Activity–Inactivity Patterns, Screen Time, and Physical Activity: The Association with Overweight, Central Obesity and Muscle Strength in Polish Teenagers. Report from the ABC of Healthy Eating Study
Magdalena Górnicka , Jadwiga Hamułka , Lidia Wądołowska , Joanna Kowalkowska , Eliza Kostyra , Marzena Tomaszewska , Jan Czeczelewski , Monika Bronkowska
AbstractToday, the time spent actively is increasingly being replaced by screen-based media, although in some teenagers, a high level of physical activity (PA) and longer time spent in front of a screen (screen time, ST) may coexist as a mixed behavioral pattern. This study aimed to examine the association of the pattern created as activity (low/high ST with high PA) and inactivity patterns (low/high ST with low PA) with overweight, central obesity, and muscle strength in Polish teenagers taking into consideration socioeconomic and demographic factors. Cross-sectional data were collected from elementary school children (n = 1567), aged 11–13 years. Height, weight, waist circumference, and handgrip strength were measured. Body mass index (BMI) was calculated as the overweight measure, and the waist-to-height ratio (WHtR) was calculated as the central obesity measure. Data on ST, PA, socioeconomic status, demographics, and nutrition knowledge were collected by a questionnaire. Activity–inactivity patterns were defined by an a priori approach. Multivariate logistic regression modelling was applied. The most active pattern (lowST-highPA) was found in 17% of the total sample. Teenagers with the most inactive pattern (highST-lowPA) had over four times higher chance of general overweight. No association between WHtR ≥0.5 and highST-highPA pattern was found. Higher muscle strength (>1 SD) was associated only with high physical activity. Urban residence or lower socioeconomic status increased adherence to the most inactive pattern. From a public health perspective, implementing interventions promoting active patterns in 11–13-year-old teenagers is important for obesity prevention and enhanced physical fitness, especially in girls, teenagers living in urban areas, and from families with lower socio-economic status.
|Journal series||International Journal of Environmental Research and Public Health, ISSN 1661-7827, e-ISSN 1660-4601, (N/A 70 pkt)|
|Publication size in sheets||1|
|Keywords in English||screen time, physical activity, activity pattern, inactivity pattern, adiposity, BMI, WHtR, muscle strength, Polish teenagers|
|License||Journal (articles only); published final; ; with publication|
|Score||= 70.0, 22-04-2021, ArticleFromJournal|
|Publication indicators||= 2; = 3; : 2018 = 1.129; : 2019 = 2.849 (2) - 2019=3.127 (5)|
|Citation count*||4 (2021-05-14)|
* presented citation count is obtained through Internet information analysis and it is close to the number calculated by the Publish or Perish system.