Physical Activity, Screen Time, and Sleep Trajectories From Childhood to Adolescence: The Influence of Sex and Body Weight Status

in Journal of Physical Activity and Health
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Background: Behavioral trajectories from childhood to adolescence may differ and are poorly understood. The authors estimated the trajectories of moderate to vigorous physical activity (MVPA), screen time, and sleep duration during this period, by sex and initial weight status. Methods: Data from Quebec Adiposity and Lifestyle Investigation in Youth, an ongoing cohort study in Canada on the natural history of obesity, were used. Participants predisposed to obesity attended baseline (8–10 y old, n = 630) and follow-up visits 2 years (n = 564) and 7 years (n = 359) after baseline. Participants with completed self-reported and accelerometer-based data were included in the analyses (n = 191, 353, and 240 for MVPA, screen time, and sleep, respectively). The authors performed group-based trajectory analyses and multinomial logistic regression models. Results: Two MVPA, 3 screen time, and 2 sleep trajectories were identified. Girls were more likely than boys to belong to trajectory with lower MVPA means (odds ratio [OR] = 6.45; 95% confidence interval [CI], 3.08 to 13.49), yet less likely to belong to the trajectory with higher screen time (OR = 0.47; 95% CI, 0.23 to 0.97) and lower sleep duration (OR = 0.46; 95% CI, 0.27 to 0.78). Overweight or obesity at baseline was associated with a greater likelihood of belonging to the trajectory with lower MVPA (OR = 10.99; 95% CI, 1.31 to 91.14) and higher screen time (OR = 2.01; 95% CI, 1.04 to 4.06), respectively. Conclusions: It appears to be gender- and weight-based determinants of behavioral trajectories in this sample. These results may provide guidance for interventions in similar populations.

Guimarães and Mathieu are with the École de kinésiologie et des sciences de l’activité physique de la Faculté de médecine, Université de Montréal, Montreal, QC, Canada. Guimarães, Mathieu, Henderson, and Barnett are with the Centre de recherche du CHU Sainte-Justine. Montréal, QC, Canada. Reid is with the Human Kinetics Department, St. Francis Xavier University, Antigonish, Nova Scotia, Canada. Henderson is also with the Département de Pédiatrique, Faculté de médecine, Université de Montréal, Montreal, QC, Canada. Barnett is also with the Department of Family Medicine, McGill University, Montreal, QC, Canada.

Barnett (tracie.barnett@mcgill.ca) is corresponding author.

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