Certain dietary, physical activity, and sedentary behaviors have been studied extensively and consistently have been found to be associated with childhood overweight and obesity Productive sedentary-to-light activity pursuits may enhance the relationship among positive health behaviors. The purpose of this study was to identify the prevalence of overweight and obesity in a population of adolescents participating in a creative, problem-solving afterschool program and to identify the physical activity, sedentary, and dietary behaviors related to overweight and obesity in this group. This study describes health behaviors thought to be related to weight status for 1679 adolescents in grades 6 12 participating in a competitive, creative, team-oriented, problem-solving afterschool program. Self-reported dietary, physical activity, and sedentary behavior data were collected in this convenience sample based on the 2007 Youth Risk Behavior Survey. Measured height and weight data were collected to calculate BMI percentile. Using multinomial regression, models were constructed to predict the likelihood of being classified as overweight/obese. The prevalence of overweight in the study population was 15.6%, obese was 11.4%. Fruit/vegetable intake, milk consumption, moderate-to-vigorous physical activity, television time, and total screen time were all independently associated with weight status. After controlling for all covariates, male gender, minority racial/ethnic status, and high screen time while not meeting the physical activity recommendation significantly increased the likelihood of overweight/obesity. The participants in the current study are leaner and engage in healthier behaviors compared to national data for adolescents. The interactive variable combining both sedentary and PA measures is a relatively new technique used to provide a better understanding of the relationship between sedentary and physical activity behaviors as they relate to weight status. Even among healthy eating, physically active, low-risk adolescents, the interactive variable of physical activity and screen time strongly was associated with weight status.
J. P. Koplan, C. T. Liverman and V. I. Kraak, “Preventing Childhood Obesity: Health in the Balance: Executive Summary,” Journal of the American Dietetic Association, Vol. 105, No. 1, 2005, pp. 131-138.
C. L. Ogden, M. D. Carroll and K. M. Flegal, “High Body Mass Index for Age among US Children and Adolescents, 2003-2006,” Journal of the American Medical Association, Vol. 299, No. 20, 2008, pp. 2401-2405.
D. S. Freedman, W. H. Dietz, S. R. Srinivasan and G. S. Berenson, “The Relation of Overweight to Cardiovascular Risk Factors among Children and Adolescents: The Bogalusa Heart Study,” Pediatrics, Vol. 103, No. 6, 1999, pp. 1175-1182.
A. Must, P. F. Jacques, G. E. Dallal, C. J. Bajema and W. H. Dietz, “Long-Term Morbidity and Mortality of Overweight Adolescents. A Follow-Up of the Harvard Growth Study of 1922 to 1935,” The New England Journal of Medicine, Vol. 327, No. 19, 1992, pp. 1350-1355.
D. K. Eaton, L. Kann, S. Kinchen, S. Shanklin, J. Ross, J. Hawkins, W. A. Harris, R. Lowry, T. McManus, D. Chyen, C. Lim, N. D. Brener and H. Wechsler, “Youth Risk Behavior Surveillance—United States, 2007,” Morbidity and Mortality Weekly Report, Vol. 57, No. 12, 2008, pp. 1-27.
J. C. Eisenmann, G. J. Welk, M. Ihmels and J. Dollman, “Fatness, Fitness, and Cardiovascular Disease Risk Factors in Children and Adolescents,” Medicine & Science in Sports & Exercise, Vol. 39, No. 8, 2007, pp. 1251-1256.
I. Janssen, P. T. Katzmarzyk, W. F. Boyce, M. A. King and W. Pickett, “Overweight and Obesity in Canadian Adolescents and Their Associations with Dietary Habits and Physical Activity Patterns,” Journal of Adolescent Health, Vol. 35, No. 5, 2004, pp. 360-367.
M. C. Nelson and P. Gordon-Larsen, “Physical Activity and Sedentary Behavior Patterns Are Associated with Selected Adolescent Health Risk Behaviors,” Pediatrics, Vol. 117, No. 4, 2006, pp. 1281-1290.
