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MODELLING THE VICIOUS CIRCLE BETWEEN OBESITY AND PHYSICAL ACTIVITY IN CHILDREN AND ADOLESCENTS USING A BIVARIATE PROBIT MODEL WITH ENDOGENOUS REGRESSORS

  • C-Y. YEH (a1), L-J. CHEN (a2), P-W KU (a3) and C-M. CHEN (a1)
  • DOI: http://dx.doi.org/10.1017/S0021932013000722
  • Published online: 15 January 2014
Abstract
Summary

The increasing prevalence of obesity in children and adolescents has become one of the most important public health issues around the world. Lack of physical activity is a risk factor for obesity, while being obese could reduce the likelihood of participating in physical activity. Failing to account for the endogeneity between obesity and physical activity would result in biased estimation. This study investigates the relationship between overweight and physical activity by taking endogeneity into consideration. It develops an endogenous bivariate probit model estimated by the maximum likelihood method. The data included 4008 boys and 4197 girls in the 5th–9th grades in Taiwan in 2007–2008. The relationship between overweight and physical activity is significantly negative in the endogenous model, but insignificant in the comparative exogenous model. This endogenous relationship presents a vicious circle in which lower levels of physical activity lead to overweight, while those who are already overweight engage in less physical activity. The results not only reveal the importance of endogenous treatment, but also demonstrate the robust negative relationship between these two factors. An emphasis should be put on overweight and obese children and adolescents in order to break the vicious circle. Promotion of physical activity by appropriate counselling programmes and peer support could be effective in reducing the prevalence of obesity in children and adolescents.

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Corresponding author
1Corresponding author. Email: ming@ncnu.edu.tw
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K. R. Allison , J. J. Dwyer & S. Makin (1999) Perceived barriers to physical activity among high school students. Preventive Medicine 28, 608615.

A. Amarasinghe , G. D'Souza , C. Brown , H. Oh & T. Borisova (2009) The influence of socioeconomic and environmental determinants on health and obesity: a West Virginia case study. International Journal of Environmental Research and Public Health 6, 22712287.

M. C. Auld (2011) Effect of large-scale social interactions on body weight. Journal of Health Economics 30, 303316.

K. Ball , D. Crawford & N. Owen (2000) Too fat to exercise? Obesity as a barrier to physical activity. Australia and New Zealand Journal of Public Health 24, 331333.

C. S. Brixval , S. L. Rayce , M. Rasmussen , B. E. Holstein & P. Due (2012) Overweight, body image and bullying – an epidemiological study of 11- to 15-years olds. European Journal of Public Health 22, 126130.

G. Brunello , P. C. Michaud & A. Sanz-de-Galdeano (2009) The rise of obesity in Europe: an economic perspective. Economic Policy 24, 551596.

A. M. Cali & S. Caprio (2008) Obesity in children and adolescents. Journal of Clinical Endocrinology and Metabolism 93, S3136.

L. J. Chen , K. R. Fox , A. Haase & J. M. Wang (2006) Obesity, fitness and health in Taiwanese children and adolescents. European Journal of Clinical Nutrition 60, 13671375.

T. J. Cole , M. C. Bellizzi , K. M. Flegal & W. H. Dietz (2000) Establishing a standard definition for child overweight and obesity worldwide: international survey. British Journal of Medicine 320, 12401243.

C. L. Craig , A. L. Marshall , M. Sjostrom , A. E. Bauman , M. L. Booth , B. E. Ainsworth et al. (2003) International physical activity questionnaire (IPAQ): 12-country reliability and validity. Medicine & Science in Sports & Exercise 35, 13811395.

B. Deforche , J. Lefevre , I. De Bourdeaudhuij , A. P. Hills , W. Duquet & J. Bouckaert (2003) Physical fitness and physical activity in obese and nonobese flemish youth. Obesity Research 11, 434441.

S. C. Duncan , T. E. Duncan , L. A. Strycker & N. R. Chaumeton (2007) A cohort-sequential latent growth model of physical activity from ages 12 to 17 years. Annals of Behavioral Medicine 33, 8089.

