Epidemiological transition in physical activity and sedentary time in children

Tiago V Barreira; Stephanie T Broyles; Catrine Tudor-Locke; Jean-Philippe Chaput; Mikael Fogelholm; Gang Hu; Rebecca Kuriyan; Estelle V. Lambert; Carol Maher; José Maia; Timothy Olds; Vincent Onywera; Olga L Sarmiento; Martyn Standage; Mark S. Tremblay; Peter T. Katzmarzyk; ISCOLE Research Group

doi:10.1123/jpah.2018-0546

Epidemiological transition in physical activity and sedentary time in children

Tiago V Barreira, Stephanie T Broyles, Catrine Tudor-Locke, Jean-Philippe Chaput, Mikael Fogelholm, Gang Hu, Rebecca Kuriyan, Estelle V. Lambert, Carol Maher, José Maia, Timothy Olds, Vincent Onywera, Olga L Sarmiento, Martyn Standage, Mark S. Tremblay, Peter T. Katzmarzyk, ISCOLE Research Group

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Abstract

Background: To determine if children’s moderate to vigorous physical activity (MVPA) and sedentary time varied across levels of household income in countries at different levels of Human Development Index (HDI), consistent with the theory of epidemiological transition. Methods: Data from 6548 children (55% girls) aged 9–11 years from 12 countries at different HDI levels are used in this analysis to assess MVPA and sedentary time (measured using ActiGraph accelerometers) across levels of household income. Least-square means are estimated separately for boys and girls at the estimated 10th, 50th, and 90th percentiles of HDI for the sample. Results: For boys, time in MVPA is negatively associated with income at the 10th and 50th percentiles of HDI (both P < .002). For girls, time in MVPA is negatively associated with income at the 10th and 50th percentiles of HDI (all P < .01) and positively related with income at the 90th percentile (P = .04). Sedentary time is positively associated with income at the 10th percentile of HDI for boys (P = .03), but not for girls. Conclusions: Results support the possibility of an epidemiological transition in physical activity, with lower levels of MVPA observed at opposite levels of income depending on the HDI percentile. This phenomenon was not observed for sedentary time

Original language	English
Pages (from-to)	518-524
Number of pages	7
Journal	Journal of Physical Activity and Health
Volume	16
Issue number	7
DOIs	https://doi.org/10.1123/jpah.2018-0546
Publication status	Published - 1 Jul 2019

