TY - JOUR
T1 - Physical Activity and Adiposity in a Racially Diverse Cohort of US Infants
AU - Benjamin-Neelon, Sara E.
AU - Bai, Jiawei
AU - Østbye, Truls
AU - Neelon, Brian
AU - Pate, Russell R.
AU - Crainiceanu, Ciprian
N1 - Publisher Copyright:
© 2020 The Authors. Obesity published by Wiley Periodicals, Inc. on behalf of The Obesity Society (TOS).
PY - 2020/3/1
Y1 - 2020/3/1
N2 - Objective: Early life physical activity may help prevent obesity, but objective quantification in infants is challenging. Methods: A total of 506 infants were examined from 2013 to 2016. Infants wore accelerometers for 4 days at ages 3, 6, 9, and 12 months. Daily log-transformed physical activity counts were computed, averaged, and standardized across assessments. A linear mixed model was used to examine trends in standardized physical activity counts as well as associations between physical activity and BMI z score, sum of subscapular and triceps skinfold thickness for overall adiposity (SS+TR), and their ratio for central adiposity (SS:TR). Results: Among infants, 66% were black and 50% were female. For each additional visit, standardized physical activity counts increased by 0.23 (CI: 0.18 to 0.27; P < 0.0001). This translates to 126.3 unadjusted physical activity counts or a 4% increase for each visit beyond 3 months. In addition, a 1-SD increase in standardized physical activity counts (550 unadjusted physical activity counts) was associated with a 0.01-mm lower SS:TR (95% CI: −0.02 to −0.001; P = 0.03). However, standardized physical activity counts were not associated with BMI z score or SS+TR. Conclusions: Physical activity increased over infancy and was associated with central adiposity. Despite limitations, researchers should consider objective measurement in infants.
AB - Objective: Early life physical activity may help prevent obesity, but objective quantification in infants is challenging. Methods: A total of 506 infants were examined from 2013 to 2016. Infants wore accelerometers for 4 days at ages 3, 6, 9, and 12 months. Daily log-transformed physical activity counts were computed, averaged, and standardized across assessments. A linear mixed model was used to examine trends in standardized physical activity counts as well as associations between physical activity and BMI z score, sum of subscapular and triceps skinfold thickness for overall adiposity (SS+TR), and their ratio for central adiposity (SS:TR). Results: Among infants, 66% were black and 50% were female. For each additional visit, standardized physical activity counts increased by 0.23 (CI: 0.18 to 0.27; P < 0.0001). This translates to 126.3 unadjusted physical activity counts or a 4% increase for each visit beyond 3 months. In addition, a 1-SD increase in standardized physical activity counts (550 unadjusted physical activity counts) was associated with a 0.01-mm lower SS:TR (95% CI: −0.02 to −0.001; P = 0.03). However, standardized physical activity counts were not associated with BMI z score or SS+TR. Conclusions: Physical activity increased over infancy and was associated with central adiposity. Despite limitations, researchers should consider objective measurement in infants.
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U2 - 10.1002/oby.22738
DO - 10.1002/oby.22738
M3 - Article
C2 - 31944621
AN - SCOPUS:85078069816
SN - 1930-7381
VL - 28
SP - 631
EP - 637
JO - Obesity
JF - Obesity
IS - 3
ER -