Irish Adolescents Research Articles

Mental health of Irish adolescents following the COVID-19 pandemic: results from a population-based cross-sectional survey.

This study provides data on the prevalence of mental health problems among adolescents in Ireland in 2021, toward the end of the COVID-19 pandemic. The importance of having recent, large-scale, mental health data for adolescents has been heightened by COVID-19, the increased demand for child and adolescent mental health services, and the rapidly changing adolescent environment. As part of the Planet Youth study, a cross-sectional survey of adolescents (N = 4,404), mostly aged 15-16, was conducted between September and December 2021. Participants were recruited from 40 schools and non-traditional educational centres across 3 regions in Ireland, one predominantly urban (North Dublin) and two predominantly rural (Cavan, Monaghan). A range of mental health outcomes were self-reported: a single-item question on mental health; the Strengths & Difficulties Questionnaire (SDQ); depressive and anxiety symptoms from the Symptom Check List 90; the Adolescent Psychotic-like Symptom Screener; and lifetime self-harm, suicidal ideation, and attempt. Over a quarter of adolescents described their mental health as 'bad' or 'very bad' (29%), and had SDQ total problem scores over 20 (26%). Over a third (39%) reported self-harming, 42% reported suicidal ideation, and 11% reported attempting suicide, in their lifetime. Gender-diverse youth (non-binary, trans, and undisclosed) had higher rates of poor mental health outcomes compared to cis-gendered youth (male/female), and females had higher rates of most mental health outcomes compared to males. Many of these estimates suggest a deterioration from previous epidemiological studies. While our findings do not definitively prove youth mental health has worsened over time, these findings are highly concerning. We propose a close monitoring of mental health in future surveys of this population and encourage initiatives to improve the capacity and quality of youth mental health services.

Predictive relationship between COVID-19 anxiety and psychological distress in adolescents during the COVID-19 pandemic.

COVID-19 was a novel stressor that gave rise to pandemic related anxiety and increased the risk of mental health issues, particularly in youth. It is important to understand how such events contribute to psychological distress in young people to adequately intervene in the aftermath and to plan for future similar events. Using cross-sectional data from the CoSPACE Ireland study dataset this paper reports on the predictive relationship between COVID-19 anxiety and psychological distress for Irish adolescents (N = 314, M = 14.05, SD = 2.7, 11-18 years), while controlling for other influencing factors across multiple levels of a bioecological systems approach. Covariates were age, gender, ethnicity, social economic status, Peer Support, School Support and Parent-Child Closeness. Findings indicate that COVID-19 anxiety was a significant predictor of adolescents' psychological distress. Specifically, Consequence Anxiety (worries about the indirect consequences of COVID-19) was found to be a predictor of adolescents' psychological distress rather than Disease Anxiety (worries about the COVID-19 virus itself). Individual factors (e.g., age, ethnicity, special educational needs) and microsystem factors (e.g., parent child closeness, peer support) were also found to impact on adolescents' levels of psychological distress. A significant moderation analysis revealed that greater parent-child closeness reduced the strength of the positive association between Consequence Anxiety and psychological distress. These findings suggest that strategies to alleviate adolescents' psychological distress during pandemics should focus on reducing pandemic-related anxiety, specifically Consequence Anxiety. A multisystemic approach is also recommended to reduce the negative mental health impacts of the pandemic on adolescents.

“When I started teaching you wouldn’t notice any of that’: teachers’ perceptions of the issues facing children and adolescents’ mental health and well-being”

PurposeThe purpose of this paper was to establish how the phenomenon of mental health issues among young people has translated into the reality of Irish schools through the lens of Irish teachers.Design/methodology/approachThis wholly qualitative study adopted a post-positivist and phenomenological approach to gathering data by way of semi-structured interviews of 16 participants, 8 from primary backgrounds and 8 from post-primary backgrounds. Analysis of the data highlighted what teachers perceive to be ongoing issues with the mental health and well-being of pupils and the challenges that both teachers and pupils must overcome.FindingsInterviewing the participants unearthed three sub-themes with regard to mental health in Irish schools, namely, the prevalence of psychiatric disorders/symptoms of mental ill-health among Irish children and adolescents, the barriers preventing help-seeking and the role of mental health support services in Irish schools.Research limitations/implicationsOne limitation in this study was that a wider variety in sample could have yielded a more in-depth volume of results. Furthermore, the study by semi-structured interview presented challenges, such as the use of other people’s viewpoints to support the perceptions of the participants, which could not be validated.Practical implicationsAmong the recommendations made by the participants were that schools engage in policy development to combat mental health and well-being issues, that teachers engage in continuous professional development in the area and that mental health support services are sufficiently staffed and funded.Social implicationsThe general public should engage more in activities that promote a healthy dialogue around the topic of mental health to reduce stigma. It is recommended that campaigns to raise awareness are continued and bolstered.Originality/valueIrish teachers are being confronted by a contemporary discourse that has materialised as a by-product of an evolving society. Cultural development has led to increased focus on mental health and well-being in recent years, with this body of research exploring its emergence into school life from teachers’ perspectives.