M. S. Faith , M. A. Leone , T. S. Ayers , M. Heo & A. Pietrobelli (2002) Weight criticism during physical activity, coping skills, and reported physical activity in children. Pediatrics 110, e23.

D. E. Feldman , T. Barnett , I. Shrier , M. Rossignol & L. Abenhaim (2003) Is physical activity differentially associated with different types of sedentary pursuits? Archives of Pediatrics & Adolescent Medicine 157, 797802.

C. L. Fox & C. V. Farrow (2009) Global and physical self-esteem and body dissatisfaction as mediators of the relationship between weight status and being a victim of bullying. Journal of Adolescence 32, 12871301.

S. A. French , N. R. Mitchell & P. J. Hannan (2012) Decrease in television viewing predicts lower body mass index at 1-year follow-up in adolescents, but not adults. Journal of Nutrition and Education Behavior 44, 415422.

T. Fu , T. Wen , P. Yeh & H. Chang (2008) Costs of metabolic syndrome-related diseases induced by obesity in Taiwan. Obesity Review 9, 6873.

M. Garaulet , A. Martinez , F. Victoria , F. Perez-Llamas , R. M. Ortega & S. Zamora (2000) Difference in dietary intake and activity level between normal-weight and overweight or obese adolescents. Journal of Pediatric and Gastroenterology Nutrition 30, 253258.

Q. Z. Guo , W. J. Ma , S. P. Nie , Y. J. Xu , H. F. Xu & Y. R. Zhang (2010) Relationships between weight status and bullying victimization among school-aged adolescents in Guangdong Province of China. Biomedical and Environmental Sciences 23, 108112.

M. D. Hoffmans , D. Kromhout & C. de Lezenne Coulander (1988) The impact of body mass index of 78,612 18-year old Dutch men on 32-year mortality from all causes. Journal of Clinical Epidemiology 41, 749756.

W. Y. Huang , S. H. Wong & J. Salmon (2013) Correlates of physical activity and screen-based behaviors in Chinese children. Journal of Science Medicine and Sport doi: 10.1016/j.jsams.2012.1012.1011.

I. Janssen , P. T. Katzmarzyk , W. F. Boyce , C. Vereecken , C. Mulvihill , C. Roberts et al. (2005) Comparison of overweight and obesity prevalence in school-aged youth from 34 countries and their relationships with physical activity and dietary patterns. Obesity Reviews 6, 123132.

T. H. Liou , Y. C. Huang & P. Chou (2009) Prevalence and secular trends in overweight and obese Taiwanese children and adolescents in 1991–2003. Annals of Human Biology 36, 176185.

Y. M. Liou , T. H. Liou & L. C. Chang (2010) Obesity among adolescents: sedentary leisure time and sleeping as determinants. Journal of Advanced Nursing 66, 12461256.

S. J. Marshall , S. J. Biddle , T. Gorely , N. Cameron & I. Murdey (2004) Relationships between media use, body fatness and physical activity in children and youth: a meta-analysis. International Journal of Obesity and Related Metabolic Disorders 28, 12381246.

A. Must , P. F. Jacques , G. E. Dallal , C. J. Bajema & W. H. Dietz (1992) Long-term morbidity and mortality of overweight adolescents. A follow-up of the Harvard Growth Study of 1922 to 1935. New England Journal of Medicine 327, 13501355.

W. K. Newey (1987) Efficient estimation of limited dependent variable models with endogenous explanatory variables. Journal of Econometrics 36, 231250.

C. Perez-Rodrigo & J. Aranceta (2003) Nutrition education in schools: experiences and challenges. European Journal of Clinical Nutrition 57, S8285.

B. M. Popkin , S. Kim , E. R. Rusev , S. Du & C. Zizza (2006) Measuring the full economic costs of diet, physical activity and obesity-related chronic diseases. Obesity Reviews 7, 271293.

J. J. Reilly , L. Kelly , C. Montgomery , A. Williamson , A. Fisher , J. H. McColl et al. (2006) Physical activity to prevent obesity in young children: cluster randomised controlled trial. British Journal of Medicine 333, 1041.

