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Markers of pubertal timing and leisure-time physical activity from ages 36 to 68 years: findings from a British birth cohort
  1. Ahmed Elhakeem1,2,
  2. Rachel Cooper1,
  3. David Bann3,
  4. Diana Kuh1,
  5. Rebecca Hardy1
  1. 1MRC Unit for Lifelong Health and Ageing, University College London, London, UK
  2. 2Musculoskeletal Research Unit, School of Clinical Sciences, University of Bristol, Bristol, UK
  3. 3Centre for Longitudinal Studies, UCL Institute of Education, London, UK
  1. Correspondence to Dr Ahmed Elhakeem; a.elhakeem{at}bristol.ac.uk

Abstract

Objectives We aimed to examine associations between markers of pubertal timing and leisure-time physical activity (LTPA) from ages 36 to 68 years in men and women from the Medical Research Council National Survey of Health and Development.

Study design Pubertal timing was ascertained by physicians at age 14–15 years. Boys were grouped, based on their secondary sexual characteristics, as prepubescent, in early-stage puberty, advanced stage puberty or fully mature at age 14–15 years. Girls were grouped as reaching menarche ≤11, 12, 13 or ≥14 years. LTPA was reported at ages 36, 43, 53, 60–64 and 68 years and classified as active or inactive at each age. Associations were examined using standard and mixed-effects logistic regression models.

Results Of 5362 singleton births recruited, 1499 men and 1409 women had at least one measure of LTPA and data on pubertal timing and selected covariates. When compared with men that were fully mature at age 14–15 years, those that were in advanced stage and early-stage puberty, but not the prepubescent stage, had lower likelihood of LTPA at younger but not older adult ages (p=0.06 for pubertal status-by-age at LTPA interaction in mixed-effects model). For example, fully adjusted ORs of LTPA (vs no LTPA) at ages 36 and 68 years, respectively, for advanced puberty versus fully mature were 0.69 (95% CIs 0.50 to 0.96) and 1.03 (0.72 to 1.47). Age at menarche was not associated with LTPA at any age (pinteraction with age at LTPA=0.9). For example, OR (from mixed-effects model) of LTPA between 36 and 68 years was 1.23 (0.93, 1.63) for menarche at 13 vs ≤11 years.

Conclusions In a nationally representative study, there was little evidence to suggest that pubertal timing was an important correlate of LTPA between ages 36 and 68 years. Maturity-related variations in adolescents’ LTPA may be transitory and lose importance over time.

  • life course
  • leisure-time
  • physical activity
  • pubertal timing

This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/

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Footnotes

  • Contributors AE, RC, DB, DK and RH designed the study. AE performed the data analysis and produced the first draft of the manuscript. All authors contributed to the development of the manuscript and read and approved its final version.

  • Funding This work was supported by the UK Medical Research Council (programme codes: MC_UU_12019/1); the funder had no role in the design of the study or the writing of the manuscript and played no part in the decision to submit it for publication.

  • Competing interests None declared.

  • Ethics approval Relevant ethics approval has been granted for each data collection; ethical approval for the most recent assessment in 2014 was obtained from the Queen Square Research Ethics Committee (14/LO/1073) and the Scotland A Research Ethics Committee (14/SS/1009). Study participants provided written informed consent.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data sharing statement Data used in this publication are available to bona fide researchers upon request to the NSHD Data Sharing Committee via a standard application procedure. Further details can be found at http://www.nshd.mrc.ac.uk/data. doi: 10.5522/NSHD/Q101; doi: 10.5522/NSHD/Q102; doi: 10.5522/NSHD/Q103.