Vigorous physical activity is important in maintaining a favourable health trajectory in active children: the CHAMPS Study-DK

Abstract Physical activity (PA) is critical to improving health factors such as weight, adiposity, and aerobic fitness. However, children who meet PA guideline recommendations demonstrate developmental differences in health-related outcomes. To investigate prospective associations between PA behavio...

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Autores principales:	Martin Sénéchal, Jeffrey J. Hebert, Timothy J. Fairchild, Niels Christian Møller, Heidi Klakk, Niels Wedderkopp
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/7c6f9c813a2c4245a67323e5ac783fbe
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spelling	oai:doaj.org-article:7c6f9c813a2c4245a67323e5ac783fbe2021-12-02T19:17:04ZVigorous physical activity is important in maintaining a favourable health trajectory in active children: the CHAMPS Study-DK10.1038/s41598-021-98731-02045-2322https://doaj.org/article/7c6f9c813a2c4245a67323e5ac783fbe2021-09-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-98731-0https://doaj.org/toc/2045-2322Abstract Physical activity (PA) is critical to improving health factors such as weight, adiposity, and aerobic fitness. However, children who meet PA guideline recommendations demonstrate developmental differences in health-related outcomes. To investigate prospective associations between PA behaviour (overall PA and PA intensity) and trajectories of health-related factors among physically active children. This prospective study (2.5 years) included 391 children (baseline age: 8.1 ± 1.4 years; girls 36.3%) from ten public schools. All children performed 60-min or more of moderate-to-vigorous physical activity (MVPA) per day objectively measured. Trajectories of BMI, waist circumference, and aerobic fitness were constructed with a group-based multi-trajectory model. Three trajectory subgroups were identified: ‘high fitness/normal weight’ (48.4% of children), ‘moderate fitness /normal weight’ (42.5% of children), and ‘low fitness/overweight-obese’ (9.1% of children). Children performing higher overall PA, were less likely of being classified as members of the ‘Low Fitness/Overweight-Obese’ [Relative Risk Ratio (RRR and 95% CI) = 0.56 (0.37 to 0.85) compared to ‘high fitness/normal weight’ subgroup. Each additional 5% in light PA time was associated with approximately twofold [RRR 2.12 (1.24–3.61)] increased risk of being in the ‘low fitness/overweight-obese’ trajectory relative to the ‘high fitness/normal weight’ trajectory. Each additional 2% in vigorous-PA time was associated with a 42% and 85% reduced risk (relative to ‘high fitness/normal weight’) of being in the ‘moderate fitness/normal weight’ [RRR 0.58 (0.38–0.96)] and ‘low fitness/overweight-obesity’ [RRR 0.15 (0.06–0.37)] trajectory, respectively. Overall PA and additional time in vigorous-PA was associated with improved health-related outcomes, while light PA was negatively associated with health-related outcomes among children who adhere to PA guideline recommendations. Vigorous PA was the strongest predictor of the health trajectories. All PA guidelines for children should place greater emphasis on the importance of vigorous PA.Martin SénéchalJeffrey J. HebertTimothy J. FairchildNiels Christian MøllerHeidi KlakkNiels WedderkoppNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Martin Sénéchal Jeffrey J. Hebert Timothy J. Fairchild Niels Christian Møller Heidi Klakk Niels Wedderkopp Vigorous physical activity is important in maintaining a favourable health trajectory in active children: the CHAMPS Study-DK
description	Abstract Physical activity (PA) is critical to improving health factors such as weight, adiposity, and aerobic fitness. However, children who meet PA guideline recommendations demonstrate developmental differences in health-related outcomes. To investigate prospective associations between PA behaviour (overall PA and PA intensity) and trajectories of health-related factors among physically active children. This prospective study (2.5 years) included 391 children (baseline age: 8.1 ± 1.4 years; girls 36.3%) from ten public schools. All children performed 60-min or more of moderate-to-vigorous physical activity (MVPA) per day objectively measured. Trajectories of BMI, waist circumference, and aerobic fitness were constructed with a group-based multi-trajectory model. Three trajectory subgroups were identified: ‘high fitness/normal weight’ (48.4% of children), ‘moderate fitness /normal weight’ (42.5% of children), and ‘low fitness/overweight-obese’ (9.1% of children). Children performing higher overall PA, were less likely of being classified as members of the ‘Low Fitness/Overweight-Obese’ [Relative Risk Ratio (RRR and 95% CI) = 0.56 (0.37 to 0.85) compared to ‘high fitness/normal weight’ subgroup. Each additional 5% in light PA time was associated with approximately twofold [RRR 2.12 (1.24–3.61)] increased risk of being in the ‘low fitness/overweight-obese’ trajectory relative to the ‘high fitness/normal weight’ trajectory. Each additional 2% in vigorous-PA time was associated with a 42% and 85% reduced risk (relative to ‘high fitness/normal weight’) of being in the ‘moderate fitness/normal weight’ [RRR 0.58 (0.38–0.96)] and ‘low fitness/overweight-obesity’ [RRR 0.15 (0.06–0.37)] trajectory, respectively. Overall PA and additional time in vigorous-PA was associated with improved health-related outcomes, while light PA was negatively associated with health-related outcomes among children who adhere to PA guideline recommendations. Vigorous PA was the strongest predictor of the health trajectories. All PA guidelines for children should place greater emphasis on the importance of vigorous PA.
format	article
author	Martin Sénéchal Jeffrey J. Hebert Timothy J. Fairchild Niels Christian Møller Heidi Klakk Niels Wedderkopp
author_facet	Martin Sénéchal Jeffrey J. Hebert Timothy J. Fairchild Niels Christian Møller Heidi Klakk Niels Wedderkopp
author_sort	Martin Sénéchal
title	Vigorous physical activity is important in maintaining a favourable health trajectory in active children: the CHAMPS Study-DK
title_short	Vigorous physical activity is important in maintaining a favourable health trajectory in active children: the CHAMPS Study-DK
title_full	Vigorous physical activity is important in maintaining a favourable health trajectory in active children: the CHAMPS Study-DK
title_fullStr	Vigorous physical activity is important in maintaining a favourable health trajectory in active children: the CHAMPS Study-DK
title_full_unstemmed	Vigorous physical activity is important in maintaining a favourable health trajectory in active children: the CHAMPS Study-DK
title_sort	vigorous physical activity is important in maintaining a favourable health trajectory in active children: the champs study-dk
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/7c6f9c813a2c4245a67323e5ac783fbe
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Vigorous physical activity is important in maintaining a favourable health trajectory in active children: the CHAMPS Study-DK

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