Bibliographical note

Funding Information:
The authors wish to thank the ISCOLE External Advisory Board and the ISCOLE participants and their families who made this study possible. The ISCOLE Research Group includes: Coordinating Center, Pennington Biomedical Research Center: Peter T. Katzmarzyk, PhD (Co-PI); Timothy S. Church, MD, PhD (Co-PI); Denise Lambert, RN (Project Manager); Tiago Barreira, PhD; Stephanie Broyles, PhD; Ben Butitta, BS; Catherine Champagne, PhD, RD; Shannon Cocreham, MBA; Kara Dentro, MPH; Katy Drazba, MPH; Deirdre Harrington, PhD; William Johnson, PhD; Dione Milauskas, BS; Emily Mire, MS; Allison Tohme, MPH; Ruben Rodarte, MS, MBA. Data Management Center, Wake Forest University: Bobby Amoroso, BS; John Luopa, BS; Rebecca Neiberg, MS; Scott Rushing, BS. Australia, University of South Australia: Timothy Olds, PhD (Site Co-PI) ; Carol Maher, PhD (Site Co-PI); Lucy Lewis, PhD; Katia Ferrar, B Physio (Hon); Effie Georgiadis, BPsych; Rebecca Stanley, BAppSc (OT) Hon. Brazil, Center of Studies of the Physical Fitness Research Laboratory from Sao Caetano do Sul: Victor Matsudo, MD, PhD (Site PI); Sandra Matsudo, MD, PhD; Timoteo Araujo, MSc; Luis Carlos de Oliveira, MSc; Leandro Rezende, BSc; Luis Fabiano, BSc; Diogo Bezerra, BSc. Canada, Children’s Hospital of Eastern Ontario Research Institute: Mark S. Tremblay, PhD (Site Co-PI) ; Jean-Philippe Chaput, PhD (Site Co PI); Priscilla Bélanger, BSc; Mike Borghese, MSc; Charles Boyer, MA; Allana LeBlanc, MSc; Claire Francis, B.Sc.; Geneviève Leduc, PhD. China, Tianjin Women’s and Children’s Health Center: Pei Zhao, MD (Site Co-PI); Gang Hu, MD, PhD (Site Co-PI); Chengming Diao, MSc; Wei Li, BSc; Weiqin Li, MPH; Enqing Liu, MD; Gongshu Liu, MD; Hongyan Liu, MPH; Jian Ma, MD; Yijuan Qiao, MSc; Huiguang Tian, PhD; Yue Wang, MD; Tao Zhang, MPH; Fuxia Zhang, MSc. Colombia, Universidad de los Andes: Olga Sarmiento, MD, PhD (Site PI); Julio Acosta; Yalta Alvira, BS; Maria Paula Diaz; Rocio Gamez, BS; Maria Paula Garcia; Luis Guillermo Gómez; Lisseth Gonzalez; Silvia Gonzalez, RD; Carlos Grijalba, MD; Leidys Gutierrez; David Leal; Nicolas Lemus; Etelvina Mahecha, BS; Maria Paula Mahecha; Rosalba Mahecha, BS; Andrea Ramirez, MD; Paola Rios, MD; Andres Suarez; Camilo Triana. Finland, University of Helsinki: Mikael Fogelholm, ScD (Site-PI); Elli Hovi, BS; Jemina Kivelä; Sari Räsänen, BS; Sanna Roito, BS; Taru Saloheimo, MS; Leena Valta. India, St. Johns Research Institute: Anura Kurpad, MD, PhD (Site Co-PI); Rebecca Kuriyan, PhD (Site Co-PI); Deepa P. Lokesh, BSc; Michelle Stephanie D’Almeida, BSc; Annie Mattilda R, MSc; Lygia Correa, BSc; Vijay D, BSc. Kenya, Kenyatta University: Vincent Onywera, PhD (Site Co-PI); Mark S. Tremblay, PhD (Site Co-PI); Lucy-Joy Wachira, PhD; Stella Muthuri, PhD. Portugal, University of Porto: Jose Maia, PhD (Site PI); Alessandra da Silva Borges, BA; Sofia Oliveira Sá Cachada, MSc; Raquel Nichele de Chaves, MSc; Thayse Natacha Queiroz Ferreira Gomes, MSc; Sara Isabel Sampaio Pereira, BA; Daniel Monteiro de Vilhena e Santos, PhD; Fernanda Karina dos Santos, MSc; Pedro Gil Rodrigues da Silva, BA; Michele Caroline de Souza, MSc. South Africa, University of Cape Town: Vicki Lambert, PhD (Site PI); Matthew April, BSc (Hons); Monika Uys, BSc (Hons); Nirmala Naidoo, MSc; Nandi Synyanya; Madelaine Carstens, BSc (Hons). United Kingdom, University of Bath: Martyn Standage, PhD (Site PI); Sean Cumming, PhD; Clemens Drenowatz, PhD; Lydia Emm, MSc; Fiona Gillison, PhD; Julia Zakrzewski, PhD. United States, Pennington Biomedical Research Center: Catrine Tudor-Locke, PhD (Site-PI); Ashley Braud; Sheletta Donatto, MS, LDN, RD; Corbin Lemon, BS; Ana Jackson, BA; Ashunti Pearson, MS; Gina Pennington, BS, LDN, RD; Daniel Ragus, BS; Ryan Roubion; John Schuna, Jr, PhD; Derek Wiltz. The ISCOLE external advisory board includes Alan Batterham, PhD, Teesside University; Jacqueline Kerr, PhD, University of California, San Diego; Michael Pratt, MD, Centers for Disease Control and Prevention; Angelo Pietrobelli, MD, Verona University Medical School. Financial source/trial registration: ISCOLE was funded by The Coca-Cola Company. With the exception of requiring that the study be global in nature, the funder had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. ISCOLE is registered at ClinicalTrials.gov (identifier NCT01722500).

