Abstract
OBJECTIVE: To compare the physical activity levels of overweight and non overweight 3- to 5-y-old children while attending preschool. A secondary aim was to evaluate weight-related differences in hypothesized parental determinants of child physical activity behavior.
DESIGN: Cross-sectional study.
SUBJECTS: A total of 245, 3- to 5-y-olds (127 girls, 118 boys) and their parent(s) (242 mothers, 173 fathers) recruited from nine preschools. Overweight status determined using the age- and sex-specific 85th percentile for body mass index (BMI) from CDC Growth Charts.
MEASUREMENTS: Physical activity during the preschool day was assessed on multiple days via two independent objective measures—direct observation using the observation system for recording activity in preschools (OSRAP) and real-time accelerometry using the MTI/CSA 7164 accelerometer. Parents completed a take-home survey assessing sociodemographic information, parental height and weight, modeling of physical activity, support for physical activity, active toys and sporting equipment at home, child's television watching, frequency of park visitation, and perceptions of child competence.
RESULTS: Overweight boys were significantly less active than their nonoverweight peers during the preschool day. No significant differences were observed in girls. Despite a strong association between childhood overweight status and parental obesity, no significant differences were observed for the hypothesized parental influences on physical activity behavior.
CONCLUSIONS: Our results suggest that a significant proportion of overweight children may be at increased risk for further gains in adiposity because of low levels of physical activity during the preschool day.
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References
Troiano RP, Flegal KM . Overweight children and adolescents: description, epidemiology, and demographics. Pediatrics 1998; 101: 497–504.
Reilly JJ, Dorosty AR . Epidemic of obesity in UK children. Lancet 1999; 354: 1874–1875.
Tremblay MS, Willms JD . Secular trends in the body mass index of Canadian children. Can Med Assoc J 2000; 163: 1429–1433.
Booth ML, Wake M, Armstrong T, Chey T, Hasketh K, Mathur S . The epidemiology of overweight and obesity among Australian children and adolescents, 1995–97. Aust NZ J Pub Health. 2001; 25: 162–169.
Whitaker RC, Wright JA, Pepe MS, Seidel KD, Dietz WH . Predicting obesity in young adulthood from childhood and parental obesity. N Engl J Med 1997; 337: 869–873.
Must A, Strauss RS . Risks and consequences of childhood and adolescent obesity. Int J Obes Relat Metab Disord 1999; 23(Suppl 2): S2–S11.
Dietz WH . Periods of risk in childhood for the development of adult obesity—what do we need to learn? J Nutr 1997; 127: 1884S–1886S.
Birch LL, Fisher JO . Development of eating behaviors among children and adolescents. Pediatrics 1998; 101: 539–549.
Whitaker RC, Pepe MS, Wright JA, Seidel KD, Dietz WH . Early adiposity rebound and the risk of adult obesity. Pediatrics 1998; 101(3): E5.
Fulton JE, Burgeson CR, Perry GR, Sherry B, Galuska DA, Alexander MP, Wechsler H, Caspersen CJ . Assessment of physical activity and sedentary behavior in preschool-age children: priorities for research. Pediatr Exerc Sci 2001; 13: 113–126.
Klesges RC, Klesges LM, Eck LH, Shelton ML . A longitudinal analysis of accelerated weight gain in preschool children. Pediatrics 1995; 95: 126–130.
Moore LL, Nguyen UDT, Rothman KJ, Cupples LA, Ellison CA . Preschool physical activity level and change in body fatness in young children. Am J Epidemiol 1995; 142: 982–988.
Epstein LH, Roemmich JN . Reducing sedentary behavior: role in modifying physical activity. Exerc Sports Sci Rev 2001; 29: 103–108.
Birch LL, Davison KK . Family environmental factors influencing the developing behavioral controls of food intake and childhood overweight. Pediatr Clin North Am 2001; 48: 893–907.
Trost SG . Objective measurement of physical activity in youth: current issues, future directions. Exerc Sports Sci Rev 2001; 29: 32–36.
Centers for Disease Control and Prevention/National Center for Health Statistics. CDC Growth Charts: United States. Department of Health and Human Services: Hyattsville MD, 2000.
Puhl J, Greaves K, Hoyt M, Baranowski T . Children's activity rating scale (CARS): description and calibration. Res Q Exerc Sport 1990; 61: 26–36.
