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Canadian Journal of Public Health = Revue Canadienne de Santé Publique logoLink to Canadian Journal of Public Health = Revue Canadienne de Santé Publique
editorial
. 2006 May 1;97(3):255–257. doi: 10.1007/BF03405599

Tackling the Obesity Pandemic

A Call for Sedentary Behaviour Research

Paul A Spanier 124,✉, Simon J Marshall 224, Guy E Faulkner 324
PMCID: PMC6976261  PMID: 16827420

Abstract

An emerging threat to public health is seen in the dramatic rise in obesity status of Canadians, especially among young people. In addressing the possible factors responsible for these dramatic increases, this paper outlines the importance of understanding sedentariness as an important health behaviour, distinct from physical activity, and identifying the modifiable determinants of sedentary behaviours.

MeSH terms: Obesity, child, television, video games, exercise

References

  • 1.LeBlanc CMA. The growing epidemic of child and youth obesity — Another twist? Can J Public Health. 2003;94(5):329–30. doi: 10.1007/BF03403554. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 2.World Health Organization. Obesity: Preventing and Managing the Global Epidemic: Report of a WHO Consultation on Obesity. Geneva, Switzerland: World Health Organization; 1998. [PubMed] [Google Scholar]
  • 3.Campos P. The Obesity Myth. New York, NY: Penguin Group Inc.; 2004. [Google Scholar]
  • 4.Statistics Canada. Measured Obesity: Adult Obesity in Canada. Nutrition: Findings from the Canadian Community Health Survey. Issue no. 1. 2005. (Catalogue no. 82-620-MWE). Ottawa, ON.
  • 5.Statistics Canada. Measured Obesity: Overweight Canadian Children and Adolescents. Nutrition: Findings from the Canadian Community Health Survey. Issue no. 1. 2005. (Catalogue no. 82-620-MWE). Ottawa, ON.
  • 6.HeartStroke Foundation of Canada. Heart and Stroke Foundation Warns Fat is the New Tobacco. 2004. [Google Scholar]
  • 7.Tremblay MS, Willms JD. Is the Canadian childhood obesity epidemic related to physical inactivity? Int J Obesity. 2003;27:1100–5. doi: 10.1038/sj.ijo.0802376. [DOI] [PubMed] [Google Scholar]
  • 8.Hill JO, Melanson EL. Overview of the determinants of overweight and obesity: Current evidence and research issues. Med Sci Sports Exerc. 1999;31(11Suppl1):S515–S521. doi: 10.1097/00005768-199911001-00005. [DOI] [PubMed] [Google Scholar]
  • 9.Blair SN, Nichaman MZ. The public health problem of increasing prevalence rates of obesity and what should be done about it. Mayo Clinic Proceed. 2002;77(2):109–13. doi: 10.1016/S0025-6196(11)62324-0. [DOI] [PubMed] [Google Scholar]
  • 10.Jeffery RW, Utter J. The changing environment and population obesity in the United States. Obesity Res. 2003;11(Suppl.1):12S–22S. doi: 10.1038/oby.2003.221. [DOI] [PubMed] [Google Scholar]
  • 11.Slyper AH. The pediatric obesity epidemic: Causes and controversies. J Clin Endocrin Metabol. 2004;89(6):2540–47. doi: 10.1210/jc.2003-031449. [DOI] [PubMed] [Google Scholar]
  • 12.Craig CL, Russell SJ, Cameron C, Bauman A. Twenty-year trends in physical activity among Canadian adults. Can J Public Health. 2004;95(1):59–63. doi: 10.1007/BF03403636. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 13.Nielsen S, Siega-Riz A, Popkin BM. Trends in energy intake in the US between 1977 and 1996: Similar shifts seen across age groups. Obesity Res. 2002;10:370–78. doi: 10.1038/oby.2002.51. [DOI] [PubMed] [Google Scholar]
  • 14.Food Statistics 2003. 2004.
  • 15.Stein CJ, Colditz GA. The epidemic of obesity. J Clin Endocrin Metabol. 2004;89(6):2522–25. doi: 10.1210/jc.2004-0288. [DOI] [PubMed] [Google Scholar]
  • 16.Ainsworth BE, Haskell WL, Whitt MC, Irwin ML, Swartz AM, Strath SJ, et al. Compendium of physical activities: An update of activity codes and MET intensities. Med Sci Sports Exerc. 2000;32(9Suppl):S498–504. doi: 10.1097/00005768-200009001-00009. [DOI] [PubMed] [Google Scholar]
