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International Journal of Behavioral Medicine

Erschienen in:

01.12.2010

Leisure Time Physical Activity and Sedentary Behavior and Substance Use Among In-School Adolescents in Eight African Countries

verfasst von: Karl Peltzer

Erschienen in: International Journal of Behavioral Medicine | Ausgabe 4/2010

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Abstract

Background

Physical inactivity leads to higher morbidity and mortality from chronic non-communicable diseases. In high income countries, studies have measured school population level physical activity and substance use, but comparable data are lacking from most African countries.

Purpose

To study the relationship between self-reported leisure time physical activity frequency and sedentary behavior and alcohol, tobacco, and other drug use behaviors among school children.

Method

A cross-sectional survey was conducted with the total sample of 24,593 school children aged 13 to 15 years from nationally representative samples from eight African countries. Univariate and multivariate analyses were conducted to assess the relationship between physical activity frequency, six measures of alcohol, tobacco, and other drug use, socioeconomic status, and mental health variables.

Results

In all, only 14.2% of the school children were frequently physically active (5 days and more in a week, at least 60 min/day) during leisure time; this was significantly higher among boys than girls. Ugandan and Kenyan school children were most physically active (17.7% and 16.0%, respectively), and Zambian and Senegalese the least (9.0% and 10.9%, respectively). Frequency of alcohol consumption and higher socioeconomic status were significantly associated with leisure time physical activity, while tobacco, illicit drug use, and mental health variables were not. Leisure time sedentary behavior of five and more hours spent sitting on a usual day were highly associated with all substance use variables.

Conclusion

These findings suggest that leisure time physical activity frequency is associated with frequency of alcohol use and not with tobacco and illicit drug use, and leisure time sedentary behavior is highly associated with alcohol, tobacco, and drug use among adolescents.

Warburton DE, Nicol CW, Bredin SS. Health benefits of physical activity: the evidence. CMAJ. 2006;174(6):801–9.PubMed

Vindfeld S, Schnohr C, Niclasen B. Trends in physical activity in Greenlandic schoolchildren, 1994–2006. Int J Circumpolar Health. 2009;68(1):42–52.PubMed

Kristjansson AL, Sigfusdottir ID, Allegrante JP, Helgason AR. Social correlates of cigarette smoking among Icelandic adolescents: a population-based cross-sectional study. BMC Public Health. 2008;8:86.CrossRefPubMed

Tur JA, Puig MS, Pons A, Benito E. Alcohol consumption among school adolescents in Palma de Mallorca. Alcohol Alcohol. 2003;38:243–9.PubMed

Pate RR, Heath GW, Dowda M, Trost SG. Associations between physical activity and other health behaviors in a representative sample of US adolescents. Am J Public Health. 1996;86(11):1577–81.CrossRefPubMed

Aaron DJ, Dearwater SR, Anderson R, Olsen T, Kriska AM, Laporte RE. Physical activity and the initiation of high-risk health behaviors in adolescents. Med Sci Sports Exerc. 1995;27(12):1639–45.PubMed

Winnail SD, Valois RF, McKeown RE, Saunders RP, Pate RR. Relationship between physical activity level and cigarette, smokeless tobacco, and marijuana use among public high school adolescents. J Sch Health. 1995;65(10):438–42.CrossRefPubMed

Moore MJ, Werch CE. Sport and physical activity participation and substance use among adolescents. J Adolesc Health. 2005;36(6):486–93.CrossRefPubMed

Moore MJ, Chudley E, Werch CE. Relationship between vigorous exercise frequency and substance use among first-year drinking college students. J Am Coll Health. 2008;56(6):686–90.CrossRefPubMed

10.

Korhonen T, Kujala UM, Rose RJ, Kaprio J. Physical activity in adolescence as a predictor of alcohol and illicit drug use in early adulthood: a longitudinal population-based twin study. Twin Res Hum Genet. 2009;12(3):261–8.CrossRefPubMed

11.

Kujala UM, Kaprio J, Rose RJ. Physical activity in adolescence and smoking in young adulthood: a prospective twin cohort study. Addiction. 2007;102(7):1151–7.CrossRefPubMed

12.

Ströhle A, Höfler M, Pfister H, Müller AG, Hoyer J, Wittchen HU, et al. Physical activity and prevalence and incidence of mental disorders in adolescents and young adults. Psychol Med. 2007;37(11):1657–66.PubMed

13.

CDC. The Global School and Health Survey background. http://www.cdc.gov/gshs/background/index.htm. Accessed 15 April 2009.

14.

Amosun SL, Reddy PS, Kambaran N, Omardien R. Are students in public high schools in South Africa physically active? Outcome of the 1st South African National Youth Risk Behaviour Survey. Can J Public Health. 2007;98(4):254–8.PubMed

15.