Publisher Copyright:
© 2019 Human Kinetics, Inc.

Keywords

accelerometry
epidemiology
pediatrics
sedentary behavior
youth

ASJC Scopus subject areas

Orthopedics and Sports Medicine

Access to Document

10.1123/jpah.2018-0546

SES_PA_Final_JPAH2
Accepted author manuscript version reprinted, by permission, from Epidemiological Transition in Physical Activity and Sedentary Time in Children, 2019, https://doi.org/10.1123/jpah.2018-0546. © Human Kinetics, Inc.
Accepted author manuscript, 462 KB

Cite this

Barreira, T. V., Broyles, S. T., Tudor-Locke, C., Chaput, J.-P., Fogelholm, M., Hu, G., Kuriyan, R., Lambert, E. V., Maher, C., Maia, J., Olds, T., Onywera, V., Sarmiento, O. L., Standage, M., Tremblay, M. S., Katzmarzyk, P. T., & ISCOLE Research Group (2019). Epidemiological transition in physical activity and sedentary time in children. Journal of Physical Activity and Health, 16(7), 518-524. https://doi.org/10.1123/jpah.2018-0546

Barreira, TV, Broyles, ST, Tudor-Locke, C, Chaput, J-P, Fogelholm, M, Hu, G, Kuriyan, R, Lambert, EV, Maher, C, Maia, J, Olds, T, Onywera, V, Sarmiento, OL, Standage, M, Tremblay, MS, Katzmarzyk, PT & ISCOLE Research Group 2019, 'Epidemiological transition in physical activity and sedentary time in children', Journal of Physical Activity and Health, vol. 16, no. 7, pp. 518-524. https://doi.org/10.1123/jpah.2018-0546

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title = "Epidemiological transition in physical activity and sedentary time in children",

abstract = "Background: To determine if children{\textquoteright}s moderate to vigorous physical activity (MVPA) and sedentary time varied across levels of household income in countries at different levels of Human Development Index (HDI), consistent with the theory of epidemiological transition. Methods: Data from 6548 children (55% girls) aged 9–11 years from 12 countries at different HDI levels are used in this analysis to assess MVPA and sedentary time (measured using ActiGraph accelerometers) across levels of household income. Least-square means are estimated separately for boys and girls at the estimated 10th, 50th, and 90th percentiles of HDI for the sample. Results: For boys, time in MVPA is negatively associated with income at the 10th and 50th percentiles of HDI (both P < .002). For girls, time in MVPA is negatively associated with income at the 10th and 50th percentiles of HDI (all P < .01) and positively related with income at the 90th percentile (P = .04). Sedentary time is positively associated with income at the 10th percentile of HDI for boys (P = .03), but not for girls. Conclusions: Results support the possibility of an epidemiological transition in physical activity, with lower levels of MVPA observed at opposite levels of income depending on the HDI percentile. This phenomenon was not observed for sedentary time",

keywords = "accelerometry, epidemiology, pediatrics, sedentary behavior, youth",

author = "Barreira, {Tiago V} and Broyles, {Stephanie T} and Catrine Tudor-Locke and Jean-Philippe Chaput and Mikael Fogelholm and Gang Hu and Rebecca Kuriyan and Lambert, {Estelle V.} and Carol Maher and Jos{\'e} Maia and Timothy Olds and Vincent Onywera and Sarmiento, {Olga L} and Martyn Standage and Tremblay, {Mark S.} and Katzmarzyk, {Peter T.} and {ISCOLE Research Group}",

