Abstract
Objective. Childhood overweight and obesity is a major public health issue. A better understanding of factors associated with sedentary behaviours would provide valuable insight for tailoring interventions to prevent or reduce overweight among youth. Methods. Data were collected from 25 416 grade 9 to 12 students attending 76 secondary schools in Ontario, Canada, using the Physical Activity Module of the School Health Action, Planning and Evaluation System (SHAPES). Sex specific multivariate logistic regression analyses were then used to examine how physical activity, BMI, social influences, and smoking behaviour were associated with screen time, time spent reading, and time spent on homework. Results. The average screen time per day was 2.7 (±1.7) hours, yet 48.1% of students reported spending less than one hour reading per week and 30.2% spent less than an hour of time on homework per week. Among males, being underweight (≤5% percentile BMI, adjusted for age and sex) was associated with more screen time (OR 1.23, 95%CI 1.01–1.50) and time spent reading (OR 1.19, 95%CI 1.00–1.43), whereas being at risk of overweight (≥85% percentile BMI, adjusted for age and sex) was associated with less time spent on homework (OR 0.75, 95%CI 0.65–0.85). Conversely, among females, being at risk of overweight was associated with more screen time (OR 1.24, 95%CI 1.10–1.41), and time spent reading (OR 1.19, 95%CI 1.05–1.35). Aside from BMI, other factors associated with sedentary behaviours included physical activity, parental encouragement and support for physical activity, close friend physical activity behaviour, and smoking status. Discussion. We found that students are highly involved in screen-based sedentary behaviours, but spend a limited time on more productive sedentary behaviours, like reading and homework. Developing a better understanding of sedentary behaviours is critical for preventing and reducing obesity among youth populations.
Acknowledgements
The data used in this analysis were drawn from the SHAPES-Ontario project, funded by the Ontario Ministry of Health and Long-Term Care/Ministry of Health Promotion and by Cancer Care Ontario (grant awarded to S. Leatherdale and S. Manske). The project was conducted by the Population Health Research Group at the University of Waterloo, with in-kind contributions from participating Public Health units. The concept for the SHAPES data collection and feedback system was developed by the National Cancer Institute of Canada/Canadian Cancer Society's Centre for Behavioural Research and Program Evaluation.