Composition of objectively measured physical activity and sedentary behaviour participation across the school-day, influence of gender and weight status: cross-sectional analyses among disadvantaged Victorian school children

BMJ Open. 2016 Sep 6;6(9):e011478. doi: 10.1136/bmjopen-2016-011478.

Abstract

Background: The after-school period has been described as the 'critical window' for physical activity (PA) participation. However, little is known about the importance of this window compared with the before and during-school period among socioeconomically disadvantaged children, and influence of gender and weight status.

Methods: 39 out of 156 (RR=25%) invited primary schools across 26 local government areas in Victoria, Australia, consented to participate with 856 children (RR=36%) participating in the wider study. The analysis sample included 298 Grade 4 and Grade 6 children (mean age: 11.2±1.1; 44% male) whom met minimum accelerometry wear-time criteria and had complete height, weight and health-behaviours questionnaire data. Accelerometry measured duration in daily light-intensity PA (LPA), moderate-to-vigorous PA (MVPA) and sedentary time (ST) was calculated for before-school=8-8:59, during-school=9:00-15:29 and after-school=15:30-18:00. Bivariate and multivariable linear regression analyses were conducted.

Results: During-school represented the greatest accumulation of LPA and MVPA compared with the before and after-school periods. Boys engaged in 102 min/day of LPA (95% CI 98.5 to 104.9) and 62 min/day of MVPA (95% CI 58.9 to 64.7) during-school; girls engaged in 103 min/day of LPA (95% CI 99.7 to 106.5) and 45 min/day of MVPA (95% CI 42.9 to 47.4). Linear regression models indicated that girls with overweight or obesity engaged in significantly less LPA, MVPA and more time in ST during-school.

Conclusions: This study highlights the importance of in-school PA compared with after-school PA among socioeconomically disadvantage children whom may have fewer resources to participate in after-school PA.

Keywords: disadvantaged; obesity; physical activity.

Publication types

  • Comparative Study
  • Multicenter Study

MeSH terms

  • Accelerometry
  • Body Weight*
  • Child
  • Cross-Sectional Studies
  • Exercise*
  • Female
  • Health Behavior*
  • Humans
  • Linear Models
  • Male
  • Overweight / epidemiology
  • Pediatric Obesity / epidemiology
  • Schools
  • Sedentary Behavior*
  • Self Report
  • Sex Factors
  • Time Factors
  • Victoria / epidemiology
  • Vulnerable Populations / statistics & numerical data*