Associations of health-related behaviors,school type and health status to physical activity patterns in 16 year old boys and girls

Abstract

Sedentary behavior often begins in childhood and is associated with the development of risk factors for many chronic diseases in adulthood. Physical activity is considered important in the prevention of unfavorable changes in the risk factors. We investigated whether health-related behaviors, school type and health status are associated to physical activity among adolescents. A questionnaire was sent to all Finnish 16-year-old twins in 1991–93. A total of 3,254 twins responded. The response rate was 88%. Physical activity was classified into five categories (very active, active, moderately active, hardly active, inactive) based on self-reported frequency and intensity of physical activity. The analysis considered all subjects as individuals. Smoking was strongly associated with physical activity among girls and boys. Those who smoked regularly were less active. The type of school was also associated with physical activity. In general, those who attended comprehensive school or high school were physically more active, while those in vocational schools, particularly boys, were less active. Girls in lower physical activity groups reported more psychosomatic symptoms. Associations of self-reported health-related behaviors, school type and health status to physical activity seem to be the same among boys and girls. However, as the more active students are in comprehensive school or high school and the less active in vocational school, and physical inactivity is related to smoking and use of alcohol, health education should be tailored by school type.

Keywords

physical activity adolescence health-related behaviors school type health status

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References

Powell K , Thompson PD , Caspersen CJ , Kendrick JS. Physical activity and the incidence of coronary heart disease . Annu Rev Publ Health 1987; 8: 253–87.

Paffenbarger R , Wing AL , Hyde RT. Physical activity and incidence of hypertension in college alumni . Am J Epidemiol 1983; 117: 245–57.

Frisch R , Wyshak EG , Albright TE , Albright NL , Schiff I. Lower prevalence of diabetes in female former college athletes compared with nonathletes . Diabetes 1986; 35: 1101–5.

Siscovick D , LaPorte RE , Newman JM. Disease-specific benefits and risks of physical activity and exercise . Public Health Rep 1985; 100: 180–8.

Taylor, CB. , Sallis, JF. , Needle, R. The relation of physical activity and exercise to mental health . Public Health Rep 1985; 100: 195–202.

Slattery M , Scumacher MC , Smith KR , West DW , Abd-Elghany N. Physical activity, diet and risk of colon cancer in Utah . Am J Epidemiol 1988; 128: 989–99.

Williams C , Carter BJ , Wynder EL. Prevalence of selected cardiovascular and cancer risk factors in a pediatric population: The “Know Your Baby” project, New York . Prev Med 1981; 10: 235–50.

Berenson G , McMahon CA , Voors AW. Cardiovascular risk factors in children: The early natural history of atherosclerosis and essential hypertension. New York: Oxford University Press, 1980.

Sallis J , Simons-Morton BG , Stone EJ, et al. Determinants of physical activity and interventions in youth . Med Sci Sport Exer 1992; 24: 248–57.

10.

Raitakari O , Porkka KV , Taimela S , Telama R , Räsänen L , Viikari JS. Effects of persistent physical activity and inactivity on coronary risk factors in children and young adults. The Cardiovascular Risk in young Finns Study . Am J Epidemiol 1994; 140: 195–205.

11.

Kedler S , Perry C , Klepp K , Lytle L. Longitudinal tracking of adolescent smoking, physical activity, and food choice behaviors . Am J Public Health: 1994; 84: 1121–6.

12.

Winnail S , 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: 438–42.

13.

Andersen L , Schelin B. Physical activity and performance- in a random sample of adolescents attending school in Denmark . Scand J Med Sci Sports 1994; 4: 13–8.

14.

Telama R , Laakso L. Liikuntaharrastus (physical activity). In: Rimpelä M , Rimpelä A , Alhström S , Honkala E , Kannas L , Laakso L , Paronen O , Rajala M , Telama R , eds, Health habits among Finnish youth 1983; 49–69. Publication of the National board of health, Finland. Series original reports 4/1983. Helsinki.

15.

Baranowski T , Bouchard C , Bar-Or O , Bricker T, et al. Assessment, prevalence, and cardiovascular benefits of physical activity and fitness in youth . Med Sci Sport Exerc 1992; 24: 237–47.

16.

Waldron I. Sex differences in illness incidence, prognosis and mortality: issues and evidence . Soc Sci Med 1983; 1107: 17 .

17.

Koskenvuo M , Kaprio J , Lönnqvist J , Sarna S. Social factors and the gender difference in mortality . Soc Sci Med 1986; 23: 605–9.

18.

