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Correlates of changes in BMI of children from the Azores islands

Abstract

Objective:

To model changes in body mass index (BMI), including its stability, and to investigate the association between physical activity, 1-mile run/walk and levels of gross motor coordination and BMI during 5 consecutive years.

Design:

A longitudinal study of children 6 years of age at baseline followed at annual intervals over 5 years.

Subjects:

A total of 285 children (143 boys and 142 girls) were enrolled in grade 1 (age 6 years) and followed through grade 5 (age 10 years).

Measurements:

BMI was recorded and physical activity was assessed by questionnaire, aerobic fitness was evaluated with the 1-mile run/walk and gross motor coordination was measured with the KTK test battery (Körperkoordination test für Kinder). Multilevel modelling techniques were for the primary analysis.

Results:

Changes in BMI showed similar curvilinear trends in boys and girls, with ample inter-individual crossing trajectories that is, low tracking. Longitudinal changes in physical activity (PA) and aerobic fitness were not significantly associated with BMI-changes during the 5 years. Children who were more proficient in their motor coordination showed lower values of BMI during the 5 years.

Conclusions:

BMI trajectories of both boys and girls show low tracking of BMI-values. Considerable inter-individual variation exists both in baseline BMI-values and changes (velocity and acceleration) over time. PA and fitness were not associated with BMI-changes, but gross motor function was negatively associated with BMI-changes. No gender-specific associations were found. If confirmed in other populations these observations could be translated in the promotion of physical activities that improve gross motor function in children aged 6–10 years. This seems to be of major importance for the physical education curriculum of primary school children.

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References

  1. Odgen CL, Flegal KM, Carroll ML, Johnson CL . Prevalence and trends in overweight among US children and adolescents, 1999–2000. J Am Diet Asso 2002; 288: 1728–1732.

    Article  Google Scholar 

  2. Rollland-Cachera MF, Castetbon K, Arnault N, Bellisle F, Romano MC, Lehingue Y et al. Body mass index in 7–9-y-old French children frequency of obesity, overweight and thinness. Int J Obes Relat Metab Disord 2002; 26: 1610–1616.

    Article  Google Scholar 

  3. Padez C, Fernandes T, Mourão I, Moreira P, Rosado V . Prevalence of overweight and obesity in 7–9-year-old Portuguese children: trends in body mass index from 1970–2002. Am J Hum Biol 2004; 16: 670–678.

    Article  CAS  PubMed  Google Scholar 

  4. Rios M, Fluiters E, Pérez Méndez LF, García-Mayor EG, García-Mayor RV . Prevalence of childhood overweight in Northwestern Spain: a comparative study of two periods with a ten year interval. Int J Obes Relat Metab Disord 1999; 23: 095–1098.

    Article  Google Scholar 

  5. Krassas GE, Tzotzas T, Tsametis C, Konstantinidis T . Prevalence and trends in overweight and obesity among children and adolescents in Thessaloniki, Greece. J Pediatr Endocrinol Metab 2001; 14: 1319–1326.

    Article  PubMed  Google Scholar 

  6. Figueroa-Munoz JI, Chin S, Rona RJ . Association between obesity and asthma in 4–11 years old children in the UK. Thorax 2001; 56: 133–137.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Srinivasan SR, Myers L, Berenson GS . Predictability of childhood adiposity and insulin for developing resistance syndrome (syndrome X) in young adulthood: the Bogalosa Heart Study. Diabetes 2002; 51: 204–209.

    Article  CAS  PubMed  Google Scholar 

  8. Sinha R, Fisch G, Teague B, Tamborlane WV, Banyas B, Allen K et al. Prevalence of impaired glucose tolerance among children and adolescents with marked obesity. N Engl J Med 2002; 346: 802–810.

    Article  CAS  PubMed  Google Scholar 

  9. Hu FB, Leitzmann MF, Stampfer MJ, Colditz GF, Willett WC, Rimm EB . Physical activity and television watching in relation to risk for type 2 diabetes mellitus in men. Arch Intern Med 2001; 161: 1542–1548.

    Article  CAS  PubMed  Google Scholar 

  10. Ribeiro J, Guerra S, Pinto A, Oliveira J, Duarte J, Mota J . Overweight and obesity in children and adolescents: relationship with blood pressure and physical activity. Ann Hum Biol 2003; 30: 203–213.

    Article  CAS  PubMed  Google Scholar 

  11. Skilton MR, Celermajer DS . Endothelial dysfunction and arterial abnormalities in childhood obesity. Int J Obes 2006; 30: 1041–1049.