Bullying Victimization as an Adverse Experience for Psychosocial Adjustment among Irish Adolescents

AbstractThis study investigates the long-term effects of victimization from middle adolescence to late adolescence and early adulthood, examining emotional and behavioral problems, peer relationships, and smoking habits and sleeping difficulties. The study also explores how these outcomes can persist into early adulthood, taking into consideration early victimization experiences, gender, cognitive ability, and family social class. The total sample included 7525 participants, spanning the ages of 13, 17, and 20, from the Child Cohort of the Growing Up in Ireland study (48.9% male). The path analysis model suggests that victimization is associated with behavioral problems at age 17, and it is also linked to emotional problems and sleeping difficulties at both ages 17 and 20. Additionally, sleeping difficulties, smoking habits, and indices of emotional and behavioral adjustment exhibit some stability between ages 13 and 17, as well as 17 and 20. Theoretical and practical implications are discussed.

Using co-design to develop the Adolescent Health Literacy Questionnaire for adolescents in Ireland.

Health literacy measurement studies are important for the success of health promotion efforts targeting adolescents. However, the majority of health literacy measurement tools were originally developed for adult populations and may not be reflective of health literacy in the context of adolescence. The present study sought to co-design a health literacy questionnaire and vignettes for adolescents in Ireland aged 12-18 years. This article describes the qualitative phase of the study. In 2019-2021, eight adolescents from the Irish Heart Foundation's Youth Advisory Panel participated in two concept mapping workshops during which they defined healthy living. Results of the thematic analysis indicated that adolescents defined 'healthy living' as a life that was balanced, prioritizing mental health and sleep. According to their definition, healthy living was comprised of six main constructs, namely, knowledge; sources of quality health information; facilitators and barriers; influence of others; self-efficacy, self-management and resilience; and citizenship and communication. These constructs were used to develop vignettes and items for the Adolescent Health Literacy Questionnaire (AHLQ). These were tested on a sample of 80 adolescents to check whether the respondents understood the items and vignettes as intended. Results of the nine cognitive interviews indicated that the adolescents understood the content of the 10 vignettes and 41 items. While the vignettes and AHLQ were developed with Irish adolescents, the approaches taken can be generalized to adolescents living in other countries. This will allow for the development of tailored and relevant solutions for health literacy development and health promotion for this sub-population.

Examining the relationship between adversity and suicidality and self-harm in Irish adolescents from 2020 to 2022

BackgroundResearch indicates that there is a strong association between childhood adversity and youth suicide and self-harm. However, there is currently a lack of understanding about the patterns of adversity most frequently experienced by youth across social settings, and whether these typologies differently predict youth engagement in suicide and self-harm. This study examines the dominant patterns of adversity experienced by adolescents across home, peer, and school contexts, and explores the relationship between youth's adversity profiles and their suicide and self-harm outcomes, across a two year period (2020–2022). MethodsSecondary analyses were performed on data collected from 10,281 (50 % male) adolescents who participated in the Irish Planet Youth questionnaire in 2020 (n = 5004) or 2022 (n = 5277). ResultsFindings from clustered latent class analyses indicated that there are four dominant profiles of adversity experienced by adolescents. Class 1 (Multiple Adversity) was characterised by a high probability of experiencing adversity across multiple social settings. Class 2 (Parent Adversity) had a strong likelihood of experiencing adversity with parents. Class 3 (Peer Adversity) were likely to experience adversity within the peer/friend domain. Class 4 was characterised by a low probability of experiencing adversity. Findings from logistic regression models with BCH training weights indicated that there were significant differences in self-harm and suicidality across the adversity classes. In comparison to the low adversity group, adolescents in the multiple adversity group were more likely to self-harm and attempt suicide. LimitationsThese findings are based on cross-sectional data and rely on the use of single-item measurements, which may limit the generalisability of findings. DiscussionResults indicate that youth who experience adversity across home, peer and school contexts are at the greatest risk of engaging in suicide and self-harm. These findings have important implications for policy and practice, and suggest that youth experiencing adversity across multiple settings should be priority targets for intervention.