Landis JR, Koch GG . The measurement of observer agreement for categorical data. Biometrics 1977; 33: 159–174
Computer Science and Applications, Inc. Wrist Activity Monitor Users Manual Model 7164, Shalimar, FL 1995.
Nilsson A, Ekelund U, Yngve A, Sjostrom M . Assessing physical activity among children with accelerometers using different time sampling intervals and placements. Pediatr Exerc Sci 2002; 14: 87–96.
Fairweather SC, Reilly JJ, Grant S, Whittaker A, Paton JY . Using the computer science and applications (CSA) activity monitor in preschool children. Pediatr Exerc Sci 1999; 11: 413–420.
Sirard JS, Trost SG, Dowda M, Pate RR . Calibration of the computer science and applications, Inc. physical activity monitor in preschool children (Abstract). Med Sci Sports Exerc 2001; 5(Suppl): S144.
Sallis JF, Prochaska JJ, Taylor WC, Hill JO, Geraci JC . Correlates of physical activity in a national sample of girls and boys in grades 4 through 12. Health Psychol 1999; 18: 410–415.
Sallis JF, Taylor WC, Dowda M, Freedson PS, Pate RR . Correlates of vigorous physical activity for children in grades 1 through 12: comparing parent-reported and objectively measured physical activity. Pediatr Exerc Sci 2002; 14: 30–44.
Weinsier RL, Hunter GR, Heini AF, Goran MI, Sell SM . The etiology of obesity: relative contributions of metabolic factors, diet, and physical activity. Am J Med 1998; 105: 145–150.
Eaton WO, Ennis LR . Sex differences in human motor activity level. Psychol Bull 1986; 100: 19–28.
Hoffmann ML, Powlishta KK . Gender segregation in childhood: a test of the interactional style theory. J Genet Psychol 2001; 162: 298–313.
DiPietro JA . Rough and tumble play: a function of gender. Dev Psychol 1981; 17: 50–58.
Finn K, Johannsen N, Specker B . Factors associated with physical activity in preschool children. J Pediatr 2002; 140: 81–85.
McKenzie TL, Sallis JF, Nader PR, Broyles SL, Nelson JA . Anglo- and Mexican-American preschoolers at home and at recess: activity patterns and environmental influences. J Dev Behav Pediatr 1992; 13: 173–180.
Baranowski T, Thompson WO, DuRant RH, Baranowski J, Puhl J . Observations on physical activity in physical activity locations: age, gender, ethnicity, and month effects. Res Q Exerc Sport 1993; 64: 127–133.
Ward DS, Trost SG, Felton G, Saunders R, Parsons MA, Dowda M, Pate RR . Physical activity and physical fitness in African-American girls with and without obesity. Obes Res 1997; 5: 572–577.
Davis K, Christoffel KK . Obesity in preschool and school-age children. Treatment early and often may be best. Arch Pediatr Adolesc Med 1994; 148: 1257–1261.
Whitaker RC, Deeks CM, Baughcum AE, Specker BL . The relationship of childhood obesity to parent body mass index and eating behavior. Obes Res 2000; 8: 234–240.
Davison KK, Birch LL . Child and parent characteristics as predictors of change in girls' body mass index. Int J Obes Relat Metab Disord. 2001; 25: 1834–1842.
Birch LL, Fisher JO . Mothers' child-feeding practices influences daughters' eating and weight. Am J Clin Nutr 2000; 71: 1054–1061.
Spruijt-Metz D, Linquist CH, Birch LL, Fisher JO, Goran MI . Relation between mothers' child-feeding practices and children's adiposity. Am J Clin Nutr 2002; 75: 581–586.
Cutting TM, Fisher JO, Grimm-Thomas K, Birch LL . Like mother, like daughter: familial patterns of overweight are mediated by mothers' dietary disinhibition. Am J Clin Nutr 1999; 69: 608–613.
Goran MI . Measurement issues related to studies of childhood obesity: assessment of body composition, body fat distribution, physical activity, and food intake. Pediatrics 1998; 101: 505–518.
Water AM . Assessment of self-reported height and weight and their use in the determination of Body Mass Index. Australian Institute of Health and Welfare: Canberra; 1993.
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Funding for this study was provided by the Gerber Products Company.
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Trost, S., Sirard, J., Dowda, M. et al. Physical activity in overweight and nonoverweight preschool children. Int J Obes 27, 834–839 (2003). https://doi.org/10.1038/sj.ijo.0802311
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DOI: https://doi.org/10.1038/sj.ijo.0802311
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