The epidemiology of muscle‐strengthening and aerobic physical activity guideline adherence among 24,016 German adults

Author(s):  
Jason A. Bennie ◽  
Katrien De Cocker ◽  
Susanne Tittlbach

2020 ◽  
Author(s):  
Jason Bennie ◽  
Katrien De Cocker ◽  
Susanne Tittlbach

Abstract Background The German ‘National Recommendations for Physical Activity and Physical Activity Promotion’ state that adults (≥18 years) should engage in: [i] ≥150 minutes of aerobic moderate-to-vigorous-intensity physical activity/week (MVPA); and [ii] ≥2 days/week of muscle-strengthening exercise (MSE). However, there is limited research on the adherence to these guidelines among German adults. The present purpose was to describe the prevalence and correlates of physical activity guideline adherence among a nationally representative sample of German adults. Methods Data were drawn from the 2014 German Health Update survey, collected via a combination of web-based and mail surveys. Self-reported physical activity levels were assessed using the previously validated European Health Interview Survey Physical Activity Questionnaire. Weighted prevalence levels of the sample meeting the aerobic MVPA (≥150 minutes/week), MSE (≥2 times/week) and combined MVPA-MSE guidelines were calculated. Poisson regressions were used to assess prevalence ratios for physical activity guideline adherence categories across sociodemographic (age, sex, socioeconomic status) and lifestyle-related (self-rated health, BMI) variables. Results Out of 24,016 participants (response rate = 27.6%), aged ≥18 years, 45.3% (95% CI: 44.5-46.0%), 29.4% (95% CI: 28.7-30.1%) and 22.6% (95% CI: 21.9-23.2%) met the aerobic MVPA, MSE and combined guidelines, respectively. Population sub-groups independently less likely to meet the combined guidelines included those with poor self-rated health, low socioeconomic status and those being overweight or obese. Conclusions As almost 80% of German adults do not meet the nationally recommended combined aerobic MVPA-MSE physical activity guidelines, there is a necessity for large-scale public health interventions promoting both aerobic MVPA and MSE.



2011 ◽  
Vol 52 (1) ◽  
pp. 33-38 ◽  
Author(s):  
Katherine D. Hoerster ◽  
Joni A. Mayer ◽  
James F. Sallis ◽  
Nicole Pizzi ◽  
Sandra Talley ◽  
...  


2019 ◽  
Author(s):  
Jason Bennie ◽  
Katrien De Cocker ◽  
Susanne Tittlbach

Abstract Background The German ‘ National Recommendations for Physical Activity and Physical Activity Promotion ’ state that adults (≥18 years) should engage in: [i] ≥150 minutes of aerobic moderate-to-vigorous-intensity physical activity/week (MVPA); and [ii] ≥2 days/week of muscle-strengthening exercise (MSE). However, there is limited research on the adherence to these guidelines among German adults. The present purpose was to describe the prevalence and correlates of physical activity guideline adherence among a nationally representative sample of German adults. Methods Data were drawn from the 2014 German Health Update survey, collected via a combination of web-based and mail surveys. Self-reported physical activity levels were assessed using the previously validated European Health Interview Survey Physical Activity Questionnaire. Weighted prevalence levels of the sample meeting the aerobic MVPA (≥150 minutes/week), MSE (≥2 times/week) and combined MVPA-MSE guidelines were calculated. Poisson regressions were used to assess prevalence ratios for physical activity guideline adherence categories across sociodemographic (age, sex, socioeconomic status) and lifestyle-related (self-rated health, BMI) variables. Results Out of 24,016 participants (response rate = 27.6%), aged ≥18 years, 45.3% (95% CI: 44.5-46.0%), 29.4% (95% CI: 28.7-30.1%) and 22.6% (95% CI: 21.9-23.2%) met the aerobic MVPA, MSE and combined guidelines, respectively. Population sub-groups independently less likely to meet the combined guidelines included those with poor self-rated health, low socioeconomic status and those being overweight or obese. Conclusions As almost 80% of German adults do not meet the nationally recommended aerobic combined MVPA-MSE physical activity guidelines, there is a necessity for large-scale public health interventions promoting both aerobic MVPA and MSE.



