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Original Articles
Association of Sedentary Lifestyle With Skeletal Muscle Strength and Mass in US Adolescents: Results From the National Health and Nutrition Examination Survey (2011-2014)
Kun-Hee Oh, Jin-Young Min, Kang Seo, Kyoung-Bok Min
J Prev Med Public Health. 2025;58(3):278-288.   Published online January 30, 2025
DOI: https://doi.org/10.3961/jpmph.24.614
  • 1,208 View
  • 166 Download
  • 1 Web of Science
  • 1 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
Objectives
Excessive sedentary behavior in youth is a major global issue, contributing to the rise in childhood obesity and metabolic diseases. International public health authorities have issued guidelines recommending that children and adolescents limit their daily sedentary time, including screen time. However, to date, no studies have explored the relationship between sedentary behavior as an exposure factor and skeletal muscle strength and mass as outcomes in this population. The present study investigated the association of sedentary behavior with handgrip strength (HGS) and appendicular lean mass (ALM) among United States adolescents.
Methods
A total of 1449 adolescent participants from the National Health and Nutrition Examination Survey (2011-2014) were included. Information on sedentary behavior, specifically daily sedentary time, was obtained through a self-reported questionnaire. Muscular parameters, including HGS and ALM, were measured. To adjust for differences in body size, these parameters were divided by body mass index (BMI) and weight. Linear regression analyses were performed to evaluate the associations between daily sedentary time and each muscular parameter, adjusting for age, sex, ethnicity, annual family income, and moderate-to-vigorous physical activity (MVPA).
Results
The linear regression analyses revealed negative associations between daily sedentary time and all muscular parameters, apart from absolute ALM. These included HGS (β, -0.265; standard error [SE], 0.074; p=0.001), HGS/BMI (β, -0.021; SE, 0.004; p<0.001), HGS/weight (β, -0.008; SE, 0.002; p<0.001), ALM/BMI (β, -0.008; SE, 0.003; p=0.010), and ALM/weight (β, -0.003; SE, 0.001; p=0.005).
Conclusions
After adjusting for MVPA, daily sedentary time was inversely associated with HGS, HGS/BMI, HGS/weight, ALM/BMI, and ALM/weight in United States adolescents.
Summary
Korean summary
소아청소년기의 과도한 좌식 습관은 소아 비만 등의 건강문제를 초래하여 전세계적인 공중보건학적 이슈가 되었고, 이에 따라 다수의 공중보건 관련 가이드라인에서 소아청소년의 일일 좌식 시간을 제한할 것을 권고하고 있다. 미국 국민건강영양조사(NHANES) 자료를 이용하여 15-19세 청소년을 대상으로 일일 좌식 시간과 각 근육 관련 변수(악력, 상대적 악력, 사지골격근량, 상대적 사지골격근량)의 상관관계를 선형 회귀분석을 통해 분석하였으며, 나이, 성별, 인종, 연간 가구 소득, 중-고강도 신체활동을 공변량으로 보정하였다. 미국 청소년에서 중-고강도 신체활동을 보정한 뒤에도, 일일 좌식 시간과 악력, 악력/BMI, 악력/체중, 사지골격근량/BMI, 사지골격근량/체중은 각각 음의 상관관계를 나타내었다.
Key Message
Since excessive sedentary behavior in youth is a global issue, contributing to the childhood obesity, international public health authorities issued guidelines recommending that adolescents limit their daily sedentary time. For eligible study population of U.S. adolescents aged 15-19 year-old of NHANES, linear regression analyses were performed to evaluate the associations between daily sedentary time and each muscular parameter (HGS, relative HGS, ALM, and relative ALM), adjusting for age, sex, ethnicity, annual family income, and moderate-to-vigorous physical activity (MVPA). After adjusting for MVPA, daily sedentary time was inversely associated with HGS, HGS/BMI, HGS/weight, ALM/BMI, and ALM/weight in U.S. adolescents.

