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Inactivity in Childhood and Adolescence: A Modern Lifestyle Associated with Adverse Health Consequences

Fotios Mavrovouniotis
  • Department of Physical Education & Sports Science, Aristotle University of Thessaloniki, Greece
Published Online: 2012-08-30 | DOI: https://doi.org/10.2478/v10237-012-0011-9

Inactivity in Childhood and Adolescence: A Modern Lifestyle Associated with Adverse Health Consequences

The current era is characterized by kinetic limitation, both in children, and adolescents. Children today expend 400% less energy than did their counterparts of 40 years ago and are 40% less active than they were 30 years ago. Children and adolescents' today activity level is very low, while they spend their free time, mainly, in sedentary behaviours, such as tv viewing, and computer videogames playing. The average child or adolescent 2- to 18-years old spends on tv-videotapes watching or video games playing more than 5 hours per day. The lack of movement in children and adolescents' lives is one of the primary predisposing factors of increased morbidity, since many of the chronic diseases of adults are initiated in childhood. Approximately 40% of children aged 5 - 8 years old present increased risk factors for heart disease, such as obesity, hypertension and high total cholesterol, or for diabetes. These diseases are most often irreversible due to the continuous sedentary lifestyle that has been adopted by children. Moreover, significant relationships between inactivity and other adverse health practices, such as consumption of less-healthy foods or increased fat intake, as well as cigarette smoking that have been demonstrated in adolescents, predispose to cardiovascular disease. To sum up, inactivity represents a behaviour that is associated with adverse health consequences which initiate even though from childhood and follow children and adolescents throughout their lives.

Keywords: sedentary behaviours; lack of physical activity; tv-watching; children; adolescents; risk factor; obesity and chronic diseases

  • A Report of Surgeon General (1996). Physical Activity and Health: A Synopsis. Kinesiology, 2, 125-128, (in Greek).

  • Ainsworth, B. E., Haskell, W. L., Leon, A. S., Jacobs, D. R., Montoye, H. J., Sallis, J. F. & Paffenbarger, R. S. (1993). Compendium of physical activities: classification of energy costs of human physical activities. Medical Science Sports and Exercise, 25, 71-80.

  • American Academy of Pediatrics (2001). Policy statement: Children Adolescents, and Television. Pediatrics, 107(2), 423-426.

  • American College of Sport Medicine, (2000). ACSM's guidelines for exercise testing and prescription. Baltimore: Williams and Wilkins.

  • Andersen, R. E., Carlos, J., Crespo. H., Susan, J., Bartlett, B., Cheskin, L. J., & Pratt, M. (1998). Relationship of physical activity and television watching with body weight and level of fatness among children. JAMA, 279, 12-19.

  • Andersen, R. E., Crespo, C. J., Bartlett, S. J., Cheskin, L. J., & Pratt, M. (1998). Relationship of physical activity and television watching with body weight and level of fatness among children: results from the Third National Health and Nutrition Examination Survey. Journal of the American Medical Association, 279, 938-942.

  • Antonakoudis, G., & Antonakoudis, Ch. (2003). The non-atheromatic effect of Exercise. Hippokratia, 7(1), 3-11 (in Greek).

  • Armstrong, N., Balding, J., Gentle, P. & Kirby, B. (1990). Patterns of physical activity among 11 to 16 year old British children. British Medical Journal, 301, 203-205.

  • Baker, J. L., Olsen, L. W., Sørensen, T. I. (2006). Excess BMI at ages 7-13 years is associated with coronary heart disease (CHD) in adulthood among 238,609 Danish schoolchildren. Obesity Rev, 7(Suppl 2), 244.

  • Behtsi, E. (2009). The Examination of Inactivity, Obesity and Body image of Students of Public and Private High Schools. Unpublished Thesis, Aristotle University of Thessaloniki, Greece.

  • Belfry, J. (2001). Canadian Children Face Activity and Fitness Crisis. Retrieved from http://www.cfc-efc.ca/docs/cccf/00010_en.htm

  • Berenson, G. S. & Srnivasan, S. R. (2005). Cardiovascular risk factors in youth with implications for aging. Neurobiology of Aging, 26, 303-307. [PubMed] [Crossref]

  • Biddle, S., Armstrong, N. (1992). Children's' physical activity. An exploratory study of psychological correlates. Social Science Medicine, 34, 325-331.

