CC BY
30Physical activity level and sedentary lifestyle
of children and young people aged 7-18 as social problem of the 21st century
UDC 796.01
PhD, Associate Professor J. Herbert1 PhD, Associate Professor K. Garwol2 PhD, Associate Professor L. Zareba3
institute of Physical Culture Sciences, College of Medical Sciences at Rzeszow University, Rzeszow, Poland
institute of Sociological Sciences, College of Social Sciences, University of Rzeszow, Rzeszow, Poland
3Institute of Computer Science, College of Natural Sciences at Rzeszow University, Rzeszow, Poland
Corresponding author: [email protected]
Abstract
Physical activity is the basis for maintaining physical and mental health of children and young people. This is also a crucial social problem which, together with the development of digital technologies consuming young people's time, is becoming more visible. Moderate-to-Vigorous Physical Activity (MVPA) lasting 60 minutes a day is of key importance with respect to health of the majority of children and young people. Monitoring physical activity by means of an acceler-ometer becomes a reliable and correct method for estimating physical activity. The aim of this study was to determine the level of physical activity of children and young people based on the MVPA index, number of steps and sedentary time. 108 pupils and students took part in the study. The ActiGraph WGT3X-BT accelerometer was used. The average MVPA value is 56.7 minutes (minimum: 19 - maximum: 133.6). The average number of steps is 8347 (minimum: 2630 - maximum: 19132). Basic physical activity calculated by means of simple indicators in representative samples of children and young people should be the basis for conducting health analysis.
Keywords: physical activity, accelerometery, children, young people, sedentary lifestyle.
Introduction. An important part of the people's lifestyle is regular physical activity. A wide number of epidemiological studies have confirmed that regular physical activity has a positive impact on reducing mortality and incidence of various diseases [5,6,16]. Participating in physical activity is the basis for maintaining health of children and young people who are at a critical stage of their physical and mental development [29].
According to the World Health Organisation (WHO) documentation, with regard to children and young people aged 5-17, it is recommended to take up at least 60 minutes of daily Moderate-to-Vigorous Physical Activity (MVPA) for the purpose of meeting basic development and health needs [12, 13, 29].
Taking all levels of physical activity intensity into consideration, MVPA has been best studied and, on the basis of these studies, MVPA is considered to be essential for health promotion and disease prevention
[19]. The analyses conducted suggest that 4/5 of the world's population of young people does not reach the MVPA [10] level recommended by WHO. The reason is that many children spend most of their time in a sitting position [8] and that this time has been longer for the past 10 years [21].
Monitoring physical activity by means of an accelerometer provides a reasonable compromise between accuracy and feasibility and increases the reliability of the daily MVPA level [11, 25]. As a result, the use of accelerometers has become a reliable and correct method for the purpose of estimating children's physical activity [15, 18].
Objective of this paper was to determine the level of physical activity of children and young people based on the MVPA index, number of steps, as well as sedentary time. This is aimed at analysing the young people's lifestyles and make them aware of whether the level of physical activity is sufficient, or whether
action should be taken in order to make children and young people more active in this respect.
Research methods and structure. A diagnostic test of physical activity of pupils and students aged 7-18 was conducted in the School Complex in Zarzec-ze (Podkarpackie Province, southern Poland) in 2018, from April to June 2018, upon receipt of the written consent of the parents and the children themselves. 108 pupils and students (49 girls and 59 boys) took part in the study. Regular school attendance, teaching results, observations, interviews and teachers' opinions were taken into account as a basis for setting up the group. The criterion for a pupil or a student to be included in the project was regular attendance at all classes during the week. Within the framework of the study, anthropometric measurements were made, which took place between 8:00 and 10:00 am. The ActiGraph WGT3X-BT accelerometer (Pensacola, USA), which is a 3-axis accelerometer, was used in this study. Nowadays, these accelerometers are used for the purpose of conducing analyses of physical activity levels [14]. In order for a given day of research to be included in the statistics, the accelerometer wearing time is assumed to be > 500 minutes/day and > 4 days as criteria for a valid 7-day data collection period [24]. According to the WHO guidelines, 60 minutes of MVPA per day [29] is a minimum.
The study subjects were instructed to wear the accelerometer for seven subsequent days, 24 hours a day. They were also informed that they must not use the accelerometers for spraying or water-related activities, as it must not come into contact with moisture.
