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High Levels of Physical Activity and Cardiorespiratory Fitness are Associated With Good Self-Rated Health in Adolescents

Marko T. Kantomaa, Tuija Tammelin, Hanna Ebeling, Emmanuel Stamatakis, and Anja Taanila

Background:

Adolescent self-rated health is a strong predictor of future illness. In this study we investigated whether physical activity and cardiorespiratory fitness are associated with self-rated health among adolescents aged 16 years.

Methods:

The study sample comprised 7,063 adolescents from the Northern Finland Birth Cohort 1986 (NFBC 1986) who responded to a postal questionnaire in 2001 to 2002. Self-rated health was measured by a single-item question, while physical activity was evaluated by a set of questions concerning the intensity and volume of physical activity outside school hours. Cardiorespiratory fitness was measured with a submaximal cycle ergometer test. Odds ratios (OR) and their 95% confidence intervals (95% CI) for good self-rated health were obtained from multinomial logistic regression.

Results:

High levels of physical activity (boys: OR 5.50, 95% CI 3.16 to 9.58; girls: OR 4.25, 95% CI 2.37 to 7.61) and cardiorespiratory fitness (boys: OR 1.85, 95% CI 1.05 to 3.24; girls: OR 2.62, 95% CI 1.47 to 4.66) were associated with very good self-rated health in adolescents.

Conclusions:

High levels of physical activity and cardiorespiratory fitness are positively associated with adolescents’ self-rated health. Public health promotion activities that foster physical activity and cardiorespiratory fitness may benefit young people’s overall health and well-being.

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Objectively Measured School Day Physical Activity Among Elementary Students in the United States and Finland

Sami Yli-Piipari, Janne Santeri Kulmala, Timo Jaakkola, Harto Hakonen, Joseph Cole Fish, and Tuija Tammelin

Background:

Schools are in a unique position to ensure that all students meet the current physical activity (PA) recommendations. This study aimed to examine 1st to 3rd grade elementary students’ accelerometer measured school day PA in the United States (U.S.) and Finland.

Methods:

The sample consisted of 200 students (107 girls, 93 boys; ages 6 to 8) and their school day PA was monitored with hip-worn ActiGraph GT3X+ accelerometers across a 5-day school week and the thresholds 100 and 2296 count per minute were used to separate sedentary time, light PA, and moderate-to-vigorous PA (MVPA).

Results:

On an average school day, students were engaged in MVPA for 20.0 min in the U.S. and 24.1 min in Finland. Students’ school-day MVPA was 9 to 16 minutes higher during physical education (PE) days compared with non-PE days (U.S: 25.8 vs. 16.6 min/day; Finland: 36.3 vs. 20.1 min/day). Girls had less MVPA and more sedentary time compared with boys in both samples.

Conclusion:

This study highlights both the role of PE and other school day physical activities in meeting PA guidelines. Policy measures are needed to change the structure of the school day and enhance PA to ensure that students meet the PA recommendations.

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Parental Physical Activity Associates With Offspring’s Physical Activity Until Middle Age: A 30-Year Study

Kaisa Kaseva, Taina Hintsa, Jari Lipsanen, Laura Pulkki-Råback, Mirka Hintsanen, Xiaolin Yang, Mirja Hirvensalo, Nina Hutri-Kähönen, Olli Raitakari, Liisa Keltikangas-Järvinen, and Tuija Tammelin

Background:

Parents’ physical activity associates with their children’s physical activity. Prospective designs assessing this association are rare. This study examined how parents’ physical activity was associated with their children’s physical activity from childhood to middle adulthood in a 30-year prospective, population-based setting.

Methods:

Participants (n = 3596) were from the ongoing Cardiovascular Risk in Young Finns study started in 1980. Participants’ physical activity was self-reported at 8 phases from 1980 to 2011, and their parents’ physical activity at 1980. Analyses were adjusted for a set of health-related covariates assessed from 1980 to 2007.

Results:

High levels of mothers’ and fathers’ physical activity were systematically associated with increased levels of their children’s physical activity until offspring’s age of 24. Longitudinal analyses conducted from 1980 to 2011 showed that higher levels of parents’ physical activity were associated with increased levels of physical activity within their offspring until midlife, but the association between parents’ and their children’s physical activity weakened when participants aged (P < .05). Covariate adjustment did not attenuate the association.

Conclusions:

This study suggests that parents’ physical activity assessed in their offspring’s childhood contributes favorably to offspring’s physical activity from childhood to middle age.

