Obesity

Association of physical activity, sedentary behavior, diet quality with adiposity: a longitudinal analysis in children categorized by baseline weight status

Int J Obes (Lond)Published Longitudinal cohort study

Authors' conclusion

MVPA was negatively associated with adiposity (FMI) in all weight status groups, suggesting that MVPA may protect against higher adiposity. Sedentary behavior and diet quality were associated with adiposity only in children with obesity at baseline; neither sedentary behavior nor diet quality was associated with FMI for children with overweight.

Study context

Population
Children (45% boys) followed from 5th grade to 6th and/or 7th grade45% boys
Participants
658 children
Exposure
Associations of moderate-to-vigorous physical activity (MVPA), sedentary behaviour and diet quality with fat-mass-index (FMI), by baseline weight status
Outcome
Adiposity, operationalized as fat-mass-index (FMI)
Follow-up
5th, 6th and/or 7th grades
Methodological detailsgrowth curve models stratified by baseline weight status, adjusted for sex, maturity offset, race and parent education
  • Growth curve models stratified by baseline weight status
  • Adjusted for sex, maturity offset, race and parent education

Main finding

As reported in the abstract

Associations with FMI by baseline weight status
  • MVPA was negatively associated with FMI for all weight status groups
  • Diet quality and sedentary behavior were associated with adiposity only in children with obesity at baseline
  • Neither diet quality nor sedentary behavior was associated with FMI in children with overweight

Observational data: associations, not effects.

Further findings

Baseline weight status distribution

Original publication

Association of physical activity, sedentary behavior, diet quality with adiposity: a longitudinal analysis in children categorized by baseline weight status. Int J Obes (Lond). Published 6 November 2023. doi:10.1038/s41366-023-01405-2

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