Citations

Citations to this article as recorded by  
  • Teenagers with Obesity at the Gym: Recommendations for Physical Activity, Diet, and Supplementation—A Narrative Review
    Agnieszka Kozioł-Kozakowska, Małgorzata Wójcik, Paulina Mazur-Kurach, Dorota Drożdż, Anna Brzęk
    Nutrients.2025; 17(11): 1798.     CrossRef
Increased Prevalence of Chronic Disease in Back Pain Patients Living in Car-dependent Neighbourhoods in Canada: A Cross-sectional Analysis
Amy Zeglinski-Spinney, Denise C. Wai, Philippe Phan, Eve C. Tsai, Alexandra Stratton, Stephen P. Kingwell, Darren M. Roffey, Eugene K. Wai
J Prev Med Public Health. 2018;51(5):227-233.   Published online August 10, 2018
DOI: https://doi.org/10.3961/jpmph.18.038
  • 6,807 View
  • 124 Download
  • 2 Crossref
AbstractAbstract PDF
Objectives
Chronic diseases, including back pain, result in significant patient morbidity and societal burden. Overall improvement in physical fitness is recommended for prevention and treatment. Walking is a convenient modality for achieving initial gains. Our objective was to determine whether neighbourhood walkability, acting as a surrogate measure of physical fitness, was associated with the presence of chronic disease.
Methods
We conducted a cross-sectional study of prospectively collected data from a prior randomized cohort study of 227 patients referred for tertiary assessment of chronic back pain in Ottawa, ON, Canada. The Charlson Comorbidity Index (CCI) was calculated from patient-completed questionnaires and medical record review. Using patients’ postal codes, neighbourhood walkability was determined using the Walk Score, which awards points based on the distance to the closest amenities, yielding a score from 0 to 100 (0- 50: car-dependent; 50-100: walkable).
Results
Based on the Walk Score, 134 patients lived in car-dependent neighborhoods and 93 lived in walkable neighborhoods. A multivariate logistic regression model, adjusted for age, gender, rural postal code, body mass index, smoking, median household income, percent employment, pain, and disability, demonstrated an adjusted odds ratio of 2.75 (95% confidence interval, 1.16 to 6.53) times higher prevalence for having a chronic disease for patients living in a car-dependent neighborhood. There was also a significant dose-related association (p=0.01; Mantel-Haenszel chi-square=6.4) between living in car-dependent neighbourhoods and more severe CCI scores.
Conclusions
Our findings suggest that advocating for improved neighbourhood planning to permit greater walkability may help offset the burden of chronic disease.
Summary

Citations

Citations to this article as recorded by  
  • Contributions and Limitations Walk Score® in the Context of Walkability: A Scoping Review
    Jennifer Ann Brown, Kimberley D. Curtin, Mathew Thomson, Janice Y. Kung, Candace I. J. Nykiforuk
    Environment and Behavior.2023; 55(6-7): 468.     CrossRef
  • Do Walking-Friendly Built Environments Influence Frailty and Long-Term Care Insurance Service Needs?
    Seigo Mitsutake, Tatsuro Ishizaki, Yuri Yokoyama, Mariko Nishi, Mohammad Javad Koohsari, Koichiro Oka, Shohei Yano, Takumi Abe, Akihiko Kitamura
    Sustainability.2021; 13(10): 5632.     CrossRef
Special Article
Commitment to Sport and Exercise: Re-examining the Literature for a Practical and Parsimonious Model
Lavon Williams
J Prev Med Public Health. 2013;46(Suppl 1):S35-S42.   Published online January 30, 2013
DOI: https://doi.org/10.3961/jpmph.2013.46.S.S35
  • 11,066 View
  • 94 Download
  • 19 Crossref
AbstractAbstract PDF

A commitment to physical activity is necessary for personal health, and is a primary goal of physical activity practitioners. Effective practitioners rely on theory and research as a guide to best practices. Thus, sound theory, which is both practical and parsimonious, is a key to effective practice. The purpose of this paper is to review the literature in search of such a theory - one that applies to and explains commitment to physical activity in the form of sport and exercise for youths and adults. The Sport Commitment Model has been commonly used to study commitment to sport and has more recently been applied to the exercise context. In this paper, research using the Sport Commitment Model is reviewed relative to its utility in both the sport and exercise contexts. Through this process, the relevance of the Investment Model for study of physical activity commitment emerged, and a more parsimonious framework for studying of commitment to physical activity is suggested. Lastly, links between the models of commitment and individuals' participation motives in physical activity are suggested and practical implications forwarded.