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Validity and Reliability of a Single Question for Leisure-Time Physical Activity Assessment in Middle-Aged Women

Matti Hyvärinen, Sarianna Sipilä, Janne Kulmala, Harto Hakonen, Tuija H. Tammelin, Urho M. Kujala, Vuokko Kovanen, and Eija K. Laakkonen

Purpose: To investigate the validity and test–retest reliability of a single seven-level scale physical activity assessment question (SR-PA L7) and its three-level categorization (SR-PA C3). Methods: The associations of SR-PA L7 and C3 with accelerometer-measured leisure-time physical activity (ACC-LTPA) and with the results of four different physical performance tests (6-min walk [n = 733], knee extension [n = 695], vertical jump [n = 731], and grip force [n = 780]) were investigated among women aged 47–55 years participating in the Estrogenic Regulation of Muscle Apoptosis study (n = 795). The reliability was studied using Spearman correlations with 4-month test–retest period (n = 152). Results: SR-PA L7 and C3 had low correlations with ACC-LTPA (r s = .105–.337). SR-PA L7, SR-PA C3, and ACC-LTPA explained comparable but small amount of variance of the physical performance test results. The reliability analysis provided moderate agreement (r s = .707 and .622 for SR-PA L7 and C3, respectively). Conclusions: SR-PA L7 and C3 demonstrated limited validity and reasonable repeatability.

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The Relation of Physical Activity, Sedentary Behaviors, and Academic Achievement Is Mediated by Fitness and Bedtime

Heidi J. Syväoja, Anna Kankaanpää, Jouni Kallio, Harto Hakonen, Janne Kulmala, Charles H. Hillman, Anu-Katriina Pesonen, and Tuija H. Tammelin

Background: This study investigated the associations of subjectively and objectively measured physical activity (PA) and sedentary behavior with academic achievement. We further examined whether aerobic fitness, obesity, and bedtime mediate these associations. Methods: This study included 970 children aged 9–15 years (52.3% girls) from 9 schools throughout Finland. Register-based academic achievement [grade point average (GPA)] as well as self-reported and accelerometer-measured PA/sedentary behavior were assessed during spring 2013. Aerobic fitness (assessed via a maximal shuttle run test), body composition (assessed via bioimpedance analysis), and self-reported bedtime were collected. Structural equation modeling was applied to examine the associations. Standardized regression coefficients are presented. Results: Self-reported PA had a direct positive [β = 0.084; 95% confidence interval (CI), 0.023 to 0.145] and an indirect positive association with GPA through higher aerobic fitness (β = 0.061; 95% CI, 0.033 to −0.087). Accelerometer-based PA was not associated with GPA. Self-reported screen time had an indirect negative association with GPA through later bedtime (β = −0.071; 95% CI, −0.096 to −0.035) and lower aerobic fitness (β = −0.039; 95% CI, −0.059 to 0.019). Nonscreen sedentary time had a direct positive (β = 0.193; 95% CI, 0.101 to −0.289) and an indirect negative association with GPA through lower aerobic fitness (β = −0.040; 95% CI, −0.063 to −0.016). Conclusions: Participating in PA, avoiding excessive screen time, and going to bed earlier may benefit academic achievement.

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Results from Finland’s 2014 Report Card on Physical Activity for Children and Youth

Jarmo Liukkonen, Timo Jaakkola, Sami Kokko, Arto Gråstén, Sami Yli-Piipari, Pasi Koski, Jorma Tynjälä, Anne Soini, Timo Ståhl, and Tuija Tammelin

The Finnish 2014 Report Card on Physical Activity (PA) for Children and Youth is the first assessment of Finland’s efforts in promoting and facilitating PA opportunities for children and youth using the Active Healthy Kids Canada grading system. The Report Card relies primarily on research findings from 6 Research Institutes, coordinated by the University of Jyväskylä. The Research Work Group convened to evaluate the aggregated evidence and assign grades for each of the 9 PA indicators, following the Canadian Report Card protocol. Grades from A (highest) to F (lowest) varied in Finland as follows: 1) Overall physical activity—fulfillment of recommendations (D), 2) Organized sport participation (C), 3) Active play (D), 4) Active transportation (B), 5) Sedentary behaviors (D), 6) Family and peers (C), 7) School (B), 8) Community and the built environment (B), and 9) Government (B). This comprehensive summary and assessment of indicators related to PA in Finnish children and youth indicates that Finland still has many challenges to promote a physically active life style for youth.

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Results from Finland’s 2018 Report Card on Physical Activity for Children and Youth

Katariina Kämppi, Annaleena Aira, Nina Halme, Pauliina Husu, Virpi Inkinen, Laura Joensuu, Sami Kokko, Kaarlo Laine, Kaisu Mononen, Sanna Palomäki, Timo Ståhl, Arja Sääkslahti, and Tuija Tammelin

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Results From Finland’s 2016 Report Card on Physical Activity for Children and Youth

Tuija H. Tammelin, Annaleena Aira, Matti Hakamäki, Pauliina Husu, Jouni Kallio, Sami Kokko, Kaarlo Laine, Kati Lehtonen, Kaisu Mononen, Sanna Palomäki, Timo Ståhl, Arja Sääkslahti, Jorma Tynjälä, and Katariina Kämppi

Background:

Finland’s 2016 Report Card on Physical Activity for Children and Youth gathers and translates research results and assesses the status and promotion of physical activity (PA) among Finnish children and youth less than 18 years of age. This article summarizes the results and provides grades for 9 indicators.

