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Adiposity, fitness, health-related quality of life and the reallocation of time between children's school day activity behaviours: A compositional data analysis / Stuart J. Fairclough, Dorothea Dumuid, Kelly Mackintosh, Genevieve Stone, Rebecca Dagger, Gareth Stratton, Ian Davies, Lynne M. Boddy

Preventive Medicine Reports, Volume: 11, Pages: 254 - 261

Swansea University Authors: Kelly Mackintosh, Gareth Stratton

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Abstract

Sedentary time (ST), light (LPA), and moderate-to-vigorous physical activity (MVPA) constitute the range of school day activity behaviours. This study investigated whether the composition of school activity behaviours was associated with health indicators, and the predicted changes in health when ti...

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Published in: Preventive Medicine Reports
ISSN: 2211-3355
Published: 2018
Online Access: Check full text

URI: https://cronfa.swan.ac.uk/Record/cronfa41088
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Abstract: Sedentary time (ST), light (LPA), and moderate-to-vigorous physical activity (MVPA) constitute the range of school day activity behaviours. This study investigated whether the composition of school activity behaviours was associated with health indicators, and the predicted changes in health when time was reallocated between activity behaviours. Accelerometers were worn for 7-days between October and December 2010 by 318 UK children aged 10–11, to provide estimates of school day ST, LPA, and MVPA. BMI z-scores and percent waist-to-height ratio were calculated as indicators of adiposity. Cardiorespiratory fitness (CRF) was assessed using the 20-m shuttle run test. The PedsQL™ questionnaire was completed to assess psychosocial and physical health-related quality of life (HRQL). Log-ratio multiple linear regression models predicted health indicators for the mean school day activity composition, and for new compositions where fixed durations of time were reallocated from one activity behaviour to another, while the remaining behaviours were unchanged. The school day activity composition significantly predicted adiposity and CRF (p = 0.04–0.002), but not HRQL. Replacing MVPA with ST or LPA around the mean activity composition predicted higher adiposity and lower CRF. When ST or LPA were substituted with MVPA, the relationships with adiposity and CRF were asymmetrical with favourable, but smaller predicted changes in adiposity and CRF than when MVPA was replaced. Predicted changes in HRQL were negligible. The school day activity composition significantly predicted adiposity and CRF but not HRQL. Reallocating time from ST and LPA to MVPA is advocated through comprehensive school physical activity promotion approaches.
Keywords: Time-use epidemiology, Physical activity, Sedentary behaviour, Accelerometer, Schools, Children, Health, CoDA
College: College of Engineering
Start Page: 254
End Page: 261