  • 17.Health Canada. Canada’s physical activity guide to healthy active living: Family guide to physical activity for children (6-9 years of age) 2004. [Google Scholar]
  • 18.Health Canada. Canada’s physical activity guide to healthy active living: Family guide to physical activity for youth (10–14 years of age) 2004. [Google Scholar]
  • 19.American Academy of Pediatrics. Policy statement: Children, adolescents and television. Pediatrics. 2001;107(2):423–26. doi: 10.1542/peds.107.2.423. [DOI] [PubMed] [Google Scholar]
  • 20.Statistics Canada. The Daily. 2003. Television Viewing, fall 2002. [Google Scholar]
  • 21.Statistics Canada. Youth in Canada, third edition: Target groups project. (Catalogue no. 89-511-XPE) Ottawa, ON: Ministry of Industry; 2002. [Google Scholar]
  • 22.Gordon-Larsen P, McMurray RG, Popkin BM. Adolescent physical activity and inactivity vary by ethnicity: The National Longitudinal Study of Adolescent Health. J Pediatrics. 1999;135(3):301–6. doi: 10.1016/S0022-3476(99)70124-1. [DOI] [PubMed] [Google Scholar]
  • 23.Utter J, Neumark-Sztainer D, Jeffery R, Story M. Couch potatoes or French fries: Are sedentary behaviors associated with body mass index, physical activity, and dietary behaviors among adolescents? J Am Diet Assoc. 2003;103:1298–305. doi: 10.1016/S0002-8223(03)01079-4. [DOI] [PubMed] [Google Scholar]
  • 24.Certain LK, Kahn RS. Prevalence, correlates and trajectory of television viewing among infants and toddlers. Pediatrics. 2002;109:634–42. doi: 10.1542/peds.109.4.634. [DOI] [PubMed] [Google Scholar]
  • 25.WHO. Health and Health Behaviour Among Young People. WHO Policy Series: Health Policy for Children and Adolescents 1: International Report. WHO: Geneva; 2000. [Google Scholar]
  • 26.Statistics Canada. The Daily. 2001. General Social Survey: Internet Use. [Google Scholar]
  • 27.Andersen RE, Crespo CJ, Barlett SJ, Cheskin LJ, Pratt M. Relationship of physical activity and television watching with body weight and level of fatness among children: Results from the Third National Health and Nutrition Examination Survey. JAMA. 1998;279(12):938–42. doi: 10.1001/jama.279.12.938. [DOI] [PubMed] [Google Scholar]
  • 28.Dunstan DW, Salmon J, Owen N, Armstrong T, Zimmet PZ, Welbron TA, et al. Physical activity and television viewing in relation to risk of un-diagnosed abnormal glucose metabolism in adults. Diabetes Care. 2004;27(11):2603–9. doi: 10.2337/diacare.27.11.2603. [DOI] [PubMed] [Google Scholar]
  • 29.Hancox RJ, Milne BJ, Poulton R. Association between child and adolescent televiewing and adult health: Longitudinal birth cohort study. Lancet. 2004;364:257–62. doi: 10.1016/S0140-6736(04)16675-0. [DOI] [PubMed] [Google Scholar]
  • 30.Jakes RW, Day NE, Khaw KT, Luben R, Oakes S, Welch A, et al. Television viewing and low participation in vigorous recreation are independently associated with obesity and markers of cardiovascular disease risk: EPIC — Norfolk population-based study. Eur J Clin Nutr. 2003;57:1089–96. doi: 10.1038/sj.ejcn.1601648. [DOI] [PubMed] [Google Scholar]
  • 31.Kronenberg F, Pereira MA, Schmitz MKH, Arnett DK, Evenson KR, Crapo RO, et al. Influence of leisure time physical activity and television watching in artherosclerosis risk factors in the NHLBI family heart study. Artheroscl. 2000;153:433–43. doi: 10.1016/S0021-9150(00)00426-3. [DOI] [PubMed] [Google Scholar]
  • 32.Fotheringham MJ, Wonnacott RL, Owen N. Computer use and physical inactivity in young adults: Public health perils and potentials of new information technologies. Ann Behav Med. 2000;22(4):269–75. doi: 10.1007/BF02895662. [DOI] [PubMed] [Google Scholar]
  • 33.Frank LD, Andersen MA, Schmid TL. Obesity relationship with community design, physical activity, and time spent in cars. Am J Prev Med. 2004;27(2):87–96. doi: 10.1016/j.amepre.2004.04.011. [DOI] [PubMed] [Google Scholar]