    Article  CAS  Google Scholar 

  12. Danner F . A national longitudinal study of the association between hours of TV viewing and the trajectory of BMI growth among US children. J Pediatr Psychol 2008; 33: 1100–1107.

    Article  PubMed  Google Scholar 

  13. Utter J, Scragg R, Schaaf D, Fitzgerald E, Wilson N . Correlates of body mass index among a nationally representative sample of New Zealand children. Int J Pediatr Obes 2007; 2: 104–113.

    Article  PubMed  Google Scholar 

  14. Kim J, Must A, Fitzmaurice G, Gillman M, Chomitz V, Kramer E et al. Relationship of physical fitness to prevalence and incidence of overweight among school children. Obes Res 2005; 13: 1246–1254.

    Article  PubMed  Google Scholar 

  15. Graf C, Koch B, Kretschmann-Kandel E, Falkowski G, Christ H, Coburger S et al. Correlation between BMI, leisure habits and motor abilities in childhood. Int J Obes 2004; 28: 22–26.

    Article  CAS  Google Scholar 

  16. Tomkinson GR, Olds TS . Secular changes in aerobic fitness test performance of Australian children and adolescents. Med Sport Sci 2007; 50: 168–182.

    Article  PubMed  Google Scholar 

  17. Maia JAR, Lopes VP . Crescimento e desenvolvimento de crianças e jovens Açorianos. O que pais, professores, pediatras e nutricionistas gostariam de saber. Porto: DREFD e FADEUP 2007.

  18. Gordon CC, Chumlea WC, Roche AF . Stature, Recumbent length, and weight. In: Lohman TG, Roche AF, Martorell R (eds). Anthropometric Standardization Reference Manual. Human Kinetics: Champaign, IL, 1988. pp. 3–8.

    Google Scholar 

  19. Godin G, Shephard RJ . A simple method to assess exercise behavior in the community. Can J Appl Sport Sci 1985; 10: 141–146.

    CAS  PubMed  Google Scholar 

  20. Kiphard EJ, Schilling VF . Körperkoordination für Kinder. KTK. Manual. Beltz Test Gmbh: Weinhein, 1974.

    Google Scholar 

  21. Swits-Engelsman B, Henderson S, Michels C . The assessment of children with developmental coordination disorders in the Netherlends: the relationship between the movement assessment battery for children and the Körperkoordinations Test für Kinder. Hum Move Sci 1998; 17: 699–709.

    Article  Google Scholar 

  22. Lopes VP, Maia JA, Silva R, Seabra A, Morais F . Estudo do nível de desenvolvimento da coordenação motora da população motora escolar (6 aos 10 anos de idade) da Região Autónoma dos Açores. Res Port Ciên Desporto 2003; 3: 47–60.

    Article  Google Scholar 

  23. Deus R, Bustamante A, Lopes VP, Seabra A, Silva R, Maia JM . Coordenação motora: Estudo de tracking em crianças dos 6 aos 10 anos da região autónoma dos Açores, Portugal. Revista Brasileira de Cineantropometria & Desempenho Humano 2008; 10: 215–222.

    Article  Google Scholar 

  24. Welk GJ, Meredith MD . Fitnessgram / Activitygram Reference Guide. The Cooper Institute: Dallas, TX, 2008.

    Google Scholar 

  25. Foulkes MA, Davies LE . An index of tracking for longitudinal data. Biometrics 1981; 37: 439–446.

    Article  Google Scholar 

  26. Kowalski CJ, Schneiderman ED . Tracking: concepts, methods and tools. Int J Anthropol 1992; 7: 33–50.

    Article  Google Scholar 

  27. Rolland-Cachera MF, Deheeger M, Bellisle F, Semp M, Guilloud-Bataille M, Patois E . Adiposity rebound in children: a simple indicator for predicting obesity. Am J Clin Nutr 1984; 39: 129–135.

    Article  CAS  PubMed  Google Scholar 

  28. Rolland-Cachera MF, Deheeger M, Maillot M, Bellisle F . Early adiposity rebound: causes and consequences for obesity in children and adults. Int J Obes 2006; 30: S11–S17.

    Article  Google Scholar 

  29. Beets M, Pitetti KH . One-mile run/walk and body mass index of an ethnically diverse sample of youth. Med Sci Sports Exerc 2004; 36: 1796–1803.

    Article  PubMed  Google Scholar 

  30. Rolland-Cachera MF, Sempé M, Guilloud-Bataille M, Patois E, Péquignot-Guggenbuhl F, Fautrad V . Adiposity indices in children. Am J Clin Nutr 1982; 36: 178–184.

