Physical activity, mental health, and well-being in very pre-term and term born adolescents: An individual participant data meta-analysis of two accelerometry studies

Asteria Brylka; Dieter Wolke; Sebastian Ludyga; Ayten Bilgin; Juliane Spiegler; Hayley Trower; Anna Gkiouleka; Markus Gerber; Serge Brand; Alexander Grob; Peter Weber; Kati Heinonen; Eero Kajantie; Katri Räikkönen; Sakari Lemola

doi:10.3390/ijerph18041735

Physical activity, mental health, and well-being in very pre-term and term born adolescents: An individual participant data meta-analysis of two accelerometry studies

Asteria Brylka, Dieter Wolke, Sebastian Ludyga, Ayten Bilgin, Juliane Spiegler, Hayley Trower, Anna Gkiouleka, Markus Gerber, Serge Brand, Alexander Grob, Peter Weber, Kati Heinonen, Eero Kajantie, Katri Räikkönen, Sakari Lemola^*

^*Corresponding author for this work

Clinic of Pediatric and Adolescent Medicine

14 Citations (Scopus)

Abstract

This study examined whether physical activity is associated with better mental health and well-being among very preterm (≤32 weeks) and term born (≥37 weeks) adolescents alike or whether the associations are stronger in either of the groups. Physical activity was measured with accelerometry in children born very preterm and at term in two cohorts, the Basel Study of Preterm Children (BSPC; 40 adolescents born ≤32 weeks of gestation and 59 term born controls aged 12.3 years) and the Millennium Cohort Study (MCS; 45 adolescents born ≤32 weeks of gestation and 3137 term born controls aged 14.2 years on average). In both cohorts, emotional and behavioral problems were mother-reported using the Strengths and Difficulties Questionnaire. Subjective well-being was self-reported using the Kidscreen-52 Questionnaire in the BSPC and single items in the MCS. Hierarchical regressions with ‘preterm status × physical activity’-interaction effects were subjected to individual participant data (IPD) meta-analysis. IPD meta-analysis showed that higher levels of physical activity were associated with lower levels of peer problems, and higher levels of psychological well-being, better self-perception/body image, and school related well-being. Overall, the effect-sizes were small and the associations did not differ significantly between very preterm and term born adolescents. Future research may examine the mechanisms behind effects of physical activity on mental health and wellbeing in adolescence as well as which type of physical activity might be most beneficial for term and preterm born children.

Original language	English
Article number	1735
Journal	International Journal of Environmental Research and Public Health
Volume	18
Issue number	4
Pages (from-to)	1-14
Number of pages	14
ISSN	1661-7827
DOIs	https://doi.org/10.3390/ijerph18041735
Publication status	Published - 02.02.2021

Funding

The research was funded by the New Opportunities for Research Funding Agency Cooperation in Europe (NORFACE), Dynamics of Inequality Across the Life-course Program (DIAL; grant no. 462-16-040). The Basel Study of Preterm Children was funded by the Swiss National Science Foundation (Projects: Sleep, cognitive, and socio-emotional development in preterm children during middle and late childhood, grant no. 143962; Socio-emotional development and mental health of pre- term children: The role of HPA axis function, sleep, neuroplasticity, and physical exercise during the transition to adolescence, grant no. 159362). The funding sources had no involvement in study design, collection, analysis, and interpretation of the data, the writing of the manuscript, and the submission process. Acknowledgments: We thank The Center for Longitudinal Studies, UCL Institute of Education for the use of these data and the UK Data Archive and UK Data Service for making them available. However, they bear no responsibility for the analysis or interpretation of these data. We thank all participants of the Basel Study of Preterm Children and of the Millennium Cohort Study.

Research Areas and Centers

Academic Focus: Center for Brain, Behavior and Metabolism (CBBM)

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.3390/ijerph18041735

Cite this

Brylka, A., Wolke, D., Ludyga, S., Bilgin, A., Spiegler, J., Trower, H., Gkiouleka, A., Gerber, M., Brand, S., Grob, A., Weber, P., Heinonen, K., Kajantie, E., Räikkönen, K., & Lemola, S. (2021). Physical activity, mental health, and well-being in very pre-term and term born adolescents: An individual participant data meta-analysis of two accelerometry studies. International Journal of Environmental Research and Public Health, 18(4), 1-14. Article 1735. https://doi.org/10.3390/ijerph18041735

