Skip to main content
Top
Published in: Environmental Health and Preventive Medicine 1/2017

Open Access 01-12-2017 | Research article

Level and potential social-ecological factors associated with physical inactivity and sedentary behavior among Moroccan school-age adolescents: a cross-sectional study

Published in: Environmental Health and Preventive Medicine | Issue 1/2017

Login to get access

Abstract

Background

Creating a successful intervention that supports an active lifestyle and prevents sedentary one requires a better understanding of the factors associated with physical inactivity (PI) and sedentary behavior (SB). However, these factors have not been assessed among Moroccan adolescents. This study aimed to determine prevalence of PI and SB and to explore their potential social-ecological associated factors in school-age adolescents.

Methods

In this cross-sectional study, 764 students (age range, 14–19 years) were enrolled from six schools in Taza city, Morocco. The Global School-based Student Health Survey was used to collect data about variables. We used bivariate and multivariate analyses to assess relations between dependent and independent variables.

Results

Overall, the prevalence of PI was 79.5% and SB was 36.5%. Among girls, these rates were higher (87.0 and 39.1%, respectively) than rates shown in boys (70.9 and 33.6%, respectively). In the multivariate logistic regression analysis, PI was associated with the following variables: illiterate father, hunger, suicidal ideation, inadequate vegetable consumption, and absence from physical education classes. Age, inadequate vegetable consumption, and absenteeism were associated with SB.