The Impact of Different Levels of Typical School Provision of Physical Education, Physical Activity and Sports on Adolescent Physical Activity Behaviors, Health and Wellbeing

Objective: The aim of this study was to investigate the impact of different levels of typical school provision of physical education, physical activity and sports on the physical activity behaviors, health and wellbeing of Irish adolescents (13–14 years). Methods: A cross-sectional sample (n = 795) of adolescents (age: 14.28 ± 0.45), enrolled at schools that are representative of higher (n = 7), moderate (n = 6) and lower (n = 7) levels of a typical school provision of physical education, physical activity and sports was included. A physical activity behaviors, health and wellbeing questionnaire with established test–retest reliability was utilized to measure the variation in physical activity behaviors, health and wellbeing. Results: Data analysis indicated a significant variation in the levels of physical activity behaviors and health across different levels of typical school provision of physical education, physical activity and sports. The evidence was reported both as unadjusted group level analysis and adjusted covariate analysis. Favorable outcomes for higher levels of typical school provision were found for physical activity participation, body mass index, social support from peers to participate in physical activity and enjoyment of physical education for girls and somatic health complaints and enjoyment of physical education for boys. Conclusions: The findings stemming from this inquiry enable schools to optimize their environments for health promotion and, thus, further enhance their contribution to public health policy.

Association between friendship quality and subjective wellbeing in adolescents: a cross-sectional observational study

BackgroundFriendships play a vital role in the social lives of teenagers, and friendship quality can substantially impact the adolescents’ overall health and wellbeing. This study aimed to investigate the association between friendship quality and subjective wellbeing in Northern Irish adolescents. MethodsIn this cross-sectional observational study, we used data from the second wave of the Wellbeing in Schools Survey, conducted in Northern Ireland from April 2 to May 31, 2018. This survey used a clustering sampling method and included students aged 15–19 years. The survey was approved by the School of Social Sciences, Education and Social Work's Research Ethics Committee, with pupil opt-in and parental opt-out consents. Participants from the survey's initial wave in 2016 were considered eligible. Data on friendship quality and classroom friendships were gathered. Subjective wellbeing was assessed using the 7-item Short Warwick-Edinburgh Mental Wellbeing Scale. Metrics for psychological wellbeing (6 items), mood (7 items), and friendship quality (6 items) were taken from the KIDSCREEN-52 questionnaire. All items were rated on a 1–5 point Likert scale. We examined the association between friendship network quality and subjective wellbeing outcomes through social network analysis and network autocorrelation modelling. FindingsOf 1542 students invited, 1189 (77%) from 83 schools responded to the friendship network queries. Slightly more than half of these participants were female (609 [51%] girls and 580 [49%] boys), and the median age was 16 years (range 14–19, IQR 16–16). The median overall friendship score stood at 20 (IQR 18–26, with possible scores ranging from 6 to 30). Adjusted network autocorrelation models indicated that higher friendship quality scores were significantly associated with improved psychological wellbeing (β=0·3448, p<0·0001), subjective wellbeing (β=0·3075, p<0·0001), and a reduction in negative mood (β=–0·1934, p<0·0001). InterpretationThe study found that friendship quality had a significant association with mood, psychological wellbeing, and subjective wellbeing in adolescents. The results emphasise the value of fostering positive social relationships among adolescents, with a particular focus on the quality of their friendships. Next stages of this research include longitudinal analysis to test these associations more robustly. FundingTaibah University.

