The Association Between Neighborhood Socioeconomic Deprivation, Cardiorespiratory Fitness, and Physical Activity in US Youth

2019 ◽  
Vol 16 (12) ◽  
pp. 1147-1153
Author(s):  
Morgan N. Clennin ◽  
Russell R. Pate
Keyword(s):  
Physical Activity ◽  
Cardiorespiratory Fitness ◽  
Maximal Oxygen Consumption ◽  
Composite Index ◽  
Socioeconomic Deprivation ◽  
Future Research ◽  
Cardiometabolic Health ◽  
Individual Level ◽  
Complex Sampling ◽  
Underlying Mechanisms

Background: Growing evidence suggests that the broader neighborhood socioeconomic environment is independently associated with cardiometabolic health. However, few studies have examined this relationship among younger populations. Purpose: The purpose of the study was to (1) investigate the association between neighborhood socioeconomic deprivation (SED) and cardiorespiratory fitness and (2) determine the extent to which physical activity mediates this relationship. Methods: Data from 312 youth (aged 12–15 y) were obtained from the 2012 National Health and Nutrition Examination Survey National Youth Fitness Survey. Cardiorespiratory fitness was measured using a standard submaximal treadmill test, and maximal oxygen consumption was estimated. Physical activity was self-reported time spent in moderate to vigorous activity. Neighborhood SED was measured by a composite index score at the census tract of residence. Logistic regression analyses examined relationships between neighborhood SED, physical activity, and cardiorespiratory fitness, adjusting for individual-level characteristics and the complex sampling design. Results: Neighborhood SED was not significantly associated with cardiorespiratory fitness or physical activity among youth in the study sample. Conclusions: While not significant, cardiorespiratory fitness levels were observed to decrease as neighborhood SED increased. Future research is needed to better understand this relationship and to identify underlying mechanisms beyond fitness or physical activity that may drive the relationship between neighborhood SED and health.

scholarly journals Feelings of safety during daytime walking: associations with mental health, physical activity and cardiometabolic health in high vacancy, low-income neighborhoods in Detroit, Michigan

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Amber L. Pearson ◽  
Kimberly A. Clevenger ◽  
Teresa H. Horton ◽  
Joseph C. Gardiner ◽  
Ventra Asana ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Low Income ◽  
Spatial Data ◽  
Vigorous Physical Activity ◽  
Future Research ◽  
Cardiometabolic Health ◽  
Multilevel Regression ◽  
Critical Pathway ◽  
Perceived Safety

Abstract Introduction Individuals living in low-income neighborhoods have disproportionately high rates of obesity, Type-2 diabetes, and cardiometabolic conditions. Perceived safety in one’s neighborhood may influence stress and physical activity, with cascading effects on cardiometabolic health. Methods In this study, we examined relationships among feelings of safety while walking during the day and mental health [perceived stress (PSS), depression score], moderate-to-vigorous physical activity (PA), Body Mass Index (BMI), and hemoglobin A1C (A1C) in low-income, high-vacancy neighborhoods in Detroit, Michigan. We recruited 69 adults who wore accelerometers for one week and completed a survey on demographics, mental health, and neighborhood perceptions. Anthropometrics were collected and A1C was measured using A1CNow test strips. We compiled spatial data on vacant buildings and lots across the city. We fitted conventional and multilevel regression models to predict each outcome, using perceived safety during daytime walking as the independent variable of interest and individual or both individual and neighborhood-level covariates (e.g., number of vacant lots). Last, we examined trends in neighborhood features according to perceived safety. Results In this predominantly African American sample (91%), 47% felt unsafe during daytime walking. Feelings of perceived safety significantly predicted PSS (β = − 2.34, p = 0.017), depression scores (β = − 4.22, p = 0.006), and BMI (β = − 2.87, p = 0.01), after full adjustment. For PA, we detected a significant association for sex only. For A1C we detected significant associations with blighted lots near the home. Those feeling unsafe lived in neighborhoods with higher park area and number of blighted lots. Conclusion Future research is needed to assess a critical pathway through which neighborhood features, including vacant or poor-quality green spaces, may affect obesity—via stress reduction and concomitant effects on cardiometabolic health.

scholarly journals Effect modification by cardiorespiratory fitness on the association between physical activity and cardiometabolic health in youth: A systematic review

2020 ◽  
pp. 1-9
Author(s):  
Anders Husøy ◽  
Knut Eirik Dalene ◽  
Jostein Steene-Johannessen ◽  
Sigmund Alfred Anderssen ◽  
Ulf Ekelund ◽  
...  
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Cardiorespiratory Fitness ◽  
Effect Modification ◽  
Cardiometabolic Health

scholarly journals Domain-specific physical activity patterns and cardiorespiratory fitness among adults in Germany