Conclusions

The prevalence of PI and SB is high, especially among girls. Thus, there is an urgent need to implement appropriate interventions to reduce PI and SB levels in secondary school-age adolescents and the associated factors identified can be useful.
Appendix
Available only for authorised users
Literature
1.
go back to reference Viner RM, Ozer EM, Denny S, Marmot M, Resnick M, Fatusi A, et al. Adolescence and the social determinants of health. Lancet. 2012;379:1641–52.CrossRefPubMed Viner RM, Ozer EM, Denny S, Marmot M, Resnick M, Fatusi A, et al. Adolescence and the social determinants of health. Lancet. 2012;379:1641–52.CrossRefPubMed
2.
go back to reference Itoh H, Kitamura F, Hagi N, Mashiko T, Matsukawa T, Yokoyama K. Leisure-time physical activity in youth as a predictor of adult leisure physical activity among Japanese workers: a cross-sectional study. Environ Health Prev Med. 2017;22:37.CrossRef Itoh H, Kitamura F, Hagi N, Mashiko T, Matsukawa T, Yokoyama K. Leisure-time physical activity in youth as a predictor of adult leisure physical activity among Japanese workers: a cross-sectional study. Environ Health Prev Med. 2017;22:37.CrossRef
3.
go back to reference Patton GC, Coffey C, Cappa C, Currie D, Riley L, Gore F, et al. Health of the world’s adolescents: a synthesis of internationally comparable data. Lancet. 2012;379:1665–75.CrossRefPubMed Patton GC, Coffey C, Cappa C, Currie D, Riley L, Gore F, et al. Health of the world’s adolescents: a synthesis of internationally comparable data. Lancet. 2012;379:1665–75.CrossRefPubMed
4.
go back to reference World Health Organization. Global health risks: mortality and burden of disease attributable to selected major risks. World Health Organization; 2009. World Health Organization. Global health risks: mortality and burden of disease attributable to selected major risks. World Health Organization; 2009.
5.
go back to reference Kohl 3rd HW, Craig CL, Lambert EV, Inoue S, Alkandari JR, Leetongin G, et al. The pandemic of physical inactivity: global action for public health. Lancet. 2012;380:294–05.CrossRefPubMed Kohl 3rd HW, Craig CL, Lambert EV, Inoue S, Alkandari JR, Leetongin G, et al. The pandemic of physical inactivity: global action for public health. Lancet. 2012;380:294–05.CrossRefPubMed
6.
go back to reference World Health Organization. Global recommendations on physical activity for health. World Health Organization 2010. World Health Organization. Global recommendations on physical activity for health. World Health Organization 2010.
7.
go back to reference Janssen I, Leblanc AG. Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. Int J Behav Nutr Phys Act. 2010;7:40.CrossRefPubMedPubMedCentral Janssen I, Leblanc AG. Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. Int J Behav Nutr Phys Act. 2010;7:40.CrossRefPubMedPubMedCentral
8.
go back to reference Hancock J, Inchley J. Sedentary behaviour. HBSC’s International Coordinating Centre. Hancock J, Inchley J. Sedentary behaviour. HBSC’s International Coordinating Centre.
9.
go back to reference American Academy of Pediatrics Committee on Public Education. Children, adolescents, and television. Pediatrics. 2001;107:423–26.CrossRef American Academy of Pediatrics Committee on Public Education. Children, adolescents, and television. Pediatrics. 2001;107:423–26.CrossRef
10.
go back to reference Arundell L, Fletcher E, Salmon J, Veitch J, Hinkley T. A systematic review of the prevalence of sedentary behavior during the after-school period among children aged 5–18 years. Int J Behav Nutr Phys Act. 2016;13:93.CrossRefPubMedPubMedCentral Arundell L, Fletcher E, Salmon J, Veitch J, Hinkley T. A systematic review of the prevalence of sedentary behavior during the after-school period among children aged 5–18 years. Int J Behav Nutr Phys Act. 2016;13:93.CrossRefPubMedPubMedCentral
11.
go back to reference Van Der Horst K, Paw MJ, Twisk JW, Van Mechelen W. A brief review on correlates of physical activity and sedentariness in youth. Med Sci Sports Exerc. 2007;39:1241–50.CrossRef Van Der Horst K, Paw MJ, Twisk JW, Van Mechelen W. A brief review on correlates of physical activity and sedentariness in youth. Med Sci Sports Exerc. 2007;39:1241–50.CrossRef
12.
go back to reference Guthold R, Cowan MJ, Autenrieth CS, Kann L, Riley LM. Physical activity and sedentary behavior among schoolchildren: a 34-country comparison. J Pediatr. 2010;157:43–9.CrossRefPubMed Guthold R, Cowan MJ, Autenrieth CS, Kann L, Riley LM. Physical activity and sedentary behavior among schoolchildren: a 34-country comparison. J Pediatr. 2010;157:43–9.CrossRefPubMed
