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Changes in physical activity explain paradoxical relationship between baseline physical activity and adiposity changes in adolescent girls: the FLVS II study

Abstract

OBJECTIVE:

To investigate in adolescents relationships between habitual physical activity (PA) and changes in several indicators of adiposity.

DESIGN:

Longitudinal population-based study. The Fleurbaix-Laventie Ville Santé II (FLVS II) study in Northern France.

SUBJECTS:

A total of 222 boys and 214 girls aged 8–18 y, not obese at inclusion.

MEASUREMENTS:

PA (Modifiable Activity Questionnaire) and adiposity (body mass index (kg/m2), percent body fat by bioimpedance analysis, sum of four skinfolds, waist circumference) were assessed in 1999 and 2001. Adiposity indicators adjusted for age and pubertal stage were compared between groups of baseline PA and between groups of PA changes, separately by sex.

RESULTS:

At baseline, PA was not associated with adiposity indicators in both sexes. In girls only, being in the group with the highest age-relative level of moderate PA at baseline predicted the highest adiposity gain from baseline to follow-up, for all indicators. After adjustment for baseline values, all adiposity indicators were higher at follow-up in girls who had decreased their relative level of moderate PA during follow-up. In boys, changes in adiposity during follow-up were not significantly different across groups of PA changes. However, the sum of skinfolds at follow-up, adjusted for baseline value, tended to be higher in those who decreased their vigorous PA level and lower in those who increased it.

CONCLUSION:

In adolescent girls, a decrease in PA rather than inactivity per se may result in increased adiposity over time.

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References

  1. Tremblay MS, Katzmarzyk PT, Willms JD . Temporal trends in overweight and obesity in Canada, 1981–1996. Int J Obes Relat Metab Disord 2002; 26: 538–543.

    Article  CAS  Google Scholar 

  2. Ogden CL, Flegal KM, Carroll MD, Johnson CL . Prevalence and trends in overweight among US children and adolescents, 1999–2000. JAMA 2002; 288: 1728–1732.

    Article  Google Scholar 

  3. Rolland-Cachera MF, Castetbon K, Arnault N, Bellisle F, Romano MC, Lehingue Y, Frelut ML, Hercberg S . 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 

  4. Kautiainen S, Rimpela A, Vikat A, Virtanen SM . Secular trends in overweight and obesity among Finnish adolescents in 1977–1999. Int J Obes Relat Metab Disord 2002; 26: 544–552.

    Article  CAS  Google Scholar 

  5. Mamalakis G, Kafatos A, Manios Y, Anagnostopoulou T, Apostolaki I . Obesity indices in a cohort of primary school children in Crete: a six year prospective study. Int J Obes Relat Metab Disord 2000; 24: 765–771.

    Article  CAS  Google Scholar 

  6. Fredriks AM, van Buuren S, Wit JM, Verloove-Vanhorick SP . Body index measurements in 1996–1997 compared with 1980. Arch Dis Child 2000; 82: 107–112.

    Article  CAS  Google Scholar 

  7. Moreno LA, Sarria A, Fleta J, Rodriguez G, Bueno M . Trends in body mass index and overweight prevalence among children and adolescents in the region of Aragon (Spain) from 1985 to 1995. Int J Obes Relat Metab Disord 2000; 24: 925–931.

    Article  CAS  Google Scholar 

  8. Moreno LA, Fleta J, Sarria A, Rodriguez G, Gil C, Bueno M . Secular changes in body fat patterning in children and adolescents of Zaragoza (Spain), 1980–1995. Int J Obes Relat Metab Disord 2001; 25: 1656–1660.

    Article  CAS  Google Scholar 

  9. Expertise Collective. Obésité: Dépistage et prévention chez l'enfant. Les Editions INSERM: Paris; 2000. pp 17–27.

  10. Prentice AM, Jebb SA . Obesity in Britain: gluttony or sloth? BMJ 1995; 311: 437–439.

    Article  CAS  Google Scholar 

  11. Dietz Jr WH, Gortmaker SL . Do we fatten our children at the television set? Obesity and television viewing in children and adolescents. Pediatrics 1985; 75: 807–812.

    Google Scholar 

  12. Klesges RC, Klesges LM, Eck LH, Shelton ML . A longitudinal analysis of accelerated weight gain in preschool children. Pediatrics 1995; 95: 126–130.

    CAS  Google Scholar 

  13. Berkey CS, Rockett HR, Field AE, Gillman MW, Frazier AL, Camargo Jr CA, Colditz GA . Activity, dietary intake, and weight changes in a longitudinal study of preadolescent and adolescent boys and girls. Pediatrics 2000; 105: E56.

    Article  CAS  Google Scholar 

  14. Horn OK, Paradis G, Potvin L, Macaulay AC, Desrosiers S . Correlates and predictors of adiposity among Mohawk children. Prev Med 2001; 33: 274–281.

