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      Objectively measured physical activity level and sedentary behavior in Norwegian children during a week in preschool

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          Abstract

          Although many studies have reported on physical activity (PA) levels using accelerometers, a thorough description of the PA pattern in preschool children during their stay in the preschool, is lacking in the current literature. Furthermore, there remains a lack of understanding of the PA level and pattern in children in the lower end of the PA continuum.

          The first aim of this study was therefore to describe the PA pattern during a week-long stay in a preschool in all children born in 2011 (either three or four-year-olds) attending public preschools in a municipality in Norway. The second aim was to describe the PA level and pattern of the children who are the least physically active.

          This cross-sectional study included baseline data from 95% of children ( N = 111) participating in a randomized controlled physical activity intervention (Active Kindergarten – Active Children study). The participants wore an Actigraph accelerometer, in week 39 in 2015, from when they arrived at the preschool on Monday morning and throughout their stay of five consecutive days.

          The amount of moderate- to vigorous-intensity PA (MVPA) per day ranged from 16 min to 116 min, and sedentary time ranged from 2.7 h to 6.5 h per day in the least and most sedentary child, respectively. The least physically active 25% of children were less active throughout the entire day, and only a few of them managed to achieve the recommended level of MVPA on any weekday.

          The physical activity levels and patterns among the least active children described in this study may help to inform interventions targeting this group.

          Highlights

          • MVPA per day ranged from 16 min to 116 min in the least and most active child.

          • Sedentary time ranged from 2.7 h to 6.5 h per day in the least and most sedentary child.

          • The 25% least physically active children were less active throughout the entire day.

          • The 25% least active children were not more active outside than inside.

          • PA pattern among inactive children described in this study may inform interventions.

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          Most cited references30

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          AHA Guidelines for Primary Prevention of Cardiovascular Disease and Stroke: 2002 Update: Consensus Panel Guide to Comprehensive Risk Reduction for Adult Patients Without Coronary or Other Atherosclerotic Vascular Diseases. American Heart Association Science Advisory and Coordinating Committee.

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            Methodological considerations in using accelerometers to assess habitual physical activity in children aged 0-5 years.

            This paper reviews the evidence behind the methodological decisions accelerometer users make when assessing habitual physical activity in children aged 0-5 years. The purpose of the review is to outline an evidence-guided protocol for using accelerometry in young children and to identify gaps in the evidence base where further investigation is required. Studies evaluating accelerometry methodologies in young children were reviewed in two age groups (0-2 years and 3-5 years) to examine: (i) which accelerometer should be used, (ii) where the accelerometer should be placed, (iii) which epoch should be used, (iv) how many days of monitoring are required, (v) how many minutes of monitoring per day are required, (vi) how data should be reduced, (vii) which cut-point definitions for identifying activity intensity should be used, and (viii) which physical activity outcomes should be reported and how. Critique of the available evidence provided a basis for the development of a recommended users protocol in 3-5-year olds, although several issues require further research. Because of the absence of methodological studies in children under 3 years, a protocol for the use of accelerometers in this age range could not be specified. Formative studies examining the utility, feasibility and validity of accelerometer-based physical activity assessments are required in children under 3 years of age. Recommendations for further research are outlined, based on the above findings, which, if undertaken, will enhance the accuracy of accelerometer-based assessments of habitual physical activity in young children.
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              Tracking of activity and sedentary behaviors in childhood: the Iowa Bone Development Study.

              Physical activity tracking studies can determine when children settle into activity patterns and their risk for maintaining sedentary behaviors. This study examined the tracking of activity and sedentary behavior in relation to adiposity during middle childhood. Activity intensities and patterns were examined during a 3-year interval in a population-based study of children using accelerometry and survey methods. Data were collected and analyzed from 1998 to 2004. Participants (n = 379) were, on average, 5.6 (standard deviation [SD] +/- 0.5) years at baseline and 8.6 (SD +/- 0.5) years at follow-up. Adiposity was measured with whole-body, dual-energy x-ray absorptiometry. Correlation coefficients and odds ratios were used to assess tracking. The association of activity with adiposity was tested using the Wilcoxon rank-sum test. Over the 3-year interval, Spearman rank-order correlation coefficients between baseline and follow-up activity measures were low to moderate (r = 0.18 to 0.39). Sedentary behavior was more predictable than overall activity, and tended to be more stable (r = 0.37 to 0.52), with the exception of video playing in boys (r = 0.18). Children maintaining a high degree of vigorous activity and low levels of TV viewing were less likely than peers to be in the upper quartile for adiposity at follow-up, and were less likely to gain adiposity during the study period. Sedentary behavior, including TV viewing, is moderately stable during middle childhood. Health promotion programs that specifically target maintaining high levels of vigorous activity and low levels of TV viewing may help reduce the increasing prevalence of childhood obesity.
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                Author and article information

                Contributors
                Journal
                Prev Med Rep
                Prev Med Rep
                Preventive Medicine Reports
                Elsevier
                2211-3355
                09 June 2017
                September 2017
                09 June 2017
                : 7
                : 130-135
                Affiliations
                [a ]Faculty of Humanities, Sports and Educational Science, University College of Southeast, Norway
                [b ]Sandefjord Municipality, Norway
                Author notes
                [* ]Corresponding author at: Faculty of Humanities, Sports and Educational Science, University College of Southeast Norway, Postbox 2243, N-3103 Tonsberg, Norway.Faculty of Humanities, Sports and Educational ScienceUniversity College of Southeast NorwayPostbox 2243TonsbergN-3103Norway eivind.andersen@ 123456usn.no
                Article
                S2211-3355(17)30103-1
                10.1016/j.pmedr.2017.06.003
                5479964
                93320611-c7db-410a-be01-364a1e58c53f
                © 2017 The Authors

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 31 October 2016
                : 1 June 2017
                : 5 June 2017
                Categories
                Regular Article

                preschool,physical activity,sedentary time,least physically active

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