What keeps FLAME lit? Comparing two modes of implementation of a physical education-based intervention to improve motor competence among Irish adolescents

ABSTRACT Background Adequate levels of motor competence (MC) have been associated with multiple health outcomes. Despite the preponderance of effective MC interventions, globally, levels of MC in children and adolescents are low. There is a gap in understanding what leads to effective implementation of MC interventions into routine practice, to benefit the wider population. Purpose This study aims to compare implementation outcomes of two versions of Project FLAME: one group of teachers implementing Project FLAME as per the original efficacy trial (‘Original FLAME’), a second group of teachers implementing Project FLAME incorporating three additional implementation strategies (‘Modified FLAME’). Methods A mixed method, two-group pre-and-post design, lasting six weeks during the period of September to November 2021. Three implementation evaluation outcomes were assessed: (i) PE teacher’s self-efficacy in delivering Project FLAME; (ii) Fidelity and adaptation to the project protocol; and (iii) Teachers’ and students’ responsiveness to the project. Data were collected at student and teacher levels using online survey and interviews. Nine PE teachers and their classes from eight schools consented to participate. Descriptives were reported for quantitative online survey data, and qualitative data were analysed thematically. Results The final analytical sample included data from 9 teachers and 127 students pre- and post-study. Irrespective of implementation group, teachers with low levels of self-efficacy at the baseline improved after the six-week intervention. Teachers’ fidelity to the use of pedagogical external cues and error identification were high in both groups, with more adaptations made in the Modified FLAME group. Students’ satisfaction towards the intervention was high in both groups, with the use of pedagogical external cues reported as highly preferable. Conclusion Findings provide evidence on the ‘non-negotiable’ features of Project FLAME that have the potential to be implemented for a longer-term in Physical Education settings (e.g. external teaching cues). The documented implementation of Project FLAME provide knowledge on what adaptations may be needed to translate an effective MC intervention into real-world practice. The study reaffirms that documenting the implementation (especially fidelity and adaptation) of MC interventions is beneficial.

Socializing practices of Irish children and adolescents with food allergy: Aprospective study.

Food is an integral part of social activities; because of fear of accidental reaction, children with food allergy (FA) are at risk of exclusion or oversupervision at these events. The extent of adaptive exclusion behaviors is poorly defined. Families attending our service are encouraged to socialize and taught to minimize risk and avoid accidental reactions. The aim of this study was to establish the social practices and eating-out habits of children and adolescents with FA who are already attending an allergy clinic. Irish children, aged 2 to 16 years, with confirmed FA were recruited as part of a parallel prospective observational study titled Recording Accidental Allergic Reactions in Children and Teenagers (ReAACT). Information on social activities and eating out habits was collected prospectively. A total of 531 children were enrolled. The majority attended age-appropriate social activities; 97% of the 5- to 12-year-olds went to birthday parties and 85% visited friends' houses. More nonparticipators had previous anaphylaxis (relative risk [RR]= 1.44; 95% CI= 0.97-2.14; P= .06) and peanut allergy (RR= 1.19; 95% CI= 0.99-1.42; P= .06). Among adolescents, 94% visited friends' homes, but only 12% had been away from home alone. Overall, 523 participants (98.5 %) visited food establishments, whereas 4.6% did not eat out in any food establishment; these participants were significantly more likely to be adolescents (RR= 3.27; 95% CI= 1.65-7.48; P= .0001). Overall, Irish children with FA are "living with allergy." There was a trend toward decreased participation among adolescents. Future interventions should target this group specifically.

Mental health and suicidal behaviours among Irish adolescents - results from the Planet Youth study

Abstract Mental health and wellbeing outcomes for young people are poorly understood in the context of natural disasters. There is a little high-quality evidence at a population level describing mental health and wellbeing in young people in Ireland following the global COVID-19 pandemic. We invited all young people attending specific school grades living within two defined geographical areas (one urban and one rural) to participate. Young people completed a 60-minute survey on their health and well-being between October and December 2021 in school. We wished to investigate the prevalence of mental health difficulties and associations between direct COVID-19 related factors and mental health. A total of 4404 young people responded, and the overall response rate was 79%. The population mean difficulties score of the Strengths &amp; Difficulties Questionnaire (SDQ) [1] was 14.89. The majority of young people reported that pandemic restrictions had a negative effect on their mental health and loneliness. Self-reported rates of lifetime self-harm were 37.75% and self-reported rates of lifetime suicide attempt were 11.14%. Urbanicity and female gender were associated with reporting poorer mental health outcomes. Infection with COVID-19, illness due to COVID-19 in a family member and death of a family member were not associated with mental health outcomes. Elevated SDQ difficulties scores at a population level may be a cause for concern as they have previously found to predict the population prevalence of current mental disorder within a 1-2% point margin of error. In comparison to previous population studies, this population of young people had markedly poorer mental health and wellbeing.

