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      Change in children’s physical activity and sedentary time between Year 1 and Year 4 of primary school in the B-PROACT1V cohort

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          Abstract

          Background

          The aim of this study was to examine how children’s and parents’ physical activity changes from Year 1 (5–6) to Year 4 (8–9 years of age).

          Methods

          Data are from the Bristol (UK) B-PROACT1V cohort. Fifty-seven primary schools were recruited when the children were in Year 1, with 1299 children and their parents providing data. Forty-seven schools were re-recruited in Year 4, with 1223 children and parents providing data (685 of whom participated in Year 1). Children and at least one parent wore an accelerometer for 5 days including a weekend and mean minutes of sedentary time, moderate-to-vigorous intensity physical activity (MVPA) and accelerometer counts per minute (CPM) were derived. Multiple imputation was used to impute missing data for all 1837 families who took part, including those who participated at just one time. Paired t-tests examined if there was statistical evidence of change in accelerometer measures.

          Results

          Multiple imputation and observed data were comparable and results using complete observed data were mostly the same as those using imputed data. Imputed data showed that mean boys’ CPM decreased from 747 to 673 (difference in mean 74 [95% CI 45 to 103]) and girls’ from 686 to 587 (99 [79 to 119]). Boys’ time spent in MVPA reduced from 72 to 69 (3 [0 to 6]) and girls’ from 62 to 56 (7 [4 to 9]) minutes per day. There were increases in sedentary time for both boys (354 to 428 min, 74 [61 to 88]) and girls (365 to 448, 83 [71 to 96]). There was no evidence of change in parent CPM or MVPA. Mothers’ sedentary time increased by 26 min per day [16 to 35].

          Conclusions

          There were similar increases in sedentary time in girls and boys between age 5–6 and 8–9, and decreases in MVPA that were more marked in girls. The similarity of multiple-imputed and complete observed data suggest that these findings may not be markedly affected by selection bias. Result support early interventions to prevent the age-related decline in children’s physical activity.

          Electronic supplementary material

          The online version of this article (doi:10.1186/s12966-017-0492-0) contains supplementary material, which is available to authorized users.

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          Most cited references25

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          Multiple Imputation after 18+ Years

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            Moderate-to-vigorous physical activity from ages 9 to 15 years.

            Decreased physical activity plays a critical role in the increase in childhood obesity. Although at least 60 minutes per day of moderate-to-vigorous physical activity (MVPA) is recommended, few longitudinal studies have determined the recent patterns of physical activity of youth. To determine the patterns and determinants of MVPA of youth followed from ages 9 to 15 years. Longitudinal descriptive analyses of the 1032 participants in the 1991-2007 National Institute of Child Health and Human Development Study of Early Child Care and Youth Development birth cohort from 10 study sites who had accelerometer-determined minutes of MVPA at ages 9 (year 2000), 11 (2002), 12 (2003), and 15 (2006) years. Participants included boys (517 [50.1%]) and girls (515 [49.9%]); 76.6% white (n = 791); and 24.5% (n = 231) lived in low-income families. Mean MVPA minutes per day, determined by 4 to 7 days of monitored activity. At age 9 years, children engaged in MVPA approximately 3 hours per day on both weekends and weekdays. Weekday MVPA decreased by 37 minutes per year [corrected], while weekend MVPA decreased by 39 minutes per year [corrected]. By age 15 years, adolescents were only engaging in MVPA for 50 minutes per weekday [corrected] and 36 minutes per weekend day [corrected]. Boys were more active than girls, spending 18 and 14 more minutes per day [corrected] in MVPA on the weekdays and weekends, respectively. The rate of decrease in MVPA was the same for boys and girls. The estimated age at which girls crossed below the recommended 60 minutes of MVPA per day was approximately 13.2 years for weekday [corrected] activity compared with boys at 14.9 years [corrected], and for weekend activity, girls crossed below the recommended 60 minutes of MVPA at 12.7 years [corrected] compared with boys at 13.6 years [corrected]. In this study cohort, measured physical activity decreased significantly between ages 9 and 15 years.
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              Using objective physical activity measures with youth: how many days of monitoring are needed?