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title = "Physical activity, mental health, and well-being in very pre-term and term born adolescents: An individual participant data meta-analysis of two accelerometry studies",

abstract = "This study examined whether physical activity is associated with better mental health and well-being among very preterm (≤32 weeks) and term born (≥37 weeks) adolescents alike or whether the associations are stronger in either of the groups. Physical activity was measured with accelerometry in children born very preterm and at term in two cohorts, the Basel Study of Preterm Children (BSPC; 40 adolescents born ≤32 weeks of gestation and 59 term born controls aged 12.3 years) and the Millennium Cohort Study (MCS; 45 adolescents born ≤32 weeks of gestation and 3137 term born controls aged 14.2 years on average). In both cohorts, emotional and behavioral problems were mother-reported using the Strengths and Difficulties Questionnaire. Subjective well-being was self-reported using the Kidscreen-52 Questionnaire in the BSPC and single items in the MCS. Hierarchical regressions with {\textquoteleft}preterm status × physical activity{\textquoteright}-interaction effects were subjected to individual participant data (IPD) meta-analysis. IPD meta-analysis showed that higher levels of physical activity were associated with lower levels of peer problems, and higher levels of psychological well-being, better self-perception/body image, and school related well-being. Overall, the effect-sizes were small and the associations did not differ significantly between very preterm and term born adolescents. Future research may examine the mechanisms behind effects of physical activity on mental health and wellbeing in adolescence as well as which type of physical activity might be most beneficial for term and preterm born children.",

author = "Asteria Brylka and Dieter Wolke and Sebastian Ludyga and Ayten Bilgin and Juliane Spiegler and Hayley Trower and Anna Gkiouleka and Markus Gerber and Serge Brand and Alexander Grob and Peter Weber and Kati Heinonen and Eero Kajantie and Katri R{\"a}ikk{\"o}nen and Sakari Lemola",

note = "Funding Information: The research was funded by the New Opportunities for Research Funding Agency Cooperation in Europe (NORFACE), Dynamics of Inequality Across the Life-course Program (DIAL; grant no. 462-16-040). The Basel Study of Preterm Children was funded by the Swiss National Science Foundation (Projects: Sleep, cognitive, and socio-emotional development in preterm children during middle and late childhood, grant no. 143962; Socio-emotional development and mental health of pre- term children: The role of HPA axis function, sleep, neuroplasticity, and physical exercise during the transition to adolescence, grant no. 159362). The funding sources had no involvement in study design, collection, analysis, and interpretation of the data, the writing of the manuscript, and the submission process. Acknowledgments: We thank The Center for Longitudinal Studies, UCL Institute of Education for the use of these data and the UK Data Archive and UK Data Service for making them available. However, they bear no responsibility for the analysis or interpretation of these data. We thank all participants of the Basel Study of Preterm Children and of the Millennium Cohort Study. Publisher Copyright: {\textcopyright} 2021 by the authors. Licensee MDPI, Basel, Switzerland. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.",

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doi = "10.3390/ijerph18041735",

language = "English",

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Brylka, A, Wolke, D, Ludyga, S, Bilgin, A, Spiegler, J, Trower, H, Gkiouleka, A, Gerber, M, Brand, S, Grob, A, Weber, P, Heinonen, K, Kajantie, E, Räikkönen, K & Lemola, S 2021, 'Physical activity, mental health, and well-being in very pre-term and term born adolescents: An individual participant data meta-analysis of two accelerometry studies', International Journal of Environmental Research and Public Health, vol. 18, no. 4, 1735, pp. 1-14. https://doi.org/10.3390/ijerph18041735

Physical activity, mental health, and well-being in very pre-term and term born adolescents: An individual participant data meta-analysis of two accelerometry studies. / Brylka, Asteria; Wolke, Dieter; Ludyga, Sebastian et al.
In: International Journal of Environmental Research and Public Health, Vol. 18, No. 4, 1735, 02.02.2021, p. 1-14.