Aaron D , Kriska A , Dearwater S , Anderson R , LaPorte R. The epidemiology of leisure physical activity in an adolescent population . Med Sci Sport Exerc 1993; 25: 847–53.

19.

Vigorous Physical Activity Among High School Students- United States, 1990 . MMWR 1992; 41: 13–4.

20.

Sallis J , Haskell W , Fortmann S , Vranizan K , Taylor B , Solomon D. Predictors of Adaptation and Maintenance of Physical Activity in a Community Sample . Prev Med 1986; 15: 331–41.

21.

Gottlieb N , Chen MS. Sociocultural correlates of childhood sporting activities: their implications for heart health . Soc Sci Med 1985; 21: 533–9.

22.

Sallis J. Epidemiology of physical activity and fitness in children and adolescents . Crit Rev Food Sci 1993; 33: 403–8.

23.

Kaprio J , Koskenvuo M , Rose RJ. Population-based twin registries: illustrative applications in genetic epidemiology and behavioral genetics from the Finnish Twin Cohort Study . Acta genet Med Gemel (Roma) 1990; 39: 427–39.

24.

Siconolfi S. , Lasater TM , Snow RC , Carleton RA. Self-reported physical activity compared with maximal oxygen uptake . Am J Epidemiol 1985; 122: 101–5.

25.

Schechtman K , Barzilai B , Rost K , Fisher EB. Measuring Physical activity with a single question . Am J Public Health 1991; 81: 771–3.

26.

Roos E , Ovaskainen M-L , Pietinen P. Validity and comparision of three saturated fat indices . Scand J Nutr 1995; 39: 55–9.

27.

Rimpelä AH , Rimpelä MK. Towards an equal distribution of health?-Socioeconomic and regional differences of the secular trend of the age of menarche in Finland from 1979 to 1989 . Acta Paediatr 1993; 82: 87–90.

28.

SAS Institute Inc. , SAS/STAT User's Guide, Version 6, Fourth Edition, Volume 1, Gary, NC: SAS Institute Inc., 1989.

29.

Escobedo L , Marcus SE , Holtzman D , Giovino GA. Sports participation, age at smoking initiation, and the risk of smoking among US high school students . JAMA 1993; 269: 1391–5.

30.

Honkala E. Dental health habits of Finnish adolescents. Doctoral Thesis, Kuopio: University of Kuopio, Finland, 1984.

31.

Hallman M , Kannas L , Tynjälä J. Tupakka, tuoppi ja elämisen terveystyyli. Tutkimus 11–16 vuotiaiden tupakoinnista alkoholin käytöstä (in finnish). (A Finnish study about smoking habits and alcohol consumption among 11–16 year olds). University of Jyväskylä, Finland 1992.

32.

Klesges R , Coates TJ , Moldenhauer-Klesnes LM , Holtzer B , Gustavson J , Barnes J. The FATS: an observational system for assessing physical activity in children and associated parent behavior . Beh Assess 1984; 6: 333–45.

33.

Aromaa A , Heliövaara M , Impivaara O, et al. Health, functional limitations and need for care in Finland. Basic results from the Mini-Finland Health Survey. Helsinki and Turku: Publications of the Social Insurance Institution, Finland, AL: 32, 1989.

34.

Khaw K , Barret-Connor E. Sex differences, hormones, and coronary heart disease. In: Marmot M , Elliott P. eds. Coronary Heart Disease Epidemiology. Oxford University Press , 1992.

35.

Luoto R , Pekkanen J , Uutela A , Tuomilehto J. Cardiovascular risk and socioeconomic status: differences between men and women in Finland . J Epidemiol Commun Health 1994; 48: 348–54.

36.

Eaker E , Pinsky J , Castelli WP. Myocardial Infarction and Coronary Death Among Women -Psychosocial Predictors from a 20-Year Follow-Up of Women in the Framingham-Study . Am J Epidemiol 1992; 135:854–64.

37.

Garrison R , Gold RS , Wilson PW , Kannel WB. Educational attainment and coronary heart disease risk: the Framingham Offspring Study . Prev Med 1993; 22: 54–64.

38.

Hayncs S , Feinleib M , Kannel WB. The relationship of psychosocial factors to coronary heart disease in the Framingham Study. III. Eight-year incidence of coronary heart disease . Am J Epidemiol 1980; 111: 37–58.

39.

Doornbos G , Kromhout D. Educational level and mortality in a 32-year follow-up study of 18-year old men in the Netherlands . Int J Epidemiol 1990; 19: 374–9.