Prevalence and Correlates of Meeting Physical Activity Guidelines Among Colombian Children and Adolescents

in Journal of Physical Activity and Health
Restricted access

Purchase article

USD  $24.95

Student 1 year online subscription

USD  $117.00

1 year online subscription

USD  $156.00

Student 2 year online subscription

USD  $222.00

2 year online subscription

USD  $296.00

Background: Global estimates have shown that a small proportion of children and adolescents are physically active. However, the evidence on physical activity (PA) among Colombian children and adolescents is limited. The objective of this study was to describe the prevalence and correlates of meeting PA guidelines among Colombian children and adolescents. Methods: Data were collected as part of the National Survey of Nutrition 2015. A national sample of 16,612 children and adolescents (3–17 y) was included. Prevalence estimates of meeting PA and active play guidelines were calculated, and Poisson regression models were conducted to identify correlates of PA. Results: Low proportion of Colombian children and adolescents met the PA guidelines. Low engagement in active play was observed among preschoolers. Correlates varied by age group. Female sex was a consistent negative correlate of meeting PA guidelines across all age groups. Conclusions: Urgent actions are needed to promote active play and PA among Colombian children and adolescents. The correlates identified in our study can help inform the development of actions to overcome the disparities and provide opportunities for children to achieve their full potential for healthy growth and development.

González, Chaput, and Tremblay are with the Healthy Active Living and Obesity Research Group, Children’s Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada. González is also with the School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada. Sarmiento is with the School of Medicine, Universidad de los Andes, Bogotá, Colombia. Katzmarzyk is with the Pennington Biomedical Research Center, Baton Rouge, LA, USA. Camargo-Lemos is with the Physical Therapy School, Universidad Industrial de Santander, Bucaramanga, Colombia.

González (sgonzalez@cheo.on.ca) is corresponding author.
  • 1.

    Beaglehole R, Bonita R, Horton R, et al. Priority actions for the non-communicable disease crisis. Lancet. 2011;377(9775):14381447. PubMed ID: 21474174 doi:10.1016/S0140-6736(11)60393-0

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2.

    Carson V, Lee EY, Hewitt L, et al. Systematic review of the relationships between physical activity and health indicators in the early years (0-4 years). BMC Public Health. 2017;17(5): 3363.

    • Search Google Scholar
    • Export Citation
  • 3.

    Poitras VJ, Gray CE, Borghese MM, et al. Systematic review of the relationships between objectively measured physical activity and health indicators in school-aged children and youth. Appl Physiol Nutr Metab. 2016;41(6):S197S239. doi:10.1139/apnm-2015-0663

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

    World Health Organization WHO. Guidelines on Physical Activity, Sedentary Behaviour and Sleep for Children Under 5 Years of Age. Geneva; 2019. https://apps.who.int/iris/handle/10665/311664.

    • Search Google Scholar
    • Export Citation
  • 5.

    World Health Organization, WHO. Global recommendation on physical activity for health. http://www.who.int/dietphysicalactivity/factsheet_recommendations/en/. Published 2010. Accessed January 11, 2018.

    • Search Google Scholar
    • Export Citation
  • 6.

    Aubert S, Barnes JD, Abdeta C, et al. Global Matrix 3.0 physical activity report card grades for children and youth: results and analysis from 49 Countries. J Phys Act Health. 2018;15(suppl 2):S251S273. PubMed ID: 30475137 doi:10.1123/jpah.2018-0472

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7.

    Guthold R, Stevens GA, Riley LM, Bull FC. Global trends in insufficient physical activity among adolescents: a pooled analysis of 298 population-based surveys with 1·6 million participants. Lancet Child Adolesc Heal. 2019;(November 21):113.

    • Search Google Scholar
    • Export Citation
  • 8.

