Abstract

Childhood obesity is on the increase and maintaining regular physical activity and consuming a healthy diet have become essential tools to combat the condition. The United Kingdom government has recommended guidelines for optimal levels of diet and activity in children. The aim of this paper is to describe and compare self-reported physical activity levels, diet, and Body Mass Indices (BMI) amongst adolescent children, aged 11-15, in the South West (SW) and North West (NW) regions of England and to see if these children were meeting the current targets for optimal levels of: physical activity; fruit/vegetable consumption; fat consumption and BMI. We report the results of a cross-sectional survey of four secondary schools and 1,869 children using the self-reported Western Australian Child and Adolescent Physical Activity and Nutrition Survey (CAPANS) physical activity instrument and a food intake screener questionnaire, in summer and winter. We found that 25% (469/1869) 95% CI: 23% to 27%, of children engaged in 60 minutes of moderate to vigorous physical activity per day; 53% (995/1866) 95% CI: 51% to 56%, took 5 portions of fruit and vegetables per day; while 22% (407/1861) 95% CI: 20% to 24% consumed recommended amount of fats, and 23.7% (276/1164) 95% CI: 21% to 26%, of pupils were obese or overweight as classified by their BMI. Self reported physical activity in young people regardless of area is lower than previously reported and the lack of students engaging in 60 minutes moderate to vigorous activity could have serious public health consequences. If sustained, this could lead to more overweight adults, and more ill health.

Highlights

  • There is considerable evidence that adult health varies according to the region in England in which they live [1,2,3,4,5]

  • There was no evidence of a difference in proportions achieving the recommendations between areas in summer or winter

  • Overall only 25% (469/1869), 95% CI: 23% to 27%, of children met the target of 60 minutes moderate to vigorous physical activity per day

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Summary

Introduction

There is considerable evidence that adult health varies according to the region in England in which they live [1,2,3,4,5]. The health consequences of being overweight or obese in adulthood are well established [7]. A systematic review of the short and long-term of consequences of childhood obesity reported short term clinical effects of obesity on children such as increased incidence of asthma and diabetes and long term consequences of increased risk of cardiovascular disease into adulthood [8]. Childhood obesity is becoming more prevalent: the latest figures for England, in 2006, show 23.7% of 11-15 year old males and 26.2% females are classed as obese [9]. Taking regular exercise and maintaining a healthy weight through diet are thought to be essential factors in combating this trend [10]

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