Methods:

The working group evaluated the evidence and assigned grades of A (highest, 81% to 100%), B, C, D, or F (lowest, 0% to 20%) for 9 PA indicators using the Active Healthy Kids Canada Report Card development process.

Results:

The grades varied in Finland as follows: 1) Overall PA/fulfillment of recommendations = D, 2) Organized Sport Participation = C, 3) Active Play = C, 4) Active Transportation = B, 5) Sedentary Behaviors = D, 6) Family and Peers = C, 7) School = B, 8) Community and the Built Environment = B, 9) Government = B.

Conclusions:

Despite good policies and programs to promote PA in Finland, children and youth overall PA levels are low, whereas their time spent sedentary is high. More effective interventions, operation models, concrete tools as well as environmental solutions are needed to support the work toward more physically active childhood and youth.

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Associations Between Major Life Changes and Pedometer-Determined Physical Activity Over 4 Years in Middle-Aged Adults in the Cardiovascular Risk in Young Finns Study

Kasper Salin, Anna Kankaanpää, Xiaolin Yang, Tuija H. Tammelin, Costan G. Magnussen, Risto Telama, Nina Hutri-Kähönen, Jorma S.A. Viikari, Olli T. Raitakari, and Mirja Hirvensalo

Background: To examine if major life changes over a 4-year period among 34- to 49-year-old adults (mean = 41.8, SD = 5.0) were associated with a change in physical activity in men (37.7%) and women (62.3%). Methods: Daily steps and aerobic steps (steps that lasted for at least 10 min without interruption at a pace of >60 steps/min) were collected from 1051 participants in 2007 and 2011. Changes in marital status, work status, and residence and the birth of a child were determined from both time points. A latent change score model was used to examine mean changes in daily total steps, aerobic steps, and nonaerobic steps (total steps minus aerobic steps). Results: Women who had a first child in the 4-year period had a decrease in their nonaerobic steps (P = .001). Men who divorced in the 4-year period had a decrease in their nonaerobic steps (P = .020), whereas women who recoupled decreased their total steps (P = .030). Conclusions: Counseling for parents having a first child on how to increase physical activity in their everyday life could potentially have an influence on an individual’s physical activity.

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Associations Between Sedentary Time, Physical Activity, and Cardiovascular Health in 6-Year-Old Children Born to Mothers With Increased Cardiometabolic Risk

Linda Litwin, Johnny K.M. Sundholm, Rasmus F.W. Olander, Jelena Meinilä, Janne Kulmala, Tuija H. Tammelin, Kristiina Rönö, Saila B. Koivusalo, Johan G. Eriksson, and Taisto Sarkola

Purpose: To assess associations between sedentary time (ST), physical activity (PA), and cardiovascular health in early childhood. Method: Cross-sectional study including 160 children (age 6.1 y [SD 0.5], 86 boys, 93 maternal body mass index ≥ 30 kg/m2, and 73 gestational diabetes) assessed for pulse wave velocity, echocardiography, ultra-high frequency 48–70 MHz vascular ultrasound, and accelerometery. Results: Boys had 385 (SD 53) minutes per day ST, 305 (SD 44) minutes per day light PA, and 81 (SD 22) minutes per day moderate to vigorous PA (MVPA). Girls had 415 (SD 50) minutes per day ST, 283 (SD 40) minutes per day light PA, and 66 (SD 19) minutes per day MVPA. In adjusted analyses, MVPA was inversely associated with resting heart rate (β = −6.6; 95% confidence interval, −12.5 to −0.7) and positively associated with left ventricular mass (β = 6.8; 1.4–12.3), radial intima-media thickness (β = 11.4; 5.4–17.5), brachial intima-media thickness (β = 8.0; 2.0–14.0), and femoral intima-media thickness (β = 1.3; 0.2–2.3). MVPA was inversely associated with body fat percentage (β = −3.4; −6.6 to −0.2), diastolic blood pressure (β = −0.05; −0.8 to −0.1), and femoral (β = −18.1; −32.4 to −0.8) and radial (β = −13.4; −24.0 to −2.9) circumferential wall stress in boys only. ST and pulse wave velocity showed no significant associations. Conclusions: In young at-risk children, MVPA is associated with cardiovascular remodeling, partly in a sex-dependant way, likely representing physiological adaptation, but ST shows no association with cardiovascular health in early childhood.