M Wanner1,2, A Richard1, B Martin1,3, D Faeh1,4, S Rohrmann1,2. 1. Department of Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland. 2. Cancer Registry Zurich and Zug, University Hospital Zurich, Zurich, Switzerland. 3. Office of Public Health, Canton of Basel-Country, Liestal, Switzerland. 4. Health Division, Department of Business, Health and Social Work, Bern University of Applied Sciences, Bern, Switzerland.
Abstract
OBJECTIVE: To investigate associations between self-reported and objectively measured physical activity, sedentary behavior and overweight/obesity based on percent body fat measured with Dual Energy X-Ray Absorptiometry (DXA), waist circumference (WC), waist-to-height ratio and body mass index, focusing on different intensities and domains of physical activity. METHODS: Data from NHANES 2003-2006 were analyzed using linear and ordered logistic regression analyses. A total of 4794 individuals aged 18-69 years with valid physical activity and DXA data were included. Objectively measured physical activity and sedentary behavior were assessed using accelerometers, self-reported physical activity using the NHANES physical activity questionnaire. Weight, height, WC and DXA measures were assessed in the mobile examination centers. RESULTS: We observed statistically significant associations between objectively measured moderate and vigorous physical activity and all definitions of overweight/obesity. For total physical activity, the odds of being in the higher percent body fat category were 0.56 (95% confidence interval (CI) 0.41, 0.77) for the medium and 0.30 (95% CI 0.22, 0.40) for the highest physical activity tertile compared with the lowest. For light activities, lifestyle activities and sedentary behavior, associations were only observed in the linear models with percent total body fat but not in the ordered logistic regression models. Regarding self-reported physical activity, consistent significant associations with overweight/obesity were only observed for vigorous and for transport activity. CONCLUSIONS: Regarding moderate and vigorous physical activity, more active individuals were less affected by overweight/obesity than less active individuals, emphasizing the public health effect of physical activity in the prevention of overweight/obesity. The fact that associations were more consistent for objectively measured than for self-reported physical activity may be due to bias related to self-reporting. Associations between lower intensity activities and overweight/obesity were weak or inexistent.
OBJECTIVE: To investigate associations between self-reported and objectively measured physical activity, sedentary behavior and overweight/obesity based on percent body fat measured with Dual Energy X-Ray Absorptiometry (DXA), waist circumference (WC), waist-to-height ratio and body mass index, focusing on different intensities and domains of physical activity. METHODS: Data from NHANES 2003-2006 were analyzed using linear and ordered logistic regression analyses. A total of 4794 individuals aged 18-69 years with valid physical activity and DXA data were included. Objectively measured physical activity and sedentary behavior were assessed using accelerometers, self-reported physical activity using the NHANES physical activity questionnaire. Weight, height, WC and DXA measures were assessed in the mobile examination centers. RESULTS: We observed statistically significant associations between objectively measured moderate and vigorous physical activity and all definitions of overweight/obesity. For total physical activity, the odds of being in the higher percent body fat category were 0.56 (95% confidence interval (CI) 0.41, 0.77) for the medium and 0.30 (95% CI 0.22, 0.40) for the highest physical activity tertile compared with the lowest. For light activities, lifestyle activities and sedentary behavior, associations were only observed in the linear models with percent total body fat but not in the ordered logistic regression models. Regarding self-reported physical activity, consistent significant associations with overweight/obesity were only observed for vigorous and for transport activity. CONCLUSIONS: Regarding moderate and vigorous physical activity, more active individuals were less affected by overweight/obesity than less active individuals, emphasizing the public health effect of physical activity in the prevention of overweight/obesity. The fact that associations were more consistent for objectively measured than for self-reported physical activity may be due to bias related to self-reporting. Associations between lower intensity activities and overweight/obesity were weak or inexistent.
Authors: Charles E Matthews; Kong Y Chen; Patty S Freedson; Maciej S Buchowski; Bettina M Beech; Russell R Pate; Richard P Troiano Journal: Am J Epidemiol Date: 2008-02-25 Impact factor: 4.897
Authors: Brigid M Lynch; David W Dunstan; Genevieve N Healy; Elisabeth Winkler; Elizabeth Eakin; Neville Owen Journal: Cancer Causes Control Date: 2009-11-01 Impact factor: 2.506
Authors: Richard P Troiano; David Berrigan; Kevin W Dodd; Louise C Mâsse; Timothy Tilert; Margaret McDowell Journal: Med Sci Sports Exerc Date: 2008-01 Impact factor: 5.411
Authors: Zeljko Pedisic; Anne Grunseit; Ding Ding; Josephine Y Chau; Emily Banks; Emmanuel Stamatakis; Bin B Jalaludin; Adrian E Bauman Journal: Obesity (Silver Spring) Date: 2014-06-19 Impact factor: 5.002
Authors: Eija K Laakkonen; Janne Kulmala; Pauliina Aukee; Harto Hakonen; Urho M Kujala; Dawn A Lowe; Vuokko Kovanen; Tuija Tammelin; Sarianna Sipilä Journal: PLoS One Date: 2017-02-22 Impact factor: 3.240
Authors: Verity J Cleland; Kira Patterson; Monique Breslin; Michael D Schmidt; Terence Dwyer; Alison J Venn Journal: BMC Public Health Date: 2018-06-26 Impact factor: 3.295
Authors: Kasper Salin; Mirja Hirvensalo; Costan G Magnussen; Risto Telama; Nina Hutri-Kähönen; Jorma Viikari; Olli Raitakari; Tuija Tammelin Journal: Int J Environ Res Public Health Date: 2017-09-05 Impact factor: 3.390
Authors: Éva Bácsné Bába; Gergely Ráthonyi; Anetta Müller; Kinga Ráthonyi-Odor; Péter Balogh; Róza Ádány; Zoltán Bács Journal: Front Public Health Date: 2020-06-02
Authors: Richard R Suminski; Freda Patterson; Mackenzie Perkett; Katie M Heinrich; Walker S Carlos Poston Journal: BMC Public Health Date: 2019-06-13 Impact factor: 3.295
Authors: Lynn Phan; Weijun Yu; Jessica M Keralis; Krishay Mukhija; Pallavi Dwivedi; Kimberly D Brunisholz; Mehran Javanmardi; Tolga Tasdizen; Quynh C Nguyen Journal: Int J Environ Res Public Health Date: 2020-05-22 Impact factor: 3.390
Authors: Leh Shii Law; Norhasmah Sulaiman; Wan Ying Gan; Siti Nur'Asyura Adznam; Mohd Nasir Mohd Taib Journal: Int J Environ Res Public Health Date: 2020-03-31 Impact factor: 3.390