Table 2. Sedentary index divided into four age groups
The ActiGraph data was analysed using Actilife 6.0 software (ActiGraph LLC, Pensacola, FL, USA). In addition, values of weight and height were measured and the Body Mass Index (BMI) was calculated by squaring the body size (kg / m2) BMI (kg/m2).
The following parameters were analysed: BMI, Sedentary, MVPA (Moderate-to-Vigorous Physical Activity) and number of steps.
Results and discussion. In table no 1, BMI is divided into four age groups. The average BMI value of the sample group was 20.45 (minimum: 13.8 - maximum: 30.7), which is a very good result in each age group. In comparison with the Raustorp study [20], the average BMI value was 16.10-20.00 (group aged 8-14). In Russia, the average BMI value of two sample groups (sports and non-sports aged 6-10) was between 14.9-17.6 [1]. With regard to young people (15-18 years old), the average BMI value was 20.5221.92 [9].
In table no 2, the sedentary index indicating the time spent in lying, sitting or standing position - without body activity - was presented, which was 1167.4 minutes per day on average (minimum: 951.3 - maximum: 1335.1). From the aforementioned result obtained, about 8 hours of sleep (1167-480=687 minutes) should be subtracted, which means that the sample group spent only 273 minutes on average during a day on being active (walking, running, doing exercises). It should be mentioned that this index is increasingly being analysed in various studies on the whole world. In Aggio and research collaborators study [2], sedentary time of children and young people (group aged
Table 1. BMI divided into four age groups Source: Based on author's own research.
age average standard deviation minimum maximum median coefficient of variation
7 - 9 19.97 3.40 15.00 28.30 19.80 17.0
10 - 12 20.01 4.53 13.80 29.10 19.65 22.7
13 - 15 21.33 3.92 15.60 30.70 21.80 18.4
16 - 18 21.03 2.94 16.70 27.20 20.90 14.0
Total 20.45 3.87 13.80 30.70 20.05 18.9
Source: Based on author's own research.
age average standard deviation minimum maximum median coefficient of variation
7 - 9 1142.88 87.05 971.38 1335.12 1128.75 7.6
10 - 12 1135.09 65.22 951.29 1224.02 1145.46 5.7
13 - 15 1230.69 56.88 1088.95 1328.95 1237.19 4.6
16 - 18 1185.10 60.09 1099.45 1308.33 1171.69 5.1
Total 1167.46 80.08 951.29 1335.12 1170.86 6.9
Source: Based on author's own research.
Table 3. Total MVPA index divided into four age groups
age average standard deviation minimum maximum median coefficient of variation
7 - 9 56.42 21.41 18.98 113.10 53.64 37.9
10 - 12 55.36 16.74 20.36 92.98 54.77 30.2
13 - 15 46.54 19.30 20.67 96.50 44.10 41.5
16 - 18 82.28 30.25 22.24 133.64 81.74 36.8
Total 56.73 22.96 18.98 133.64 53.69 40.5
Source: Based on author's own research.
Table 4. Number of steps divided into four age groups
age average standard deviation minimum maximum median coefficient of variation
7 - 9 7796.33 2758.21 2630.29 13800.00 7645.29 35.4
10 - 12 8564.96 1844.40 5814.29 11955.71 8275.64 21.5
13 - 15 6986.14 2213.80 3577.14 12393.00 6929.29 31.7
16 - 18 12046.76 3600.18 4770.57 19132.43 11594.29 29.9
Total 8347.38 2877.80 2630.29 19132.43 8061.86 34.5
Source: Based on author's own research.
5-15) was 354 minutes. In the subsequent studies (group aged 8-15) this time was 471-559 minutes per day [3]. In turn, according to the studies carried out in Germany (group aged 9-14), the average sedentary time was 561 minutes. [23]. According to Pfeifer and Rutten [17], maximum 2 hours of sedentary time for children and young people aged 6 - 18 are recommended. However, it should be mentioned that sedentary lifestyle becomes intensified at the time of puberty. Therefore, this is the period during which we need to pay particular attention to make young people more active. Minimising sedentary lifestyle is of key importance in preventive health strategies aimed at dealing with obesity and chronic diseases in children and young people.