  • Bijnen, F. C., Caspersen, C. J., Mostard, W. L. (1994). Physical inactivity as a risk factor for coronary heart disease: a WHO and International Society and Federation of Cardiology position statement. Bulletin of the WHO, 72, 1-4.

  • Blair, S. N., Kohl, H. I., Paffenbarger, R. S., Clark, D. G., Cooper, K. H., Gibbons, L. W. (1989). Physical fitness and all-cause mortality: a prospective study of healthy men and women. Journal of the American Medical Association, 262, 2395-401.

  • Booth, F. W., Chakravarthy, M. V., Gordon, S. E., & Spangenburg, E. E. (2002). Waging war on physical inactivity: using modern molecular ammunition against an ancient enemy. Journal of Applied Physiology, 93(1), 3-30.

  • Bouchard, C., Blair, S., & Haskell, W. (2007). Physical Activity and Health (pp. 145-151). Champaign: Human Kinetics Pubs.

  • Bouziotas, C., Koutedakis, Y., Nevill, A., Ageli, E., Tsigilis, N., Nikolaou, A., & Nakou, A. (2004). Greek adolescents, fitness, fatness, fat intake, activity, and coronary heart disease risk. Arch. Dis. Child, 89, 41-44.

  • Brand, J., & Greenberg, B. (1994). Commercials in the classroom: The impact of channel one advertising. Journal of Advertising Research, 34, 18-23.

  • Canadian Association for Health Physical Education, Recreation and Dance (CAHPERD) (1998). All You Need to Know About Quality Daily Physical Education. A Resource Kit. Ottawa.

  • Chakravarthy, M. V., & Booth, F. W. (2003). Exercise: Hot Topics. Philadelphia: Hanley & Belfus.

  • Ching, P. L., Willett, W. C., Rim, E. B., Colditz, G. A., Gortmaker, S. L., & Stampfer, M. J. (1996). Activity level and risk of overweight in male health professionals. American Journal of Public Health, 86, 25-30.

  • Corbin, C. B., Lindsey, R., & Welk, G. (2001). Concepts of Physical Fitness (10th ed.). Scientific Editor V. Klissouras. Athens: Paschalidis Medical Pubs. (in Greek).

  • Crespo, C., Smit, E., Troiano, R., Bartlett, C., Macera, C., & Andersen, R. (2001). Television watching, energy intake, and obesity in U. S. children. Archives of Pediatrics & Adolescent Medicine, 155, 360-365.

  • Dannenberg, A. L., Keller, I. B., Wilson, P. W., & Castelli, W. P. (1989). Leisure time physical activity in the Framingham offspring study. Description, seasonal variation, and risk factor correlates. American Journal of Epidemiology, 129, 76-88.

  • Davies, P. S., Gregory, J., & White. A. (1995) Physical activity and body fatness in preschool children. International Journal of Obesity, 19, 6-10.

  • Deligiannis, A. (1992). Sports Medicine. Thessaloniki: University Studio Press. (in Greek).

  • De Moura, B. P., Natali, A. J., Marins, J. C., & Amorim, P. R. (2011). Different approaches of physical training used in the management of type 2 diabetes: a brief systematic. British Journal of Diabetes & Vascular Disease, 11(4), 210-216.

  • Dietz, W. H. & Gortmaker, S. L. (1984). Factors within the physical environment associated with childhood obesity. American J of Cl Nutrition, 39, 619-624.

  • Dietz, W. H., Bandini, L. G., Morelli, J. A., Peers, K. F. & Ching, P. L. Y. H. (1994). Effect of sedentary activities on resting metabolic rate. American J of Cl Nutrition, 59, 556-559.

  • Dietz, W., & Gortmaker, S. (1985). Do we fatten our children at the television set? Obesity and television viewing in children and adolescents. Pediatrics, 75, 807-812.

  • Dietz, W., & Gortmaker, S. (1993). Tv or not tv: Fat is the question. Pediatrics, 91, 499-500.

  • Dietz, W. H. (1996). The role of lifestyle in health: the epidemiology and consequences of inactivity. Proceedings of the Nutrition Society, 55, 829-840.

