn S., Godeau E., The International HBSC Network Coordinating Committee The Health Behaviour in School-aged Children. WHO Collaborative Cross-National (HBSC) study: Origins, concept, history and development 1982–2008. Int. J. Public Health. 2009;54:131–139. doi: 10.1007/s00038-009-5404-x. PubMed DOI
Roberts C., Freeman J., Samdal O., Schnohr C.W., Looze M., Nic Gabhainn S., Iannotti R., Rasmussen M., the International HBSC Study Group The Health Behaviour in School-aged Children (HBSC) study: Methodological developments and current tensions. Int. J. Public Health. 2009;54:140–150. doi: 10.1007/s00038-009-5405-9. PubMed DOI PMC
Fonseca H., Silva A.M., Matos M.G., Esteves I., Costa P., Guerra A., Gomes-Pedro J. Validity of BMI based on self-reported weight and height in adolescents. Acta Paediatr. 2010;99:83–88. doi: 10.1111/j.1651-2227.2009.01518.x. PubMed DOI
WHO Growth Reference Data for 5–19 Years. WHO Reference 2007. [(accessed on 18 July 2015)]. Available online: http://www.who.int/growthref/en.
Prochaska J.J., Sallis J.F., Long B. A physical activity screening measure for use with adolescents in primary care. Arch. Pediatr. Adolesc. Med. 2001;155:554–559. doi: 10.1001/archpedi.155.5.554. PubMed DOI
Ridgers N.D., Timperio A., Crawford D., Salmon J. Validity of a brief self-report instrument for assessing compliance with physical activity guidelines amongst adolescents. J. Sci. Med. Sport. 2012;15:136–141. doi: 10.1016/j.jsams.2011.09.003. PubMed DOI
Liu Y., Wang M., Tynjälä J., Lv Y., Villberg J., Zhang Z., Kannas L. Test-retest reliability of selected items of Health Behaviour in School-aged Children (HBSC) survey questionnaire in Beijing, China. BMC Med. Res. Methodol. 2010;10 doi: 10.1186/1471-2288-10-73. PubMed DOI PMC
Bobakova D., Hamrik Z., Badura P., Sigmundova D., Nalecz H., Kalman M. Test-retest reliability of selected physical activity and sedentary behaviour HBSC items in the Czech Republic, Slovakia and Poland. Int. J. Public Health. 2015;60:59–67. doi: 10.1007/s00038-014-0628-9. PubMed DOI
Janssen I., Leblanc A.G. Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. Int. J. Behav. Nutr. Phys. Act. 2011;7 doi: 10.1186/1479-5868-7-40. PubMed DOI PMC
Tremblay M.S., Warburton D.E.R., Janssen I., Paterson D.H., Latimer A.E., Rhodes R.E., Kho M.E., Hicks A., LeBlanc A.G., Zehr L., et al. New Canadian physical activity guidelines. Appl. Physiol. Nutr. Metable. 2011;36:36–46. doi: 10.1139/H11-009. PubMed DOI
World Health Organization Global Recommendations on Physical Activity for Health. Geneva, Switzerland: World Health Organization, 2010. [(accessed on 18 July 2015)]. Available online: http://www.who.int/dietphysicalactivity/factsheet_recommendations/en/
Schmitz K.H., Harnack L., Fulton J.E., Jacobs D.R., Jr., Gao S., Lytle L.A., Van Coevering P. Reliability and validity of a brief questionnaire to assess television viewing and computer use by middle school children. J. Sch. Health. 2004;74:370–377. doi: 10.1111/j.1746-1561.2004.tb06632.x. PubMed DOI
Vereecken C.A., Todd J., Roberts C., Mulvihill C., Maes L. Television viewing behaviour and associations with food habits in different countries. Public Health Nutr. 2006;9:244–250. doi: 10.1079/PHN2005847. PubMed DOI
Rey-López J.P., Vicente-Rodriguez G., Ortega F.B., Ruiz J.R., Martinez-Gómez D., De Henauw S., Manios Y., Molnar D., Polito A., Verloigne M., et al. Sedentary patterns and media availability in European adolescents: The HELENA study. Prev. Med. 2010;51:50–55. doi: 10.1016/j.ypmed.2010.03.013. PubMed DOI
Lau D.C.W., Douketis J.D., Morrison K.M., Hramiak I.M., Sharma A.M., Ur E. Obesity Canada Clinical Practice Expert Panel. 2006 Canadian clinical practice guidelines on the management and prevention of obesity in adults and children [summary] Can. Med. Assoc. J. 2007;176:S1–S13. doi: 10.1503/cmaj.061409. PubMed DOI PMC
Committee on Public Education Children, adolescents, and television. Pediatrics. 2001;107:423–426. PubMed
Tremblay M.S., LeBlanc A.G., Kho M.E., Saunders T.J., Larouche R., Colley R.C., Goldfield G., Gorber S.C. Systematic review of sedentary behaviour and health indicators in school-aged children and youth. Int. J. Behav. Nutr. Phys. Act. 2011;8 doi: 10.1186/1479-5868-8-98. PubMed DOI PMC
Branca F., Nikogosian H., Lobstein T. Organization Regional Office for Europe; Copenhagen, Denmark: 2007. [(accessed on 18 July 2015)]. The Challenge of Obesity in the WHO European Region and the Strategies for Response: Summary. Available online: http://www.euro.who.int/__data/assets/pdf_file/0008/98243/E89858.pdf?ua=1.