    Aguilar-Farias N, Martino-Fuentealba P, Carcamo-Oyarzun J, et al. A regional vision of physical activity, sedentary behaviour and physical education in adolescents from Latin America and the Caribbean: results from 26 countries. Int J Epidemiol. 2018;47(3):976986. PubMed ID: 29554308 doi:10.1093/ije/dyy033

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

    World Health Organization. Global Action Plan on Physical Activity 2018–2030: More Active People for a Healthier World. World Health Organization: Geneva, Switzerland; 2018.

    • Search Google Scholar
    • Export Citation
  • 10.

    Asamblea Nacional Constituyente. Constitución Política de Colombia 1991. Ministerio de Justicia y del Derecho: Bogotá, D.C.; 1991.

  • 11.

    González SA, Triana CA, Abaunza C, et al. Results from Colombia’s 2018 report card on physical activity for children and youth. J Phys Act Health. 2018;15(suppl 2):S335S337. PubMed ID: 30475133 doi:10.1123/jpah.2018-0507

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

    Katzmarzyk PT, Barreira T V, Broyles ST, et al. The International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE): design and methods. BMC Public Health. 2013;13(1):900. PubMed ID: 24079373 doi:10.1186/1471-2458-13-900

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

    Instituto Colombiano del Bienestar Familiar, Instituto Nacional de Salud, Ministerio de la protección social. Encuesta Nacional de La Situación Nutricional En Colombia 2015 ENSIN. Bogotá, D.C.; 2018. https://www.icbf.gov.co/bienestar/nutricion/encuesta-nacional-situacion-nutricional.

    • Search Google Scholar
    • Export Citation
  • 14.

    The World Bank. Gini index (World Bank estimate). https://datacatalog.worldbank.org/gini-index-world-bank-estimate-1. Published 2019. Accessed December 25, 2019.

    • Search Google Scholar
    • Export Citation
  • 15.

    United Nations Development Programme. Human Development Report 2016 “Human Development for Everyone. New York, NY; 2016. http://hdr.undp.org/sites/default/files/2016_human_development_report.pdf.

    • Search Google Scholar
    • Export Citation
  • 16.

    Ministerio de Salud y Protección Social. Plan Decenal de Salud Pública 2012-2021. La salud en Colombia la construyes tú. https://www.minsalud.gov.co/Documentos y Publicaciones/Plan Decenal – Documento en consulta para aprobación.pdf. Published 2013. Accessed January 11, 2018.

    • Search Google Scholar
    • Export Citation
  • 17.

    Departamento Administrativo Nacional de Estadística (DANE). Censo Nacional de Población y Vivienda Colombia 2018. https://sitios.dane.gov.co/cnpv-presentacion/src/#donde00. Published 2018. Accessed December 4, 2018.

    • Search Google Scholar
    • Export Citation
  • 18.

    Camargo DM, Santisteban S, Paredes E, Flórez MA, Bueno D. Reliability of a questionnaire for measuring physical activity and sedentary behavior in children from preschool to fourth grade. Biomedica. 2015;35(3):347356. PubMed ID: 26849696 doi:10.7705/biomedica.v35i3.2502

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 19.

    U.S. Centers for Disease Control and Prevention. Youth Risk Behavior Surveillance System (YRBSS). https://www.cdc.gov/healthyyouth/data/yrbs/index.htm. Published 2012. Accessed January 11, 2018.

    • Search Google Scholar
    • Export Citation
  • 20.

    Sallis JF, Owen N, Fisher EB. Ecological models of health behaviour. In: Glanz K, Rimer BK, Viswanath K, eds. Health Behavior and Health Education. Theory, Research and Practice. 4th ed. San Francisco, CA: Jossey Bass; 2008.

    • Search Google Scholar
    • Export Citation
  • 21.

    WHO Multicentre Growth Reference Study Group. WHO Child Growth Standards based on length/height, weight and age. Acta Paediatr. 2006:(suppl 450):7685.