    Article  CAS  Google Scholar 

  15. O'Loughlin J, Gray-Donald K, Paradis G, Meshefedjian G . One- and two-year predictors of excess weight gain among elementary schoolchildren in multiethnic, low-income, inner-city neighborhoods. Am J Epidemiol 2000; 152: 739–746.

    Article  CAS  Google Scholar 

  16. Gordon-Larsen P, Adair LS, Popkin BM . Ethnic differences in physical activity and inactivity patterns and overweight status. Obes Res 2002; 10: 141–149.

    Article  Google Scholar 

  17. Moore LL, Gao D, Bradlee ML, Cupples LA, Sundarajan-Ramamurti A, Proctor MH, Hood MY, Singer MR, Ellison RC . Does early physical activity predict body fat change throughout childhood? Prev Med 2003; 37: 10–17.

    Article  Google Scholar 

  18. Proctor MH, Moore LL, Gao D, Cupples LA, Bradlee ML, Hood MY, Ellison RC . Television viewing and change in body fat from preschool to early adolescence: The Framingham Children's Study. Int J Obes Relat Metab Disord 2003; 27: 827–833.

    Article  CAS  Google Scholar 

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

    Article  CAS  Google Scholar 

  20. Lafay L, Basdevant A, Charles MA, Vray M, Balkau B, Borys JM, Eschwege E, Romon M . Determinants and nature of dietary underreporting in a free-living population: the Fleurbaix Laventie Ville Sante (FLVS) Study. Int J Obes Relat Metab Disord 1997; 21: 567–573.

    Article  CAS  Google Scholar 

  21. Cole TJ, Bellizzi MC, Flegal KM, Dietz WH . Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 2000; 320: 1240–1243.

    Article  CAS  Google Scholar 

  22. Tanner JM . The assessment of growth and development in children. Arch Dis Child 1952; 27: 10–33.

    Article  CAS  Google Scholar 

  23. Bassett Jr DR, Ainsworth BE, Swartz AM, Strath SJ, O'Brien WL, King GA . Validity of four motion sensors in measuring moderate intensity physical activity. Med Sci Sports Exerc 2000; 32: S471–S480.

    Article  Google Scholar 

  24. Vuillemin A, Oppert JM, Guillemin F, Essermeant L, Fontvieille AM, Galan P, Kriska AM, Hercberg S . Self-administered questionnaire compared with interview to assess past-year physical activity. Med Sci Sports Exerc 2000; 32: 1119–1124.

    Article  CAS  Google Scholar 

  25. Deheeger M, Rolland-Cachera MF, Fontvieille AM . Physical activity and body composition in 10 year old French children: linkages with nutritional intake? Int J Obes Relat Metab Disord 1997; 21: 372–379.

    Article  CAS  Google Scholar 

  26. Kriska AM, Knowler WC, LaPorte RE, Drash AL, Wing RR, Blair SN, Bennett PH, Kuller LH . Development of questionnaire to examine relationship of physical activity and diabetes in Pima Indians. Diabetes Care 1990; 13: 401–411.

    Article  CAS  Google Scholar 

  27. Aaron DJ, Kriska AM, Dearwater SR, Cauley JA, Metz KF, LaPorte RE . Reproducibility and validity of an epidemiologic questionnaire to assess past year physical activity in adolescents. Am J Epidemiol 1995; 142: 191–201.

    Article  CAS  Google Scholar 

  28. Heude B, Lafay L, Borys JM, Thibult N, Lommez A, Romon M, Ducimetiere P, Charles MA . Time trend in height, weight, and obesity prevalence in school children from Northern France, 1992–2000. Diabetes Metab 2003; 29: 235–240.

    Article  CAS  Google Scholar 

  29. Kemper HC, Post GB, Twisk JW, van Mechelen W . Lifestyle and obesity in adolescence and young adulthood: results from the Amsterdam Growth And Health Longitudinal Study (AGAHLS). Int J Obes Relat Metab Disord 1999; 23 (Suppl 3): S34–S40.

    Article  Google Scholar 

  30. Kimm SY, Glynn NW, Kriska AM, Barton BA, Kronsberg SS, Daniels SR, Crawford PB, Sabry ZI, Liu K . Decline in physical activity in black girls and white girls during adolescence. N Engl J Med 2002; 347: 709–715.

    Article  Google Scholar 

  31. Kimm SY, Glynn NW, Kriska AM, Fitzgerald SL, Aaron DJ, Similo SL, McMahon RP, Barton BA . Longitudinal changes in physical activity in a biracial cohort during adolescence. Med Sci Sports Exerc 2000; 32: 1445–1454.

    Article  CAS  Google Scholar 

  32. Vermorel M, Vernet J, Bitar A, Fellmann N, Coudert J . Daily energy expenditure, activity patterns, and energy costs of the various activities in French 12–16-y-old adolescents in free living conditions. Eur J Clin Nutr 2002; 56: 819–829.