note = "Funding Information: The authors wish to thank the ISCOLE External Advisory Board and the ISCOLE participants and their families who made this study possible. The ISCOLE Research Group includes: Coordinating Center, Pennington Biomedical Research Center: Peter T. Katzmarzyk, PhD (Co-PI); Timothy S. Church, MD, PhD (Co-PI); Denise Lambert, RN (Project Manager); Tiago Barreira, PhD; Stephanie Broyles, PhD; Ben Butitta, BS; Catherine Champagne, PhD, RD; Shannon Cocreham, MBA; Kara Dentro, MPH; Katy Drazba, MPH; Deirdre Harrington, PhD; William Johnson, PhD; Dione Milauskas, BS; Emily Mire, MS; Allison Tohme, MPH; Ruben Rodarte, MS, MBA. Data Management Center, Wake Forest University: Bobby Amoroso, BS; John Luopa, BS; Rebecca Neiberg, MS; Scott Rushing, BS. Australia, University of South Australia: Timothy Olds, PhD (Site Co-PI) ; Carol Maher, PhD (Site Co-PI); Lucy Lewis, PhD; Katia Ferrar, B Physio (Hon); Effie Georgiadis, BPsych; Rebecca Stanley, BAppSc (OT) Hon. Brazil, Center of Studies of the Physical Fitness Research Laboratory from Sao Caetano do Sul: Victor Matsudo, MD, PhD (Site PI); Sandra Matsudo, MD, PhD; Timoteo Araujo, MSc; Luis Carlos de Oliveira, MSc; Leandro Rezende, BSc; Luis Fabiano, BSc; Diogo Bezerra, BSc. Canada, Children{\textquoteright}s Hospital of Eastern Ontario Research Institute: Mark S. Tremblay, PhD (Site Co-PI) ; Jean-Philippe Chaput, PhD (Site Co PI); Priscilla B{\'e}langer, BSc; Mike Borghese, MSc; Charles Boyer, MA; Allana LeBlanc, MSc; Claire Francis, B.Sc.; Genevi{\`e}ve Leduc, PhD. China, Tianjin Women{\textquoteright}s and Children{\textquoteright}s Health Center: Pei Zhao, MD (Site Co-PI); Gang Hu, MD, PhD (Site Co-PI); Chengming Diao, MSc; Wei Li, BSc; Weiqin Li, MPH; Enqing Liu, MD; Gongshu Liu, MD; Hongyan Liu, MPH; Jian Ma, MD; Yijuan Qiao, MSc; Huiguang Tian, PhD; Yue Wang, MD; Tao Zhang, MPH; Fuxia Zhang, MSc. Colombia, Universidad de los Andes: Olga Sarmiento, MD, PhD (Site PI); Julio Acosta; Yalta Alvira, BS; Maria Paula Diaz; Rocio Gamez, BS; Maria Paula Garcia; Luis Guillermo G{\'o}mez; Lisseth Gonzalez; Silvia Gonzalez, RD; Carlos Grijalba, MD; Leidys Gutierrez; David Leal; Nicolas Lemus; Etelvina Mahecha, BS; Maria Paula Mahecha; Rosalba Mahecha, BS; Andrea Ramirez, MD; Paola Rios, MD; Andres Suarez; Camilo Triana. Finland, University of Helsinki: Mikael Fogelholm, ScD (Site-PI); Elli Hovi, BS; Jemina Kivel{\"a}; Sari R{\"a}s{\"a}nen, BS; Sanna Roito, BS; Taru Saloheimo, MS; Leena Valta. India, St. Johns Research Institute: Anura Kurpad, MD, PhD (Site Co-PI); Rebecca Kuriyan, PhD (Site Co-PI); Deepa P. Lokesh, BSc; Michelle Stephanie D{\textquoteright}Almeida, BSc; Annie Mattilda R, MSc; Lygia Correa, BSc; Vijay D, BSc. Kenya, Kenyatta University: Vincent Onywera, PhD (Site Co-PI); Mark S. Tremblay, PhD (Site Co-PI); Lucy-Joy Wachira, PhD; Stella Muthuri, PhD. Portugal, University of Porto: Jose Maia, PhD (Site PI); Alessandra da Silva Borges, BA; Sofia Oliveira S{\'a} Cachada, MSc; Raquel Nichele de Chaves, MSc; Thayse Natacha Queiroz Ferreira Gomes, MSc; Sara Isabel Sampaio Pereira, BA; Daniel Monteiro de Vilhena e Santos, PhD; Fernanda Karina dos Santos, MSc; Pedro Gil Rodrigues da Silva, BA; Michele Caroline de Souza, MSc. South Africa, University of Cape Town: Vicki Lambert, PhD (Site PI); Matthew April, BSc (Hons); Monika Uys, BSc (Hons); Nirmala Naidoo, MSc; Nandi Synyanya; Madelaine Carstens, BSc (Hons). United Kingdom, University of Bath: Martyn Standage, PhD (Site PI); Sean Cumming, PhD; Clemens Drenowatz, PhD; Lydia Emm, MSc; Fiona Gillison, PhD; Julia Zakrzewski, PhD. United States, Pennington Biomedical Research Center: Catrine Tudor-Locke, PhD (Site-PI); Ashley Braud; Sheletta Donatto, MS, LDN, RD; Corbin Lemon, BS; Ana Jackson, BA; Ashunti Pearson, MS; Gina Pennington, BS, LDN, RD; Daniel Ragus, BS; Ryan Roubion; John Schuna, Jr, PhD; Derek Wiltz. The ISCOLE external advisory board includes Alan Batterham, PhD, Teesside University; Jacqueline Kerr, PhD, University of California, San Diego; Michael Pratt, MD, Centers for Disease Control and Prevention; Angelo Pietrobelli, MD, Verona University Medical School. Financial source/trial registration: ISCOLE was funded by The Coca-Cola Company. With the exception of requiring that the study be global in nature, the funder had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. ISCOLE is registered at ClinicalTrials.gov (identifier NCT01722500). Publisher Copyright: {\textcopyright} 2019 Human Kinetics, Inc.",

