Habitual physical activity (PA) provides numerous health benefits for children and adolescents. Average PA levels substantially decrease during adolescence, which influences long-term health conditions and healthcare costs. A few studies have suggested that PA behavior may be established in different times and in different patterns by child subgroups. Studies have also examined the determinant of PA behavior change. However, the analytic approach of the most studies has not appropriately captured the complex relationship among multiple bio-social factors hypothesized to affect PA behavior. The knowledge gap and methodological challenge can be addressed using an innovative analytic approach such as latent class growth analysis and latent variable analysis the objective of this project is to understand the development of PA behavior throughout childhood and bio- social influences of the PA development. We hypothesize that the development of child PA behavior is characterized by multiple developmental pathways representing distinct groups within the child population. We also hypothesize that there are underlying bio-social characteristics that account for PA change patterns during childhood and early adulthood. To test these hypotheses, we propose to conduct secondary data analysis using the longitudinal database from the Iowa Bone Development Study database. The three specific aims of this project are AMI 1) to determine developmental trajectories of MVPA behavior from age 5 to 19 years, AIM 2) to identify bio-social characteristics associated with different developmental trajectories of MVPA behavior identified in AIM 1, and AIM 3) to determine the trajectories for overall PA and sedentary time, and identify their associated bio-social characteristics. We will use latent class growth analysis to identify multiple developmental trajectories of PA. We will also use a latent variable approach to characterize the subpopulations following a certain PA trajectories. This study will expand knowledge on patterns and determinants of PA behavior. The success of this project will accelerate the use of the innovative latent class methodology in pediatric PA research.

Public Health Relevance

Although the public recognizes the numerous health benefits of physical activity, only 1 out of 10 adolescents meets the physical activity recommendation. Physical activity is known to substantially decrease during adolescence. This project aims to better understand the development of PA behavior throughout childhood to early adulthood and bio-social influences of the PA development.

National Institute of Health (NIH)
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Small Research Grants (R03)
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Kidney, Nutrition, Obesity and Diabetes Study Section (KNOD)
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Haverkos, Lynne
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Children's Memorial Hospital (Chicago)
United States
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Kwon, Soyang; Janz, Kathleen F; Letuchy, Elena M et al. (2017) Association between body mass index percentile trajectories in infancy and adiposity in childhood and early adulthood. Obesity (Silver Spring) 25:166-171
Kwon, Soyang; Janz, Kathleen F; Letuchy, Elena M et al. (2016) Parental characteristic patterns associated with maintaining healthy physical activity behavior during childhood and adolescence. Int J Behav Nutr Phys Act 13:58
Kwon, Soyang; Janz, Kathleen F; Letuchy, Elena M et al. (2015) Active lifestyle in childhood and adolescence prevents obesity development in young adulthood. Obesity (Silver Spring) 23:2462-9
Kwon, Soyang; Janz, Kathleen F; Letuchy, Elena M et al. (2015) Developmental Trajectories of Physical Activity, Sports, and Television Viewing During Childhood to Young Adulthood: Iowa Bone Development Study. JAMA Pediatr 169:666-72