Trends and Age-Related Changes of Physical Activity Among Portuguese Adolescent Girls From 2002–2014: Highlights From the Health Behavior in School-Aged Children Study

in Journal of Physical Activity and Health
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Background: To examine the trends of moderate- to vigorous-intensity physical activity (MVPA) from 2002, 2006, 2010, and 2014 in a representative sample of Portuguese adolescent girls and to investigate MVPA changes during adolescence in surveys of each year and by generation. Methods: A nationally representative sample of 6018 girls between 11 and 13 years and 3838 girls between 15 and 17 years was drawn from the Health Behaviour in School-Aged Children surveys in 2002, 2006, 2010, and 2014. A questionnaire was used to collect data of MVPA. Data were assessed with analysis of variance, t test, chi square, and chi-square test for trend. Results: The percentage of 11- to 13-year-old girls reporting 60 minutes of daily MVPA was low and stable between 2002 (9.5%) and 2014 (11.1%) (P = .21), such as for girls aged 15–17 years (2002 = 5.6%, 2014 = 5%, P = .81). The percentage of girls reporting 60 minutes MVPA decreased significantly among age groups in all year surveys. A significant decrease in correlation with age across the same generation of adolescents was also found. Conclusion: This study points out that the prevalence of Portuguese girls meeting the PA guidelines is low, declines with age, and is stable from 2002–2014. Therefore, different strategies to prevent MVPA decline and promote MVPA are needed since childhood.

Martins, Marques, Loureiro, Diniz, and Gaspar de Matos are with the Faculdade de Motricidade Humana, Universidade de Lisboa, Lisboa, Portugal. Martins is also with the Laboratório de Pedagogia, Faculdade de Motricidade Humana e UIDEF, Instituto de Educação, Universidade de Lisboa, Lisboa, Portugal. Martins and Carreiro da Costa are with the Faculdade de Educação Física e Desporto, Universidade Lusófona de Humanidades e Tecnologias, Lisboa, Portugal. Marques, Carreiro da Costa, and Diniz are with the Centro Interdisciplinar de Estudo da Performance Humana, Faculdade de Motricidade Humana, Universidade de Lisboa, Lisboa, Portugal. Marques and Gaspar de Matos are also with the Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal. Loureiro is with Escola Superior de Educação, Instituto Politécnico de Beja, Beja, Portugal. Gaspar de Matos is also with the William James Center for Research, Instituto Superior de Psicologia Aplicada, Lisboa, Portugal.

Martins (jmartins@fmh.ulisboa.pt) is corresponding author.
  • 1.

    WHO. Global Recommendations on Physical Activity for Health. Geneva, Switzerland: WHO; 2010.

  • 2.

    Dumith S, Gigante D, Domingues M, Kohl H 3rd. Physical activity change during adolescence: a systematic review and a pooled analysis. Int J Epidemiol. 2011;40(3):685698. PubMed ID: 21245072 doi:10.1093/ije/dyq272

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 3.

    Sallis J, Bull F, Guthold R, et al. Progress in physical activity over the Olympic quadrennium. Lancet. 2016;388(10051):13251336. PubMed ID: 27475270 doi:10.1016/S0140-6736(16)30581-5

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    Lee I, Shiroma E, Lobelo F, et al. Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet. 2012;380:219229. PubMed ID: 22818936 doi:10.1016/S0140-6736(12)61031-9

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Telama R, Yang X, Leskinen E, et al. Tracking of physical activity from early childhood through youth into adulthood. Med Sci Sports Exerc. 2014;46(5):955962. PubMed ID: 24121247 doi:10.1249/MSS.0000000000000181

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6.

    Inchley J, Currie D, Young T, et al. Growing Up Unequal: Gender and Socioeconomic Differences in Young People’s Health and Well-Being. Health Behaviour in School-Aged Children (HBSC) Study: International Report From the 2013/2014 Survey. Copenhagen, Denmark: WHO Regional Office for Europe; 2016.

    • Search Google Scholar
    • Export Citation
  • 7.

    Pearson N, Braithwaite R, Biddle S. The effectiveness of interventions to increase physical activity among adolescent girls: a meta-analysis. Acad Pediatr. 2015;15:918. PubMed ID: 25441655 doi:10.1016/j.acap.2014.08.009

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8.

    Kalman M, Inchley J, Sigmundova D, et al. Secular trends in moderate-to-vigorous physical activity in 32 countries from 2002 to 2010: a cross-national perspective. Eur J Public Health. 2015;25(2):3740. doi:10.1093/eurpub/ckv024

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9.

    Baptista F, Santos D, Silva A, et al. Prevalence of the Portuguese population attaining sufficient physical activity. Med Sci Sports Exerc. 2012;44(3):466473. PubMed ID: 21844823 doi:10.1249/MSS.0b013e318230e441

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    Mota J, Coelho e Silva M, Raimundo A, Sardinha L. Portugal’s 2016 report card on physical activity for children and youth. 2016. http://ciafel.fade.up.pt. Accessed September 25, 2017

    • Search Google Scholar
    • Export Citation
  • 11.