year = "2019",

month = jul,

day = "1",

doi = "10.1123/jpah.2018-0546",

language = "English",

volume = "16",

pages = "518--524",

journal = "Journal of Physical Activity and Health",

issn = "1543-3080",

publisher = "Human Kinetics Publishers Inc.",

number = "7",

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TY - JOUR

T1 - Epidemiological transition in physical activity and sedentary time in children

AU - Barreira, Tiago V

AU - Broyles, Stephanie T

AU - Tudor-Locke, Catrine

AU - Chaput, Jean-Philippe

AU - Fogelholm, Mikael

AU - Hu, Gang

AU - Kuriyan, Rebecca

AU - Lambert, Estelle V.

AU - Maher, Carol

AU - Maia, José

AU - Olds, Timothy

AU - Onywera, Vincent

AU - Sarmiento, Olga L

AU - Standage, Martyn

AU - Tremblay, Mark S.

AU - Katzmarzyk, Peter T.

AU - ISCOLE Research Group

N1 - Funding Information: The authors wish to thank the ISCOLE External Advisory Board and the ISCOLE participants and their families who made this study possible. The ISCOLE Research Group includes: Coordinating Center, Pennington Biomedical Research Center: Peter T. Katzmarzyk, PhD (Co-PI); Timothy S. Church, MD, PhD (Co-PI); Denise Lambert, RN (Project Manager); Tiago Barreira, PhD; Stephanie Broyles, PhD; Ben Butitta, BS; Catherine Champagne, PhD, RD; Shannon Cocreham, MBA; Kara Dentro, MPH; Katy Drazba, MPH; Deirdre Harrington, PhD; William Johnson, PhD; Dione Milauskas, BS; Emily Mire, MS; Allison Tohme, MPH; Ruben Rodarte, MS, MBA. Data Management Center, Wake Forest University: Bobby Amoroso, BS; John Luopa, BS; Rebecca Neiberg, MS; Scott Rushing, BS. Australia, University of South Australia: Timothy Olds, PhD (Site Co-PI) ; Carol Maher, PhD (Site Co-PI); Lucy Lewis, PhD; Katia Ferrar, B Physio (Hon); Effie Georgiadis, BPsych; Rebecca Stanley, BAppSc (OT) Hon. Brazil, Center of Studies of the Physical Fitness Research Laboratory from Sao Caetano do Sul: Victor Matsudo, MD, PhD (Site PI); Sandra Matsudo, MD, PhD; Timoteo Araujo, MSc; Luis Carlos de Oliveira, MSc; Leandro Rezende, BSc; Luis Fabiano, BSc; Diogo Bezerra, BSc. Canada, Children’s Hospital of Eastern Ontario Research Institute: Mark S. Tremblay, PhD (Site Co-PI) ; Jean-Philippe Chaput, PhD (Site Co PI); Priscilla Bélanger, BSc; Mike Borghese, MSc; Charles Boyer, MA; Allana LeBlanc, MSc; Claire Francis, B.Sc.; Geneviève Leduc, PhD. China, Tianjin Women’s and Children’s Health Center: Pei Zhao, MD (Site Co-PI); Gang Hu, MD, PhD (Site Co-PI); Chengming Diao, MSc; Wei Li, BSc; Weiqin Li, MPH; Enqing Liu, MD; Gongshu Liu, MD; Hongyan Liu, MPH; Jian Ma, MD; Yijuan Qiao, MSc; Huiguang Tian, PhD; Yue