Measurement Error of Self-Reported Physical Activity Levels in New York City: Assessment and Correction

Background/Objectives: On March 22, 2020, a statewide stay-at-home order for nonessential tasks was implemented in New York State. We aimed to determine the impact of the lockdown on physical activity levels (PAL) in hemodialysis patients. Methods: Starting in May 2018, we are conducting an observational study with a 1-year follow-up on PAL in patients from 4 hemodialysis clinics in New York City. Patients active in the study as of March 22, 2020, were included. PAL was defined by steps taken per day measured by a wrist-based monitoring device (Fitbit Charge 2). Average steps/day were calculated for January 1 to February 13, 2020, and then weekly from February 14 to June 30. Results: 42 patients were included. Their mean age was 55 years, 79% were males, and 69% were African Americans. Between January 1 and February 13, 2020, patients took on average 5,963 (95% CI 4,909–7,017) steps/day. In the week prior to the mandated lockdown, when a national emergency was declared, and in the week of the shutdown, the average number of daily steps had decreased by 868 steps/day (95% CI 213–1,722) and 1,222 steps/day (95% CI 668–2300), respectively. Six patients were diagnosed with COVID-19 during the study period. Five of them exhibited significantly higher PAL in the 2 weeks prior to showing COVID-19 symptoms compared to COVID-19 negative patients. Conclusion: Lockdown measures were associated with a significant decrease in PAL in hemodialysis patients. Patients who contracted COVID-19 had higher PAL during the incubation period. Methods to increase PAL while allowing for social distancing should be explored and implemented.

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An Observational Evaluation of Move-To-Improve, a Classroom-Based Physical Activity Program, New York City Schools, 2010

Preventing Chronic Disease ◽

10.5888/pcd9.120072 ◽

2012 ◽

Vol 9 ◽

Cited By ~ 13

Author(s):

Lillian L. Dunn ◽

Jazmine A. Venturanza ◽

Rhonda J. Walsh ◽

Cathy A. Nonas

Keyword(s):

Physical Activity ◽

New York ◽

New York City ◽

York City ◽

Physical Activity Program ◽

Activity Program ◽

New York City Schools ◽

City Schools

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Nutrition intake and physical activity in a middle school in New York City

International Journal of Adolescent Medicine and Health ◽

10.1515/ijamh-2014-0035 ◽

2015 ◽

Vol 27 (3) ◽

pp. 335-340 ◽

Cited By ~ 2

Author(s):

Marisol Gonzalez ◽

Ronald Feinstein ◽

Carina Iezzi ◽

Martin Fisher

Keyword(s):

Physical Activity ◽

Middle School ◽

New York ◽

New York City ◽

Middle School Students ◽

York City ◽

Screen Time ◽

Great Variability ◽

School Students ◽

Significant Difference

Abstract Purpose: The threat of childhood obesity has never been greater. Behavior changes implemented during childhood and adolescence are believed to be the most successful means of thwarting the progression of this epidemic. The American Academy of Pediatrics has developed a public health campaign that promotes awareness of clinical guidelines for nutrition and physical activity. The campaign is based on a concept developed by the Maine Center for Public Health referred to as “5-2-1-0 Healthy”. The simple clear message of this concept outlines steps families can take to help prevent and treat childhood obesity. The purpose of the present study is to determine the current level of compliance and health education needs of a middle school population related to the “5-2-1-0” concept. Methods: A modified version of the 2010 National Youth Physical Activity and Nutrition Survey (developed by the Centers for Disease Control and Prevention) was distributed to students at a private, nonsectarian, middle school in New York City. The school is located in the borough of Manhattan, but includes youngsters from all five boroughs of the city. The questions were grouped and analyzed according to “5-2-1-0” categories. Surveys were scored, and the association between targeted questionnaire items and demographic variables (i.e., sex and grade) was examined. Results: All 140 students completed the survey, and there was great variability in their responses to both the nutrition and physical activity questions. Of all students, 65% reported eating one cup or more of fruit daily, and 38% reported eating one cup or more of vegetables daily. There was no statistically significant difference reported in consumption of fruits or vegetables by gender or grade. Over 60% of students indicated <2 h of DVD/video or computer/video game time per day, while 10% indicated more than 3 h per day for each. A significant difference existed in the screen time reported between grades (more screen time by the older students) and a statistically significant difference also existed in the amount of physical activity reported by gender and grade (more physical activity by males and younger students). There was no difference in the reported consumption of sugar-sweetened beverages by gender or grade. Conclusion: In a cohort of middle school students in New York City, there was great variability in compliance with the principles represented by the “5-2-1-0” concept. Changes in health behaviors were noted as students went from 6th to 7th to 8th grade, with physical activity decreasing and screen time increasing. Consequently, health curriculum topics for middle school students should focus on physical activity and screen time, while continuing to emphasize the need for proper nutrition.

