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Tracking Physical Activity and Sedentary Behavior in Childhood

A Systematic Review

      Context

      To date, no reviews have investigated the evidence of tracking of physical activity and sedentary behavior specifically during early childhood (aged 0–5.9 years) or from early childhood to middle childhood (aged 6–12 years). It is important to review the evidence of tracking of these behaviors to determine their stability during the foundational early years of life.

      Evidence acquisition

      A literature search of studies was conducted in seven electronic databases (January 1980 to April 2012). Studies were compared on methodologic quality and evidence of tracking of physical activity or sedentary behavior. Tracking was defined as the stability (or relative ranking within a cohort) of behaviors, such as physical activity and sedentary behavior, over time.

      Evidence synthesis

      Eleven studies met the inclusion criteria. All studies reporting physical activity outcomes had high methodologic quality; 71% of studies reporting sedentary behavior outcomes had high methodologic quality. Of the tracking coefficients for physical activity, 4% were large, 60% were moderate, and 36% were small. Of the tracking coefficients for sedentary behavior, 33% were large, 50% were moderate, and 17% were small. Overall, there was evidence of moderate tracking of physical activity during early childhood, and from early childhood to middle childhood, and of moderate-to-large tracking of sedentary behavior during early childhood and from early childhood to middle childhood.

      Conclusions

      This review highlights the importance of establishing recommended levels of physical activity and sedentary behavior during the early years of life. Based on this review, the following recommendations are made: (1) early childhood should be targeted as a critical time to promote healthy lifestyle behaviors through methodologically sound prevention studies; and (2) future tracking studies should assess a broad range of sedentary behaviors using objective measures.
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      References

        • Timmons B.W.
        • LeBlanc A.G.
        • Carson V.
        • et al.
        Systematic review of physical activity and health in the early years (aged 0-4 years).
        Appl Physiol Nutr Metab. 2012; 37: 773-792
        • LeBlanc A.G.
        • Spence J.C.
        • Carson V.
        • et al.
        Systematic review of sedentary behavior and health indicators in the early years (aged 0-4 years).
        Appl Physiol Nutr Metab. 2012; 37: 753-772
      1. Department of Health and Aging, Australia. Get Up and Grow: healthy eating and physical activity for early childhood. Commonwealth of Australia, 2009. www.health.gov.au/internet/main/publishing.nsf/Content/EDFEDB588460BCE3CA25762B00232A13/$File/gug-directorscoord-2.pdf.

        • Beets M.
        • Bornstein D.
        • Dowda M.
        • Pate R.
        Compliance with national guidelines for physical activity in U.S. preschoolers: measurement and interpretation.
        Pediatrics. 2011; 127: 658-664
      2. Department of Health, Physical Activity, Health Improvement and Protection (2011). Start Active, Stay Active: a report on physical activity from the four home countries' Chief Medical Officers. London: Department of Health, Physical Activity, Health Improvement and Protection: 1-62.

        • Hinkley T.
        • Salmon J.
        • Okely A.D.
        • Crawford D.A.
        • Hesketh K.D.
        Preschoolers' physical activity, screen time and compliance with recommendations.
        Med Sci Sports Exerc. 2012; 44: 458-465
        • Kelly L.
        • Reilly J.
        • Jackson D.
        • Montgomery C.
        • Grant S.
        • Paton J.
        Tracking physical activity and sedentary behavior in young children.
        Pediatr Exerc Sci. 2007; 19: 51-60
        • Janz K.
        • Burns T.
        • Levy S.
        Tracking of activity and sedentary behaviors in childhood. The Iowa Bone Development Study.
        Am J Prev Med. 2005; 29: 171-178
        • Sallis J.
        • Berry C.
        • Broyles S.
        • McKenzie T.
        • Nader P.
        Variability and tracking of physical activity over 2 yr in young children.
        Med Sci Sport Exerc. 1995; 27: 1042-1049
        • Telama R.
        Tracking of physical activity from childhood to adulthood: a review.
        Obes Facts. 2009; 2: 187-195
        • Biddle S.
        • Pearson N.
        • Ross G.
        • Braithwaite R.
        Tracking of sedentary behaviors of young people: a systematic review.
        Prev Med. 2010; 51: 345-351
      3. Zimmerman F, Christakis D. Children's television viewing and cognitive outcomes. Arch Pediatr Adoles Med 2005:159:619–25