Wang, MD; Tao Zhang, MPH; Fuxia Zhang, MSc. Colombia, Universidad de los Andes: Olga Sarmiento, MD, PhD (Site PI); Julio Acosta; Yalta Alvira, BS; Maria Paula Diaz; Rocio Gamez, BS; Maria Paula Garcia; Luis Guillermo Gómez; Lisseth Gonzalez; Silvia Gonzalez, RD; Carlos Grijalba, MD; Leidys Gutierrez; David Leal; Nicolas Lemus; Etelvina Mahecha, BS; Maria Paula Mahecha; Rosalba Mahecha, BS; Andrea Ramirez, MD; Paola Rios, MD; Andres Suarez; Camilo Triana. Finland, University of Helsinki: Mikael Fogelholm, ScD (Site-PI); Elli Hovi, BS; Jemina Kivelä; Sari Räsänen, BS; Sanna Roito, BS; Taru Saloheimo, MS; Leena Valta. India, St. Johns Research Institute: Anura Kurpad, MD, PhD (Site Co-PI); Rebecca Kuriyan, PhD (Site Co-PI); Deepa P. Lokesh, BSc; Michelle Stephanie D’Almeida, BSc; Annie Mattilda R, MSc; Lygia Correa, BSc; Vijay D, BSc. Kenya, Kenyatta University: Vincent Onywera, PhD (Site Co-PI); Mark S. Tremblay, PhD (Site Co-PI); Lucy-Joy Wachira, PhD; Stella Muthuri, PhD. Portugal, University of Porto: Jose Maia, PhD (Site PI); Alessandra da Silva Borges, BA; Sofia Oliveira Sá Cachada, MSc; Raquel Nichele de Chaves, MSc; Thayse Natacha Queiroz Ferreira Gomes, MSc; Sara Isabel Sampaio Pereira, BA; Daniel Monteiro de Vilhena e Santos, PhD; Fernanda Karina dos Santos, MSc; Pedro Gil Rodrigues da Silva, BA; Michele Caroline de Souza, MSc. South Africa, University of Cape Town: Vicki Lambert, PhD (Site PI); Matthew April, BSc (Hons); Monika Uys, BSc (Hons); Nirmala Naidoo, MSc; Nandi Synyanya; Madelaine Carstens, BSc (Hons). United Kingdom, University of Bath: Martyn Standage, PhD (Site PI); Sean Cumming, PhD; Clemens Drenowatz, PhD; Lydia Emm, MSc; Fiona Gillison, PhD; Julia Zakrzewski, PhD. United States, Pennington Biomedical Research Center: Catrine Tudor-Locke, PhD (Site-PI); Ashley Braud; Sheletta Donatto, MS, LDN, RD; Corbin Lemon, BS; Ana Jackson, BA; Ashunti Pearson, MS; Gina Pennington, BS, LDN, RD; Daniel Ragus, BS; Ryan Roubion; John Schuna, Jr, PhD; Derek Wiltz. The ISCOLE external advisory board includes Alan Batterham, PhD, Teesside University; Jacqueline Kerr, PhD, University of California, San Diego; Michael Pratt, MD, Centers for Disease Control and Prevention; Angelo Pietrobelli, MD, Verona University Medical School. Financial source/trial registration: ISCOLE was funded by The Coca-Cola Company. With the exception of requiring that the study be global in nature, the funder had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. ISCOLE is registered at ClinicalTrials.gov (identifier NCT01722500). Publisher Copyright: © 2019 Human Kinetics, Inc.