WHO Regional Office for Europe. Young people's health in context. Health Behaviour in School-aged Children (HBSC) study: international report from the 2001/2002 survey, Copenhagen, Denmark. http://www.hbsc.org/publications/reports.html (2004). Accessed 3 November 2007.

16.

Roberts C, Tynjälä J, Komkov A. Physical activity. WHO Regional Office for Europe; 2004. p. 90–7.

17.

Gidlow CJ, Cochrane T, Davey R, Smith H. In-school and out-of-school physical activity in primary and secondary school children. J Sports Sci. 2008;26(13):1411–9.CrossRefPubMed

18.

Gouthon P, Falola JM, Aremou M, Dagba J, Tossou J, Legba J, et al. Comparison of physical activity among Beninese adolescents attending schools in rural, suburban and urban areas: physical education and health. AJPHERD. 2007;13(2):196–208.

19.

Larsen HB, Christensen DL, Nolan T, Søndergaard H. Body dimensions, exercise capacity and physical activity level of adolescent Nandi boys in western Kenya. Ann Hum Biol. 2004;31(2):159–73.CrossRefPubMed

20.

Garnier D, Ndiaye G, Bénéfice E. Influence of urban migration on physical activity, nutritional status and growth of Senegalese adolescents of rural origin. Bull Soc Pathol Exot. 2003;96(3):223–7.PubMed

21.

United Nations Population Fund (UNFPA). State of world population 2007. New York: UNFPA; 2007.

22.

Gidlow C, Johnston LH, Crone D, Ellis N, James D. A systematic review of the relationship between socio-economic position and physical activity. Health Educ J. 2006;65:338–67.CrossRef

23.

Chinn DJ, White M, Harland J, Drinkwater C, Raybould S. Barriers to physical activity and socioeconomic position: implications for health promotion. J Epidemiol Community Health. 1999;53:191–2.CrossRefPubMed

24.

Reddy SP, Panday S, Swart D, Jinabhai CC, Amosun SL, James S, et al. Umthenthe Uhlaba Usamila—the South African youth risk behaviour survey 2002. Cape Town: South African Medical Research Council; 2003.

25.

Todd J, Currie D. Sedentary behaviour. WHO Regional Office for Europe; 2004. p. 98–109.

26.

Katzmarzyk PT, Church TS, Craig CL, Bouchard C. Sitting time and mortality from all causes, cardiovascular disease, and cancer. Med Sci Sports Exerc. 2009;41(5):998–1005.CrossRefPubMed

27.

Jago R, Anderson CB, Baranowski T, Watson K. Adolescent patterns of physical activity differences by gender, day, and time of day. Am J Prev Med. 2005;28(5):447–52.CrossRefPubMed

28.

Sallis JF, Prochaska JJ, Taylor WC. A review of correlates of physical activity of children and adolescents. Med Sci Sports Exerc. 2000;32(5):963–75.CrossRefPubMed

29.

Van Der Horst K, Paw MJ, Twisk JW, Van Mechelen W. A brief review on correlates of physical activity and sedentariness in youth. Med Sci Sports Exerc. 2007;39(8):1241–50.CrossRef

30.

Dugan SA. Exercise for preventing childhood obesity. Phys Med Rehabil Clin N Am. 2008;19(2):205–16.PubMed

31.

Kosti RI, Panagiotakos DB. The epidemic of obesity in children and adolescents in the world. Cent Eur J Public Health. 2006;14(4):151–9.PubMed

32.

Janssen I, Katzmarzyk PT, Boyce WF, Vereecken C, Mulvihill C, Roberts C, et al. Comparison of overweight and obesity prevalence in school-aged youth from 34 countries and their relationships with physical activity and dietary patterns. Obes Rev. 2005;6(2):123–32.CrossRefPubMed

33.

Bauman A, Finegood DT, Matsudo V. International perspectives on the physical inactivity crisis—structural solutions over evidence generation? Prev Med. 2009;49:309–12.CrossRefPubMed

34.

Shiely F, MacDonncha C. Meeting the international adolescent physical activity guidelines: a comparison of objectively measured and self-reported physical activity levels. Ir Med J. 2009;102(1):15–9.PubMed

35.

Rothman KJ, Greenland S. Causation and causal inference in epidemiology. Am J Public Health. 2005;95 Suppl 1:S144–50.CrossRefPubMed

Titel: Leisure Time Physical Activity and Sedentary Behavior and Substance Use Among In-School Adolescents in Eight African Countries
verfasst von: Karl Peltzer
Publikationsdatum: 01.12.2010
Verlag: Springer US
Erschienen in: International Journal of Behavioral Medicine / Ausgabe 4/2010
Print ISSN: 1070-5503
Elektronische ISSN: 1532-7558
DOI: https://doi.org/10.1007/s12529-009-9073-1

Springer Medizin

Abstract

Background

Purpose

Method

Results

Conclusion

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