Summary

Citations

Citations to this article as recorded by  
  • Predicting sport and physical activity commitment and participation during early parenthood
    Ryan E. Rhodes, Mark R. Beauchamp, Valerie Carson, Sandy Courtnall, Colin M. Wierts, Chris M. Blanchard
    Journal of Sports Sciences.2025; : 1.     CrossRef
  • “Having our say”: a micro-level perspective in understanding sports clubs’ membership and active participation
    Foula Z. Kopanidis
    Journal of Social Marketing.2023; 13(4): 473.     CrossRef
  • The Value-Added Contribution of Exercise Commitment to College Students’ Exercise Behavior: Application of Extended Model of Theory of Planned Behavior
    Wen-Juan Zhang, Menglin Xu, Yu-Juan Feng, Zhi-Xiong Mao, Zeng-Yin Yan, Teng-Fei Fan
    Frontiers in Psychology.2022;[Epub]     CrossRef
  • Effect of Teaching Methods on Motor Efficiency, Perceptions and Awareness in Children
    Gaetano Raiola, Tiziana D’Isanto, Felice Di Domenico, Francesca D’Elia
    International Journal of Environmental Research and Public Health.2022; 19(16): 10287.     CrossRef
  • A Socially Assistive Mobile Platform for Weight-Support in Gait Training
    Bruno Leme, Masakazu Hirokawa, Hideki Kadone, Kenji Suzuki
    International Journal of Social Robotics.2021; 13(3): 459.     CrossRef
  • Physical Sports Activities and Exercise Addiction during Lockdown in the Spanish Population
    Rosendo Berengüí, José María López-Gullón, Salvador Angosto
    International Journal of Environmental Research and Public Health.2021; 18(6): 3119.     CrossRef
  • Effects of Commitment on Fear of Failure and Burnout in Teen Spanish Handball Players
    Juan González-Hernández, Carlos Marques da Silva, Diogo Monteiro, Marianna Alesi, Manuel Gómez-López
    Frontiers in Psychology.2021;[Epub]     CrossRef
  • Youth Female Ice Hockey Players’ Enjoyment and Commitment to Sport
    Kari Roethlisberger, Vista Beasley, Jeffrey Martin, Brigid Byrd, Krista Munroe-Chandler, Irene Muir
    Women in Sport and Physical Activity Journal.2020; 28(1): 3.     CrossRef
  • Examining the Relationships Among Cognitive Acceptance, Behavioral Commitment, Autonomous Extrinsic Motivation, and Physical Activity
    Matthew Jenkins, Elaine A. Hargreaves, Ken Hodge
    Journal of Sport and Exercise Psychology.2020; 42(3): 177.     CrossRef
  • Longitudinal Trends in Sport Participation and Retention of Women and Girls
    Rochelle Eime, Jack Harvey, Melanie Charity, Hans Westerbeek
    Frontiers in Sports and Active Living.2020;[Epub]     CrossRef
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    Karla Palmer, Lorraine B. Robbins, Jiying Ling, Tsui-Sui Annie Kao, Vicki R. Voskuil, Alan L. Smith
    Journal of Pediatric Nursing.2020; 54: e36.     CrossRef
  • Motives and Commitment to Sport in Amateurs during Confinement: A Segmentation Study
    Salvador Angosto, Rosendo Berengüí, José Miguel Vegara-Ferri, José María López-Gullón
    International Journal of Environmental Research and Public Health.2020; 17(20): 7398.     CrossRef
  • Psychological Connection to Pickleball: Assessing Motives and Participation in Older Adults
    Jonathan M. Casper, Jung-Hwan Jeon
    Journal of Aging and Physical Activity.2019; 27(1): 28.     CrossRef
  • An exploration of commitment in nature-based recreation, and its relationship with participation and purchase behaviour
    Brent Lovelock, Carla Jellum, Anna Carr, Tim Jowett
    Annals of Leisure Research.2019; 22(3): 373.     CrossRef
  • Psychological demands experienced by recreational endurance athletes
    Alister McCormick, Carla Meijen, Samuele Marcora
    International Journal of Sport and Exercise Psychology.2018; 16(4): 415.     CrossRef
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    Esmarie Myburgh, Martinette Kruger, Melville Saayman
    Journal of Sport & Tourism.2018; 22(4): 275.     CrossRef
