Objectively measured sedentary behaviour in overweight and obese prepubertal children: challenging the school

Int J Environ Health Res. 2020 Oct;30(5):533-544. doi: 10.1080/09603123.2019.1609656. Epub 2019 May 20.

Abstract

Sedentary lifestyle is associated with unfavourable health outcomes; however, few studies have analysed the daily fluctuations of sedentary behaviour in children. The aim was to characterise sedentary behaviour in low active, overweight/obese prepubertal children and to examine whether there were daily, age- or gender-based differences. In this observational study free-living movement was measured by accelerometry for one week. Eighty-eight low active, overweight/obese children (8- to 12-year-olds) were included. Analysis was conducted for weekends, weekdays, school time and non-school time on weekdays. Participants spent half of their waking hours engaged in sedentary behaviour (48.1%). Short sedentary bouts (1-4 min) accounted for 86% of sedentary time. Sedentary time was similar on weekends and non-school time, while it was highest during school time. Interventions for the management of childhood obesity should include strategies for shifting sedentary time to physical activity on weekends and non-school time and implementing more activity-permissive classroom lessons.

Keywords: Free-living movement; accelerometers; childhood obesity; school-time; sedentary lifestyle.

MeSH terms

  • Accelerometry
  • Child
  • Exercise
  • Female
  • Humans
  • Male
  • Obesity / psychology
  • Overweight / psychology*
  • Schools
  • Sedentary Behavior*