Activity–Inactivity Patterns, Screen Time, and Physical Activity: The Association with Overweight, Central Obesity and Muscle Strength in Polish Teenagers. Report from the ABC of Healthy Eating Study

Magdalena Górnicka, Jadwiga Hamulka, Lidia Wadolowska, Joanna Kowalkowska, Eliza Kostyra, Marzena Tomaszewska, Jan Czeczelewski and Monika Bronkowska
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Magdalena Górnicka: Department of Human Nutrition, Institute of Human Nutrition Sciences, Warsaw University of Life Sciences (SGGW-WULS), Nowoursynowska Str 159C, 02-776 Warsaw, Poland
Jadwiga Hamulka: Department of Human Nutrition, Institute of Human Nutrition Sciences, Warsaw University of Life Sciences (SGGW-WULS), Nowoursynowska Str 159C, 02-776 Warsaw, Poland
Lidia Wadolowska: Department of Human Nutrition, Faculty of Food Sciences, University of Warmia and Mazury in Olsztyn, Pl. Cieszynski 1, 10-718 Olsztyn, Poland
Joanna Kowalkowska: Department of Human Nutrition, Faculty of Food Sciences, University of Warmia and Mazury in Olsztyn, Pl. Cieszynski 1, 10-718 Olsztyn, Poland
Eliza Kostyra: Department of Functional and Organic Food, Institute of Human Nutrition Sciences, Warsaw University of Life Sciences (SGGW-WULS), Nowoursynowska Str 159C, 02-776 Warsaw, Poland
Marzena Tomaszewska: Department of Food Gastronomy and Food Hygiene, Institute of Human Nutrition Sciences, Warsaw University of Life Sciences (SGGW-WULS), Nowoursynowska Str 159C, 02-776 Warsaw, Poland
Jan Czeczelewski: Faculty of Physical Education and Health in Biała Podlaska, Josef Piłsudski University of Physical Education in Warsaw, Akademicka Str 2., 21-500 Biała Podlaska, Poland
Monika Bronkowska: Department of Human Nutrition, Faculty of Biotechnology and Food Science, Wroclaw University of Environmental and Life Sciences, Chelmońskiego Str 37, 51-630 Wroclaw, Poland

IJERPH, 2020, vol. 17, issue 21, 1-21

Abstract: Today, the time spent actively is increasingly being replaced by screen-based media, although in some teenagers, a high level of physical activity (PA) and longer time spent in front of a screen (screen time, ST) may coexist as a mixed behavioral pattern. This study aimed to examine the association of the pattern created as activity (low/high ST with high PA) and inactivity patterns (low/high ST with low PA) with overweight, central obesity, and muscle strength in Polish teenagers taking into consideration socioeconomic and demographic factors. Cross-sectional data were collected from elementary school children ( n = 1567), aged 11–13 years. Height, weight, waist circumference, and handgrip strength were measured. Body mass index (BMI) was calculated as the overweight measure, and the waist-to-height ratio (WHtR) was calculated as the central obesity measure. Data on ST, PA, socioeconomic status, demographics, and nutrition knowledge were collected by a questionnaire. Activity–inactivity patterns were defined by an a priori approach. Multivariate logistic regression modelling was applied. The most active pattern (lowST-highPA) was found in 17% of the total sample. Teenagers with the most inactive pattern (highST-lowPA) had over four times higher chance of general overweight. No association between WHtR ≥0.5 and highST-highPA pattern was found. Higher muscle strength (>1 SD) was associated only with high physical activity. Urban residence or lower socioeconomic status increased adherence to the most inactive pattern. From a public health perspective, implementing interventions promoting active patterns in 11–13-year-old teenagers is important for obesity prevention and enhanced physical fitness, especially in girls, teenagers living in urban areas, and from families with lower socio-economic status.

Keywords: screen time; physical activity; activity pattern; inactivity pattern; adiposity; BMI; WHtR; muscle strength; Polish teenagers (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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