Underweight in 14 to 16 year-old girls and boys: prevalence and associations with physical activity and sedentary activities
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Chair of the Theory and Methodology of Physical Education, University School of Physical Education, Poznan, Poland
Ann Agric Environ Med. 2014;21(1):114–119
Introduction and objectives. Underweight is associated with increased mortality of adults when compared to normal weight or overweight individuals. Studies of associations between underweight and physical activity levels in adolescents are sparse. The aim of this study was to determine the prevalence of underweight amongst 14 to 16 year-old girls and boys in tandem with the levels of physical activity and time spent in sedentary activities. The results were compared to those observed in normal weight and overweight adolescents. Material and methods. This study included 1702 girls and 1547 boys aged from 14 to 16 years from twelve gymnasium schools in Poznan (Poland). Based on BMI values, the participants were assigned to the following categories: a) underweight, b) normal weight, and c) overweight. The levels of physical activity, participation rates in physical education classes and the time spent in sedentary activities were determined by means of questionnaire survey. Results. The fraction of underweight girls amounted to 11.6% and was similar to the percentage of obese girls (14.6%). The fraction of underweight boys was 7.0%, and was markedly lower than the percentage of overweight boys (17.0%). Underweight and overweight boys were characterized by significantly lower levels of physical activity compared to normal weight participants (p ≤.001). Both in girls and in boys, the prevalence of underweight and overweight was not significantly associated with the time spent in various sedentary activities. Conclusions. Underweight occurs in relatively high fraction of girls and boys. Underweight is associated with lower levels of physical activity in boys. The prevalence of underweight among adolescents is not associated with time spent in sedentary activities.
Flegal KM, Graubard BI, Williamson DF, Gail MH. Excess deaths associated with underweight, overweight, and obesity. JAMA. 2005; 293: 1861–7.
Pu C, Chou YJ. Health ratings for underweight, overweight and obese adolescents: disparities between adolescent’s own report and the parent’s report. Asia Pac J Clin Nutr. 2010; 19: 180–187.
Hardman K, Marshall JJ. World-wide survey of the state and status of school physical education, final report. University of Manchester, Manchester 2000.
Malina RM, Bouchard C, Bar-Or O. Growth, maturation and physical activity. Human Kinetics, Champaign 2004.
Fishman SM, Caulfield LE, de Onis M et al. Childhood and maternal underweight. In: Ezzati M, Lopez AD, Rodgers A, et al. (eds) Comparative quantification of health risks global and regional burden of diseases attributable to selected major risk factors. WHO, Geneva 2004. 39–161.
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.
Cole TJ, Flegal KM, Nicholls D, Jackson AA. Body mass index cut offs to define thinness in children and adolescents: international survey. BMJ. 2007; 335: 194.
Prochaska JJ, Sallis JF, Long B. A physical activity screening measure for use with adolescents in primary care. Arch Pediatr Adolesc Med. 2001; 155: 554–559.
Currie C, Samdal O, Boyce W, et al. Health behaviour in school-aged children: a World Health Organization cross-national study; research protocol for the 2001.02 survey. University of Edinburgh, Edinburgh 2001.
Vernon RG, Houseknecht KL. Adipose tissue: beyond an energy reserve. In: Cronje PB (ed). Ruminant physiology: digestion, metabolism, growth and reproduction. CABI Publishing, New York 2000: 171–186.
Saunders J, Smith T. Malnutrition: causes and consequences. Clin Med. 2010; 10: 624–647.
Latham MC. Human nutrition in the developing world. FAO Food and Nutrition Series 1997; 29.
Luder E, Alton I. The underweight adolescent. In: Stang J, Story M (eds). Guidelines for adolescent nutrition services. Center for Leadership, Education and Training in Maternal and Child Nutrition, Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, 2005: 93–100.
Oner N, Vatansever U, Sari A. Prevalence of underweight, overweight and obesity in Turkish adolescent. Swiss Med Wkly. 2004; 134: 529–533.
Mikolajczyk RT, Richter M. Associations of behavioural, psychosocial and socioeconomic factors with over- and underweight among German adolescents. Int J Public Health. 2008; 53: 214–220.
Antal M, Peter S, Biro L, Nagy K, Regoly-Merei A, Arato G, et al. Prevalence of underweight, overweight and obesity on the basis of body mass index and body fat percentage in Hungarian schoolchildren: representative survey in metropolitan elementary schools. Ann Nutr Metab. 2009; 54: 171–176.
Lazzeri G, Rossi S, Pammolli A, Pilato V, Pozzi T, Giacchi MV. Underweight and overweight among children and adolescents in Tuscany (Italy). Prevalence and short-term trends. J Prev Med Hyg. 2008; 49: 13–21.
Wang Y, Monteiro C, Popkin BM. Trends of obesity and underweight in older children and adolescents in the United States, Brazil, China, and Russia. Am J Clin Nutr. 2002; 75: 971–977.
Recommended policy actions in support of health-enhancing physical activity; fourth consolidated draft, approved by the EU Working Group “Sport & Health”. EU Physical Activity Guidelines, Brussels 2008. consolidated_draft_en.pdf. (access 20.06. 2011).
Levin S, Lowry R, Brown DR, Dietz WH. Physical activity and body mass index among US adolescents: youth risk behavior survey, 1999. Arch Pediatr Adolesc Med. 2003; 157: 816–820.
Elinder LS, Sundblom E, Rosendahl KI. Low physical activity is a predictor of thinness and low self-rated health: gender differences in a Swedish cohort. J Adolesc Health. 2011; 48: 481–486.
Kumar BN, Holmboe-Ottesen G, Lien N, Wandel M. Ethnic differences in body mass index and associated factors of adolescents from minorities in Oslo, Norway: a cross-sectional study. Public Health Nutr 2004; 7: 999–1008.
Oblacinska A, Jodkowska M. Obesity among Polish adolescents: epidemiology, lifestyle, well-being. Instytut Matki i Dziecka, Warszawa 2007.
De Bourdeaudhuij I, Lefevre J, Deforche B, Wijndaele K, Matton L, Philippaerts R. Physical activity and psychosocial correlates in normal weight and overweight 11 to 19 year olds. Obes Res. 2005; 13: 1097–1105.
Mota J, Santos P, Guerra S, et al. Differences of daily physical activity levels of children according to body mass index. Pediatr Exerc Sci. 2002; 14: 442–52.
Artero EG, Espana-Romero V, Ortega FB, Jimenez-Pavon D, Ruiz JR, Vicente-Rodriguez G, et al. Health-related fitness in adolescents: underweight, and not only overweight, as an influencing factor. The AVENA study. Scand J Med Sci Sports. 2010; 20: 418–427.
Castro-Pinero J, Gonzalez-Montesinos JL, Mora J, Keating XD, GirelaRejon MJ, Sjostrom M, et al. Percentile values for muscular strength field tests in children aged 6 to 17 years: influence of weight status. J Strength Cond Res. 2009; 23: 2295–2310.
American Academy of Pediatrics: Children, adolescents, and television. Pediatrics 2001; 107: 423–426.
Dennison BA, Erb TA, Jenkins PL. Television viewing and television in bedroom associated with overweight risk among low-income preschool children. Pediatrics 2002; 109: 1028–1035.
Carvalhal MM, Padez MC, Moreira PA, Rosado VM. Overweight and obesity related to activities in Portuguese children, 7–9 years. Eur J Public Health. 2007; 17: 42–46.