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Logo of brjsmedBritish Journal of Sports MedicineCurrent TOCInstructions for authors
Br J Sports Med. Oct 2002; 36(5): 360–364.
PMCID: PMC1724541

Associations of health related behaviour, social relationships, and health status with persistent physical activity and inactivity: a study of Finnish adolescent twins


Objective: To examine the association between leisure time physical activity over a three year period and health related behaviour, social relationships, and health status in late adolescence as part of a nationwide longitudinal study.

Methods: Five birth cohorts of adolescent twins aged 16 at baseline (n = 5028; 2311 boys and 2717 girls) participated in the study. Questionnaires on leisure time physical activity, other health related behaviour, social relationships, and health status were sent to the twins on their 16th and 17th birthdays and six months after their 18th birthday. The combined response rate to the three questionnaires was 75.8% for boys and 81.7% for girls. Those who answered in all three questionnaires that their frequency of physical activity was 4–5 times a week or more were defined as persistent exercisers, and those who exercised at most twice a month in all three were defined as persistently inactive. Logistic regression analyses were used to identify baseline variables associated with outcome measures.

Results: Overall, 20.4% of boys and 13.0% of girls were persistent exercisers and 6.5% of boys and 5.3% of girls were persistently inactive. In both sexes, smoking, irregular breakfast eating, attending vocational school, and poor self perceived current health were significantly associated with persistent inactivity.

Conclusions: Persistent physical inactivity in adolescents is associated with a less healthy lifestyle, worse educational progression, and poor self perceived health. Tailoring methods to promote physical activity may prove useful for influencing other health habits. Such programmes are indicated for vocational schools in particular.

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Selected References

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  • McKinlay JB, Marceau LD. To boldly go.... Am J Public Health. 2000 Jan;90(1):25–33. [PMC free article] [PubMed]
  • Yang X, Telama R, Leino M, Viikari J. Factors explaining the physical activity of young adults: the importance of early socialization. Scand J Med Sci Sports. 1999 Apr;9(2):120–127. [PubMed]
  • Pate RR, Heath GW, Dowda M, Trost SG. Associations between physical activity and other health behaviors in a representative sample of US adolescents. Am J Public Health. 1996 Nov;86(11):1577–1581. [PMC free article] [PubMed]
  • Aarnio M, Kujala UM, Kaprio J. Associations of health-related behaviors, school type and health status to physical activity patterns in 16 year old boys and girls. Scand J Soc Med. 1997 Sep;25(3):156–167. [PubMed]
  • Vilhjalmsson R, Thorlindsson T. Factors related to physical activity: a study of adolescents. Soc Sci Med. 1998 Sep;47(5):665–675. [PubMed]
  • Anderssen N, Wold B. Parental and peer influences on leisure-time physical activity in young adolescents. Res Q Exerc Sport. 1992 Dec;63(4):341–348. [PubMed]
  • Godin G, Shephard RJ, Colantonio A. Children's perception of parental exercise: influence of sex and age. Percept Mot Skills. 1986 Apr;62(2):511–516. [PubMed]
  • Aarnio M, Winter T, Kujala UM, Kaprio J. Familial aggregation of leisure-time physical activity -- a three generation study. Int J Sports Med. 1997 Oct;18(7):549–556. [PubMed]
  • Kelder SH, Perry CL, Klepp KI, Lytle LL. Longitudinal tracking of adolescent smoking, physical activity, and food choice behaviors. Am J Public Health. 1994 Jul;84(7):1121–1126. [PMC free article] [PubMed]
  • Raitakari OT, Porkka KV, Taimela S, Telama R, Räsänen L, Viikari JS. Effects of persistent physical activity and inactivity on coronary risk factors in children and young adults. The Cardiovascular Risk in Young Finns Study. Am J Epidemiol. 1994 Aug 1;140(3):195–205. [PubMed]
  • Dovey SM, Reeder AI, Chalmers DJ. Continuity and change in sporting and leisure time physical activities during adolescence. Br J Sports Med. 1998 Mar;32(1):53–57. [PMC free article] [PubMed]
  • Rose RJ, Kaprio J, Winter T, Koskenvuo M, Viken RJ. Familial and socioregional environmental effects on abstinence from alcohol at age sixteen. J Stud Alcohol Suppl. 1999 Mar;13:63–74. [PubMed]
  • Pietiläinen KH, Kaprio J, Rissanen A, Winter T, Rimpelä A, Viken RJ, Rose RJ. Distribution and heritability of BMI in Finnish adolescents aged 16y and 17y: a study of 4884 twins and 2509 singletons. Int J Obes Relat Metab Disord. 1999 Feb;23(2):107–115. [PubMed]
  • Sallis JF, Zakarian JM, Hovell MF, Hofstetter CR. Ethnic, socioeconomic, and sex differences in physical activity among adolescents. J Clin Epidemiol. 1996 Feb;49(2):125–134. [PubMed]
  • Riddoch C, Savage JM, Murphy N, Cran GW, Boreham C. Long term health implications of fitness and physical activity patterns. Arch Dis Child. 1991 Dec;66(12):1426–1433. [PMC free article] [PubMed]
  • Telama R, Leskinen E, Yang X. Stability of habitual physical activity and sport participation: a longitudinal tracking study. Scand J Med Sci Sports. 1996 Dec;6(6):371–378. [PubMed]
  • Kujala UM, Taimela S, Viljanen T. Leisure physical activity and various pain symptoms among adolescents. Br J Sports Med. 1999 Oct;33(5):325–328. [PMC free article] [PubMed]
  • Taylor WC, Blair SN, Cummings SS, Wun CC, Malina RM. Childhood and adolescent physical activity patterns and adult physical activity. Med Sci Sports Exerc. 1999 Jan;31(1):118–123. [PubMed]
  • Fentem PH. ABC of sports medicine. Benefits of exercise in health and disease. BMJ. 1994 May 14;308(6939):1291–1295. [PMC free article] [PubMed]
  • Lister-Sharp D, Chapman S, Stewart-Brown S, Sowden A. Health promoting schools and health promotion in schools: two systematic reviews. Health Technol Assess. 1999;3(22):1–207. [PubMed]

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