2019 ◽  
Vol 12 (Suppl_1) ◽  
Author(s):  
Rongzi Shan ◽  
Lisa R Yanek ◽  
Luke G Silverman-Lloyd ◽  
Sina Kianoush ◽  
Michael J Blaha ◽  
...  


2018 ◽  
Vol 50 (5S) ◽  
pp. 528
Author(s):  
Matthew P. Smudde ◽  
Kelly R. Laurson ◽  
Dale D. Brown ◽  
Karen K. Dennis


2021 ◽  
Author(s):  
Verena Schneider ◽  
Dimitra Kale ◽  
Aleksandra Herbec ◽  
Emma Beard ◽  
Abi Fisher ◽  
...  

BACKGROUND Digital physical activity (PA) program use has been associated with higher PA guideline adherence during COVID-19 pandemic confinements. However, little is known longitudinally about exercise locations (inside vs outside the home environment), digital program use and their associations with moderate-to-vigorous PA (MVPA) and muscle-strengthening activities (MSA) during the pandemic. OBJECTIVE To assess the relationship between exercise location and use of digital programs with PA guideline adherence during the COVID-19 pandemic; to describe how individuals exercised inside and outside of their home environments; to explore which socio-demographic and contextual predictors were associated with exercise locations and digital PA program use. METHODS UK adults (N=1,938) who participated in the 1-month follow-up survey of the HEBECO study (FU1, June/July 2020) and at least one more follow-up survey (FU2, August/September; FU3, November/December 2020) and who engaged in any MVPA or MSA were included. Participants reported exercise locations, types of exercises inside and outside their homes including digital programs (online or app-based fitness classes/programs), MVPA and MSA. Generalized linear mixed models assessed associations of exercise location and digital PA program use with PA guideline adherence (MVPA, MSA, full (combined) adherence), and predictors of exercise location and digital program use. RESULTS As the pandemic progressed, UK adults were less likely to exercise inside or to use digital PA programs compared with periods of initial confinement: 60% (weighted n=1,024), 50% (786) and 49% (723) did any exercise inside their homes at FU1, FU2 and FU3, respectively. Twenty-two percent (385), 17% (265) and 16% (241) used digital PA programs, respectively. Most participants who exercised inside indicated using already owned indoor equipment, digital PA programs or own workout routines, while MVPA and gentle walking were the most frequently reported exercise types outside people’s homes. Being female, non-white, having a condition limiting PA, indoor space, a lower BMI and living in total isolation were associated with increased odds to exercise inside one’s home or garden compared with outside only. Digital PA programs users were more likely to be younger, female, highly educated, have indoor space to exercise and a lower body mass index (BMI). While exercising inside was positively associated with MSA and exercising outside with MVPA guideline adherence, both inside (vs outside only) and outside activities (vs inside only) contributed to full PA guideline adherence (OR=5.05, 95% CI 3.17-8.03, and OR=1.89, 95% CI 1.10-3.23). Digital PA program use was associated with higher odds of MSA (OR ranges=3.97-8.71) and full PA (OR ranges=2.24-3.95), but not with MVPA guideline adherence. CONCLUSIONS During the COVID-19 pandemic, full PA guideline adherence was associated with exercising inside and outside of one’s home environment and using digital PA programs. More research is needed to understand reach, long-term adherence, and differences between digital PA programs.