  • Durant, R. H., Baranowski, T., Johnson, M., & Thompson, W. O. (1994). The relationship among television watching, physical activity, and body composition of young children. Pediatrics, 94, 449-455.

  • Dwyer, T., & Gibbons, L. E. (1994). The Australian Schools Health and Fitness Survey. Physical fitness related to blood pressure but not lipoproteins. Circulation, 89, 1539-1544.

  • Ekelund, U., Brage. S., Froberg, K., Harro, M., Anderssen, S. A., Sardinha, L. B., Riddoch, C., Andersen, L. B. (2006). TV Viewing and Physical Activity Are Independently Associated with Metabolic Risk in Children: The European Youth Heart Study. PLoS Med 3(12), 2449-2457.

  • Epstein, L., Paluch, R., Gordy, C., & Dorn, J. (2000). Decreasing sedentary behaviors on treating pediatric obesity. Archives of Pediatrics & Adolescent Medicine, 154, 220-226.

  • Epstein, L. G. & Wing, R. R. (1980). Aerobic exercise and weight. Addictive Behaviors, 5, 371-388. [Crossref] [PubMed]

  • Escobedo, L. G., Marcus, S. E., Holtzman, D., & Giovino, G. A. (1993). Sports participation, age at smoking initiation, and the risk of smoking among US high school students. Journal of the American Medical Association, 269, 1391-1395.

  • European Heart Network (2001). Children and Young People - The Importance of Physical Activity. European Heart Health Initiative. Retrieved from http://ec.europa.eu/health/ph_projects/2000/promotion/fp_promotion_2000_frep_11_en.pdf

  • Fishburne, G. J., Harper-Tarr, D. A. (1992). An analysis of the typical elementary school time table: a concern for health and fitness. In: Williams T, Almond L, Sparkes A. (eds.) Sport and physical activity: moving toward excellence: the proceedings of the AIESP World Convention. 1990 July 20-25; Longhborough University London, Engl: E & FN Spon; p. 362-75.

  • Flegal, K. M., & Troiano, R. P. (2000). Changes in the distribution of body mass index of adults and children in the US population. Int J Obes Relat Metab Disord, 24, 807-818. [Crossref] [PubMed]

  • Fraser, G. E., Phillips, R. L., & Harris, R. (1983). Physical fitness and blood pressure in schoolchildren. Circulation, 67, 405-412.

  • Gerhardsson, M., Norell, S. E., Kiviranta, H., Pedersen, N., & Ahlbom, A. (1986). Sedentary jobs and colon cancer. American Journal of Epidemiology, 123, 775-780.

  • Gortmaker, S. L., Must, A., Sobol, A. M., Peterson, K., Colditz, G. A. & Dietz, W. H. (1996). Television viewing as a cause of increasing obesity among children in the United States, 1986-1990. Archives of Pediatric and Adolescent Medicine, 150, 356-362.

  • Gortmaker, S., Peterson, K., Wiecha, J., Sobol, A., Dixit, S., Fox, M. K., & Laird, N. (1999). Reducing obesity via a school-based interdisciplinary intervention among youth. Archives of Pediatrics & Adolescent Medicine, 153(4), 409-418.

  • Grund, A., Krause, H., Siewers, M., Rieckert, H., & Muller, M. J. (2001). Is TV viewing an index of physical activity and fitness in overweight and normal weight children? Public Health Nutrition, 4, 1245-1251. [PubMed]

  • Gutin, B., Basch, C., Shea, S., Contento, I., DeLozier, M., Rips, J., Irigoyen, M., & Zybert, P. (1990). Blood pressure, fitness and fatness in 5- and 6-year-old children. JAMA, 264, 1123-1127.

  • Haffner, S. M., Stern, M. P., Hazuda, H. P., Pugh, J., Patterson, J. K. & Malina, R. (1986). Upper body and centralized adiposity in Mexican Americans and non-Hispanic whites: relationship to body mass index and other behavioral and demographic variables. International Journal of Obesity, 10, 493-502.

  • Hahn, R. A., Teutsch, S. M., Rothenberg, R. B., & Marks, J. S. (1990). Excess Deaths From Nine Chronic Diseases in the United States, 1986. JAMA, 264(20), 2654-2659.