G. K. Singh, M. D. Kogan, P. C. Van Dyck and M. Siahpush, “Racial/Ethnic, Socioeconomic, and Behavioral Determinants of Childhood and Adolescent Obesity in the United States: Analyzing Independent and Joint Associations,” Annals of Epidemiology, Vol. 18, No. 9, 2008, pp. 682-695. doi:10.1016/j.annepidem.2008.05.001
R. Lowry, S. M. Lee, M. L. McKenna, D. A. Galuska and L. K. Kann, “Weight Management and Fruit and Vegetable Intake among US High School Students,” Journal of School Health, Vol. 78, No. 8, 2008, pp. 417-424.
R. Novotny, Y. G. Daida, S. Acharya, J. S. Grove and T. M. Vogt, “Dairy Intake Is Associated with Lower Body Fat and Soda Intake with Greater Weight in Adolescent Girls,” Journal of Nutrition, Vol. 134, No. 8, 2004, pp. 1905-1909.
M. G. Roseman, W. K. Yeung and J. Nickelsen, “Examination of Weight Status and Dietary Behaviors of Middle School Students in Kentucky,” Journal of the American Dietetic Association, Vol. 107, No. 7, 2007, pp. 11391145. doi:10.1016/j.jada.2007.04.015
R. H. Striegel-Moore, D. Thompson, S. G. Affenito, D. L. Franko, E. Obarzanek, B. A. Barton, G. B. Schreiber, S. R. Daniels, M. Schmidt and P. B. Crawford, “Correlates of Beverage Intake in Adolescent Girls: the National Heart, Lung, and Blood Institute Growth and Health Study,” Journal of Pediatrics, Vol. 148, No. 2, 2006, pp. 183-187. doi:10.1016/j.jpeds.2005.11.025
W. L. Elkins, D. A. Cohen, L. M. Koralewicz and S. N. Taylor, “After School Activities, Overweight, and Obesity among Inner City Youth,” Journal of Adolescence, Vol. 27, No. 2, 2004, pp. 181-189.
K. A. Pfeiffer, M. Dowda, R. K. Dishman, K. L. McIver, J. R. Sirard, D. S. Ward and R. R. Pate, “Sport Participation and Physical Activity in Adolescent Females across a Four-Year Period,” Journal of Adolescent Health, Vol. 39, No. 4, 2006, pp. 523-529.
US Department of Health and Human Services Office of the Surgeon General, “The Surgeon General’s Call to Action to Prevent and Decrease Overweight and Obesity, Overweight in Children and Adolescents,” 2007.
N. Koezuka, M. Koo, K. R. Allison, E. M. Adlaf, J. J. Dwyer, G. Faulkner and J. Goodman, “The Relationship between Sedentary Activities and Physical Inactivity among Adolescents: Results from the Canadian Community Health Survey,” Journal of Adolescent Health, Vol. 39, No. 4, 2006, pp. 515-522.
D. E. Feldman, T. Barnett, I. Shrier, M. Rossignol and L. Abenhaim, “Is Physical Activity Differentially Associated with Different Types of Sedentary Pursuits?” Archives of Pediatrics & Adolescent Medicine, Vol. 157, No. 8, 2003, pp. 797-802. doi:10.1001/archpedi.157.8.797
K. W. Bauer, M. C. Nelson, K. N. Boutelle and D. Neumark-Sztainer, “Parental Influences on Adolescents’ Physical Activity and Sedentary Behavior: Longitudinal Findings from Project EAT-II,” International Journal of Behavioral Nutrition and Physical Activity, Vol. 5, No. 12, 2008.
K. K. Davison, T. M. Cutting and L. L. Birch, “Parents’ Activity-Related Parenting Practices Predict Girls’ Physical Activity,” Medicine & Science in Sports & Exercise, Vol. 35, No. 9, 2003, pp. 1589-1595.
J. P. Rey-Lopez, G. Vicente-Rodriguez, M. Biosca and L. A. Moreno, “Sedentary Behaviour and Obesity Development in Children and Adolescents,” Nutrition, Metabolism & Cardiovascular Diseases, Vol. 18, No.3, 2008, pp. 242-251. doi:10.1016/j.numecd.2007.07.008
J. Van den Bulck and A. Hofman, “The Television-toExercise Ratio Is a Predictor of Overweight in Adolescents: Results from a Prospective Cohort Study with a Two Year Follow-Up,” Preventive Medicine, Vol. 48, No. 4, 2009, pp. 368-371. doi:10.1016/j.ypmed.2009.02.006