The underlying role of food guilt in adolescent food choice: A potential conceptual model for adolescent food choice negotiations under circumstances of conscious internal conflict

Food choice decisions are challenging to conceptualise, and literature is lacking specific to adolescent food choice decisions. Understanding adolescent nutrition and food choice is becoming increasingly important. This research aims to understand what influences the food choices of Irish adolescents, and the mental negotiations occurring in food-based decisions. Additionally, it aims to develop a holistic conceptual model of food choice, specific to adolescents. A qualitative study was conducted in N = 47 Irish adolescents, via focus group discussions using vignettes to introduce discussion topics around food and eating habits. Data were analysed using reflexive thematic analysis, involving both semantic and latent analysis. Thirteen distinct factors related to adolescent food choices were discussed, forming one main theme and three inter-linking subthemes. The main theme relates to food choice being multi-factorial in nature, needing a balance of priorities through internal negotiations for food choice with the aim of reducing food guilt. This can change depending on the social setting. Social concerns and food guilt appear to play a strong role in adolescent food choice, with adolescents feeling guilty for eating unhealthy food, wasting food, or spending/wasting money on food. A conceptual model for food choice in adolescents was developed, named a “Food Choice Funnel”, incorporating a specific “Food Guilt Matrix”. While we should encourage healthy eating and a healthy lifestyle, it is important to understand the value placed on the social component to eating among adolescents, since they have increasing social interactions and occasions where choosing health-promoting foods may be more challenging. Healthy eating messages should be designed in a balanced manner to support healthy growth and development, while limiting the potential to induce feelings of guilt among adolescents.

O.6.1-1 Knowledge and awareness of physical activity among Irish adolescents: findings from a whole-of-school programme

Abstract Purpose Adolescents are among the least physically active population sub-groups. Adolescence is a key transition period in which physical activity (PA) habits develop and track into adulthood. Knowledge and awareness are key factors of behaviour change. Yet, few adolescents can correctly identify the recommended PA guidelines to achieve health benefits. In Ireland, the second-level Active School Flag (SLASF) programme is an example of a whole-of-school programme (https://activeschoolflag.ie/). This study aimed to examine the change in adolescents’ levels of knowledge and awareness of PA at the beginning at end of year one of a whole-of-school programme. Methods A repeated measures study design with a questionnaire administered in five SLASF schools during Nov 2021 and May 2022 (N = 301, 60.5% male, Mean age=15.5y± 1.82). Items from the determinants of PA questionnaire (DPAQ), health literacy 10-item questionnaire, programme specific variables relating to knowledge and awareness of SLASF, identifying the correct recommended PA guidelines and self-reported moderate-vigorous PA (MVPA) were included. A paired t-test or Wilcoxon-signed ranked test were run to determine mean differences over time for DPAQ- knowledge and beliefs about consequences, health literacy, the ability to report the recommended PA guidelines over time and self-reported PA levels. A chi-squared test was used for the programme related categorical variables. Results Adolescents MVPA increased from November (M = 3.82±1.92) to May (M = 3.96±1.9) (t(389) = -1.446, p&amp;lt;.001). There was an improvement in adolescents knowing the reasons for meeting the guidelines (Z= -4.113, p&amp;lt;.001) from Nov (M = 5.05±1.59) to May (M = 4.48±1.89). Furthermore, there was an increased previous awareness of the programme from Nov (M=.63±.67) to May (M=.77±.63) (X2(4, N = 296) = 62.96, p&amp;lt;.001). Participants awareness of the programme leaders in the school increased over time: Staff (M=.35±.48) to (M=.42±.5) (X2(1, N = 197) = 37.7, p&amp;lt;.001), Students (M=.32±.47) to (M=.36±.48) (X2(1, N = 204) = 21.35, p&amp;lt;.001). Conclusions Across the year, participants in SLASF schools became more physically active. Some aspects of knowledge and awareness of both PA and the SLASF programme showed promising improvements however, these participants are in the early stages of the SLASF programme thus, it would be beneficial to observe these changes over a longer period of time.

Higher Family Affluence is Associated With Multi-Sport Participation Among Irish Youth.

The impact of early single sport participation among young people has received much attention, with both sport leaders and pediatricians advocating multi-sport participation at least until early adolescence. In this study we explored the association between family socioeconomic status and level of Irish youth specialization in sport. We relied on data from the Children's Sport Participation and Physical Activity (CSPPA) study, involving a representative sample of 3499 Irish children and adolescents aged 10-15years. We analyzed data from questions related to the number of sports played, the number of days per week the youth were engaged in sport, and family affluence (as a proxy measure for socioeconomic status). Youth sport specialization before 12years of age (males 5.7%; females 4.2%) and even between 13-15years of age (males, 7.8%; females, 5.8%) was uncommon. However, lower levels of specialization were associated with higher socioeconomic status in that more children with high family affluence participated in multiple sports. Careful consideration should be given to whether low socioeconomic status may act as a barrier to participation in multiple sports.