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Physical Activity and Sedentary Behavior Among Adults 60 Years and Older: New York City Residents Compared With a National Sample

Journal of Aging and Physical Activity ◽

10.1123/japa.2012-0345 ◽

2014 ◽

Vol 22 (4) ◽

pp. 499-507 ◽

Cited By ~ 9

Author(s):

Kelly R. Evenson ◽

Kimberly B. Morland ◽

Fang Wen ◽

Kathleen Scanlin

Keyword(s):

Physical Activity ◽

New York ◽

New York City ◽

Sedentary Behavior ◽

York City ◽

Vigorous Physical Activity ◽

National Sample ◽

Health And Nutrition ◽

Actigraph Accelerometer ◽

Two Samples

This study describes moderate to vigorous physical activity (MVPA) and sedentary behavior among New York City (NYC) residents 60 years and older and compared with national United States’ estimates. Adults aged 60 or older living in NYC (n = 760) were compared with similar aged adults from the National Health and Nutrition Examination Survey (NHANES; n = 2,451 adults). Both groups wore an ActiGraph accelerometer for one week. The NYC sample recorded 13.2, 23.8, and 37.8 mean min/day of MVPA and the NHANES sample recorded 10.6, 21.1, and 39.3, depending on the definition. Sedentary behavior averaged 9.6 hr/day for the NYC sample and 9.3 hr/day for the NHANES sample. The NYC sample spent a longer proportion of time in sedentary behavior and light activities, but more time in MVPA than the NHANES sample. Urbanicity may explain some of the differences between the two samples.

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Characteristics of a Church-placed Physical Activity Program Associated with Physical Activity Uptake in Church-going African Americans in New York City

Journal of Physical Activity Research ◽

10.12691/jpar-6-1-1 ◽

2021 ◽

Vol 6 (1) ◽

pp. 1-7

Author(s):

Moses Mansu ◽

Feng Qian ◽

Carla Boutin-Foster ◽

Erica Phillips-Caesar ◽

Noel Manyindo ◽

...

Keyword(s):

Physical Activity ◽

New York ◽

New York City ◽

African Americans ◽

York City ◽

Physical Activity Program ◽

Activity Program

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Accelerometer and Survey Data on Patterns of Physical Inactivity in New York City and the United States

Public Health Reports ◽

10.1177/0033354919841855 ◽

2019 ◽

Vol 134 (3) ◽

pp. 293-299 ◽

Cited By ~ 2

Author(s):

Katherine F. Bartley ◽

Donna L. Eisenhower ◽

Tiffany G. Harris ◽

Karen K. Lee

Keyword(s):

Physical Activity ◽

United States ◽

New York ◽

New York City ◽

Survey Data ◽

York City ◽

Physical Inactivity ◽

Regression Models ◽

The United States ◽

Transportation Activity

Objective: Inactive lifestyles contribute to health problems and premature death and are influenced by the physical environment. The primary objective of this study was to quantify patterns of physical inactivity in New York City and the United States by combining data from surveys and accelerometers. Methods: We used Poisson regression models and self-reported survey data on physical activity and other demographic characteristics to predict accelerometer-measured inactivity in New York City and the United States among adults aged ≥18. National data came from the 2003-2004 and 2005-2006 National Health and Nutrition Examination Surveys. New York City data came from the 2010-2011 New York City Physical Activity and Transit survey. Results: Self-reported survey data indicated no significant differences in inactivity between New York City and the United States, but accelerometer data showed that 53.1% of persons nationally, compared with 23.4% in New York City, were inactive ( P < .001). New Yorkers reported a median of 139 weekly minutes of transportation activity, compared with 0 minutes nationally. Nationally, 50.0% of self-reported activity minutes came from recreation activity, compared with 17.5% in New York City. Regression models indicated differences in the association between self-reported minutes of transportation and recreation and accelerometer-measured inactivity in the 2 settings. Conclusions: The prevalence of physical inactivity was higher nationally than in New York City. The largest difference was in walking behavior indicated by self-reported transportation activity. The study demonstrated the feasibility of combining accelerometer and survey measurement and that walkable environments promote an active lifestyle.

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Abstract P430: Spatial Proximity and Membership to Gyms or Related Facilities Jointly Predict Objectively Measured Physical Activity among Adults in New York City

Circulation ◽

10.1161/circ.129.suppl_1.p430 ◽

2014 ◽

Vol 129 (suppl_1) ◽

Author(s):

Tanya K Kaufman ◽

Daniel Sheehan ◽

Kathryn M Neckerman ◽

Andrew Rundle ◽

Gina S Lovasi

Keyword(s):

Physical Activity ◽

New York ◽

New York City ◽

York City ◽

Extreme Values ◽

Vigorous Physical Activity ◽

The United States ◽

Series Data ◽

Home Address ◽

Physical Activity Facilities

Background: Over half of the adult population in the United States fails to meet public health recommendations for physical activity. Neighborhood physical activity facilities may help encourage moderate and vigorous physical activity. We hypothesize that commercial physical activity facilities near the home would predict both membership in a gym or other recreation facility in the past 12 months and current physical activity. We further hypothesize the presence of effect modification, such that physical activity facilities would have a stronger association with activity among individuals with a facility membership. Methods: Data were from the New York City Physical Activity and Transit Monitoring Study, a sample of 679 New York City adults aged 18 years and older with physical activity measured by accelerometer. Participants were excluded for incomplete data, extreme values for height, weight or BMI, or if their home address could not be geocoded. The final analytic sample was 625. Counts of commercial physical activity facilities within 1 km of each participant’s home address were generated from the National Establishment Time-Series data for year 2010. Linear and logistic regression models incorporated robust standard errors, sample weights, and adjustment for individual- and neighborhood-level characteristics. Results: Individuals living near more commercial physical activity facilities were more likely to report membership in a gym or other facility (adjusted odds ratio for top versus bottom quartile of facility count: 3.80; 95% CI: 1.60-9.02). The count of facilities was also associated with more physical activity as measured by accelerometer, particularly for those individuals reporting membership in a gym or other recreation facility (see figure). Conclusion: The evaluation of opportunities for physical activity should include accessibility of commercial physical activity facilities, including financial or social barriers to membership.

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