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American Journal of Clinical Nutrition, Vol. 80, No. 3, 584-590, September 2004
© 2004 American Society for Clinical Nutrition


ORIGINAL RESEARCH COMMUNICATION

Associations between objectively assessed physical activity and indicators of body fatness in 9- to 10-y-old European children: a population-based study from 4 distinct regions in Europe (the European Youth Heart Study)1,2,3

Ulf Ekelund, Luis B Sardinha, Sigmund A Anderssen, Marike Harro, Paul W Franks, Sören Brage, Ashley R Cooper, Lars Bo Andersen, Chris Riddoch and Karsten Froberg

1 From the MRC Epidemiology Unit, Cambridge, United Kingdom (UE and SB); the Department of Physical Education and Health, Örebro University, Örebro, Sweden (UE); the Faculty of Human Movement, Technical University of Lisbon, Portugal (LBS); the Department of Sports Medicine, The Norwegian University of Sport and Physical Education, Norway (SAA and LBA); the Department of Public Health, University of Tartu, Estonia (MH); the Diabetes and Arthritis Epidemiology Section, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Phoenix, AZ (PWF); the Department of Exercise and Health Sciences, University of Bristol, United Kingdom (ARC); the London Sport Institute, Middlesex University, United Kingdom (CR); the Institute of Sport Science & Clinical Biomechanics, University of Southern Denmark, Odense, Denmark (SB and KF)

Background: The rising prevalence of obesity in children may be due to a reduction in physical activity (PA).

Objective: Our aim was to study the associations of objectively measured PA volume and its subcomponents with indicators of body fatness.

Design: A cross-sectional study of 1292 children aged 9–10 y from 4 distinct regions in Europe (Odense, Denmark; the island of Madeira, Portugal; Oslo; and Tartu, Estonia) was conducted. PA was measured by accelerometry, and indicators of body fatness were the sum of 5 skinfold thicknesses and body mass index (BMI; in kg/m2). We examined the associations between PA and body fatness by using general linear models adjusted for potential confounding variables.

Results: After adjustment for sex, study location, sexual maturity, birth weight, and parental BMI, time (min/d) spent at moderate and vigorous PA (P = 0.032) and time (min/d) spent at vigorous PA were significantly (P = 0.015) and independently associated with body fatness. Sex, study location, sexual maturity, birth weight, and parental BMI explained 29% (adjusted R2 = 0.29) of the variation in body fatness. Time spent at vigorous PA explained an additional 0.5%. Children who accumulated <1 h of moderate PA/d were significantly fatter than were those who accumulated >2 h/d.

Conclusions: The accumulated amount of time spent at moderate and vigorous PA is related to body fatness in children, but this relation is weak; the explained variance was <1%.

Key Words: Accelerometry • adiposity • children • energy expenditure • physical activity • skinfold thickness • European Youth Heart Study




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