Table no 3 presents one of the most important MVPA indices. The average value is 56.7 minutes (minimum: 19 - maximum: 133.6). This value corresponds to the WHO recommendation, that is at least 60 minutes of physical activity a day. The lowest MVPA average is at the age of 13-15 years (46.5 minutes), while the highest at 16-18 years (82.3 minutes). In Baskin and research collaborators studies [4], the sample group (aged 12-16) had an MVPA index of 40.4 minutes. On the other hand, in Aggio and research collaborators studies [2], the average MVPA index was 33 minutes. In a large-scale study conducted in 2017 (N=4123 study subjects aged 5-17 years), the average MVPA time was 53.5 minutes [22].
In relation to children and young people, Moderate-to-Vigorous Physical Activity (MVPA) has a positive impact on their physical and mental health in the short
and long term [7, 13], so the analyses carried out are especially important for analysing physical inactivity.
In table 4, the number of steps were indicated. The average value in this table is 8347 steps (minimum: 2630 - maximum: 19132). The analysis carried out by Vincent and Pangrazi [28] was one of the first studies assessing a large group of pupils aged 6-12 (N = 711). As a basis for physical activity, the authors suggested at least 11 000 steps for girls and 12 000 steps for boys. On the other hand, Tudor-Locke and research collaborators [27], suggested at least 12 000 steps for children aged 6-11 for girls and 15 000 steps for boys and for young people aged 12-19: 10 000- 11700 steps / day [26]. By comparison, the studies conducted by Tudor - Locke [25] indicated that children and young people made 9000 steps on average.
Conclusions. For many generations, there have been changes in the course of the population's somatic development and these changes have been steadily speeding up. They are called 'secular trends'. One of their signs is the acceleration of biological development and adolescence period. These changes are primarily related to the constantly improving social and economic situation and the enhancement of the population's standard of living. These factors are, among others: change of dietary habits, an improvement in environmental conditions, an increase in the level of education and better quality of health care. Monitoring of the physical activity of children and young people is the main indicator of health sustainability. Basic physical activity calculated by means of simple indicators in representative samples of children and young
people should be the basis for health analysis. The relationship between physical activity and a sedentary lifestyle seems to be insufficiently researched, which is particularly unfavourable, among others, due to the significant increase in the number of young people with obesity. The analysis of the number of steps provides an objective assessment of the current state of physical activity of children and young people and is the basis for promoting daily physical activity among young people.
References
1. Abramova T.F, Nikitina T.M., Pofuntikova A.V., Malinin A.V. 6-10 year-old's physical progress versus physical activity rating study. Theory and Practice of Physical Culture. 2019, 19.
2. Aggio D., Smith L., Fisher A., Hamer M. Association of Light Exposure on Physical Activity and Sedentary Time in Young People. Int. J. Environ. Res. Public Health. 2015, 12: 2941-2949.
3. Baddou I., El Hamdouchi A., El Harchaoui I., Benjeddou K., Saeid, N., Elmzibri, M., et.al. Objectively Measured Physical Activity and Sedentary Time among Children and Adolescents in Morocco: A Cross-Sectional Study. BioMed Research Int., 2018.
4. Baskin M.L., Thind H., Affuso O., Gary L.C., LaGory M., Hwang S.S. Predictors of moderate-to-vigorous physical activity (MVPA) in African American young adolescents. Ann Behav Med. 2013, 1(0 1): 142-50.
5. Chen L.J., Fox K.R., Ku P.W., Sun W.J., Chou P. Prospective associations between household-, work-, and leisure-based physical activity and all-cause mortality among older Taiwanese adults. Asia Pac J Public Health. 2012; 24(5): 795-805.
6. Cicero A.F., D'Addato S., Santi F., Ferroni A., Borghi C., Brisighella Heart S. Leisure-time physical activity and cardiovascular disease mortality: the Brisighella Heart Study. J Car-diovasc Med (Hagerstown). 2012; 13(9): 55964.
7. Donnelly J.E., Hillman C.H., Castelli D., et al. Physical activity, fitness, cognitive function, and academic achievement in children: A systematic review. Medicine and Science in Sports and Exercise. 2016, 48(6): 1197-222.
8. Eaton D.K., Kann L., Kinchen S., Shanklin S., Ross J., Hawkins J., et.al. Youth risk behavior surveillance—United States, 2009. Surveillance Summaries. Mor. and Mor. W. Rep. 2010: 59.