    Kuntsche E, Ravens-Sieberer U. Monitoring adolescent health behaviours and social determinants cross-nationally over more than a decade: introducing the Health Behaviour in School-aged Children (HBSC) study supplement on trends. Eur J Public Health. 2015;25(suppl 2):13. doi:10.1093/eurpub/ckv009

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12.

    Farooq M, Parkinson K, Adamson A, et al. Timing of the decline in physical activity in childhood and adolescence: Gateshead Millennium Cohort Study. Br J Sports Med. 2018;52(15):10021006. PubMed ID: 28288966 doi:10.1136/bjsports-2016-096933

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13.

    Fernandes M. Physical activity levels in Portuguese adolescents: a 10-year trend analysis (2006–2016). J Sci Med Sport. 2018;21(2):185189. PubMed ID: 28595866 doi:10.1016/j.jsams.2017.05.015

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 14.

    Marques A, Matos M. Adolescents’ physical activity trends over the years: a three-cohort study based on the Health Behaviour in School-aged Children (HBSC) Portuguese survey. BMJ Open. 2014;4:006012. PubMed ID: 25287105 doi:10.1136bmjopen-2014-006012

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 15.

    Matos M; Equipa do Projecto Adventura Social e Saúde. A Saúde dos Adolescentes Portugueses (Quatro anos depois). Lisboa, Portugal: Edições FMH; 2003. http://www.fmh.utl.pt/aventurasocial/pdf/Relatorio_2002.pdf. Accessed November 23, 2017.

    • Search Google Scholar
    • Export Citation
  • 16.

    Matos M, Simões C, Tomé G, et al. A Saúde dos Adolescentes Portugueses—Hoje e em 8 anos—Relatório Preliminar do Estudo HBSC 2006. 2006. http://www.fmh.utl.pt/aventurasocial/pdf/Relatorio_nacional_2006.pdf. Accessed November 23, 2017.

    • Search Google Scholar
    • Export Citation
  • 17.

    Matos M, Simões C, Tomé G, et al. A Saúde dos Adolescentes Portugueses. Relatório do Estudo HBSC 2010. Lisboa, Portugal: Centro de Malária e Outras Doenças Tropicais /IHMT/UNL e FMH/UTL; 2012. http://aventurasocial.com/arquivo/1334762276_Relatorio_HBSC_2010_PDF_Finalissimo.pdf. Accessed November 23, 2017.

    • Search Google Scholar
    • Export Citation
  • 18.

    Matos M, Simões C, Camacho I, Reis M, Social EA. Relatoório do Estudo HBSC 2014. A Saúde dos Adolescentes Portugueses em Tempos de Recenssão—Dados Nacionais do Estudo HBSC de 2014. Lisboa, Portugal: Centro de Malária e Outras Doenças Tropicais /IHMT/UNL e FMH/UL; 2015. http://aventurasocial.com/arquivo/1437158618_RELATORIOHBSC2014e.pdf. Accessed November 23, 2017.

    • Search Google Scholar
    • Export Citation
  • 19.

    Currie C, Molcho M, Boyce W, Holstein B, Torsheim T, Richter M. Researching health inequalities in adolescents: the development of the Health Behaviour in School-Aged Children (HBSC) family affluence scale. Soc Sci Med. 2008;66(6):14291436. PubMed ID: 18179852 doi:10.1016/j.socscimed.2007.11.024

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 20.

    Roberts C, Freeman J, Samdal O, et al. The Health Behaviour in School-aged Children (HBSC) study: methodological developments and current tensions. Int J Public Health. 2009;54(2):140150. doi:10.1007/s00038-009-5405-9

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 21.

    Sallis J, Buono M, Roby J, Micale F, Nelson J. Seven-day recall and other physical activity self-reports in children and adolescents. Med Sci Sports Exerc. 1993;25(1):99108. PubMed ID: 8423762

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 22.

    Booth M, Okely A, Chey T, Bauman A. The reliability and validity of the physical activity questions in the WHO health behaviour in schoolchildren (HBSC) survey: a population study. Br J Sports Med. 2001;35(4):263267. PubMed ID: 11477024 doi:10.1136/bjsm.35.4.263

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 23.

    Prochaska J, Sallis J, Long B. A physical activity screening measure for use with adolescents in primary care. Arch Pediatr Adolesc Med. 2001;155(5):554559. PubMed ID: 11343497

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 24.

    Liu Y, Wang M, Tynjälä J, et al. Test-retest reliability of selected items of Health Behaviour in School-aged Children (HBSC) survey questionnaire in Beijing, China. BMC Med Res Methodol. 2010;10:73. doi:10.1186/1471-2288-10-73

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 25.

    Babakova 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(1):5967. PubMed ID: 25471078 doi:10.1007/s00038-014-0628-9

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 26.

    Dollman J, Norton K, Norton L. Evidence for secular trends in children’s physical activity behaviour. Br J Sports Med. 2005;39:892897. PubMed ID: 16306494 doi:10.1136/bjsm.2004.016675

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 27.

