Differences in elementary-age children's accelerometer - measured physical activity between school and summer: three-year findings from the What's UP (Undermining Prevention) with summer observational cohort study.


Journal

The international journal of behavioral nutrition and physical activity
ISSN: 1479-5868
Titre abrégé: Int J Behav Nutr Phys Act
Pays: England
ID NLM: 101217089

Informations de publication

Date de publication:
06 Aug 2024
Historique:
received: 04 06 2024
accepted: 26 07 2024
medline: 7 8 2024
pubmed: 7 8 2024
entrez: 6 8 2024
Statut: epublish

Résumé

Among elementary-aged children (5-12yrs), summer vacation is associated with accelerated gains in Body Mass Index (BMI). A key behavioral driver of BMI gain is a lack of physical activity (PA). Previous studies indicate PA decreases during summer, compared to the school year but whether this difference is consistent among boys and girls, across age, and by income status remains unclear. This study examined differences in school and summer movement behaviors in a diverse cohort of children across three years. Children (N = 1,203, age range 5-14 years, 48% girls) wore wrist-placed accelerometers for a 14-day wear-period during school (April/May) and summer (July) in 2021 to 2023, for a total of 6 timepoints. Mixed-effects models examined changes in school vs. summer movement behaviors (moderate-to-vigorous physical activity [MVPA], sedentary) for boys and girls, separately, and by age and household income groups (low, middle, and upper based on income-to-poverty ratio). Children provided a total of 35,435 valid days of accelerometry. Overall, boys (+ 9.1 min/day, 95CI 8.1 to 10.2) and girls (+ 6.2 min/day, 95CI 5.4 to 7.0) accumulated more MVPA during school compared to summer. Boys accumulated less time sedentary (-9.9 min/day, 95CI -13.0 to -6.9) during school, while there was no difference in sedentary time (-2.7 min/day, 95CI -5.7 to 0.4) for girls. Different patterns emerged across ages and income groups. Accumulation of MVPA was consistently greater during school compared to summer across ages and income groups. Generally, the difference between school and summer widened with increasing age, except for girls from middle-income households. Accumulation of sedentary time was higher during school for younger children (5-9yrs), whereas for older children (10-14yrs), sedentary time was greater during summer for the middle- and upper-income groups. For boys from low-income households and girls from middle-income households, sedentary time was consistently greater during summer compared to school across ages. Children are less active and more sedentary during summer compared to school, which may contribute to accelerated BMI gain. However, this differs by biological sex, age, and income. These findings highlight the complex factors influencing movement behaviors between school and summer.

Sections du résumé

BACKGROUND BACKGROUND
Among elementary-aged children (5-12yrs), summer vacation is associated with accelerated gains in Body Mass Index (BMI). A key behavioral driver of BMI gain is a lack of physical activity (PA). Previous studies indicate PA decreases during summer, compared to the school year but whether this difference is consistent among boys and girls, across age, and by income status remains unclear. This study examined differences in school and summer movement behaviors in a diverse cohort of children across three years.
METHODS METHODS
Children (N = 1,203, age range 5-14 years, 48% girls) wore wrist-placed accelerometers for a 14-day wear-period during school (April/May) and summer (July) in 2021 to 2023, for a total of 6 timepoints. Mixed-effects models examined changes in school vs. summer movement behaviors (moderate-to-vigorous physical activity [MVPA], sedentary) for boys and girls, separately, and by age and household income groups (low, middle, and upper based on income-to-poverty ratio).
RESULTS RESULTS
Children provided a total of 35,435 valid days of accelerometry. Overall, boys (+ 9.1 min/day, 95CI 8.1 to 10.2) and girls (+ 6.2 min/day, 95CI 5.4 to 7.0) accumulated more MVPA during school compared to summer. Boys accumulated less time sedentary (-9.9 min/day, 95CI -13.0 to -6.9) during school, while there was no difference in sedentary time (-2.7 min/day, 95CI -5.7 to 0.4) for girls. Different patterns emerged across ages and income groups. Accumulation of MVPA was consistently greater during school compared to summer across ages and income groups. Generally, the difference between school and summer widened with increasing age, except for girls from middle-income households. Accumulation of sedentary time was higher during school for younger children (5-9yrs), whereas for older children (10-14yrs), sedentary time was greater during summer for the middle- and upper-income groups. For boys from low-income households and girls from middle-income households, sedentary time was consistently greater during summer compared to school across ages.
CONCLUSIONS CONCLUSIONS
Children are less active and more sedentary during summer compared to school, which may contribute to accelerated BMI gain. However, this differs by biological sex, age, and income. These findings highlight the complex factors influencing movement behaviors between school and summer.

Identifiants

pubmed: 39107808
doi: 10.1186/s12966-024-01637-z
pii: 10.1186/s12966-024-01637-z
doi:

Types de publication

Journal Article Observational Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

86

Subventions

Organisme : NIDDK NIH HHS
ID : R01DK116665
Pays : United States

Informations de copyright

© 2024. The Author(s).

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Auteurs

Michael W Beets (MW)

Arnold School of Public Health, University of South Carolina, Columbia, SC, USA. beets@mailbox.sc.edu.

Sarah Burkart (S)

Arnold School of Public Health, University of South Carolina, Columbia, SC, USA.

Christopher Pfledderer (C)

UTHealth Houston, School of Public Health, Austin, TX, USA.

Elizabeth Adams (E)

Arnold School of Public Health, University of South Carolina, Columbia, SC, USA.

R Glenn Weaver (RG)

Arnold School of Public Health, University of South Carolina, Columbia, SC, USA.

Bridget Armstrong (B)

Arnold School of Public Health, University of South Carolina, Columbia, SC, USA.

Keith Brazendale (K)

Department of Health Sciences, University of Central Florida, Orlando, FL, USA.

Xuanxuan Zhu (X)

Arnold School of Public Health, University of South Carolina, Columbia, SC, USA.

Alexander McLain (A)

Arnold School of Public Health, University of South Carolina, Columbia, SC, USA.

Brie Turner-McGrievy (B)

Arnold School of Public Health, University of South Carolina, Columbia, SC, USA.

Russell Pate (R)

Arnold School of Public Health, University of South Carolina, Columbia, SC, USA.

Andrew Kaczynski (A)

Arnold School of Public Health, University of South Carolina, Columbia, SC, USA.

Amanda Fairchild (A)

College of Arts and Sciences, University of South Carolina, Columbia, SC, USA.

Brian Saelens (B)

Seattle Children's Hospital, Seattle, USA.

Hannah Parker (H)

Arnold School of Public Health, University of South Carolina, Columbia, SC, USA.

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