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The most recent version of this article was published on 1 November 2007

Arch Dis Child. Published Online First: 13 September 2007. doi:10.1136/adc.2006.112136
Copyright © 2007 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.

Original articles

Objective measurement of levels and patterns of physical activity

Chris J Riddoch 1*, Calum Mattocks 2, Kevin Deere 2, Jo Saunders 2, Joanne Kirkby 2, Kate Tilling 2, Sam D Leary 2, Steve Blair 3 and Andrew Ness 2

1 University of Bath, United Kingdom
2 University of Bristol, United Kingdom
3 University of South Carolina, United States

* To whom correspondence should be addressed. E-mail: cjr27{at}bath.ac.uk.

Accepted 29 June 2007


Abstract

Objective: To measure the levels and patterns of physical activity, using accelerometers, of 11-year-old children participating in the Avon Longitudinal Study of Parents and Children (ALSPAC).

Design: Cross-sectional analysis.

Setting: ALSPAC is a birth cohort study located in the former county of Avon, in the south west of England. This study utilizes data collected when the children were 11 years old.

Participants: 5,595 children (2,662 boys, 2,933 girls). The children are the offspring of women recruited to a birth cohort study during 1991-92. The children are now 11.8 (11.6, 11.9) (median, 95%CI) years old.

Methods: Physical activity was measured over a maximum of seven consecutive days using the MTI Actigraph accelerometer. Main outcome measures: Level and pattern of physical activity.

Results: The median physical activity level was 580 counts/min. Boys were more active than girls [median (IQR) 644 (528, 772) counts/min v. 529 (444, 638) counts/min]. Only 2.6% (95%CI 2.2, 3.0) of children [boys 5.1% (95%CI 4.2, 5.6), girls 0.5% (95%CI 0.2, 0.7)] met current internationally recognized recommendations for physical activity. Children were most active in summer and least active in winter (difference = 108 counts/min). Both the mother’s and partner’s education level were inversely associated with activity level (p for trend <0.001 (both mother and partner). The association was lost for mother’s education (p for trend = 0.07) and attenuated for partner’s education (p for trend =0.02), after adjustment for age, gender, season, maternal age and social class.

Conclusions: A large majority of children are insufficiently active, according to current recommended levels for health.

Keywords: Accelerometers, Children, Epidemiology, Health, Physical activity


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