학술논문

Cross-sectional and prospective associations between sleep, screen time, active school travel, sports/exercise participation and physical activity in children and adolescents
Document Type
Report
Source
BMC Public Health. June 7, 2018, Vol. 18 Issue 1
Subject
Psychological aspects
Analysis
Health aspects
Sleep -- Health aspects -- Psychological aspects
Child health -- Analysis
Cross-sectional studies
Exercise -- Health aspects
Social class -- Analysis
Language
English
ISSN
1471-2458
Abstract
Author(s): Knut Eirik Dalene[sup.1] , Sigmund A. Anderssen[sup.1] , Lars Bo Andersen[sup.1,2] , Jostein Steene-Johannessen[sup.1,3] , Ulf Ekelund[sup.1] , Bjarge H. Hansen[sup.1] and Elin Kolle[sup.1] Background Convincing evidence has emerged [...]
Background The aim of this study was to investigate how sleep, screen time, active school travel and sport and/or exercise participation associates with moderate-to-vigorous physical activity (MVPA) in nationally representative samples of Norwegian 9- and 15-y-olds, and whether these four behaviors at age nine predict change in MVPA from age nine to 15 years. Method We pooled cross-sectional accelerometer and questionnaire data from 9- (n = 2366) and 15-y-olds (n = 1554) that participated in the first (2005/06) and second (2011/12) wave of the Physical Activity among Norwegian Children Study to investigate cross-sectional associations. To investigate prospective associations, we used data from a sub-sample that participated in both waves (at age nine and 15 years, n = 517). Results Cross-sectional analyses indicated a modest, inverse association between screen time and MVPA among 9- (- 2.2 min/d (95% CI: -3.1, - 1.3)) and 15-y-olds (- 1.7 min/d (95% CI: -2.7, - 0.8)). Compared to their peers with 0-5 min/d of active travel to school, 9- and 15-y-olds with [greater than or equai to]16 min/d accumulated 7.2 (95% CI: 4.0, 10.4) and 9.0 (95% CI: 3.8, 14.1) more min/d of MVPA, respectively. Nine-y-old boys and 15-y-olds reporting [greater than or equai to]8 h/week of sports and/or exercise participation accumulated 14.7 (95% CI: 8.2, 21.3) and 17.9 (95% CI: 14.0, 21.8) more min/d of MVPA, respectively, than those reporting [less than or equai to]2 h/week. We found no cross-sectional association between sleep duration and MVPA in either age group. None of the four behaviors predicted change in MVPA from age nine to 15 years (p [greater than or equai to] 0.102). Conclusion Active travel to school and sport/exercise participation may be important targets for future interventions aimed at increasing MVPA in children and adolescents. However, future studies are needed to determine causality. Keywords: Sleep, Screen time, Active travel, Sport, Exercise, Physical activty, Accelerometer