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. 2023 Oct 25;23:2094. doi: 10.1186/s12889-023-17009-4

Table 4.

Comparative annuaslised rates of change in fatness and fitness metrics by socio-demographic categories: holiday vs. in-school periods

Predictor %BF P zBMI p Waist:Ht% p VO2max p SBJ p
Time*Sex Holidays vs Grade 4*Male -2.0 0.75 0.6 0.43 -8.2 0.20 7.4 0.18 -14.2 0.69
Ref= Female (-14.1 to 10.2) (-0.9 to 2.2) (-20.6 to 4.2) (-3.4 to 18.1) (-84.6 to 56.2)
Holidays vs Grade 5*Male -3.7 0.55 0.3 0.69 -7.0 0.27 8.1 0.15 -14.6 0.68
(-15.9 to 8.4) (-1.2 to 1.9) (-19.5 to 5.5) (-2.8 18.9) (-85.0 to 55.8)
Time*SES Holidays vs Grade 4*SES -7.5 0.045 -0.7 0.13 -1.5 0.69 -0.6 0.84 -5.0 0.79
(-14.8 to -0.2) (-1.6 to 0.2) (-8.7 to 5.8) (-6.5 to 5.3) (-41.4 to 31.4)
Holidays vs Grade 5*SES -9.4 0.01 -0.9 0.04 -2.9 0.44 -2.6 0.38 -6.1 0.74
(-16.8 to -2.1) (-1.8 to -0.0) (-10.2 to 4.4) (-8.6 to 3.3) (-42.5 to 30.3)
Time* Holidays vs Grade 4* Early -12.8 0.02 -1.4 0.046 -12 0.04 -5.4 0.25 -9.2 0.75
Puberty (-23.9 to -1.8) (-2.7 to -0.0) (-23.2 to -0.8) (-14.6 to 3.9) (-65.0 to 46.5)
Ref= Mid
Holidays vs Grade 5* Early -10.8 0.06 -1.2 0.08 -10.9 0.06 -4.6 0.33 3.3 0.91
(-21.9 to 0.3) (-2.5 to 0.1) (-22.2 to 0.5) (-13.9 to 4.7) (-52.4 to 59.0)
Holidays vs Grade 4* Pre 0.2 0.98 -0.5 0.58 12.2 0.08 -12.9 0.03 50 0.19
(-13.0 to -13.3) (-2.1 to 1.2) (-1.5 to 25.9) (-24.5 to -1.3) (-25.5 to 125.4)
Holidays vs Grade 5* Pre 3.2 0.64 0.0 0.98 11.6 0.10 -13.2 0.03 61.5 0.11
(-10.1 to 16.4) (-1.7 to 1.6) (-2.2 to 25.4) (-24.8 to -1.5) (-13.9 to 137.0)
Time* Holidays vs Grade 4* 11.2 0.03 0.9 0.14 3.1 0.55 -11.3 0.01 3.48 0.90
Weight Status Overweight (1.3 to 21.1) (-0.3 to 2.1) (-7.1 to 13.3) (-20.2 to 2.4) (-50.2 to 57.1)
Ref= Normal Holidays vs Grade 5* Overweight 11.9 0.02 0.9 0.13 3.1 0.55 -11.8 0.01 5.9 0.830
(0.19 to 21.8) (-0.3 to 2.1) (-7.1 to 13.3) (-20.8 to -2.8) (-47.8 to 59.5)
Holidays vs Grade 4* Obese 4.4 0.53 0.2 0.82 4.9 0.47 -4.0 0.56 8.8 0.81
(-9.2 to 17.9) (-1.4 to 1.8) (-8.6 to 18.5) (-17.1 to 9.2) (-62.2 to 79.7)
Holidays vs Grade 5* Obese 6.1 0.38 0.4 0.61 7.1 0.31 -7.8 0.25 8.0 0.83
(-7.5 to 19.7) (-1.2 to 2.0) (-6.5 to 20.7) (-21.0 to 5.4) (-63.0 to 78.9)

The table delineates the variations in annualised rates of change (accompanied by 95% CIs) during the holiday period, contrasted against the Grade 4 and Grade 5 in-school periods, segmented by socio-demographic categories. For instance, in the context of body fat percentage (%BF), the rate of change during the holidays compared to the Grade 5 in-school period was notably higher (p = 0.020) in overweight children by + 11.9%BF/year when compared to normal-weight children (who serve as the reference category). In terms of Socioeconomic Status (SES), a 1 SD increase in the SES z-score was associated with a decrease of 9.4%BF/year in the rate of change in %BF during holidays versus the Grade 5 in-school period.

Models were mutually adjusted for all covariates, and random intercepts were used to account for nesting of observations within participants, within schools, within study waves. Note: p < 0.05 shown in boldface

Abbreviations: SES = socioeconomic status; Wt status = weight status; %BF = percentage body fat; SBJ = standing broad jump (cm); V̇O2max = maximal aerobic power (ml/kg/min); Waist:Ht% = waist-to-height ratio (as a percentage); zBMI = BMI z-score