Association between physical activity changes and risky behaviors among adolescents and young adults in Switzerland—a longitudinal study

Authors

DOI:

https://doi.org/10.55225/hppa.594

Keywords:

exercice, risk-taking, health promotion, substance-related disorders, feeding and eating disorders, Internet addiction disorder

Abstract

Purpose: Recent global studies on physical activity patterns among adolescents indicate that a significant majority fail to meet recommended activity levels, with higher amounts of sedentary behavior in this age group associated with poorer behavioral outcomes. The aim of this longitudinal study is to examine physical activity (PA) changes in a cohort of 1386 15–24-year-olds youth and to evaluate their association with risky behaviours.

Material and methods: Data were retrieved from the first (T1-2015-2016) and third (T3-2017–2018) waves of the GenerationFree study in Switzerland. Respondents were divided into four groups according to PA changes between T1–T3: Actives (16.2%), Increasers (11.3%), Decreasers (15.1%) and Inactives (57.4%). Results are given as relative risk ratios (RRR) using Actives as reference.

Results: One in six was physically active during the studied period. Compared to Actives, Increasers (RRR 2.154) and Decreasers (RRR 1.900) were more at-risk of smoking at T3, and Inactives at T1 (RRR 1.952) and T3 (RRR 2.218). While Decreasers (RRR 0.522) and Inactives (RRR 0.507) had lower odds for alcohol misuse at T1, Decreasers had higher odds at T3 (RRR 2.092). At T3, Inactives were more at-risk of an eating disorder (RRR 1.675). No relationship was found for cannabis use or problematic Internet use.

Conclusions: As PA guidelines are not met by most participants, PA should be promoted actively in adolescents by public health authorities and schools, and risk-taking should be prevent in active young people.

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World Health Organization. WHO guidelines on physical activity and sedentary behaviour. Geneva: World Health Organization; 2020. Available from: https://www.who.int/publications/i/item/9789240015128. Published 2020. Accessed June 30, 2024.   Google Scholar

Caspersen CJ, Powell KE, Christenson GM. Physical activity, exercise, and physical fitness: Definitions and distinctions for health-related research. Public Health Rep. 1985;100(2):126-131.   Google Scholar

Guthold R, Stevens GA, Riley LM, Bull FC. Global trends in insufficient physical activity among adolescents: A pooled analysis of 298 population-based surveys with 1.6 million participants. Lancet Child Adolesc Health. 2020;4(1):23-35. doi: 10.1016/s2352-4642(19)30323-2.   Google Scholar

Llorente-Cantarero FJ, Aguilar-Gómez FJ, Anguita-Ruiz A, et al. Changes in physical activity patterns from childhood to adolescence: Genobox longitudinal study. Int J Environ Res Public Health. Oct 2 2020;17(19):7227. doi: 10.3390/ijerph17197227.   Google Scholar

Murray RM, Sabiston CM, Doré I, Bélanger M, O’Loughlin JL. Longitudinal associations between team sport participation and substance use in adolescents and young adults. Addict Behav. 2021;116:106798. doi: 10.1016/j.addbeh.2020.106798.   Google Scholar

Diehl K, Thiel A, Zipfel S, Mayer J, Litaker DG, Schneider S. How healthy is the behavior of young athletes? A systematic literature review and meta-analyses. J Sports Sci Med. 2012;11(2):201-220.   Google Scholar

Dumith SC, Gigante DP, Domingues MR, Kohl HW, III. Physical activity change during adolescence: A systematic review and a pooled analysis. Int J Epidemiol. 2011;40(3):685-698. doi: 10.1093/ije/dyq272.   Google Scholar

Olds T, Ridley K, Wake M, et al. How should activity guidelines for young people be operationalised? Int J Behav Nutr Phys Act. 2007;4:43. doi: 10.1186/1479-5868-4-43.   Google Scholar