              The purpose of this study was to establish the minimal number of days of monitoring required for accelerometers to assess usual physical activity in children. A total of 381 students (189 M, 192 F) wore a CSA 7164 uniaxial accelerometer for seven consecutive days. To examine age-related trends students were grouped as follows: Group I: grades 1-3 (N = 92); Group II: grades 4-6 (N = 98); Group III: grades 7-9 (N = 97); Group IV: grades 10-12 (N = 94). Average daily time spent in moderate-to-vigorous physical activity (MVPA) was calculated from minute-by-minute activity counts using the regression equation developed by Freedson et al. (1997). Compared with adolescents in grades 7 to 12, children in grades 1 to 6 exhibited less day-to-day variability in MVPA behavior. Spearman-Brown analyses indicated that between 4 and 5 d of monitoring would be necessary to a achieve a reliability of 0.80 in children, and between 8 and 9 d of monitoring would be necessary to achieve a reliability of 0.80 in adolescents. Within all grade levels, the 7-d monitoring protocol produced acceptable estimates of daily participation in MVPA (R = 0.76 (0.71-0.81) to 0.87 (0.84-0.90)). Compared with weekdays, children exhibited significantly higher levels of MVPA on weekends, whereas adolescents exhibited significantly lower levels of MVPA on weekends. Principal components analysis revealed two distinct time components for MVPA during the day for children (early morning, rest of the day), and three distinct time components for MVPA during the day for adolescents (morning, afternoon, early evening). These results indicate that a 7-d monitoring protocol provides reliable estimates of usual physical activity behavior in children and adolescents and accounts for potentially important differences in weekend versus weekday activity behavior as well as differences in activity patterns within a given day.
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                Author and article information

                Contributors
                +44 (0)117 9546603 , russ.jago@bristol.ac.uk
                Emma.solomon@bristol.ac.uk
                C.Macdonald-Wallis@bristol.ac.uk
                simon.sebire@bristol.ac.uk
                j.thompson.1@bham.ac.uk
                d.a.lawlor@bristol.ac.uk
                Journal
                Int J Behav Nutr Phys Act
                Int J Behav Nutr Phys Act
                The International Journal of Behavioral Nutrition and Physical Activity
                BioMed Central (London )
                1479-5868
                28 April 2017
                28 April 2017
                2017
                : 14
                : 33
                Affiliations
                [1 ]ISNI 0000 0004 1936 7603, GRID grid.5337.2, Centre for Exercise, Nutrition & Health Sciences, , School for Policy Studies, University of Bristol, ; 8 Priory Road, Bristol, BS8 1TZ UK
                [2 ]ISNI 0000 0004 1936 7486, GRID grid.6572.6, School of Sport, Exercise and Rehabilitation Sciences, , University of Birmingham, ; Birmingham, B15 2TT UK
                [3 ]ISNI 0000 0004 1936 7603, GRID grid.5337.2, , MRC Integrative Epidemiology Unit at the University of Bristol, ; Oakfield House, Oakfield Grove, Bristol, BS8 2BN UK
                [4 ]ISNI 0000 0004 1936 7603, GRID grid.5337.2, School of Social and Community Medicine, , University of Bristol, ; Canynge Hall, Whiteladies Road, Bristol, BS8 2PS UK
                Author information
                http://orcid.org/0000-0002-3394-0176
                Article
                492
                10.1186/s12966-017-0492-0
                5408437
                28449679
                a3590d45-dcdd-4c7e-910b-e07580de527e
                © The Author(s). 2017

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 9 January 2017
                : 9 March 2017
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100000274, British Heart Foundation;
                Award ID: PG/11/51/28986
                Award ID: SP 14/4/311
                Award Recipient :
                Categories
                Research
                Custom metadata
                © The Author(s) 2017

                Nutrition & Dietetics
                physical activity,children,cohort,longitudinal
                Nutrition & Dietetics
                physical activity, children, cohort, longitudinal

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