Evidence map›Paper›PMID 30111365›Full record

ArticleThe international journal of behavioral nutrition and physical activity2018

The multivariate physical activity signature associated with metabolic health in children.

Eivind Aadland, Olav Martin Kvalheim, Sigmund Alfred Anderssen, Geir Kåre Resaland, Lars Bo Andersen

Registry-linked trialAbstract read
In one paragraph

Article in The international journal of behavioral nutrition and physical activity, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02132494 (Active Smarter Kids), which is not on this map. Cited by 45 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02132494 nacompletednot on this map

Active Smarter Kids: A Cluster-randomized Controlled Trial Investigating the Effect of Daily Physical Activity on Children's Academic Performance and on Risk Factors for Lifestyle-related Non-communicable Diseases

TypeinterventionalSponsorWestern Norway University of Applied SciencesRan2014 to 2015Enrolled1,202ConditionsAcademic Performance, Primary Prevention, Physical ActivityArmsPhysical activity
3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Association between 24-hour movement behaviors and adiposity in children and adolescents: A compositional data meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Eivind AadlandDepartment of Sport, Food and Natural Sciences, Faculty of Education, Arts and Sports, Western Norway University of Applied Sciences, Campus Sogndal, Box 133, 6851, Sogndal, Norway. eivind.aadland@hvl.no.ORCID 0000-0001-9654-2653
Olav Martin KvalheimDepartment of Chemistry, University of Bergen, Box 7800, 5020, Bergen, Norway.
Sigmund Alfred AnderssenDepartment of Sport, Food and Natural Sciences, Faculty of Education, Arts and Sports, Western Norway University of Applied Sciences, Campus Sogndal, Box 133, 6851, Sogndal, Norway.
Geir Kåre ResalandDepartment of Sport, Food and Natural Sciences, Faculty of Education, Arts and Sports, Western Norway University of Applied Sciences, Campus Sogndal, Box 133, 6851, Sogndal, Norway.
Lars Bo AndersenDepartment of Sport, Food and Natural Sciences, Faculty of Education, Arts and Sports, Western Norway University of Applied Sciences, Campus Sogndal, Box 133, 6851, Sogndal, Norway.

Funding

Gjensidige Foundation 1042294Norges Forskningsråd 221047/F40
6 · The paper itself

Abstract

backgroundPhysical activity is a cornerstone for promoting good metabolic health in children, but it is heavily debated which intensities (including sedentary time) are most influential. A fundamental limitation to current evidence for this relationship is the reliance on analytic approaches that cannot handle collinear variables. The aim of the present study was to determine the physical activity signature related to metabolic health in children, by investigating the association pattern for the whole spectrum of physical activity intensities using multivariate pattern analysis.

methodsWe used a sample of 841 children (age 10.2 ± 0.3 years; BMI 18.0 ± 3.0; 50% boys) from the Active Smarter Kids study, who provided valid data on accelerometry (ActiGraph GT3X+) and several indices of metabolic health (aerobic fitness, abdominal fatness, insulin sensitivity, lipid metabolism, blood pressure) that were used to create a composite metabolic health score. We created 16 physical activity variables covering the whole intensity spectrum (from 0-100 to ≥ 8000 counts per minute) and used multivariate pattern analysis to analyze the data.

resultsPhysical activity intensities in the vigorous range (5000-7000 counts per minute) were most strongly associated with metabolic health. Moderate intensity physical activity was weakly related to health, and sedentary time and light physical activity were not related to health.

conclusionsThis study is the first to determine the multivariate physical activity signature related to metabolic health in children across the whole intensity spectrum. This novel approach shows that vigorous physical activity is strongest related to metabolic health. We recommend future studies adapt a multivariate analytic approach to further develop the field of physical activity epidemiology.

trial registrationThe study was registered in Clinicaltrials.gov (www.clinicaltrials.gov) 7th of April 2014 with identification number NCT02132494 .

Indexed as

AccelerometryBlood PressureChildChild HealthExerciseFemaleHumansInsulin ResistanceLipid MetabolismMaleObesity, AbdominalPhysical FitnessSedentary BehaviorAccelerometerChildhoodIntensityMetabolic risk factorsMultivariate pattern analysisPediatric

Identifiers

PMID30111365
PMCPMC6094580

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.