Literature DB >> 19524391

Translating physical activity recommendations for overweight adolescents to steps per day.

Marc A Adams1, Susan Caparosa, Sheri Thompson, Gregory J Norman.   

Abstract

BACKGROUND: Steps/day guidelines for children aged 12 years and under are 12,000 to 16,000. There are limited reports in the literature on how many steps/day adolescents need to meet the 60-minutes/day moderate-to-vigorous physical activity (MVPA) recommendation. This study aimed to determine the steps/day that correctly classifies adolescents as meeting the 60-minute recommendation using objective measures.
METHODS: This analysis used data from 40 overweight (BMI M=31.5, SD=5.3) adolescents enrolled between 2005 and 2006 in a study to lose weight. Participants were aged 11 to 16 years (M=13.2, SD=1.2), 70.0% girls, and 52.6% non-Hispanic white, 23.7% Hispanic, and 23.7% other race/ethnicity. Participants wore an Actigraph accelerometer for up to 7 days that measured accelerations and step counts simultaneously. The age-adjusted Freedson equation was used to estimate physical activity-intensity minutes. Two criteria were used to define MVPA (3/6 and 4/7 METs). Analyses were conducted between 2008 and 2009.
RESULTS: Based on accelerometer data, approximately 48% and 10% of adolescents met the MVPA recommendation depending on the MVPA criteria. Adolescents who met phyiscial activity recommendation had higher MVPA min/day (p<0.001) and higher step counts (p<0.001), after adjusting for gender, age, and ethnicity. Receiver operating characteristic (ROC) curve analyses found that 9930 steps produced 0.84 sensitivity and 0.81 specificity (area under the curve [AUC] =0.89) and 11,714 steps produced 0.75 and 0.81 specificity (AUC=0.94) for meeting the recommendation using the 3/6 and 4/7 criteria, respectively.
CONCLUSIONS: Depending on the MVPA criteria used, these data suggest that overweight adolescents are likely to meet national MVPA recommendations if they accumulate between 10,000 and 11,700 steps per day.

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Mesh:

Year:  2009        PMID: 19524391      PMCID: PMC2766553          DOI: 10.1016/j.amepre.2009.03.016

Source DB:  PubMed          Journal:  Am J Prev Med        ISSN: 0749-3797            Impact factor:   5.043


  18 in total

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5.  Age and gender differences in objectively measured physical activity in youth.

Authors:  Stewart G Trost; Russell R Pate; James F Sallis; Patty S Freedson; Wendell C Taylor; Marsha Dowda; John Sirard
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