    • Search Google Scholar
    • Export Citation
  • 22.

    de Onis M, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J. Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ. 2007;85(9):660667. PubMed ID: 18026621 doi:10.2471/BLT.07.043497

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

    Saelens BE, Sallis JF, Frank LD, et al. Obesogenic neighborhood environments, child and parent obesity: the neighborhood impact on kids study. Am J Prev Med. 2012; 42(5):e5764. doi 10.1016/j.amepre.2012.02.008

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

    Hallal PC, Gomez LF, Parra DC, et al. Lessons learned after 10 years of IPAQ use in Brazil and Colombia. J Phys Act Health. 2010;7(suppl 2):S259S264. Accessed November 27, 2014. doi:10.1123/jpah.7.s2.s259

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

    Triana CA, Sarmiento OL, Bravo-Balado A, et al. Active streets for children: the case of the Bogotá Ciclovía. Vuillemin A, ed. PLoS One. 2019;14(5):e0207791. PubMed ID: 31091227 doi:10.1371/journal.pone.0207791

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

    Pate RR, Baranowski T, Dowda M, Trost SG. Tracking of physical activity in young children. Med Sci Sports Exerc. 1996;28(1):9296. PubMed ID: 8775360 doi:10.1097/00005768-199601000-00019

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

    McNeill J, Howard SJ, Vella SA, Santos R, Cliff DP. Physical activity and modified organized sport among preschool children: associations with cognitive and psychosocial health. Ment Health Phys Act. 2018;15:4552. doi:10.1016/j.mhpa.2018.07.001

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

    Orellana P, Valenzuela MF. Outdoor play in Latin American early childhood and elementary schools: a review of the literature. In: Waller T, Ärlemalm-Hagsér E, Sandseter E, Lee-Hammond L, Lekies K, Wyver S, eds. The SAGE Handbook of Outdoor Play and Learning. London: SAGE Publications Ltd; 2017:180194.

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

    Brussoni M, Gibbons R, Gray C, et al. What is the Relationship between Risky Outdoor Play and Health in Children? A Systematic Review. Int J Environ Res Public Health. 2015;12(6):64236454. PubMed ID: 26062038 doi:10.3390/ijerph120606423

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

    Chaput J-P, Colley RC, Aubert S, et al. Proportion of preschool-aged children meeting the Canadian 24-Hour Movement Guidelines and associations with adiposity: results from the Canadian Health Measures Survey. BMC Public Health. 2017;17(suppl 5):829. doi:10.1186/s12889-017-4854-y

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

    Cliff DP, McNeill J, Vella SA, et al. Adherence to 24-Hour Movement Guidelines for the Early Years and associations with social-cognitive development among Australian preschool children. BMC Public Health. 2017;17(suppl 5):207215.

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

    McNeill J, Howard SJ, Vella SA, Cliff DP. Compliance with the 24-hour movement guidelines for the early years: cross-sectional and longitudinal associations with executive function and psychosocial health in preschool children. J Sci Med Sport. 2020;23(9):846853.

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

    Leppänen MH, Ray C, Wennman H, et al. Compliance with the 24-h movement guidelines and the relationship with anthropometry in Finnish preschoolers: the DAGIS study. BMC Public Health. 2019;19(1). doi:10.1186/s12889-019-7967-7

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

    Sarker H, Anderson LN, Borkhoff CM, et al. Validation of parent-reported physical activity and sedentary time by accelerometry in young children. BMC Res Notes. 2015;8(1):735. PubMed ID: 26621253 doi:10.1186/s13104-015-1648-0

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 35.

    Pujadas Botey A, Bayrampour H, Carson V, Vinturache A, Tough S. Adherence to Canadian physical activity and sedentary behaviour guidelines among children 2 to 13 years of age. Prev Med Reports. 2016;3:1420. doi:10.1016/j.pmedr.2015.11.012

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

    Reilly JJ. When does it all go wrong? Longitudinal studies of changes in moderate-to-vigorous-intensity physical activity across childhood and adolescence. J Exerc Sci Fit. 2016;14(1):16. PubMed ID: 29541111 doi:10.1016/j.jesf.2016.05.002

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 37.