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
J Zeiher ◽  
M Duch ◽  
L E Kroll ◽  
G B M Mensink ◽  
J D Finger ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cardiorespiratory Fitness ◽  
Leisure Time ◽  
Leisure Time Physical Activity ◽  
Adult Population ◽  
Activity Patterns ◽  
Strong Association ◽  
Maximal Oxygen Consumption ◽  
Cycle Ergometer ◽  
Physical Measurements

Abstract Background Studies show that occupational physical activity (OPA) has less health-enhancing effects than leisure-time physical activity (LTPA). The spare data available suggests that OPA rarely includes aerobic PAs with little or no enhancing effects on cardiorespiratory fitness (CRF) as a possible explanation. This study aims to investigate the associations between patterns of OPA and LTPA and CRF among adults in Germany. Methods 1,204 men and 1,303 women (18-64 years), who participated in the German Health Interview and Examination Survey 2008-2011, completed a standardized sub-maximal cycle ergometer test to estimate maximal oxygen consumption (VO2max). Job positions were coded according to the level of physical effort to construct an occupational PA index and categorized as low vs. high OPA. LTPA was assessed via questionnaires and dichotomized in no vs. any LTPA participation. A combined LTPA/OPA variable was used (high OPA/ LTPA, low OPA/LTPA, high OPA/no LTPA, low OPA/no LTPA). Information on potential confounders was obtained via questionnaires (e.g., smoking and education) or physical measurements (e.g., waist circumference). Multi-variable logistic regression was used to analyze associations between OPA/LTPA patterns and VO2max. Results Preliminary analyses showed that less-active men were more likely to have a low VO2max with odds ratios (ORs) of 0.80 for low OPA/LTPA, 1.84 for high OPA/no LTPA and 3.46 for low OPA/no LTPA compared to high OPA/LTPA. The corresponding ORs for women were 1.11 for low OPA/LTPA, 3.99 for high OPA/no LTPA and 2.44 for low OPA/no LTPA, indicating the highest likelihood of low fitness for women working in physically demanding jobs and not engaging in LTPA. Conclusions Findings confirm a strong association between LTPA and CRF and suggest an interaction between OPA and LTPA patterns on CRF within the workforce in Germany. Women without LTPA are at high risk of having a low CRF, especially if they work in physically demanding jobs. Key messages Women not practicing leisure-time physical activity are at risk of having a low cardiorespiratory fitness, especially if they work in physically demanding jobs. Different impact of domains of physical activity should be considered when planning interventions to enhance fitness among the adult population.

scholarly journals Objective Church Environment Audits and Attendee Perceptions of Healthy Eating and Physical Activity Supports within the Church Setting

2020 ◽  
Vol 17 (10) ◽  
pp. 3598
Author(s):  
Marilyn E. Wende ◽  
Andrew T. Kaczynski ◽  
John A. Bernhart ◽  
Caroline G. Dunn ◽  
Sara Wilcox
Keyword(s):  
Physical Activity ◽  
South Carolina ◽  
Healthy Eating ◽  
Self Efficacy ◽  
Past Research ◽  
Future Research ◽  
Individual Level ◽  
Faith Based ◽  
And Behaviors ◽  
The Church

Interventions in faith-based settings are increasingly popular, due to their effectiveness for improving attendee health outcomes and behaviors. Little past research has examined the important role of the church environment in individual-level outcomes using objective environmental audits. This study examined associations between the objectively measured physical church environment and attendees’ perceptions of physical activity (PA) and healthy eating (HE) supports within the church environment, self-efficacy for PA and HE, and self-reported PA and HE behaviors. Data were collected via church audits and church attendee surveys in 54 churches in a rural, medically underserved county in South Carolina. Multi-level regression was used to analyze associations between the church environment and outcomes. Physical elements of churches were positively related to attendees’ perceptions of church environment supports for PA (B = 0.03, 95% CI = 0.01, 0.05) and HE (B = 0.05, 95% CI = 0.01, 0.09) and there was a significant interaction between perceptions of HE supports and HE church environment. Self-efficacy and behaviors for PA and HE did not show an association with the church environment. Future research should establish a temporal relationship between the church environment and these important constructs for improving health. Future faith-based interventions should apply infrastructure changes to the church environment to influence important mediating constructs to health behavior.

scholarly journals Workers’ physical activity data contribute to estimating maximal oxygen consumption: a questionnaire study to concurrently assess workers’ sedentary behavior and cardiorespiratory fitness

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Tomoaki Matsuo ◽  
Rina So ◽  
Masaya Takahashi
Keyword(s):  
Physical Activity ◽  
Oxygen Consumption ◽  
Occupational Health ◽  
Sedentary Behavior ◽  
Cardiorespiratory Fitness ◽  
Prediction Models ◽  
Intraclass Correlation ◽  
Maximal Oxygen Consumption ◽  
Sitting Time ◽  
Epidemiological Surveys