Exploring the effects of socio-economic inequalities on health and disability in Northern Irish adolescents: evidence from a nationally representative longitudinal study.

Although a negative association between socio-economic inequalities and health has been established, there is a dearth of robust longitudinal studies examining this relationship in adolescents. This study used a large, nationally representative longitudinal data set to investigate the association between socio-economic inequality, subjective health status and disabilities among young people in Northern Ireland over a ten-year period. Data were from the Northern Ireland Longitudinal Study, a census-based record linkage study (N = 46,535). Logistic regression models were estimated in which health and disability variables from the 2011 census were predicted by household deprivation in education, housing quality, housing tenure and employment from the 2001 census. Models were adjusted for health and disability status in 2001. Deprivation in employment, housing tenure and coming from a single-parent household in 2001 independently predicted poorer subjective health and disability status ten years later [ORs = 1.28-1.93]. Deprivation in education in 2001 was also associated with increased risk of disability in 2011 [OR = 1.15; 95% CI = 1.06-1.25]. These results show that there is a need to dedicate more resources and support for economically disadvantaged children and young people in Northern Ireland, where child health outcomes are poorer than in the rest of the UK.

Adolescent growth and convict transportation to nineteenth-century Australia

ABSTRACT This paper explores growth patterns for British and Irish adolescents transported to Australia in the 19th century. During incarceration in Australia, the young convicts did not catch up with contemporary standards of potential stature—contrary to what we are led to expect by the existing literature and the high calorie convict diet. Rather, the experience of transportation stunted the adolescent male convicts. Variation between height on arrival and in later life confirms that teen convicts remained shorter than their shipmates transported after reaching maturity. We consider, but reject, age-dependent selection as a potential explanation. We speculate that the origin of this unfortunate experience lies in the low economic value of young and unskilled males. While fewer data are available for female convicts, their colonial experiences appear to have differed, again consistent with their relative economic value in the colony.

Motor Competence Among Irish Adolescents: An Investigation of Sex Differences and Relatedness Between Fundamental Movement Skills and Functional Movement.

In prior research, Irish youth displayed poor motor competence across fundamental movement skills (FMS) and functional movements (FM). Our purpose in this study was to compare FMS and FM across male and female Irish adolescents and to determine whether there are associations between these movement domains. We collected data on 373 adolescents (178 females; M age = 14.38, SD = 0.87years) from six Irish secondary schools, including motor competence testing of 10 FMS, and 7 FM. Overall levels of motor competence of both FMS and FM were low, and certain levels of dysfunctional movement were high. We observed significant sex-based differences in both FMS and FM, and there was a moderate association between FMS and FM that warrants further investigation. There is a need for societal intervention and policy changes to address low levels of motor competence among adolescent youth.

Adolescent overweight and obesity in Ireland-Trends and sociodemographic associations between 1990 and 2020.

Overweight and obesity in adolescence is a growing issue and can have a range of both short- and long-term consequences on health. To analyse trends in adolescent weight status in Ireland across a 30-year period and to examine the influence of sociodemographic factors on overweight/obesity in Irish adolescents over time. Body composition and body mass index weight status of Irish adolescents were compared using data from three nationally representative, cross-sectional Irish national food consumption surveys from 1990, 2006 and 2020. Adjusted analysis of associations between socio-demographic factors with the risk of adolescent overweight/obesity at each time point were examined. The prevalence of Irish adolescents with overweight/obesity has increased significantly in recent years, with 24% of adolescents living with overweight/obesity in 2020 compared to 18% in 2006 and 13% in 1990 (p < 0.001). Of note is a substantial increase in the prevalence of obesity, with 8% of adolescents living with obesity in 2020 compared to 3% in 2006 and 0.5% in 1990 (p < 0.001). A lower affluence social class was associated with 3.95 increased odds of adolescent overweight/obesity (95%CI 2.06-7.61) (p < 0.001) in 2020 only, with 41% of adolescents from the lowest affluence social class affected by overweight/obesity. Parental education level was inversely associated with the risk of adolescent overweight/obesity in 2006 and 2020, with a stronger effect in 2020. There is an increasing prevalence of adolescents living with overweight/obesity in Ireland, with evidence of a growing socioeconomic gradient of overweight/obesity where adolescents affected by socioeconomic disadvantage are most at risk.