        • Singh A.
        • Mulder C.
        • Twisk J.
        • van Mechelen W.
        • Chinapaw M.
        Tracking of childhood overweight into adulthood: a systematic review of the literature.
        Obes Rev. 2008; 9: 474-488
        • Tooth L.
        • Ware R.
        • Bain C.
        • Purdle D.M.
        • Dobson A.
        Quality of reporting of observational longitudinal research.
        Am J Epidemiol. 2005; 161: 280-288
        • Pate R.
        • Baranowski T.
        • Dowda M.
        • Trost S.
        Tracking of physical activity in young children.
        Med Sci Sport Excerc. 1996; 28: 92-96
        • Metcalf B.
        • Voss L.
        • Hosking A.
        • Wilkin T.
        Physical activity at the government-recommended level and obesity-related health outcomes: a longitudinal study (Early Bird 37).
        Arch Dis Child. 2008; 93: 772-777
        • Huston A.
        • Wright J.
        • Rice M.
        • Kerkman D.
        • Peters M.
        Development of television viewing patterns in early childhood: a longitudinal investigation.
        Dev Physchol. 1990; 26: 409-420
        • Francis S.
        • Stance M.
        • Sernulka-George F.
        • Broffitt B.
        • Levy S.
        • Janz K.
        Tracking of TV and video gaming during childhood: Iowa Bone Development Study.
        Int J Behav Nutr Phys Act. 2011; 8: 100
        • Jackson D.
        • Reilly J.
        • Kelly L.
        • Montgomery C.
        • Grant S.
        • Paton J.
        Objectively measured physical activity in a representative sample of 3- to 4-year-old children.
        Obes Res. 2003; 11: 420-425
        • Cheng S.
        • Maeda T.
        • Yoichi S.
        • Yamagata Z.
        • Tomiwa K.
        Early television exposure and children’s behavioral and social outcomes at age 30 months.
        J Epidemiol. 2010; 20: S482-S489
        • Taylor R.
        • Murdoch L.
        • Carter P.
        • Gerrarg D.
        • Williams S.
        • Taylor B.
        Longitudinal study of physical activity and inactivity in preschoolers: the FLAME study.
        Med Sci Sports Exerc. 2009; 41: 96-102
        • McKenzie T.L.
        • Sallis J.F.
        • Nader P.R.
        • et al.
        BEACHERS: an observational system for assessing children’s eating and physical activity behaviors and associated events.
        J Appl Behav Anal. 1991; 24: 141-151
        • Campbell K.
        • Hesketh K.
        • Silverii A.
        • Abbott G.
        Maternal self-efficacy regarding children's eating and sedentary behaviors in the early years: associations with children's food intake and sedentary behaviors.
        Int J Peadiatr Obes. 2010; 5: 501-508
        • Shea S.
        • Basch C.E.
        • Gutin B.
        • Stein A.D.
        • Contento I.R.
        • Irigoyen M.
        • Zybert P.
        The rate of increase in blood pressure in children 5 years of age is related to changes in aerobic fitness and body mass index.
        Pediatrics. 1994; 94: 465-470
        • Hancox R.J.
        • Milne B.J.
        • Poulton R.
        Association between child and adolescent television viewing and adult health: a longitudinal birth cohort study.
        Lancet. 2004; 364: 257-262
        • Proctor M.H.
        • Moore L.L.
        • Gao D.
        • et al.
        Television viewing and change in body fat from preschool to early adolescence: the Framingham Children's Study.
        Int J Obes Relat Meab Disord. 2003; 27: 827-833