  • Hamdy, O., Goodyear, L. J., Horton, E. S. (2001). Diet and exercise in type 2 diabetes mellitus. Endocrinol Metab Clin North Am, 30, 883-907.

  • Hancox, R. J., Milne, B. J., Poulton, R. (2004). Association between child and adolescent television viewing and adult health: a longitudinal birth cohort study. The Lancet, 364, 257-262.

  • Harshfield, G. A., Dupaul, L. M., Alpert, B. S., Christman, J. V., Willey, E. S., Murphy, J. K., & Somes, G. W. (1990). Aerobic fitness and the diurnal rhythm of blood pressure in adolescents. Hypertension, 15, 810-814.

  • Haskell, W. L. (1984). Exercise induced changes in plasma lipids and lipoproteins. Preventive Medicine, 13, 23-36.

  • Heath, G. W., Pratt, M., Warren, C. W. & Kann, L. (1994). Physical activity patterns in American high school students. Results from the I990 Youth Risk Behavior Survey. Archives of Pediatric and Adolescent Medicine, 148, 1131-1136.

  • Hernandez, B., Gortmaker, S. L., Colditz, G. A., Peterson, K. E., Laird, N. M., & Parra-Cabrera, S. (1999). Association of obesity with physical activity, television programs and other forms of video viewing among children in Mexico City. International Journal of Obesity and Related Metabolic Disorders, 23, 845-854.

  • Hu, G., Eriksson, J., Barengo, N. C., Lakka, T. A., Valle, T., Nissinen, A. Jousilahti, P., & Tuomilehto, J. (2004). Occupational, commuting, and leisure-time physical activity in relation to total and cardiovascular mortality among Finnish subjects with type 2 diabetes. Circulation, 110, 666-673.

  • Janssen, I., Katzmarzyk, P., Boyce, N., Vereecken, C., Mulvihill, C., Roberts, C., Currie C, & Picket, W. (2005). Comparison of overweight and obesity prevalence in school aged youth from 34 countries and their relationships with physical activity and dietary patterns. Obesity Review, 6, 123-132. [Crossref]

  • Janz, K. F., Golden, J. C., Hansen, J. R. & Mahoney, L. T. (1992). Heart rate monitoring of physical activity in children and adolescents: the Muscatine study. Pediatrics, 89, 256-261

  • Johnson, M. S., Figueroa-Colon, M., Herd, S. L., Fields, D. A., Sun, M., Hunter, G. R., Goran, M. I. (2000)., Aerobic fitness, not energy expenditure, influences subsequent increase in adiposity in black and white children. Pediatrics, 106, 50-57.

  • Jordan, A., & Robinson, T. (2008). Children, television viewing, and weight status: Summary and recommendations from an expert panel meeting. The Annals of the American Academy of Political and Social Science, 615(1), 119-132.

  • Klesges, R. C., Shelton, M. L. & Klesges, L. M. (1993). The effects of television on metabolic rate: potential implications for childhood obesity. Pediatrics, 91(2), 281-286.

  • Kotz, K., & Story, M. (1994). Food advertisements during children's Saturday morning television programming: Are they consistent with dietary recommendations? Journal of the American Dietetic Association, 94(11), 1296-1300. [Crossref]

  • Koutsis, G., Mavrovouniotis, F., Koutlianos, N., & Deligiannis, A. (2008). Inactivity and Other Health Factors of Increased Risk in Greek Children 11 and 12 Years. Cyprus Medical Journal, 24(1-2), 19-28.

  • Kunkel, D., & Gantz, W. (1992). Children's television advertising in the multichannel environment. Journal of Communication, 42(3), 134-152. [Crossref]

  • Lakka, T. A., & Laaksonen, D. E. (2007). Physical activity in prevention and treatment of the metabolic syndrome. Applied Physiology, Nutrition, and Metabolism. Retrieved from http://findarticles.com/p/articles/mi_7393/is_1_32/ai_n32053012/?tag=content;col1

  • Leon, A. (1997). Physical activity and cardiovascular health. A national consensus. Champaign, IL: Human Kinetics.