13.
go back to reference Uijtdewilligen L, Nauta J, Singh AS, van Mechelen W, Twisk JW, van der Horst K, et al. Determinants of physical activity and sedentary behaviour in young people: a review and quality synthesis of prospective studies. Br J Sports Med. 2011;45:896–05.CrossRefPubMed Uijtdewilligen L, Nauta J, Singh AS, van Mechelen W, Twisk JW, van der Horst K, et al. Determinants of physical activity and sedentary behaviour in young people: a review and quality synthesis of prospective studies. Br J Sports Med. 2011;45:896–05.CrossRefPubMed
14.
go back to reference Thorp AA, Owen N, Neuhaus M, Dunstan DW. Sedentary behaviors and subsequent health outcomes in adults a systematic review of longitudinal studies, 1996–2011. Am J Prev Med. 2011;41:207–15.CrossRefPubMed Thorp AA, Owen N, Neuhaus M, Dunstan DW. Sedentary behaviors and subsequent health outcomes in adults a systematic review of longitudinal studies, 1996–2011. Am J Prev Med. 2011;41:207–15.CrossRefPubMed
15.
go back to reference Carson V, Hunter S, Kuzik N, Gray CE, Poitras VJ, Chaput JP, et al. Systematic review of sedentary behaviour and health indicators in school-aged children and youth: an update. Appl Physiol Nutr Metab. 2016;41:S240–265.CrossRefPubMed Carson V, Hunter S, Kuzik N, Gray CE, Poitras VJ, Chaput JP, et al. Systematic review of sedentary behaviour and health indicators in school-aged children and youth: an update. Appl Physiol Nutr Metab. 2016;41:S240–265.CrossRefPubMed
16.
go back to reference Must A, Tybor DJ. Physical activity and sedentary behavior: a review of longitudinal studies of weight and adiposity in youth. Int J Obes (Lond). 2005;29 Suppl 2:S84–96.CrossRef Must A, Tybor DJ. Physical activity and sedentary behavior: a review of longitudinal studies of weight and adiposity in youth. Int J Obes (Lond). 2005;29 Suppl 2:S84–96.CrossRef
17.
go back to reference Lee IM, Shiroma EJ, Lobelo F, Puska P, Blair SN, Katzmarzyk PT. Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet. 2012;380:219–29.CrossRefPubMedPubMedCentral Lee IM, Shiroma EJ, Lobelo F, Puska P, Blair SN, Katzmarzyk PT. Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet. 2012;380:219–29.CrossRefPubMedPubMedCentral
18.
go back to reference Sallis JF, Prochaska JJ, Taylor WC. A review of correlates of physical activity of children and adolescents. Med Sci Sports Exerc. 2000;32:963–75.CrossRefPubMed Sallis JF, Prochaska JJ, Taylor WC. A review of correlates of physical activity of children and adolescents. Med Sci Sports Exerc. 2000;32:963–75.CrossRefPubMed
19.
go back to reference Atkin AJ, van Sluijs EM, Dollman J, Taylor WC, Stanley RM. Identifying correlates and determinants of physical activity in youth: how can we advance the field? Prev Med. 2016;87:167–69.CrossRefPubMedPubMedCentral Atkin AJ, van Sluijs EM, Dollman J, Taylor WC, Stanley RM. Identifying correlates and determinants of physical activity in youth: how can we advance the field? Prev Med. 2016;87:167–69.CrossRefPubMedPubMedCentral
20.
go back to reference Bauman AE, Reis RS, Sallis JF, Wells JC, Loos RJ, Martin BW. Correlates of physical activity: why are some people physically active and others not? Lancet. 2012;380:58–271.CrossRef Bauman AE, Reis RS, Sallis JF, Wells JC, Loos RJ, Martin BW. Correlates of physical activity: why are some people physically active and others not? Lancet. 2012;380:58–271.CrossRef
21.
go back to reference Sallis JF, Cervero RB, Ascher W, Henderson KA, Kraft MK, Kerr J. An ecological approach to creating active living communities. Annu Rev Public Health. 2006;27:297–322.CrossRefPubMed Sallis JF, Cervero RB, Ascher W, Henderson KA, Kraft MK, Kerr J. An ecological approach to creating active living communities. Annu Rev Public Health. 2006;27:297–322.CrossRefPubMed
22.
go back to reference McMinn AM, van Sluijs EM, Wedderkopp N, Froberg K, Griffin SJ. Sociocultural correlates of physical activity in children and adolescents: findings from the Danish arm of the European Youth Heart study. Pediatr Exerc Sci. 2008;20:319–32.CrossRefPubMed McMinn AM, van Sluijs EM, Wedderkopp N, Froberg K, Griffin SJ. Sociocultural correlates of physical activity in children and adolescents: findings from the Danish arm of the European Youth Heart study. Pediatr Exerc Sci. 2008;20:319–32.CrossRefPubMed
23.
go back to reference Park H, Kim N. Predicting factors of physical activity in adolescents: a systematic review. Asian Nurs Res (Korean Soc Nurs Sci). 2008;2:113–28.CrossRef Park H, Kim N. Predicting factors of physical activity in adolescents: a systematic review. Asian Nurs Res (Korean Soc Nurs Sci). 2008;2:113–28.CrossRef