Knai C., Suhrcke M., Lobstein T. Obesity in Eastern Europe: An overview of its health and economic implication. Econ. Hum. Biol. 2007;5:392–408. doi: 10.1016/j.ehb.2007.08.002. PubMed DOI
Liang Y.J., Xi B., Song A.Q., Liu J.X., Mi J. Trends in general and abdominal obesity among Chinese children and adolescents 1993–2009. Pediatr. Obes. 2012;7:355–364. doi: 10.1111/j.2047-6310.2012.00066.x. PubMed DOI PMC
Raustorp A., Svensson K., Perlinger T. Tracking of pedometer-determined physical activity: A 5-year follow-up study of adolescents in Sweden. Pediatr. Exerc. Sci. 2007;19:228–238. PubMed
Lätt E., Mäestu J., Ortega F.B., Rääsk T., Jürimäe T., Jürimäe J. Vigorous physical activity rather than sedentary behaviour predicts overweight and obesity in pubertal boys: A 2-year follow-up study. Scan. J. Public Health. 2015;43:276–282. doi: 10.1177/1403494815569867. PubMed DOI
Guttin B., Yin Z., Humphries M.C., Barbeau P. Relations of moderate and vigorous physical activity to fitness and fatness in adolescents. Am. J. Clin. Nutr. 2005;81:746–750. PubMed
Patrick K., Norman G.J., Calfas K.J., Sallis J.F., Zabinski M.F., Rupp J., Cella J. Diet, physical activity, and sedentary behaviors as risk factors for overweight in adolescence. Arch. Pediatr. Adolesc. Med. 2004;158:385–390. doi: 10.1001/archpedi.158.4.385. PubMed DOI
Zahner L., Muehlbauer T., Schmid M., Meyer U., Puder J.J., Kriemler S. Association of sports club participation with fitness and fatness in children. Med. Sci. Sports Exerc. 2009;41:344–350. doi: 10.1249/MSS.0b013e318186d843. PubMed DOI
Golle K., Granacher U., Hoffman M., Wick D., Muehlbauer T. Effect of living area and sports club participation on physical fitness in children: A 4 year longitudinal study. BMC Public Health. 2014;14 doi: 10.1186/1471-2458-14-499. PubMed DOI PMC
Drenowatz C., Steiner R.P., Brandstetter S., Klenk J., Wabitsch M., Steinacker M. Organized sport, overweight, and physical fitness in primary school children in Germany. J. Obes. 2013;2013 doi: 10.1155/2013/935245. PubMed DOI PMC
Basterfield L., Reilly J.K., Pearce M.S., Parkinson K.N., Adamson A.J., Reilly J.J., Vella S.A. Longitudinal associations between sports participation, body composition and physical activity from childhood to adolescence. J. Sci. Med. Sport. 2014;18:178–182. doi: 10.1016/j.jsams.2014.03.005. PubMed DOI PMC
Mitchell J.A., Pate R.R., Nader P.R. Time spent in sedentary behavior and changes in childhood BMI: A longitudinal study from ages 9 to 15 years. Int. J. Obes. 2013;37:54–60. doi: 10.1038/ijo.2012.41. PubMed DOI
Madden M., Lenhart A., Duggan M., Cortesi S., Gasser U. Teen and Technology. Washington, DC: Pew Internet & American Life Project, 2013. [(accessed 18 Mar 2015)]. Available online: http://www.pewinternet.org/Reports/2013/Teens-and-Tech.aspx.