    Farooq MA, Parkinson KN, Adamson AJ, 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
  • 38.

    Corder K, Sharp SJ, Atkin AJ, et al. Change in objectively measured physical activity during the transition to adolescence. Br J Sports Med. 2015;49(11):730736. PubMed ID: 24273308 doi:10.1136/bjsports-2013-093190

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

    Dumith SC, Gigante DP, Domingues MR, Kohl HW. 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
  • 40.

    Bauman AE, Reis RS, Sallis JF, Wells JC, Loos RJF, Martin BW. Correlates of physical activity: why are some people physically active and others not? Lancet. 2012;380(9838):258271. PubMed ID: 22818938 doi:10.1016/S0140-6736(12)60735-1

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

    Sterdt E, Liersch S, Walter U. Correlates of physical activity of children and adolescents: a systematic review of reviews. Health Educ J. 2013;72(6):72–89.

    • Search Google Scholar
    • Export Citation
  • 42.

    Sallis JF, Prochaska JJ, Taylor WC. A review of correlates of physical activity of children and adolescents. Med Sci Sports Exerc. 2000;32(5):963975. PubMed ID: 10795788 doi:10.1097/00005768-200005000-00014

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

    O’Donoghue G, Kennedy A, Puggina A, et al. Socio-economic determinants of physical activity across the life course: a “DEterminants of DIet and Physical ACtivity” (DEDIPAC) umbrella literature review. PLoS One. 2018;13(1):e0190737.

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

    O’connor TM, Chen T-A, Baranowski J, Thompson D, Baranowski T. Physical activity and screen-media-related parenting practices have different associations with children’s objectively measured physical activity. Child Obes. 2013;9(5):446453. doi:10.1089/chi.2012.0131

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 45.

    Ferrari GLDM, Araújo TL, Oliveira LC, Matsudo V, Fisberg M. Association between electronic equipment in the bedroom and sedentary lifestyle, physical activity, and body mass index of children. J Pediatr. 2015;91(6):574582. doi:10.1016/j.jped.2015.01.009

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 46.

    Ding D, Sallis JF, Kerr J, Lee S, Rosenberg DE. Neighborhood environment and physical activity among youth: a review. Am J Prev Med. 2011;41(4):442455. PubMed ID: 21961474 doi:10.1016/j.amepre.2011.06.036

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 47.

    Davison KK, Lawson CT. Do attributes in the physical environment influence children’s physical activity? A review of the literature. Int J Behav Nutr Phys Act. 2006;3(1):19. PubMed ID: 16872543 doi:10.1186/1479-5868-3-19

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 48.

    Manyanga T, Barnes JD, Abdeta C, et al. Indicators of physical activity among children and youth in 9 countries with low to medium human development indices: a global matrix 3.0 Paper. J Phys Act Health. 2018;15(suppl 2):S274S283. PubMed ID: 30452869 doi:10.1123/jpah.2018-0370

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 49.

    Gaffney LK, Lozano OD, Almanza A, Ruiz N, Mantero A, Stoutenberg M. The implementation of a national physical activity intervention in Colombia. J Phys Act Health. 2019;16(6):430436. PubMed ID: 31104541 doi:10.1123/jpah.2018-0183

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 50.

    Coldeportes. Rendición de cuentas Supérate Intercolegiados. http://www.coldeportes.gov.co/acciones_rendicion_cuentas_2017/periodo_2017/actividades_audiencia_rendicion_85904/ejercicio_dialogo_grupo_interes_85975_85975. Published 2018. Accessed September 25, 2018.

    • Search Google Scholar
    • Export Citation
All Time Past Year Past 30 Days
Abstract Views 0 0 0
Full Text Views 273 273 273
PDF Downloads 56 56 56