9. Groffik D., Fromel K., & Badura, P. Composition of weekly physical activity in adolescents by level of physical activity. BMC Public Health. 2020, 20: 562.
10. Hallal P.C., Andersen L.B., Bull F.C., Guthold R., Haskell W., Ekelund, U. Global physical activity levels: Surveillance progress, pitfalls, and prospects. Lancet 2012, 380:247-257.
11. Herbert J., Czarny W. Accelerometer wgt3x addition to studies of physical activity, Scientific Review of Physical Culture. 2013, 3(3):167-172.
12. Janssen I. Physical activity guidelines for children and youth. Can. J. Pub. H. 2007, 98: 109121.
13. Janssen I., Leblanc A.G. Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. Int. J. Behav. Nutr. Phys. Act. 2010, 7, 40.
14. Lee I. M., & Shiroma E. J. Using accelerometers to measure physical activity in large-scale epi-demiological studies: issues and challenges. Br. J. S. Med., 2013, 48(3): 197-201.
15. Pate R.R., Almeida M.J., Mclver K.L., Pfeifer K.A., Dowda M. Validation and calibration of an accelerometer in preschool children. Obesity 2006, 14: 2000-2006.
16. Petersen C.B., Gronbaek M., Helge J.W., Thy-gesen L.C., Schnohr P., Tolstrup J.S. Changes in physical activity in leisure time and the risk of myocardial infarction, ischemic heart disease, and all-cause mortality. Eur J Epidemiol. 2012; 27(2): 91-99.
17. Pfeifer K., Rutten A. 2017 Nationale Empfehlungen f r Bewegung und Bewegungsf rderung. Gesundheitswesen (Bundesverband der Arzte des ffentlichen Gesundheitsdienstes. 79(1): 2-3.
18. Phillips L.R.S., Parfitt G., Rowlands A.V. Calibration of the GENEA accelerometer for assessment of physical activity intensity in children. J. Sci. Med. Sport. 2013, 16: 124-128.
19. Poitras V.J., Gray C.E., Borghese M.M., Carson V. Chaput, J.-P., Janssen, I., et. al. Systematic review of the relationships between objectively measured physical activity and health indicators in school-aged children and youth. App. Phys. Nutr. & Met. 2016,41(6):197-239.
20. Raustorp A., and Fröberg, A. Comparisons of pedometer-determined weekday physical activity among Swedish school children and adolescents in 2000 and 2017 showed the highest reductions in adolescents. Acta Paediatr, 2019, 108: 1303-1310.
21. Rideout V.J., Foehr U.G., & Roberts D.F. Generation m2: Media in the lives of 8-18 year olds. Washington, DC: Kaiser Family Foundation. 2010.
22. Roberts K.C., Yao X., Carson V., Chaput J.P., Janssen I., Tremblay M.S. Meeting the Canadian 24-Hour Movement Guidelines for Children and Youth. Health Rep. 2017, 28(10): 3-7.
23. Sturm D.J., Kelso A., Kobel S., et al. Physical activity levels and sedentary time during school hours of 6th-grade girls in Germany. J Public Health (Berl.) 2020.
24. Troiano R.P., Berrigan D., Dodd K.W., Masse L.C., Tilert T., McDowell M. Physical activity in the United States measured by accelerometer. Med Sci Sports Exerc. 2008, 40:181-8
25. Tudor-Locke C., Johnson W.D., Katzmarzyk P.T. Accelerometer-determined steps/day in U.S. children and youth. Med Sci Sports Exerc. 2010, 42:2244-2250.
26. Tudor-Locke C., Craig C.L., Beets M.W., Bel-ton S., Cardon G.M., Duncan S. et.al. How Many
Steps/day are enough? For children and adolescents. Int. J. Beh. Nutr. Phys. Act. 2011, 8: 78.
27. Tudor-Locke C., Pangrazi R.P., Corbin C.B., Rutherford W.J., Vincent S.D., Raustorp A., et.al. BMI - referenced standards for recommended pedometer determined stepd/day in children. Prev. Med. 2004, 38: 857-864.
28. Vincent S.D., Pangrazi R.P. An examination of the activity patterns of elementary school children. Pediatr. Exerc. Sci. 2002, 14: 432-441.
29. World Health Organization. Global strategy on diet, physical activity and health. Geneva: WHO; 2010.