Author(s):  
Jason A. Bennie ◽  
Glen H. Wiesner

Background: Compared with engaging in aerobic physical activity (aerobic PA; eg, walking, running, cycling) or muscle-strengthening exercise (MSE; eg, weight/resistance training) alone, epidemiological evidence suggests that combining both is linked to better health. However, the assessment of both PA modes is rare in health surveillance. This article provides the first multicountry study on the descriptive epidemiology of combined moderate to vigorous PA–MSE guideline adherence. Methods: Data were drawn from the European Health Interview Survey wave 2 (2013–2014), comprising samples from 28 European countries (n = 280,605). Self-reported aerobic PA and MSE were assessed using the validated European Health Interview Survey Physical Activity Questionnaire. The authors calculated the weighted proportions meeting the health-enhancing PA guideline (aerobic PA ≥ 150 min/wk and MSE ≥ 2 sessions/wk). Poisson regression assessed the prevalence ratios for meeting the combined guideline across sociodemographic factors and by country. Results: A total of 15.0% met the health-enhancing PA guideline. The lowest prevalence was from respondents from Southern and Central European countries (Romania, Poland, and Croatia, range: 0.5%–5.7%). Poorer self-rated health, older age, lower income, being female, and being obese had a lower likelihood of meeting the combined guideline. Conclusions: Most European adults do not meet the health-enhancing PA guideline that includes both aerobic PA and MSE.



Author(s):  
Jason A. Bennie ◽  
Katrien De Cocker ◽  
Megan J. Teychenne ◽  
Wendy J. Brown ◽  
Stuart J. H. Biddle


Author(s):  
Jort Veen ◽  
Diego Montiel-Rojas ◽  
Andreas Nilsson ◽  
Fawzi Kadi

Sarcopenia in older adults is associated with a higher risk of falls, disability, loss of independence, and mortality. Current physical activity (PA) guidelines recommend engagement in muscle-strengthening activities (MSA) in addition to aerobic moderate-to-vigorous physical activity (MVPA). However, little is known about the impact of MSA in addition to adherence to the MVPA recommendation in the guidelines. The aim of the present cross-sectional study was to determine whether or not engagement in MSA is linked to sarcopenia risk in older adults who meet the PA guidelines of 150 min of MVPA per week. A total of 193 community-dwelling older men and women (65–70 years) were included in the study. A continuous sex-specific clustered sarcopenia risk score (SRS) was created based on muscle mass assessed using bioelectrical impedance analysis, handgrip strength, and five times sit-to-stand (5STS) time, assessed using standardized procedures. Adherence to PA guidelines was assessed using the Actigraph GT3x accelerometer and the EPAQ2 questionnaire. Guideline adherence to MSA twice a week was related to a significantly (p < 0.05) lower SRS compared to those who did not. This finding was evident after adjustment for adherence to the protein intake guideline and abdominal obesity. Similar impacts were observed for muscle mass and 5-STS but not for handgrip strength. In conclusion, guideline adherence to MSA is related to lower sarcopenia risk in older adults who already accumulate 150 weekly minutes of MVPA, which reinforces the promotion of the MSA guideline, alongside the MVPA guideline, to fight against sarcopenia progression in ageing populations.



2019 ◽  
Vol 5 (1) ◽  
pp. e000534 ◽  
Author(s):  
Jennifer A Cuthill ◽  
Martin Shaw

ObjectiveThe UK Government Physical Activity Recommendations suggest that adults should aim for 150 min of physical activity each week to maintain health. We assessed the total volume, frequency, intensity and type of exercise taken by hospital doctors in association with their specialty, age and knowledge of the specific components of the recommendations.MethodsAn anonymous paper-based questionnaire was distributed to doctors working in the two largest teaching hospitals in Glasgow. 332 questionnaires were analysed with a response rate of 60.3%.Results239 (72%) doctors felt they exercised regularly with 212 (63.9%) meeting the recommended volume of cardiovascular activity, similar to an age and sex-matched cohort of the general Scottish population. Only 78 (23.5%) doctors achieved the recommended muscle-strengthening activities. 108 (35.5%) doctors were aware recommendations for activity existed but only 45 (13.6%) were able to state the recommended duration of activity per week. Doctors who were aware of the recommendations were more likely to personally achieve them (OR 1.802, 95% CI 1.104 to 2.941) although other additional factors may contribute.ConclusionAlthough this was a small study in two hospitals, our results suggest that hospital doctors are as active as the general public in the UK of a similar age. Eight years after implementation, knowledge of specific components of the current physical activity recommendations remains poor. Efforts to improve this prior to graduation, combined with improving confidence and competence in counselling practices and enhancing the opportunities for doctors to exercise, could translate into improved healthcare promotion.



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