    Article  CAS  PubMed  Google Scholar 

  31. Cole TJ, Freedman JV, Preece MA . Body mass index references curves for the UK, 1990. Arch Dis Child 1995; 73: 25–29.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  32. Malina R, Bouchard C, Bar-Or O . Growth, Maturation and Physical Activity. 2nd edn. Champaign, United States Human Kinetics, 2004.

    Google Scholar 

  33. Hesketh K, Wake M, Waters E, Carlin J, David C . Stability of body mass index in Australian children: a prospective cohort study across the middle childhood years. Public Health Nutr 2003; 7: 303–309.

    Google Scholar 

  34. Carvalhal MM, Padez MC, Moreira PA, Rosado VM . Overweight and obesity related to activities in Portuguese children, 7–9 years. Eur J Public Health 2006; 17: 42–46.

    Article  PubMed  Google Scholar 

  35. Maffeis C, Talamini G, Tatò L . Influence of diet, physical activity and parents’ obesity on children's adiposity: a four-year longitudinal study. Int J Obes 1998; 22: 758–764.

    Article  CAS  Google Scholar 

  36. Gouveia ER, Freitas DL, Maia JA, Beunen GP, Claessens AL, Marques AT et al. Actividade física, aptidão e sobrepeso em crianças e adolescentes: ‘ o estudo de crescimento da Madeira’. Rev Bras Educ Fís Esp 2007; 21: 95–106.

    Google Scholar 

  37. Abbott RA, Davies PS . Habitual physical activity and physical activity intensity: their relation to body composition in 5.0–10.5 y-old children. Eur J Clin Nutr 2004; 58: 285–291.

    Article  CAS  PubMed  Google Scholar 

  38. Jago R, Baranowski T, Baranowski JC, Thompson D, Greaves KA . BMI from 3–6 y of age is predicted by TV viewing and physical activity, not diet. Int J Obes 2005; 29: 557–564.

    Article  CAS  Google Scholar 

  39. Sallis JF, Saelens BE . Assessment of physical activity by self-report: status, limitation and future directions. Res Q Exerc Sport 2000; 71 (S2): S1–S14.

    Article  CAS  PubMed  Google Scholar 

  40. Strong WB, Malina RM, Blimkie CJG, Daniels SR, Dishman RK, Gutin B et al. Evidence based physical activity for shool-age youth. J Pediatr 2006; 146: 732–737.

    Article  Google Scholar 

  41. Nesbitt SD, Ashaye O, Stettler N, Sorof JM, Goran MI, Parekh R et al. Overweight as a risk factor in children: a focus on ethnicity. Ethn Disc 2004; 19: 94–110.

    Google Scholar 

  42. Carneiro IB . Variação sazonal nos níveis de actividade física. Um estudo em crianças do 1° Ciclo do Ensino Básico. Dissertação de Mestrado em Desporto para Crianças e Jovens. FADEUP 2003.

  43. Magalhães MA . Padrão de actividade física. Estudo em crianças de ambos os sexos do 4° ano de escolaridade. Dissertação de Mestrado em Desporto para Crianças e Jovens. FADEUP 2001.

  44. Maia JM, Lopes V . Estudo do crescimento somático, aptidão física, actividade física e capacidade de coordenação corporal de crianças do primeiro Ciclo do Ensino Básico da Região Autónoma dos Açores; Direcção Regional da Ciência e Tecnologia. FADEUP 2003.

  45. Sousa M, Maia JM . Crescimento somático, actividade física e aptidão física associada à saúde. Um estudo populacional nas crianças do 1° Ciclo do Ensino Básica de Amarante. FADEUP (Câmara Municipal de Amarante) 2005.

  46. Castro-Pinero J, Mora J, Gonzalez-Montesinos JL, Sjostrom M, Ruiz JR . Criterion-related validity of the one-mile run/walk test in children aged 8–17 years. J Sports Sci 2009; 27: 405–413.

    Article  PubMed  Google Scholar 

  47. Castro-Pinero J, Artero EG, Espana-Romero V, Ortega FB, Sjöström M, Suni J et al. Criterion-related validity of field-based fitness tests in youth: a systematic review. Br J Sports Med 2009.

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Correspondence to J Maia.

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Martins, D., Maia, J., Seabra, A. et al. Correlates of changes in BMI of children from the Azores islands. Int J Obes 34, 1487–1493 (2010). https://doi.org/10.1038/ijo.2010.56

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