24.
go back to reference Shuval K, Weissblueth E, Brezis M, Araida A, Dipietro L. Individual and socio-ecological correlates of physical activity among Arab and Jewish college students in Israel. J Phys Act Health. 2009;6:306–14.CrossRefPubMed Shuval K, Weissblueth E, Brezis M, Araida A, Dipietro L. Individual and socio-ecological correlates of physical activity among Arab and Jewish college students in Israel. J Phys Act Health. 2009;6:306–14.CrossRefPubMed
25.
go back to reference Peltzer K, Pengpid S. Leisure time physical inactivity and sedentary behaviour and lifestyle correlates among students aged 13–15 in the Association of Southeast Asian Nations (ASEAN) member states, 2007-2013. Int J Environ Res Public Health. 2016;13:217.CrossRefPubMedPubMedCentral Peltzer K, Pengpid S. Leisure time physical inactivity and sedentary behaviour and lifestyle correlates among students aged 13–15 in the Association of Southeast Asian Nations (ASEAN) member states, 2007-2013. Int J Environ Res Public Health. 2016;13:217.CrossRefPubMedPubMedCentral
26.
go back to reference Peltzer K. Leisure time physical activity and sedentary behavior and substance use among in-school adolescents in eight African countries. Int J Behav Med. 2010;17:271–78.CrossRefPubMed Peltzer K. Leisure time physical activity and sedentary behavior and substance use among in-school adolescents in eight African countries. Int J Behav Med. 2010;17:271–78.CrossRefPubMed
27.
go back to reference de Vet E, de Ridder DT, de Wit JB. Environmental correlates of physical activity and dietary behaviours among young people: a systematic review of reviews. Obes Rev. 2011;12:e130–42.CrossRefPubMed de Vet E, de Ridder DT, de Wit JB. Environmental correlates of physical activity and dietary behaviours among young people: a systematic review of reviews. Obes Rev. 2011;12:e130–42.CrossRefPubMed
28.
go back to reference Asare M, Danquah SA. The relationship between physical activity, sedentary behaviour and mental health in Ghanaian adolescents. Child Adolesc Psychiatry Ment Health. 2015;9:11.CrossRefPubMedPubMedCentral Asare M, Danquah SA. The relationship between physical activity, sedentary behaviour and mental health in Ghanaian adolescents. Child Adolesc Psychiatry Ment Health. 2015;9:11.CrossRefPubMedPubMedCentral
29.
go back to reference Hoare E, Milton K, Foster C, Allender S. The associations between sedentary behaviour and mental health among adolescents: a systematic review. Int J Behav Nutr Phys Act. 2016;13:108.CrossRefPubMedPubMedCentral Hoare E, Milton K, Foster C, Allender S. The associations between sedentary behaviour and mental health among adolescents: a systematic review. Int J Behav Nutr Phys Act. 2016;13:108.CrossRefPubMedPubMedCentral
30.
go back to reference Laird Y, Fawkner S, Kelly P, McNamee L, Niven A. The role of social support on physical activity behaviour in adolescent girls: a systematic review and meta-analysis. Int J Behav Nutr Phys Act. 2016;13:79.CrossRefPubMedPubMedCentral Laird Y, Fawkner S, Kelly P, McNamee L, Niven A. The role of social support on physical activity behaviour in adolescent girls: a systematic review and meta-analysis. Int J Behav Nutr Phys Act. 2016;13:79.CrossRefPubMedPubMedCentral
32.
go back to reference Obermeyer CM, Bott S, Sassine AJ. Arab adolescents: health, gender, and social context. J Adolesc Health. 2015;57:252–62.CrossRefPubMed Obermeyer CM, Bott S, Sassine AJ. Arab adolescents: health, gender, and social context. J Adolesc Health. 2015;57:252–62.CrossRefPubMed
34.
go back to reference Hamrani A, Mehdad S, El Kari K, El Hamdouchi A, El Menchawy I, Belghiti H, et al. Physical activity and dietary habits among Moroccan adolescents. Public Health Nutr. 2015;18:1793–00.CrossRefPubMed Hamrani A, Mehdad S, El Kari K, El Hamdouchi A, El Menchawy I, Belghiti H, et al. Physical activity and dietary habits among Moroccan adolescents. Public Health Nutr. 2015;18:1793–00.CrossRefPubMed
36.
go back to reference El Achhab Y, El Ammari A, El Kazdouh H, Najdi A, Berraho M, Tachfouti N, et al. Health risk behaviours amongst school adolescents: protocol for a mixed methods study. BMC Public Health. 2016;16:1209.CrossRefPubMedPubMedCentral El Achhab Y, El Ammari A, El Kazdouh H, Najdi A, Berraho M, Tachfouti N, et al. Health risk behaviours amongst school adolescents: protocol for a mixed methods study. BMC Public Health. 2016;16:1209.CrossRefPubMedPubMedCentral
39.