Hysing M., Pallesen S., Stormark K.M., Jakobsen R., Lundervold A.J., Sivertsen B. Sleep and use of electronic devices in adolescence: Results from a large population-based study. BMJ Open. 2015;5 doi: 10.1136/bmjopen-2014-006748. PubMed DOI PMC
Ekelund U., Luan J., Sherar L.B., Esliger D.W., Griew P., Cooper A. Moderate to vigorous physical activity and sedentary time and cardiometabolic risk factors in children and adolescents. J. Am. Med. Assoc. 2012;307:704–712. doi: 10.1001/jama.2012.156. PubMed DOI PMC
Chaput J.P., Saunders T.J., Mathieu M.-È., Henderson M., Tremblay M.S., O’Loughlin J., Tremblay A. Combined associations between moderate to vigorous physical activity and sedentary behaviour with cardiometabolic risk factors in children. Appl. Physiol. Nutr. Metab. 2013;38:477–483. doi: 10.1139/apnm-2012-0382. PubMed DOI
Ekelund U., Brage S., Froberg K., Harro M., Anderssen S.A., Sardinha L.B., Riddoch C., Andersen L.B. TV viewing and physical activity are independently associated with metabolic risk in children: The European Youth Heart Study. PLoS. Med. 2006;3 doi: 10.1371/journal.pmed.0030488. PubMed DOI PMC
Fakhouri T.H.I., Hughes J.P., Brody J.D., Kit B.K., Ogden C.L. Physical activity and screen-time viewing among elementary school-aged children in the United States from 2009 to 2010. JAMA Pediatr. 2013;167:223–229. doi: 10.1001/2013.jamapediatrics.122. PubMed DOI
Brug J., Te Velde S.J., Chinapaw M.J.M., Bere E., De Bourdeaudhuij I.M.M., Moore H., Maes L., Jensen J., Manios Y., Lien N., et al. Evidence-based development of school-based and family-involved prevention of overweight across Europe: The ENERGY-project’s design and conceptual framework. BMC Public Health. 2010;10 doi: 10.1186/1471-2458-10-276. PubMed DOI PMC
Brug J., Van Stralen M.M., Te Velde S.J., Chinapaw M.J.M., De Bourdeaudhuij I., Lien N., Bere E., Maskini V., Singh A.S., Maes L., et al. Difference in weight status and energy-balance related behaviors among schoolchildren across Europe: The ENERGY-project. PLoS ONE. 2014;7 doi: 10.1371/journal.pone.0034742. PubMed DOI PMC
Simon C., Schweitzer B., Oujaa M., Wagner A., Arveiler D., Triby E., Copi N., Blanc S., Platat C. Successful overweight prevention in adolescents by increasing physical activity: A 4-year randomized controlled intervention. Int. J. Obes. 2008;32:1489–1498. doi: 10.1038/ijo.2008.99. PubMed DOI
Simon C., Kellou N., Dugas J., Platat C., Copin N., Schweitzer B., Hausser F., Bergouignan A., Lefai E., Blanc S. A socio-ecological approach promoting physical activity and limiting sedentary behaviour in adolescence showed weight benefits maintained 2.5 years after intervention cessation. Int. J. Obes. 2014;38:936–943. doi: 10.1038/ijo.2014.23. PubMed DOI PMC
Telama R., Yang X., Viikari J., Välimäki I., Wanne O., Raitakari O. Physical activity from childhood to adulthood: A 21-year tracking study. Am. J. Prev. Med. 2005;28:267–273. doi: 10.1016/j.amepre.2004.12.003. PubMed DOI
Craigie A.M., Lake A.A., Kelly S.A., Adamson A.J., Mathers J.C. Tracking of obesity-related behaviours from childhood to adulthood: A systematic review. Maturitas. 2011;70:266–284. doi: 10.1016/j.maturitas.2011.08.005. PubMed DOI
Adamo K.B., Prince S.A., Tricco A.C., Connor-Gorber S., Tremblay M. A comparison of indirect versus direct measures for assessing physical activity in the pediatric population: A systematic review. Int. J. Pediatr. Obes. 2009;4:2–27. doi: 10.1080/17477160802315010. PubMed DOI
Armstrong N., Welsman J.R. The physical activity patterns of European youth with reference to methods of assessment. Sports Med. 2006;36:1067–1086. doi: 10.2165/00007256-200636120-00005. PubMed DOI
Lindsay R.S., Hanson R.L., Roumain J., Ravussin E., Knowler W.C., Tataranni P.A. Body mass index as a measure of adiposity in children and adolescents: Relationship to adiposity by dual energy X-ray absorptiometry and to cardiovascular risk factors. J. Clin. Endocrinol. Metab. 2001;86:4061–4067. doi: 10.1210/jcem.86.9.7760. PubMed DOI
Freedman D.S., Sherry B. The validity of BMI as an indicator of body fatness and risk among children. Pediatrics. 2009;124:23–34. doi: 10.1542/peds.2008-3586E. PubMed DOI
Elgar F.J., Stewart J.M. Validity of self-report screening for overweight and obesity: Evidence from the Canadian Community Health Survey. Can. J. Public. Health. 2008;99:423–427. PubMed PMC
Adolescent religious attendance and spirituality-Are they associated with leisure-time choices?
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