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The independent prospective associations of activity intensity and dietary energy density with adiposity in young adolescents.


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Authors

van Sluijs, Esther MF 
Sharp, Stephen J 
Ambrosini, Gina L 
Cassidy, Aedin 
Griffin, Simon J 

Abstract

There is limited evidence on the prospective association of time spent in activity intensity (sedentary (SED), moderate (MPA) or vigorous (VPA) physical activity) and dietary intake with adiposity indicators in young people. This study aimed to assess associations between (1) baseline objectively measured activity intensity, dietary energy density (DED) and 4-year change in adiposity and (2) 4-year change in activity intensity/DED and adiposity at follow-up. We conducted cohort analyses including 367 participants (10 years at baseline, 14 years at follow-up) with valid data for objectively measured activity (Actigraph), DED (4-d food diary), anthropometry (waist circumference (WC), %body fat (%BF), fat mass index (FMI), weight status) and covariates. Linear and logistic regression models were fit, including adjustment for DED and moderate-to-vigorous physical activity. Results showed that baseline DED was associated with change in WC (β for 1kJ/g difference: 0·71; 95% CI 0·26, 1·17), particularly in boys (1·26; 95% CI 0·41, 2·16 v. girls: 0·26; 95% CI -0·34, 0·87), but not with %BF, FMI or weight status. In contrast, baseline SED, MPA or VPA were not associated with any of the outcomes. Change in DED was negatively associated with FMI (β for 1kJ/g increase: -0·86; 95% CI -1·59, -0·12) and %BF (-0·86; 95% CI -1·25, -0·11) but not WC (-0·27; 95% CI -1·02, 0·48). Change in SED, MPA and VPA did not predict adiposity at follow-up. In conclusion, activity intensity was not prospectively associated with adiposity, whereas the directions of associations with DED were inconsistent. To inform public health efforts, future studies should continue to analyse longitudinal data to further understand the independent role of different energy-balance behaviours in changes in adiposity in early adolescence.

Description

Keywords

Adiposity, Children and adolescents, DED dietary energy density, Dietary energy density, EI energy intake, Epidemiology, FMI fat mass index, MVPA moderate-to-vigorous physical activity, Physical activity, Prospective cohort studies, SED sedentary physical activity, Sedentary behaviours, VPA vigorous physical activity, WC waist circumference, Adipose Tissue, Adiposity, Adolescent, Body Mass Index, Body Weight, Child, Cohort Studies, Energy Intake, Female, Follow-Up Studies, Health Behavior, Humans, Life Style, Linear Models, Logistic Models, Male, Motor Activity, Nutrition Assessment, Obesity, Prospective Studies, Waist Circumference

Journal Title

Br J Nutr

Conference Name

Journal ISSN

0007-1145
1475-2662

Volume Title

115

Publisher

Cambridge University Press (CUP)
Sponsorship
Medical Research Council (MR/K023187/1)
Medical Research Council (MC_UU_12015/4)
Medical Research Council (MC_UU_12015/7)
Wellcome Trust (087636/Z/08/Z)
Economic and Social Research Council (ES/G007462/1)
Medical Research Council (G0501294)
Medical Research Council (MC_UU_12015/3)
Medical Research Council (MC_U106179474)
Medical Research Council (MC_U106179473)
Medical Research Council (G0501294/1)
We would like to thank the schools, children and parents for their participation in the SPEEDY study. The SPEEDY study is funded by the National Prevention Research Initiative (http://www.npri.org.uk), consisting of the following Funding Partners: British Heart Foundation; Cancer Research UK; Department of Health; Diabetes UK; Economic and Social Research Council; Medical Research Council; Health and Social Care Research and Development Office for the Northern Ireland; Chief Scientist Office, Scottish Government Health Directorates; Welsh Assembly Government and World Cancer Research Fund. This work was also supported by the Medical Research Council [Unit Programme numbers MC_UU_12015/3; MC_UU_12015/4; MC_UU_12015/7; U105960389] and the Centre for Diet and Activity Research (CEDAR), a UKCRC Public Health Research: Centre of Excellence. Funding from the British Heart Foundation, Economic and Social Research Council, Medical Research Council, the National Institute for Health Research, and the Wellcome Trust, under the auspices of the UK Clinical Research Collaboration, is gratefully acknowledged. We also thank everyone who helped with the data collection and Norfolk Children’s Services for their invaluable input and support. In addition, we would like to Rebekah Steele, Kate Westgate and Stefanie Mayle from the physical activity technical team at the MRC Epidemiology Unit for their assistance in processing the accelerometer data. No authors declare a conflict of interest.