Title:
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An investigation into the changes in sedentary time and
physical activity during adolescence
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Aims: to investigate: 1) whether the magnitude of change in sedentary time and physical
activity during adolescence varies in different time contexts, 2) whether the estimate of
change in sedentary time differs according to the measurement instrument used and 3)
whether self-reported sedentary activities are associated with sedentary time.
Methods: In Study 1, changes in sedentary time and physical activity between the ages of 12
and 15 years were assessed using data from the PEACH project. Sedentary time and
physical activity were measured using ActiGraph accelerometers (GT1M). To determine if
the magnitude of change differed for during-school, after-school and at weekends random
effects mixed models were used. For studies 2 and 3, 124 adolescents wore an activPAL and
an ActiGraph (GT3X) accelerometer for 5 days. For Study 2, direct comparisons between the
activP AL and the ActiGraph estimates of sedentary time were made using Bland-Altman
plots. For Study 3, differences in activPAL-estimated sedentary time between younger and
older adolescence during-school, after-school and at weekends were assessed and the
association between objectively measured sedentary time and self-reported sedentary
activities were assessed. Parallel analyses were carried out using ActiGraph-estimated
sedentary time.
Results: The results of Study 1 showed that the proportion of time spent sedentary increased
between the ages o~ 12 and 15 years and that this increase occurred during-school, afterschool
and at weekends (+8.2%, (95% CI = 7.4 to 9.1), +7.0%, (95% CI = 5.9 to 817), +6.9%,
(95% CI = 5.1 to 8.6), respectively) and a concurrent decrease was shown in light intensity
physical activity (-7.6% (-8.3 to -7.0), -7.0% (95% CI=-7.7 to -6.3) -6.7 (-7.8 to -5.7) respectively)
and minimal changes in moderate to vigorous physical activity. There was no evidence that
the magnitude of these changes differed between time windows. Study 2 showed that
ActiGraph estimated sedentary time was 6.9 minutes an hour higher than the activPAL
estimated sedentary time and there was a large degree of variability in the agreement (95%
LoA=-2.3 to 16.2). Moreover, in Study 3 differential results were shown in the association
between objectively measured sedentary time and self-reported sedentary activities and in
the cross-sectional differences in sedentary time between younger and older adolescents
depending on which monitor was used to measure sedentary time. For example, the
activPAL found a difference of +11.4%,+11.6% and +3.0% in for during-school after-school
and weekends whereas the differences in ActiGraph estimated sedentary time was +6.2%,
+5.1 % and +4.7% respectively.
Conclusions: Interventions to attenuate the increase in sedentary time between the ages of
12 and 15 years are required during-school, afterschool and possibly at weekends.
Moreover, there are differences in the activPAL and ActiGraph estimates of sedentary time.
If a more precise estimate of sedentary time is required, it may be that the activPAL
compared to the ActiGraph may be the more appropriate measure to use.
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