J. P. Rey-Lopez , G. Vicente-Rodriguez , M. Biosca & L. A. Moreno (2008) Sedentary behaviour and obesity development in children and adolescents. Nutrition Metabolism and Cardiovascular Diseases 18, 242251.

L. B. Robbins , N. J. Pender & A. S. Kazanis (2003) Barriers to physical activity perceived by adolescent girls. Journal of Midwifery & Women's Health 48, 206212.

T. N. Robinson (1999) Reducing children's television viewing to prevent obesity: a randomized controlled trial. Journal of American Medical Association 282, 15611567.

S. J. Salvy , J. N. Roemmich , J. C. Bowker , N. D. Romero , P. J. Stadler & L. H. Epstein (2009) Effect of peers and friends on youth physical activity and motivation to be physically active. Journal of Pediatric Psychology 34, 217225.

C. F. Saylor & J. B. Leach (2009) Perceived bullying and social support in students accessing special inclusion programming. Journal of Developmental and Physical Disabilities 21, 6980.

M. Sentenac , C. Arnaud , A. Gavin , M. Molcho , S. N. Gabhainn & E. Godeau (2012) Peer victimization among school-aged children with chronic conditions. Epidemiologic Reviews 34, 120128.

S. R. Srinivasan , W. Bao , W. A. Wattigney & G. S. Berenson (1996) Adolescent overweight is associated with adult overweight and related multiple cardiovascular risk factors: the Bogalusa heart study. Metabolism: Clinical & Experimental 45, 235240.

S. R. Srinivasan , L. Myers & G. S. Berenson (2002) Predictability of childhood adiposity and insulin for developing insulin resistance syndrome (syndrome x) in young adulthood: the Bogalusa heart study. Diabetes 51, 204209.

E. A. Storch , V. A. Milsom , N. Debraganza , A. B. Lewin , G. R. Geffken & J. H. Silverstein (2007) Peer victimization, psychosocial adjustment, and physical activity in overweight and at-risk-for-overweight youth. Journal of Pediatric Psychology 32, 8089.

K. C. Swallen , E. N. Reither , S. A. Haas & A. M. Meier (2005) Overweight, obesity, and health-related quality of life among adolescents: the national longitudinal study of adolescent health. Pediatrics 115, 340347.

R. W. Taylor , K. A. McAuley , S. M. Williams , W. Barbezat , G. Nielsen & J. I. Mann (2006) Reducing weight gain in children through enhancing physical activity and nutrition: the apple project. International Journal of Pediatric Obesity 1, 146152.

G. Vicente-Rodriguez , J. P. Rey-Lopez , M. Martin-Matillas , L. A. Moreno , J. Warnberg , C. Redondo et al. (2008) Television watching, videogames, and excess of body fat in Spanish adolescents: the Avena study. Nutrition 24, 654662.

R. C. Vreeman & A. E. Carroll (2007) A systematic review of school-based interventions to prevent bullying. Archives of Pediatrics & Adolescent Medicine 161, 7888.

G. Wang & W. H. Dietz (2002) Economic burden of obesity in youths aged 6 to 17 years: 1979–1999. Pediatrics 109, E8181.

Y. Wang , M. A. Beydoun , L. Liang , B. Caballero & S. K. Kumanyika (2008) Will all Americans become overweight or obese? Estimating the progression and cost of the US obesity epidemic. Obesity 16, 23232330.

R. Weiss , J. Dziura , T. S. Burgert , W. V. Tamborlane , S. E. Taksali , C. W. Yeckel et al. (2004) Obesity and the metabolic syndrome in children and adolescents. New England Journal of Medicine 350, 23622374.

D. C. Wilks , H. Besson , A. K. Lindroos & U. Ekelund (2011) Objectively measured physical activity and obesity prevention in children, adolescents and adults: a systematic review of prospective studies. Obesity Reviews 12, e119129.

S. T. Yen , Z. Chen & D. B. Eastwood (2009) Lifestyles, demographics, dietary behavior, and obesity: a switching regression analysis. Health Service Research 44, 13451369.

M. F. Zabinski , B. E. Saelens , R. I. Stein , H. A. Hayden-Wade & D. E. Wilfley (2003) Overweight children's barriers to and support for physical activity. Obesity Research 11, 238246.

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