Pawlikowski M, Altstötter-Gleich C, Brand M. Validation and psychometric properties of a short version of Young’s Internet Addiction Test. Comput Human Behav. 2013;29(3):1212-1223. doi: 10.1016/j.chb.2012.10.014.   Google Scholar

Morgan JF, Reid F, Lacey JH. The SCOFF questionnaire: a new screening tool for eating disorders. West J Med. Mar. 2000;172(3):164-165. doi: 10.1136/ewjm.172.3.164.   Google Scholar

Hibell B, Guttormsson U, Ahlström S, et al. The 2007 ESPAD Report: substance use among students in 35 European countries. Stockholm: The Swedish Council for Information on Alcohol and Other Drugs; 2007. https://www.espad.org/sites/default/files/The_2007_ESPAD_Report-FULL_091006.pdf. Published 2007. Accessed June 30, 2024.   Google Scholar

Topp CW, Østergaard SD, Søndergaard S, Bech P. The WHO-5 Well-Being Index: A systematic review of the literature. Psychother Psychosom. 2015;84(3):167-176. doi: 10.1159/000376585.   Google Scholar

Veliz P, McCabe SE, McCabe VV, Boyd CJ. Adolescent sports participation, e-cigarette use, and cigarette smoking. Am J Prev Med. 2017;53(5):e175-e183. doi: 10.1016/j.amepre.2017.06.032.   Google Scholar

Audrain-McGovern J, Rodriguez D, Kassel JD. Adolescent smoking and depression: evidence for self-medication and peer smoking mediation. Addiction. 2009;104(10):1743-1756. doi: 10.1111/j.1360-0443.2009.02617.x.   Google Scholar

Kaczynski AT, Manske SR, Mannell RC, Grewal K. Smoking and physical activity: A systematic review. Am J Health Behav. 2008;32(1):93-110. doi: 10.5555/ajhb.2008.32.1.93.   Google Scholar

Igra V, Irwin Jr CE. Theories of adolescent risk-taking behavior. In: DiClemente RJ, Hansen WB, Ponton LE, eds. Handbook of Adolescent Health Risk Behavior. New York: Plenum Press; 1996:35-51.   Google Scholar

Kim Y, Kuan G. Relationship between alcohol consumption and drinking refusal self-efficacy among university students: The roles of sports type and gender. Int J Environ Res Public Health. 2020;17(12):4251. doi: 10.3390/ijerph17124251.   Google Scholar

Audrain-McGovern J, Rodriguez D, Moss HB. Smoking progression and physical activity. Cancer Epidemiol Biomarkers Prev. 2003;12(11 Pt 1):1121-1129.   Google Scholar

Nagata JM, Domingue BW, Darmstadt GL, et al. Gender norms and weight control behaviors in U.S. adolescents: A prospective cohort study (1994–2002). J Adolesc Health. 2020;66(1S):S34-S41. doi: 10.1016/j.jadohealth.2019.08.020.   Google Scholar

Henchoz Y, Dupuis M, Deline S, et al. Associations of physical activity and sport and exercise with at-risk substance use in young men: A longitudinal study. Prev Med. 2014;64:27-31. doi: 10.1016/j.ypmed.2014.03.022.   Google Scholar

Sznitman S, Engel-Yeger B. Sensation seeking and adolescent alcohol use: Exploring the mediating role of unstructured socializing with peers. Alcohol Alcohol. 2017;52(3):396-401. doi: 10.1093/alcalc/agx008.   Google Scholar

Kwan M, Bobko S, Faulkner G, Donnelly P, Cairney J. Sport participation and alcohol and illicit drug use in adolescents and young adults: A systematic review of longitudinal studies. Addict Behav. 2014;39(3):497-506. doi: 10.1016/j.addbeh.2013.11.006.   Google Scholar