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    Rochelle M. Eime, Jack T. Harvey, Melanie J. Charity, Rayoni Nelson
    BMC Public Health.2018;[Epub]     CrossRef
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    Lidyane Ferreira ZAMBRIN, Ana Carolina PALUDO, Oriane de Souza Pinto Martins dos SANTOS, Sérgio Ricardo de Souza OLIVEIRA, Antonio Carlos SIMÕES, Hélio SERASSUELO JUNIOR
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    Jin-Jong Chen, Yunhwan Lee
    Journal of Preventive Medicine & Public Health.2013; 46(Suppl 1): S1.     CrossRef
Original Articles
Physical Fitness, Leisure Time Physical Activity, and Serum Lipid Levels in Middle-Aged Male Workers .
Jang Rak Kim, Bock Dong Nam, Ju Ho Kim, Song Kwan Lee, Joong Kap Moon, Jang Ho Lee, Dae Yong Hong
Korean J Prev Med. 1996;29(2):173-186.
  • 2,240 View
  • 20 Download
AbstractAbstract PDF
This is a cross-sectional study to evaluate the relationships between physical fitness, leisure time physical activity, and serum lipid levels in middle-aged male workers. Physical fitness was measured by a step test score, and leisure time physical activity was self-reported on a questionnaire. Serum total cholesterol was negatively related to physical fitness(r=-0.27), and positively to obesity index(r=0.27). But leisure time physical activity was related to total cholesterol negatively(r.-0.20) only in subjects whose total cholesterol levels were above 170mg/dl. High density lipoprotein(HDL) cholesterol was positively related to physical faintness(r=0.15), negatively to obesity index(r=-0.22), and positively to weekly alcohol consumption(r=0.14). Total cholesterol/HDL cholesterol ratio was related to physical fitness(r=-0.23), obesity index(r=0.32), total cigarette index (r=0.13), weekly alcohol consumption(r=-0.13), and vegetable preference(r=0.13) physical fitness was also related to leisure time physical activity(r=0.19) and obesity index(r=-0.18). In multiple linear regression models, physical fitness(beta= -0.23) and obesity index(beta=0.18) were significantly associated with total cholesterol, obesity index(beta=-0.25) with HDL cholesterol, and obesity index(beta=0.30), physical fitness(beta= -0.16) and vegetable preference (beta=0.14) with total cholesterol HDL cholesterol ratio. In conclusion, as physical fitness has a stronger relationship with serum lipid levels than leisure time physical activity, and the association between physical fitness and leisure time physical activity is modest, physical fitness should be added as an important variable in addition to activity in future epidemiologic studies.
Summary
Pilot Study for the Assessment of Physical Fitness among Male Workers in a TV Component Manufacturing Factory.
Gwang Seo Choi, Young Ha Lee, Sung Hie Kim, Kuck Hyeun Woo, Gu Wung Han, Doo Hie Kim
Korean J Prev Med. 1994;27(3):531-546.
  • 2,093 View
  • 20 Download
AbstractAbstract PDF
In a TV component manufacturing factory, 102 male workers aged 20~39 years old were participated in testing for physical fitness. At the same time, worker's periodic health examination was done. Test battery for physical fitness include grip strength, trunk flexing, standing long jump, side step, single leg balance with eye close, push ups and Harvard step test. As a result of testing for physical fitness, synthetically, there is no difference between manufacturing workers and officers. By bioelectrical impedance test, it means a declining tendency to all 7 factors in the obese workers, and so, it is important for obese workers not only to promote physical fitness but also to promote health. Excluding grip strength and single leg balance with eye close, 5 fitness factors are negatively associated with degree of diastolic Blood pressure, but it is statistically not significant. And levels of SGOT & SGPT have no association with physical fitness factors.
Summary

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