  • Leppo, J. A., Iskandrian, A., Brown, K. A., Verani, M. S. (1993). Noninvasive testing for silent myocardial ischemia in stable coronary patients. JAMA, 270 (15), 1809.

  • Lowry, R., Wechsler, H., Galuska, D., Fulton, J., & Kann, L. (2002). Television viewing and its association with overweight, sedentary lifestyle, and insufficient consumption of fruits and vegetables among US high school students: Differences in race, ethnicity and gender. Journal of School Health, 72(10), 413-421. [Crossref]

  • Ludwig, D. S., Gortmaker, S. L. (2004). Programming obesity in childhood. The Lancet, 364, 226-227.

  • Lytle, L. A, Kelder, S. H., Perry, C. L. & Klepp, K. A. (1995). Covariance of adolescent health behaviors: the Class of 1989 Study. Health Education Research, 10, 133-146.

  • Macnair, A. L. (2000). Is inactivity the origin of essential hypertension: should we all be runners? Nephrology Dialysis Transplantation, 15, 1751-1754.

  • Malkogeorgos A., Argiriadou E., Kotzamanidou M., & Mavrovouniotis F. (2010). Association between overweight, physical inactivity and school obligations in Greek High school students. Serbian Journal of Sports Sciences, 4(4), 137-143.

  • Mares, M. L. (1998). Children's use of VCRs. Ann Am Acad Pol Soc Science, 557, 120-131.

  • Mavrovouniotis, F., Koutsis, G., Koutlianos, N., & Deligiannis, A. (2008). The Role of Media in Central Obesity of Elementary School Children in Greece. Osterreichisches Journal fur Sportmedizin, 1, 6-14.

  • Mokdad, A. H., Ford, E. S., Bowman, B. A., Ahotupa, M., & Barlow, C. E. (2003). Prevalence of obesity, diabetes, and obesity-related health risk factors. JAMA, 289, 76-79.

  • Moreno, L. A., Mesana, M. I., Fleta, J., Ruiz, J. R., Gonzalez-Gross, M., Sarria, A., Marcos, A., & Bueno, M. (2005). Overweight, obesity and body fat composition in Spanish Adolescents. Ann Nutr Meta, 49, 71-76.

  • Nielsen, A. C. (1983). Nielsen report on television. Northbrook, IL: A. C. Neilsen Co.

  • NIH (1993). Technology Assessment Conference Panel. Methods for voluntary weight loss and control. Ann. Intern. Med., 119, 764-770.

  • Ogden, C. L., Flegal, K. M., Carroll, M. D., & Johnson, C. L. (2002). Prevalence and Trends in Overweight Among US Children and Adolescents, 1999-2000. JAMA, 288, 1728-1732.

  • Ogden, C. L., Troiano, R. P., Briefel, R. R., Kuczmarski, R. J., Flegal, K. M., Johnson, C. L. (1999). Prevalence of overweight among preschool children in the United States, 1971 through 1994. Pediatrics, 105, 260-275.

  • Proctor, M., Moore, L., Gao, D., Cupples, L., Bradlee, M., Hood, M., & Ellison, R. (2003). Television viewing and change in body fat from preschool to early adolescence: The Framingham children's Study. International Journal of Obesity, 27, 827-833.

  • Raitakari, O. T., Porkka, K. V. K., Taimela, S., Telama, R., Rasanen, L. & Viikara, J. S. A. (1994). Effects of persistent physical activity and inactivity on coronary risk factors in children and young adults. The Cardiovascular Risk in Young Finns Study. American Journal of Epidemiology, 140, 195-205.

  • Rissanen, A. M., Heliovaara, M., Knekt, P., Reuanen, A., & Aromaa, A. (1991). Determinants of weight gain and overweight in adult Finns. European Journal of Clinical Nutrition, 45, 419-430.

  • Roberts, D., Foehr, U., Rideout, V., & Brodie, M. (1999). Kids and media at the new millennium: A comprehensive National Analysis of children's media use. Menlo Park, C. A.: The Henry, J. Kaiser Family Foundation Report.

  • Robinson, T. (1999). Reducing children's television to prevent obesity: A randomized control trial. JAMA, 282, 1561-1567.