Gaddad P, Pemde HK, Basu S, Dhankar M, Rajendran S. Relationship of physical activity with body image, self esteem sedentary lifestyle, body mass index and eating attitude in adolescents: A cross-sectional observational study. J Family Med Prim Care. 2018;7(4):775-779. doi: 10.4103/jfmpc.jfmpc_114_18.   Google Scholar

Elmesmari R, Martin A, Reilly JJ, Paton JY. Comparison of accelerometer measured levels of physical activity and sedentary time between obese and non-obese children and adolescents: A systematic review. BMC Pediatr. 2018;18(1):106. doi: 10.1186/s12887-018-1031-0.   Google Scholar

Skogen IB, Båtevik FO, Krumsvik RJ, Høydal KL. Weight-based victimization and physical activity among adolescents with overweight or obesity: A scoping review of quantitative and qualitative evidence. Front Sports Act Living. 2022;4:732737. doi: 10.3389/fspor.2022.732737.   Google Scholar

Tsekoura E, Kostopoulou E, Fouzas S, et al. The association between obesity and the risk for development of eating disorders: A large-scale epidemiological study. Eur Rev Med Pharmacol Sci. 2021;25(19):6051-6056. doi: 10.26355/eurrev_202110_26883.   Google Scholar

Park J-A, Park M-H, Shin J-H, et al. Effect of sports participation on Internet addiction mediated by self-control: A case of Korean adolescents. Kasetsart Journal of Social Sciences. 2016;37(3):164-169. doi: 10.1016/j.kjss.2016.08.003.   Google Scholar

Tsitsika AK, Tzavela EC, Janikian M, et al. Online social networking in adolescence: patterns of use in six European countries and links with psychosocial functioning. J Adolesc Health. 2014;55(1):141-147. doi: 10.1016/j.jadohealth.2013.11.010.   Google Scholar

Bell SL, Audrey S, Gunnell D, Cooper A, Campbell R. The relationship between physical activity, mental wellbeing and symptoms of mental health disorder in adolescents: A cohort study. Int J Behav Nutr Phys Act. 2019;16(1):138. doi: 10.1186/s12966-019-0901-7.   Google Scholar

Caldwell AE, Cummings DK, Hooper PL, et al. Adolescence is characterized by more sedentary behaviour and less physical activity even among highly active forager-farmers. Proc Biol Sci. 2023;290(2010):20231764. doi: 10.1098/rspb.2023.1764.   Google Scholar

Farooq MA, Parkinson KN, Adamson AJ, et al. Timing of the decline in physical activity in childhood and adolescence: Gateshead Millennium Cohort Study. Br J Sports Med. 2018;52(15):1002-1006. doi: 10.1136/bjsports-2016-096933.   Google Scholar

Gallant F, Hebert JJ, Thibault V, Mekari S, Sabiston CM, Bélanger M. Puberty timing and relative age as predictors of physical activity discontinuation during adolescence. Sci Rep. 2023;13(1):13740. doi: 10.1038/s41598-023-40882-3.   Google Scholar

Allison C, Colby S, Opoku-Acheampong A, et al. Accuracy of self-reported BMI using objective measurement in high school students. J Nutr Sci. 2020 Aug 12:9:e35. doi: 10.1017/jns.2020.28.   Google Scholar

Pérez A, Gabriel KP, Nehme EK, Mandell DJ, Hoelscher DM. Measuring the bias, precision, accuracy, and validity of self-reported height and weight in assessing overweight and obesity status among adolescents using a surveillance system. Int J Behav Nutr Phys Act. 2015;12 Suppl 1(Suppl 1):S2. doi: 10.1186/1479-5868-12-S1-S2.   Google Scholar

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Published

2025-01-20

How to Cite

Dumas, M., Tercier, S., Suris, J.-C., & Barrense-Dias, Y. (2025). Association between physical activity changes and risky behaviors among adolescents and young adults in Switzerland—a longitudinal study. Health Promotion & Physical Activity, 28(3), 1–11. https://doi.org/10.55225/hppa.594

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