Fig. 3

Longitudinal associations of VPA relative to moderate PA, light PA, sedentary behaviour, and sleep (purple lines) and MVPA relative to light PA, sedentary behaviour, and sleep (pink lines) at 4 years of age with CVD risk factors at 9 years of age. The lines represent the expected change in the outcomes upon increasing the dominant behavior while proportionally reducing the others. Models are adjusted for the child’s age, maternal education level and body mass index as measured at both the 4- and 9-year assessment, the change in the movement behaviours from 4 to 9 years, and treatment group (intervention or control). BP blood pressure, CVD cardiovascular disease, HDL high-density lipoprotein, HOMA-IR homeostatic model assessment of insulin resistance, LDL light-density lipoprotein, MetS metabolic syndrome score, MVPA moderate-to-vigorous physical activity, PA physical activity, VPA vigorous physical activity