  • Robinson, T. N., Hammer, L. D., Killen, J. D., Kraemer, H. C., Wilson, D. M., Hayward, C., & Taylor, C. B. (1993). Does television viewing increase obesity and reduce physical activity? Cross-sectional and longitudinal analyses among adolescent girls. Pediatrics, 91, 273-280.

  • Sallis, J. F. (1993). Epidemiology of physical activity and fitness in children and adolescents. Critical Reviews in Food Science and Nutrition, 33, 403-408.

  • Sallis, J. F & Owen, N. (1997). Physical activity & behavioral medicine. Thousand Oaks.

  • Sallis, J. F., Patterson, T. L., Buono, M. J., & Nader, P. R. (1988). Relation of cardiovascular fitness and physical activity to cardiovascular disease risk factors in children and adults. American Journal of Epidemiology, 127, 933-941.

  • Schulz, L. O. & Schoeller, D. A. (1994). A compilation of total energy expenditures and body weights in healthy adults. American J of Clinical Nutrition, 60, 676-681.

  • Segal, K. R. & Dietz, W. H. (1991). Physiologic responses to playing a video game. American Journal of Diseases of Children, 145, 1034-1036.

  • Sharkey, B., & Gaskill, S. (2007). Fitness and Health (pp 321-329). Champaign: Human Kinetics Pubs.

  • Simoes, E. J., Byers, T., Coates, R. J., Serdula, M., Mokdad, A. H., & Heath, G. W. (1995). The association between leisure-time physical activity and dietary fat in American adults. American Journal of Public Health, 85, 240-244.

  • Siscovick, D. S., Laporte, R. E., & Newman, J. M. (1985). The disease-specific benefits and risks of physical activity and exercise. Public Health Reports, 100, 18-188.

  • Strauss, R. S., Rodzilsky, D., Burack, G., & Colin, M. (2001). Psychosocial correlates of physical activity in healthy children. Arch Pediatr Adolesc Med, 155, 897-902.

  • The Henry, J. Kaiser Family Foundation. (2004). The role of media in childhood obesity. Issue Brief, February: 1-12.

  • Trembay, M. S., & Wills, J. D. (2003). Is the Canadian childhood obesity epidemic related to physical inactivity? International Journal of Obesity, 27, 1100-1105.

  • Troisi, R. J., Heinold, J. W., Vokonos, P. S. & Weiss, S. T. (1991). Cigarette smoking, dietary intake, and physical activity: effects on body fat distribution-the Normative Aging Study. American Journal of Clinical Nutrition, 53, 1104-1111.

  • Trost, S. G, Kerr, L. M., Ward, D. S., Pate R. R. (2001). Physical activity and determinants of physical activity in obese and non-obese children. Int J Obes Relat Metab Disord, 25, 822-829.

  • Tzotzas, Th. The epidemic dimension and the "globalization" of obesity. Retrieved from www.eieo.gr/pages/home.htm

  • U. S. Department of Health and Human Services (1996). Physical activity and health: a report of the Surgeon General. Atlanta, Georgia, Centers for Disease Control and Prevention (CDC), National Centers for Chronic Disease Prevention and Health Promotion. Retrieved from http://www.cdc.gov/nccdphp/sgr/sgr.htm

  • Vuori, I. (2004). Physical inactivity as a disease risk and health benefits of increased physical activity. Perspectives Health Enhancing Physical Activity, 6, 1-73.

  • Williamson, D. E., Madans, J., Anda, R. F., Kleinman, J. C., Kahn, H. S. & Byers, T. (1993). Recreational physical activity and ten-year weight change in a US national cohort. International Journal of Obesity, 17, 279-286.

  • World Health Organization (WHO). (2004). Obesity: Preventing and Managing the Global Epidemic. Report of a WHO Consultation on Obesity, 3-5 June, Geneva.

  • World Health Organization (WHO). (2005). Health and development through physical activity and sport. Retrieved from http://www.who.int/hpr/physactv/docs/healthanddevelopment

About the article

Published Online: 2012-08-30

Published in Print: 2012-08-01

Citation Information: Sport Science Review, ISSN (Online) 2069-7244, ISSN (Print) 2066-8732, DOI: https://doi.org/10.2478/v10237-012-0011-9. Export Citation

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