Research output: Journal Articles › Journal articles › Research › peer-review

TY - JOUR

T1 - Physical activity, mental health, and well-being in very pre-term and term born adolescents: An individual participant data meta-analysis of two accelerometry studies

AU - Brylka, Asteria

AU - Wolke, Dieter

AU - Ludyga, Sebastian

AU - Bilgin, Ayten

AU - Spiegler, Juliane

AU - Trower, Hayley

AU - Gkiouleka, Anna

AU - Gerber, Markus

AU - Brand, Serge

AU - Grob, Alexander

AU - Weber, Peter

AU - Heinonen, Kati

AU - Kajantie, Eero

AU - Räikkönen, Katri

AU - Lemola, Sakari

N1 - Funding Information: The research was funded by the New Opportunities for Research Funding Agency Cooperation in Europe (NORFACE), Dynamics of Inequality Across the Life-course Program (DIAL; grant no. 462-16-040). The Basel Study of Preterm Children was funded by the Swiss National Science Foundation (Projects: Sleep, cognitive, and socio-emotional development in preterm children during middle and late childhood, grant no. 143962; Socio-emotional development and mental health of pre- term children: The role of HPA axis function, sleep, neuroplasticity, and physical exercise during the transition to adolescence, grant no. 159362). The funding sources had no involvement in study design, collection, analysis, and interpretation of the data, the writing of the manuscript, and the submission process. Acknowledgments: We thank The Center for Longitudinal Studies, UCL Institute of Education for the use of these data and the UK Data Archive and UK Data Service for making them available. However, they bear no responsibility for the analysis or interpretation of these data. We thank all participants of the Basel Study of Preterm Children and of the Millennium Cohort Study. Publisher Copyright: © 2021 by the authors. Licensee MDPI, Basel, Switzerland. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.

PY - 2021/2/2

Y1 - 2021/2/2

N2 - This study examined whether physical activity is associated with better mental health and well-being among very preterm (≤32 weeks) and term born (≥37 weeks) adolescents alike or whether the associations are stronger in either of the groups. Physical activity was measured with accelerometry in children born very preterm and at term in two cohorts, the Basel Study of Preterm Children (BSPC; 40 adolescents born ≤32 weeks of gestation and 59 term born controls aged 12.3 years) and the Millennium Cohort Study (MCS; 45 adolescents born ≤32 weeks of gestation and 3137 term born controls aged 14.2 years on average). In both cohorts, emotional and behavioral problems were mother-reported using the Strengths and Difficulties Questionnaire. Subjective well-being was self-reported using the Kidscreen-52 Questionnaire in the BSPC and single items in the MCS. Hierarchical regressions with ‘preterm status × physical activity’-interaction effects were subjected to individual participant data (IPD) meta-analysis. IPD meta-analysis showed that higher levels of physical activity were associated with lower levels of peer problems, and higher levels of psychological well-being, better self-perception/body image, and school related well-being. Overall, the effect-sizes were small and the associations did not differ significantly between very preterm and term born adolescents. Future research may examine the mechanisms behind effects of physical activity on mental health and wellbeing in adolescence as well as which type of physical activity might be most beneficial for term and preterm born children.

AB - This study examined whether physical activity is associated with better mental health and well-being among very preterm (≤32 weeks) and term born (≥37 weeks) adolescents alike or whether the associations are stronger in either of the groups. Physical activity was measured with accelerometry in children born very preterm and at term in two cohorts, the Basel Study of Preterm Children (BSPC; 40 adolescents born ≤32 weeks of gestation and 59 term born controls aged 12.3 years) and the Millennium Cohort Study (MCS; 45 adolescents born ≤32 weeks of gestation and 3137 term born controls aged 14.2 years on average). In both cohorts, emotional and behavioral problems were mother-reported using the Strengths and Difficulties Questionnaire. Subjective well-being was self-reported using the Kidscreen-52 Questionnaire in the BSPC and single items in the MCS. Hierarchical regressions with ‘preterm status × physical activity’-interaction effects were subjected to individual participant data (IPD) meta-analysis. IPD meta-analysis showed that higher levels of physical activity were associated with lower levels of peer problems, and higher levels of psychological well-being, better self-perception/body image, and school related well-being. Overall, the effect-sizes were small and the associations did not differ significantly between very preterm and term born adolescents. Future research may examine the mechanisms behind effects of physical activity on mental health and wellbeing in adolescence as well as which type of physical activity might be most beneficial for term and preterm born children.

UR - https://www.scopus.com/pages/publications/85100589711

U2 - 10.3390/ijerph18041735

DO - 10.3390/ijerph18041735

M3 - Journal articles

C2 - 33579022

AN - SCOPUS:85100589711

SN - 1661-7827

VL - 18

SP - 1

EP - 14

JO - International Journal of Environmental Research and Public Health

JF - International Journal of Environmental Research and Public Health

IS - 4

M1 - 1735

ER -

Physical activity, mental health, and well-being in very pre-term and term born adolescents: An individual participant data meta-analysis of two accelerometry studies

Abstract

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UN SDGs

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