    Ekelund U, Tomkinson G, Armstrong N. What proportion of youth are physically active? Measurement issues, levels and recent time trends. Br J Sports Med. 2011;45:859865. PubMed ID: 21836170 doi:10.1136/bjsports-2011-090190

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 28.

    Booth V, Rowlands A, Dollman J. Physical activity temporal trends among children and adolescents. J Sci Med Sport. 2015;18:418425. PubMed ID: 25041963 doi:10.1016/j.jsams.2014.06.002

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 29.

    Cooper A, Goodman A, Page A, et al. Objectively measured physical activity and sedentary time in youth: the International children’s accelerometry database (ICAD). Int J Behav Nutr Phy Act. 2015;12:113. doi:10.1186/s12966-015-0274-5

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 30.

    Seabra A, Seabra A, Mendonça D, et al. Psychosocial correlates of physical activity in school children aged 8–10 years. Eur J Public Health. 2013;23(5):794798. PubMed ID: 23109663 doi:10.1093/eurpub/cks149

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 31.

    Sallis J. Age-related decline in physical activity: a synthesis of human and animal studies. Med Sci Sports Exerc. 2000;32:15981600. PubMed ID: 10994911

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 32.

    Bauman A, Reis R, Sallis J, Wells J, Loos R, Martin B. Correlates of physical activity: why are some people physically active and others not? Lancet. 2012;380:258271. doi:10.1016/S0140-6736(12)60735-1

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 33.

    Craggs C, Corder K, van Sluijs E, Griffin S. Determinants of change in physical activity in children and adolescents: a systematic review. Am J Prev Med. 2011;40(6):645658. PubMed ID: 21565658

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 34.

    Martins J, Marques A, Peralta M, Palmeira A, Carreiro da Costa F. Correlates of physical activity in young people: a narrative review of reviews. Implications for physical education based on a socio-ecological approach. Retos. 2017;31:292299.

    • Search Google Scholar
    • Export Citation
  • 35.

    Martins J, Marques A, Sarmento H, Carreiro da Costa F. Adolescents’ perspectives on the barriers and facilitators of physical activity: a systematic review of qualitative studies. Health Educ Res. 2015;30(5):742755. PubMed ID: 26324394 doi:10.1093/her/cyv042

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 36.

    CDC. Comprehensive School Physical Activity Programs: A Guide for Schools. Atlanta, GA: CDC, Department of Health and Human Services; 2013.

    • Search Google Scholar
    • Export Citation
  • 37.

    Dobbins M, Husson H, DeCorby K, LaRocca R. School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6 to 18. Cochrane Database Syst Rev. 2013;(2):CD14007651. PubMed ID: 23450577 doi:10.1002/14651858.CD007651.pub2

    • Search Google Scholar
    • Export Citation
  • 38.

    Biddle S, Braithwaite R, Pearson N. The effectiveness of interventions to increase physical activity among young girls: a meta-analysis. Prev Med. 2014;62:119131. PubMed ID: 24530611 doi:10.1016/j.acap.2014.08.009

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 39.

    Batalau R. Cardiovascular and Metabolic Risk Factors in Children: Prevalence Study and a Multidisciplinary Intervention in School Context Involving Physical Activity and Nutrition [unpublished doctoral dissertation]. Lisbon, Portugal: Universidade Lusófona de Humanidades e Tecnologias; 2018.

    • Search Google Scholar
    • Export Citation
  • 40.

    Nascimento H, Alves A, Medeiros A, et al. Impact of a school-based intervention protocol—ACORDA project—on adipokines in an overweight and obese pediatric population. Pediatr Exerc Sci. 2016;28:407416. PubMed ID: 27176449 doi:10.1123/pes.2015-0261

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 41.

    Coimbra S, Catarino C, Nascimento H, et al. Physical exercise intervention at school improved hepcidin, inflammation and iron metabolism in overweight and obese children and adolescents. Pediatr Res. 2017;82(5):781788. PubMed ID: 28604755 doi:10.1038/pr.2017.139

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 42.

    Quaresma A, Palmeira A, Martins S, Minderico C, Sardinha L. Effect of a school-based intervention on physical activity and quality of life through serial mediation of social support and exercise motivation: the PESSOA program. Health Educ Res. 2014;29(6):906917. PubMed ID: 25274722 doi:10.1093/her/cyu056

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 43.

    Martins J, Marques A, Rodrigues A, Sarmento H, Onofre M, Carreiro da Costa F. Exploring the perspectives of physically active and inactive adolescents: how does physical education influence their lifestyles? Sport Educ Soc. 2018;23(5):505519. doi:10.1080/13573322.2016.1229290

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 44.

    Wanner M, Probst-Hensch N, Kriemler S, Meier F, Bauman A, Martin B. What physical activity surveillance needs: validity of a single-item questionnaire. Br J Sports Med. 2014;48(21):15701576. PubMed ID: 23770662 doi:10.1136/bjsports-2012-092122

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
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