PY - 2019/7/1

Y1 - 2019/7/1

N2 - Background: To determine if children’s moderate to vigorous physical activity (MVPA) and sedentary time varied across levels of household income in countries at different levels of Human Development Index (HDI), consistent with the theory of epidemiological transition. Methods: Data from 6548 children (55% girls) aged 9–11 years from 12 countries at different HDI levels are used in this analysis to assess MVPA and sedentary time (measured using ActiGraph accelerometers) across levels of household income. Least-square means are estimated separately for boys and girls at the estimated 10th, 50th, and 90th percentiles of HDI for the sample. Results: For boys, time in MVPA is negatively associated with income at the 10th and 50th percentiles of HDI (both P < .002). For girls, time in MVPA is negatively associated with income at the 10th and 50th percentiles of HDI (all P < .01) and positively related with income at the 90th percentile (P = .04). Sedentary time is positively associated with income at the 10th percentile of HDI for boys (P = .03), but not for girls. Conclusions: Results support the possibility of an epidemiological transition in physical activity, with lower levels of MVPA observed at opposite levels of income depending on the HDI percentile. This phenomenon was not observed for sedentary time

AB - Background: To determine if children’s moderate to vigorous physical activity (MVPA) and sedentary time varied across levels of household income in countries at different levels of Human Development Index (HDI), consistent with the theory of epidemiological transition. Methods: Data from 6548 children (55% girls) aged 9–11 years from 12 countries at different HDI levels are used in this analysis to assess MVPA and sedentary time (measured using ActiGraph accelerometers) across levels of household income. Least-square means are estimated separately for boys and girls at the estimated 10th, 50th, and 90th percentiles of HDI for the sample. Results: For boys, time in MVPA is negatively associated with income at the 10th and 50th percentiles of HDI (both P < .002). For girls, time in MVPA is negatively associated with income at the 10th and 50th percentiles of HDI (all P < .01) and positively related with income at the 90th percentile (P = .04). Sedentary time is positively associated with income at the 10th percentile of HDI for boys (P = .03), but not for girls. Conclusions: Results support the possibility of an epidemiological transition in physical activity, with lower levels of MVPA observed at opposite levels of income depending on the HDI percentile. This phenomenon was not observed for sedentary time

KW - accelerometry

KW - epidemiology

KW - pediatrics

KW - sedentary behavior

KW - youth

UR - http://www.scopus.com/inward/record.url?scp=85065502481&partnerID=8YFLogxK

U2 - 10.1123/jpah.2018-0546

DO - 10.1123/jpah.2018-0546

M3 - Article

SN - 1543-3080

VL - 16

SP - 518

EP - 524

JO - Journal of Physical Activity and Health

JF - Journal of Physical Activity and Health

IS - 7

ER -

Epidemiological transition in physical activity and sedentary time in children

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