  • 34.Hu FB, Li TY, Colditz GA, Willet WC, Manson JE. Television watching and other sedentary behaviors in relation to risk of obesity and type 2 diabetes mellitus in women. JAMA. 2003;289(14):1785–91. doi: 10.1001/jama.289.14.1785. [DOI] [PubMed] [Google Scholar]
  • 35.Salmon J, Bauman A, Crawford D, Timperio A, Owen N. The association between television viewing and overweight among Australian adults participating in varying levels of leisure-time physical activity. Int J Obesity. 2000;24:600–6. doi: 10.1038/sj.ijo.0801203. [DOI] [PubMed] [Google Scholar]
  • 36.Epstein LH, Roemmich JN. Reducing sedentary behavior: Role in modifying physical activity. Exerc Sport Sci Rev. 2001;29(3):103–8. doi: 10.1097/00003677-200107000-00003. [DOI] [PubMed] [Google Scholar]
  • 37.Epstein LH, Paluch RA, Gordy CC, Dorn J. Decreasing sedentary behaviors in treating pediatric obesity. Arch Pediatr Adol Med. 2000;154(3):220–26. doi: 10.1001/archpedi.154.3.220. [DOI] [PubMed] [Google Scholar]
  • 38.Epstein LH, Valoski AM, Vara LS, McCurley J, Wisniewski L, Kalarchian MA, et al. Effects of decreasing sedentary behaviour and increasing activity on weight change in obese children. Health Psychol. 1995;14:109–15. doi: 10.1037/0278-6133.14.2.109. [DOI] [PubMed] [Google Scholar]
  • 39.Robinson TN. Reducing children’s television viewing to prevent obesity: A randomized controlled trial. JAMA. 1999;282:1561–67. doi: 10.1001/jama.282.16.1561. [DOI] [PubMed] [Google Scholar]
  • 40.Ford BS, McDonald TE, Owens AS, Robinson TN. Primary care interventions to reduce television viewing in African-American children. Am J Prev Med. 2002;22(2):106–9. doi: 10.1016/S0749-3797(01)00410-X. [DOI] [PubMed] [Google Scholar]
  • 41.Owen N, Leslie E, Salmon J, Fotheringham MJ. Environmental determinants of physical activity and sedentary behavior. Exerc Sport Sci Rev. 2000;28:153–58. [PubMed] [Google Scholar]
  • 42.Gordon-Larsen P, McMurray RG, Popkin BM. Determinants of adolescent physical and inactivity patterns. Pediatrics. 2000;105(6):1–8. doi: 10.1542/peds.105.6.e83. [DOI] [PubMed] [Google Scholar]
  • 43.Schmitz KH, Lytle LA, Phillips GA, Murray DM, Birnbaum AS, Kubik MY. Psychosocial correlates of physical activity and sedentary leisure habits in young adolescence: The teens eating for energy and nutrition at school study. Prev Med. 2002;34:266–78. doi: 10.1006/pmed.2001.0982. [DOI] [PubMed] [Google Scholar]
  • 44.Marshall SJ, Biddle SJH, Gorely T, Cameron N, Murdey I. Relationship between media use, fatness and physical activity in children and youth: A meta analysis. Int J Obesity. 2004;28(10):1238–46. doi: 10.1038/sj.ijo.0802706. [DOI] [PubMed] [Google Scholar]
  • 45.Feldman DE, Barnett T, Shrier I, Rossignol M, Abenhaim L. Is physical activity differentially associated with different types of sedentary pursuits? Arch Pediatr Adolesc Med. 2003;157(8):797–802. doi: 10.1001/archpedi.157.8.797. [DOI] [PubMed] [Google Scholar]
  • 46.Gorely T, Marshall SJ, Biddle SJH. Couch kids: Correlates of television viewing among youth. Int J Behav Med. 2004;11(3):152–63. doi: 10.1207/s15327558ijbm1103_4. [DOI] [PubMed] [Google Scholar]
  • 47.Sidney S, Sternfeld B, Haskell WL, Jacobs DR, Chesney MA, Hulley SB. Television viewing and cardiovascular risk factors in young adults: The CARDIA study. Ann Epidemiol. 1996;6:154–59. doi: 10.1016/1047-2797(95)00135-2. [DOI] [PubMed] [Google Scholar]
  • 48.Salmon J, Owen N, Crawford D, Bauman A, Sallis JF. Physical activity and sedentary behavior: A population-based study of barriers, enjoyment, and preference. Health Psychol. 2003;22(2):178–88. doi: 10.1037/0278-6133.22.2.178. [DOI] [PubMed] [Google Scholar]
  • 49.McGuire MT, Neumark-Sztainer DR, Story M. Correlates of time spent in physical activity and television viewing in a multi-racial sample of adolescents. Pediatr Exerc Sci. 2002;14:75–86. doi: 10.1123/pes.14.1.75. [DOI] [Google Scholar]

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