Participation frequency in physical education classes and physical activity and sitting time in Brazilian adolescents

To examine the association between participation frequency per week in physical education (PE) classes and physical activity (PA) and sitting time levels in adolescents according to the economic development level of the region of residence. A cross-sectional study with a sample representative of Brazil was carried out with 12,220 students aged 11-19 years. Participation frequency per week in PE classes, moderate-to-vigorous PA (MVPA), PA during PE classes, active commuting, PA outside of school hours, total accumulated PA, time sitting in front of the TV and total sitting time were assessed by using a self-administered questionnaire. Adolescents who reported having PE classes were more likely to meet MVPA recommendations (1-2 PE class/week-OR: 1.3, 95%CI: 1.1-1.5; ≥3 PE class/week-OR: 2.0, 95%CI: 1.7-2.5), spent more time in PA outside of school hours (1-2 PE class/week-OR: 1.6, 95%CI: 1.4-1.9; ≥3 PE class/week-OR: 2.0, 95%CI: 1.5-2.6), and accumulated more PA (1-2 PE class/week-OR: 1.9, 95%CI: 1.6-2.2; ≥3 PE class/week-OR: 6.0, 95%CI: 4.0-8.9) than students who reported not taking PE classes. Boys from regions with higher Human Development Index (HDI) who took ≥3 PE classes/week were more likely to have higher levels of active commuting (OR: 1.4, 95%CI: 1.1-1.9) and less likely of getting in front of TV (OR: 0.7, 95%CI: 0.5-0.9). Adolescents from regions with higher HDI were more likely to have more time spent in PA during PE classes (Male-OR: 2.7, 95%CI: 2.4-3.1; Female-OR = 3.2, 95%CI: 2.8-3.7). Having PE classes is associated with a higher level of PA in both sexes and in both regions and lower level of sitting time in boys from regions with higher HDI.