    Article  CAS  Google Scholar 

  33. Roemmich JN, Clark PA, Walter K, Patrie J, Weltman A, Rogol AD . Pubertal alterations in growth and body composition. V. Energy expenditure, adiposity, and fat distribution. Am J Physiol Endocrinol Metab 2000; 279: E1426–E1436.

    Article  CAS  Google Scholar 

  34. Bitar A, Vernet J, Coudert J, Vermorel M . Longitudinal changes in body composition, physical capacities and energy expenditure in boys and girls during the onset of puberty. Eur J Nutr 2000; 39: 157–163.

    Article  CAS  Google Scholar 

  35. Fu FH, Hao X . Physical development and lifestyle of Hong Kong secondary school students. Prev Med 2002; 35: 499–505.

    Article  Google Scholar 

  36. Goran MI, Gower BA, Nagy TR, Johnson RK . Developmental changes in energy expenditure and physical activity in children: evidence for a decline in physical activity in girls before puberty. Pediatrics 1998; 101: 887–891.

    Article  CAS  Google Scholar 

  37. Bjorntorp P . Hormonal control of regional fat distribution. Hum Reprod 1997; 12 (Suppl 1): 21–25.

    Article  CAS  Google Scholar 

  38. Ibanez L, Ong K, de Zegher F, Marcos MV, del Rio L, Dunger DB . Fat distribution in non-obese girls with and without precocious pubarche: central adiposity related to insulinaemia and androgenaemia from prepuberty to postmenarche. Clin Endocrinol (Oxf) 2003; 58: 372–379.

    Article  Google Scholar 

  39. Demerath EW, Towne B, Wisemandle W, Blangero J, Chumlea WC, Siervogel RM . Serum leptin concentration, body composition, and gonadal hormones during puberty. Int J Obes Relat Metab Disord 1999; 23: 678–685.

    Article  CAS  Google Scholar 

  40. Rowlands AV, Ingledew DK, Eston RG . The effect of type of physical activity measure on the relationship between body fatness and habitual physical activity in children: a meta-analysis. Ann Hum Biol 2000; 27: 479–497.

    Article  CAS  Google Scholar 

  41. Patrick K, Norman GJ, Calfas KJ, Sallis JF, Zabinski MF, Rupp J, Cella J . Diet, physical activity, and sedentary behaviors as risk factors for overweight in adolescence. Arch Pediatr Adolesc Med 2004; 158: 385–390.

    Article  Google Scholar 

  42. Burke V, Milligan RA, Thompson C, Taggart AC, Dunbar DL, Spencer MJ, Medland A, Gracey MP, Vandongen R, Beilin LJ . A controlled trial of health promotion programs in 11-year-olds using physical activity ‘enrichment’ for higher risk children. J Pediatr 1998; 132: 840–848.

    Article  CAS  Google Scholar 

  43. Gortmaker SL, Peterson K, Wiecha J, Sobol AM, Dixit S, Fox MK, Laird N . Reducing obesity via a school-based interdisciplinary intervention among youth: Planet Health. Arch Pediatr Adolesc Med 1999; 153: 409–418.

    Article  CAS  Google Scholar 

  44. Robinson TN . Reducing children's television viewing to prevent obesity: a randomized controlled trial. JAMA 1999; 282: 1561–1567.

    Article  CAS  Google Scholar 

  45. Robinson TN, Killen JD, Kraemer HC, Wilson DM, Matheson DM, Haskell WL, Pruitt LA, Powell TM, Owens AS, Thompson NS, Flint-Moore NM, Davis GJ, Emig KA, Brown RT, Rochon J, Green S, Varady A . Dance and reducing television viewing to prevent weight gain in African-American girls: the Stanford GEMS pilot study. Ethn Dis 2003; 13: S65–S77.

    PubMed  Google Scholar 

  46. Beech BM, Klesges RC, Kumanyika SK, Murray DM, Klesges L, McClanahan B, Slawson D, Nunnally C, Rochon J, McLain-Allen B, Pree-Cary J . Child- and parent-targeted interventions: the Memphis GEMS pilot study. Ethn Dis 2003; 13: S40–S53.

    PubMed  Google Scholar 

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Acknowledgements

The FLVS II study was supported by Knoll, CEDUS, Groupe Fournier, Lesieur, Nestlé France, Produits Roche and CISB. We thank directors and teachers of the schools who made the study possible, and all the children and their parents who agreed to participate. MA Charles was the recipient of grants from the French Speaking Association for the Study of Diabetes and Metabolism (ALFEDIAM) and from the Mutuelle Générale de l'Education Nationale (MGEN).

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Correspondence to M A Charles.

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Kettaneh, A., Oppert, J., Heude, B. et al. Changes in physical activity explain paradoxical relationship between baseline physical activity and adiposity changes in adolescent girls: the FLVS II study. Int J Obes 29, 586–593 (2005). https://doi.org/10.1038/sj.ijo.0802992

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