go back to reference Al Subhi LK, Bose S, Al Ani MF. Prevalence of physically active and sedentary adolescents in 10 Eastern Mediterranean countries and its relation with age, sex, and body mass index. J Phys Act Health. 2015;12:257–65.CrossRefPubMed Al Subhi LK, Bose S, Al Ani MF. Prevalence of physically active and sedentary adolescents in 10 Eastern Mediterranean countries and its relation with age, sex, and body mass index. J Phys Act Health. 2015;12:257–65.CrossRefPubMed
40.
go back to reference Caleyachetty R, Echouffo-Tcheugui JB, Tait CA, Schilsky S, Forrester T, Kengne AP. Prevalence of behavioural risk factors for cardiovascular disease in adolescents in low-income and middle-income countries: an individual participant data meta-analysis. Lancet Diabetes Endocrinol. 2015;3:535–44.CrossRefPubMed Caleyachetty R, Echouffo-Tcheugui JB, Tait CA, Schilsky S, Forrester T, Kengne AP. Prevalence of behavioural risk factors for cardiovascular disease in adolescents in low-income and middle-income countries: an individual participant data meta-analysis. Lancet Diabetes Endocrinol. 2015;3:535–44.CrossRefPubMed
41.
go back to reference Rahim HFA, Sibai A, Khader Y, Hwalla N, Fadhil I, Alsiyabi H, et al. Non-communicable diseases in the Arab world. Lancet. 2014;383:356–67.CrossRefPubMed Rahim HFA, Sibai A, Khader Y, Hwalla N, Fadhil I, Alsiyabi H, et al. Non-communicable diseases in the Arab world. Lancet. 2014;383:356–67.CrossRefPubMed
42.
go back to reference Shokrvash B, Majlessi F, Montazeri A, Nedjat S, Rahimi A, Djazayeri A, et al. Correlates of physical activity in adolescence: a study from a developing country. Glob Health Action. 2013;6:20327.CrossRef Shokrvash B, Majlessi F, Montazeri A, Nedjat S, Rahimi A, Djazayeri A, et al. Correlates of physical activity in adolescence: a study from a developing country. Glob Health Action. 2013;6:20327.CrossRef
43.
go back to reference Pearson N, Haycraft E, Johnston JP, Atkin AJ. Sedentary behaviour across the primary-secondary school transition: a systematic review. Prev Med. 2016;94:40–7.CrossRefPubMed Pearson N, Haycraft E, Johnston JP, Atkin AJ. Sedentary behaviour across the primary-secondary school transition: a systematic review. Prev Med. 2016;94:40–7.CrossRefPubMed
44.
go back to reference Mielke GI, Brown WJ, Nunes BP, Silva IC, Hallal PC. Socioeconomic correlates of sedentary behavior in adolescents: systematic review and meta-analysis. Sports Med. 2017;47:61–75.CrossRefPubMed Mielke GI, Brown WJ, Nunes BP, Silva IC, Hallal PC. Socioeconomic correlates of sedentary behavior in adolescents: systematic review and meta-analysis. Sports Med. 2017;47:61–75.CrossRefPubMed
45.
go back to reference Hyakutake A, Kamijo T, Misawa Y, Washizuka S, Inaba Y, Tsukahara T, et al. Cross-sectional observation of the relationship of depressive symptoms with lifestyles and parents’ status among Japanese junior high school students. Environ Health Prev Med. 2016;21:265–73.CrossRefPubMed Hyakutake A, Kamijo T, Misawa Y, Washizuka S, Inaba Y, Tsukahara T, et al. Cross-sectional observation of the relationship of depressive symptoms with lifestyles and parents’ status among Japanese junior high school students. Environ Health Prev Med. 2016;21:265–73.CrossRefPubMed
46.
go back to reference Southerland JL, Zheng S, Dula M, Cao Y, Slawson DL. Relationship between physical activity and suicidal behaviors among 65,182 middle school students. J Phys Act Health. 2016;13:809–15.CrossRefPubMed Southerland JL, Zheng S, Dula M, Cao Y, Slawson DL. Relationship between physical activity and suicidal behaviors among 65,182 middle school students. J Phys Act Health. 2016;13:809–15.CrossRefPubMed
47.
go back to reference Adamo KB, Prince SA, Tricco AC, Connor-Gorber S, Tremblay M. A comparison of indirect versus direct measures for assessing physical activity in the pediatric population: a systematic review. Int J Pediatr Obes. 2009;4:2–27.CrossRefPubMed Adamo KB, Prince SA, Tricco AC, Connor-Gorber S, Tremblay M. A comparison of indirect versus direct measures for assessing physical activity in the pediatric population: a systematic review. Int J Pediatr Obes. 2009;4:2–27.CrossRefPubMed
Metadata
Title
Level and potential social-ecological factors associated with physical inactivity and sedentary behavior among Moroccan school-age adolescents: a cross-sectional study
Publication date
01-12-2017
Published in
Environmental Health and Preventive Medicine / Issue 1/2017
Print ISSN: 1342-078X
Electronic ISSN: 1347-4715
DOI
https://doi.org/10.1186/s12199-017-0657-0

Other articles of this Issue 1/2017

Environmental Health and Preventive Medicine 1/2017 Go to the issue