Participation of overweight and socially disadvantaged adolescents in an intervention to promote physical activity in school
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Figure 1 : Diag a e de flu de la pa ti ipatio à l’e t etie e a tivit ph si ue AP
6393 avec des mesures disponibles (poids, taille et périmètre abdominal)
1639 Proposés pour inclusion et affectation d'intervention selon le statut social
941 Adolescents en situation
de surpoids ou d o sit de
milieu social favorisé
698 Adolescents en situation
de surpoids ou d o sit de milieu social moins favorisé
Randomisation 941 Accompagnement standard (PRALIMAP) Groupe Favorisé-PRALIMAP 228 Accompagnement standard (PRALIMAP)
Groupe Moins favorisé-PRALIMAP
470
Accompagnement standard (PRALIMAP)
+ Accompagnement adapté (INÈS)
Groupe Moins favorisé-PRALIMAP-INÈS
35 collèges et lycées des Vosges
10279 Adolescents âgés de 13 à 18 ans
2283
Éligibles au remplissage du questionnaire et à la visite médicale
IMC supérieur aux seuils d'IOTF en surpoids, réduit de 1 kg / m², pour l'âge et le sexe et / ou une circonférence de la taille supérieure aux valeurs limites de McCarthy Non Non éligibles : 4111 Oui Non complétés : 170 133 Refus parentaux écrits 55 Refus parentaux écrits 32 Refus parentaux écrits 808 Inclus à T0 Groupe Favorisé-PRALIMAP 196 Inclus à T0
Groupe Moins favorisé- PRALIMAP
415
Inclus à T0
Groupe Moins favorisé- PRALIMAP-INÈS Non proposés
pour inclusion : 474
2113
Éligibles qui a rempli le questionnaire a participé à la visite médicale
Pas de mesure de poids et de taille : 1544 Périmètre abdominal non mesuré : 2342 153 Participants entretien AP 262 Non participants entretien AP
131
132
133
134
Figure 5 : Carte conceptuelle des freins interpersonnels perçus à la prati ue d’a tivit ph si ue pa les adoles e ts
135
Figure 7 : Ca te o eptuelle des levie s pe çus à la p ati ue d’a tivit ph si ue par les adolescents
Figure 8 : Analyse des correspondances multiples 0.49235 0.44486 0.40412 0.36960 0.35540 0.27893 0.24758 0.22913 0.20367 0.12759 0.06966 0.24241 0.19790 0.16332 0.13660 0.12631 0.07780 0.06130 0.05250 0.04148 0.01628 0.00485 1.12075 207.260 169.203 139.635 116.796 107.995 66.520 52.408 44.889 35.466 13.920 4.149 958.242 21.63 17.66 14.57 12.19 11.27 6.94 5.47 4.68 3.70 1.45 0.43 100.00 21.63 39.29 53.86 66.05 77.32 84.26 89.73 94.41 98.11 99.57 100.00 0 5 10 15 20 singulière Valeur principale Inertie
Khi-2 Pourcentage cumulé
Pourcentage
Degrés de liberté = 1617
Inertia and Chi-Square Decomposition
136
Tableau 1 : Fa teu s asso i s à la pa ti ipatio des adoles e ts à l’e t etie e a tivit ph si ue
Total Adolescents avec entretien
activité physique
Adolescents sans entretien activité physique
P**
N= 415 N=153 (36,9%) N=262 (63,1%)
%/ moy (ET*) %/ moy (ET*) %/ moy (ET*)
CARACTERISTIQUES SOCIODEMOGRAPHIQUES Age 15,5 (0,8) 15,4 (0,9) 15,5 (0,7) 0,4117 Sexe 0,0112 Garçons 43,4 35,3 48,1 Filles 56,6 64,7 51,9 Score FAS 4,1 (1,0) 4,0 (1,0) 4,1 (1,1) 0,3342 CARACTERISTIQUES SCOLAIRES Type établissement 0,1133 Lycée général 34,2 28,8 37,4 Lycée professionnel 47,0 48,4 46,2 Collège 18,8 22,9 16,4 Régime scolaire 0,3343 Externe 22,5 21,6 23,0 Demi pensionnaire 51,4 48,0 53,3 Interne 26,2 30,4 23,7
CARACTERISTIQUES ANTHROPOMETRIQUES et de SANTE
IMC (kg/m²) 26,9 (4,4) 27,2 (4,2) 26,8 (4,6) 0,2870 Obésité 24,6 24,8 24,4 0,9256 S o e d’a iété 0,0007 Très faible 57,3 47,7 63,0 Faible 23,4 22,9 23,7 Modéré 14,2 22,2 9,5 Elevé 5,1 7,2 3,8 ACTIVITE PHYSIQUE
Niveau d’a tivité ph si ue 0,9547
Faible 34,9 34,8 35,0
Modéré 38,9 37,7 38,8
Elevé 26,7 27,5 26,2
Participation à l’UNSS 9,9 14,4 7,3 0,0177
Pratique de sport sur le temps de
loisirs 47,7 43,1 50,4 0,1717
TEMPS PASSE ASSIS (min/jour)
Semaine 692,9 (358,7) 681,3 (328,5) 699,5 (375,5) 0,6326
Weekend 457,7 (373,4) 473,3 (334,4) 448,8 (394,3) 0,5414
TV/Ordinateur (semaine et weekend) 172,7 (198,6) 236,5 (217,2) 135,5 (187,9) 0,0468
DIFFICULTES POUR PRATIQUER DE L’ACTIVITE PHYSIQUE Financière pour payer une licence de
sport 10,8 15,7 8,0 0,0143
Pas d’a is ave ui pratiquer 10,6 17,0 6,9 0,0011
PARTICIPATION PRALIMAP-INÈS
Session collective (au moins une) 64,3 90,2 49,2 <.0001
Entretien motivationnel (au moins un) 44,6 89,5 18,3 <.0001
Bon d’a hat (équipement) 62,2 85,6 48,5 <.0001
*ET : Ecart type ; **P significatif lorsque > 0,05 ; Test du Chi-2 pour les variables qualitatives et test de Student pour les variables quantitatives
137
Tableau 2 : Fa teu s asso i s au f ei s pe çus à la p ati ue d’a tivit ph si ue selo le se e, le statut pondéral et le score FAS (N=153)
Total Masculin Féminin Surpoids Obésité Score FAS 1 et 2 Score FAS 3 et 4 Score FAS 5
N= 153 N=54 N=99 N=115 N=38 N=16 N=80 N=57
(35,3%) (64,7%) (75,2%) (24,8%) (10,5%) (52,3%) (37,3%)
N %/moy ET* N %/moy ET* N %/moy ET* p** N %/moy ET* N %/moy ET* p** N %/moy ET* N %/moy ET* N %/moy ET* p**