O8-6 Participation in physical education, extra-curricular activities, and community sports among Irish adolescents with and without functional difficulties

BackgroundPhysical activity for adolescents with disabilities (AWD) are reported to have even greater health benefits than for adolescents without disabilities (AWoD). The settings for organised physical activity opportunities can include physical education, extra-curricular activities and community sport. Few studies have reported whether there are differences in participation in these settings between AWD and AWoD. The purpose of this study was to report differences in participation in organised physical activity between AWD and AWoD in Ireland.MethodsData, were disaggregated by disabilities, from the Irish children sport participation and physical activity 2018 study; a national representative self-report survey. Adolescents selected sports and physical activities they took part in the last 12 months in physical education, extra-curricular activities, and community sports. The child functioning module was completed with data coded according to the Washington group on disability statistics criteria. Data were stratified by gender and school level, with average scores of the number of activities analysed by T-Tests with Hedge's g, and no participation by Chi-square test of independence.ResultsThe weighted sample included 6646 adolescents (53% female, 68% secondary level), of which 16% reported disabilities. Specific difficulties were sensory (4%), physical (1%), cognitive (7%), and behavioural (9%). More AWD reported they did not do any organised physical activities in all three settings (physical education, p = 0.029, extra-curriculum, p = >.001, community sport p = >.001) than AWoD. Adolescents with behavioural disabilities reported fewer types of physical education activities (males primary, p = .014, g =.31; secondary, p = .008, g = .24) and community sports (male primary, p = >.001, g = .49; female secondary, p = .027, g = .14) than adolescents without behavioural disabilities.ConclusionsAdolescents with behavioural difficulties were the largest disability group and reported fewer number of organised physical activities than AWoD; reinforcing actions are needed to increase perceived choice of activities. An alarming number of AWD reported no organised physical activities in all three settings. More thorough studies are required to investigate these reasons, and to provide support across settings, whereby differences in participation between adolescents with and without disabilities are not so profound.

S07-2 Variability in physical activity levels in adolescent Gaelic football players across a competitive season

Abstract Background Gaelic football is the most popular team-based sport among Irish adolescents, yet research examining the physical activity (PA) levels attained during this sport is limited. Moreover, no research has examined the PA levels of participants across a competitive season, limiting the data collection to one, often undisclosed time point. Therefore, the aim of this study was to objectively measure changes in PA levels attained by adolescents during Gaelic football participation across two time points in a season and determine if these changes had an effect on the overall daily PA levels. Methods A total of 131 adolescents (67 male, 64 female; mean age 14.5 yrs.) were recruited from a convenience sample of three local clubs. Participants wore an activPAL3M accelerometer to determine total sitting/lying time, standing time, light intensity physical activity (LIPA) and moderate-to-vigorous physical activity (MVPA) during a seven-day measurement period, including Gaelic football participation. Physical activity measurement was completed at two separate time points, in line with the ?preseason? (round 1) and ?in-season? (round 2) periods of the Gaelic football calendar. Results Males accumulated significantly less time in MVPA during games in round 2 when compared to round 1 (round 1 = 36%; round 2 = 30%; p &amp;gt; 0.05). In contrast, females accumulated significantly more time in MVPA during both practices (round 1 = 19%; round 2 = 26%; p &amp;gt; 0.05) and games (round 1 = 27%; round 2=35%; p &amp;gt; 0.05) during round 2. The average daily minutes spent in MVPA by males significantly decreased between the two time points (round 1 = 36.5±12.9min; round 2 = 30.8±13.5min; p &amp;gt; 0.05), while daily MVPA in females significantly increased (round 1 = 26.3±8.9min; round 2 = 30.6±11.6min; p &amp;gt; 0.05). No significant differences in daily MVPA levels were observed between the genders during round 2 (p &amp;gt; 0.05). Conclusion The results demonstrate that the PA levels attained during Gaelic football participation change significantly across a competitive season. These changes may be a direct result of different coaching strategies implemented as the season progresses. The overall daily PA levels of the participants also changed significantly across the time points, resulting in males and females accumulating equal amounts of MVPA daily. This change in daily PA levels may be a consequence of the changes in PA levels attained during Gaelic football participation.