Abstract Background Sedentary behavior (SB) and cardiorespiratory fitness (CRF) are important issues in occupational health. Developing a questionnaire to concurrently assess workers’ SB and CRF could fundamentally improve epidemiological research. The Worker’s Living Activity-time Questionnaire (WLAQ) was developed previously to assess workers’ sitting time. WLAQ can be modified to evaluate workers’ CRF if additional physical activity (PA) data such as PA frequency, duration, and intensity are collected. Methods A total of 198 working adults (93 women and 105 men; age, 30–60 years) completed anthropometric measurements, a treadmill exercise test for measuring maximal oxygen consumption (VO2max), and modified WLAQ (m-WLAQ, which included questions about PA data additional to the original questions). Multiple regression analyses were performed to develop prediction equations for VO2max. The generated models were cross-validated using the predicted residual error sum of squares method. Among the participants, the data of 97 participants who completed m-WLAQ twice after a 1-week interval were used to calculate intraclass correlation coefficient (ICC) for the test–retest reliability analyses. Results Age (r = − 0.29), sex (r = 0.48), body mass index (BMI, r = − 0.20), total sitting time (r = − 0.15), and PA score (total points for PA data, r = 0.47) were significantly correlated with VO2max. The models that included age, sex, and BMI accounted for 43% of the variance in measured VO2max [standard error of the estimate (SEE) = 5.04 ml·kg− 1·min− 1]. These percentages increased to 59% when the PA score was included in the models (SEE = 4.29 ml·kg− 1·min− 1). Cross-validation analyses demonstrated good stability of the VO2max prediction models, while systematic underestimation and overestimation of VO2max were observed in individuals with high and low fitness, respectively. The ICC of the PA score was 0.87 (0.82–0.91), indicating excellent reliability. Conclusions The PA score obtained using m-WLAQ, rather than sitting time, correlated well with measured VO2max. The equation model that included the PA score as well as age, sex, and BMI had a favorable validity for estimating VO2max. Thus, m-WLAQ can be a useful questionnaire to concurrently assess workers’ SB and CRF, which makes it a reasonable resource for future epidemiological surveys on occupational health.

scholarly journals Ten-year change in sedentary behaviour, moderate-to-vigorous physical activity, cardiorespiratory fitness and cardiometabolic risk: independent associations and mediation analysis

2016 ◽  
Vol 52 (16) ◽  
pp. 1063-1068 ◽  
Author(s):  
Sara Knaeps ◽  
Jan G Bourgois ◽  
Ruben Charlier ◽  
Evelien Mertens ◽  
Johan Lefevre ◽  
...  
Keyword(s):  
Physical Activity ◽  
Waist Circumference ◽  
Sedentary Behaviour ◽  
Cardiorespiratory Fitness ◽  
Cardiometabolic Risk ◽  
Fasting Glucose ◽  
Vigorous Physical Activity ◽  
Hdl Cholesterol ◽  
Cardiometabolic Health ◽  
Mediation Effects

BackgroundWe aimed to study the independent associations of 10-year change in sedentary behaviour (SB), moderate-to-vigorous physical activity (MVPA) and objectively measured cardiorespiratory fitness (CRF), with concurrent change in clustered cardiometabolic risk and its individual components (waist circumference, fasting glucose, high-density lipoprotein (HDL) cholesterol, triglycerides and blood pressure). We also determined whether associations were mediated by change in CRF (for SB and MVPA), waist circumference (for SB, MVPA and CRF) and dietary intake (for SB).MethodsA population-based sample of 425 adults (age (mean±SD) 55.83±9.40; 65% men) was followed prospectively for 9.62±0.52 years. Participants self-reported SB and MVPA and performed a maximal cycle ergometer test to estimate peak oxygen uptake at baseline (2002–2004) and follow-up (2012–2014). Multiple linear regression and the product of coefficients method were used to examine independent associations and mediation effects, respectively.ResultsGreater increase in SB was associated with more detrimental change in clustered cardiometabolic risk, waist circumference, HDL cholesterol and triglycerides, independently of change in MVPA. Greater decrease in MVPA was associated with greater decrease in HDL cholesterol and increase in clustered cardiometabolic risk, waist circumference and fasting glucose, independent of change in SB. Greater decrease in CRF was associated with more detrimental change in clustered cardiometabolic risk and all individual components. Change in CRF mediated the associations of change in SB and MVPA with change in clustered cardiometabolic risk, waist circumference and, only for MVPA, HDL cholesterol. Change in waist circumference mediated the associations between change in CRF and change in clustered cardiometabolic risk, fasting glucose, HDL cholesterol and triglycerides.ConclusionsA combination of decreasing SB and increasing MVPA, resulting in positive change in CRF, is likely to be most beneficial towards cardiometabolic health.

scholarly journals Considering Physical Well-Being, Self-perceptions, and Support Variables in Understanding Youth Academic Achievement

2019 ◽  
Vol 40 (1) ◽  
pp. 134-157 ◽  
Author(s):  
Erin E. Centeio ◽  
Cheryl L. Somers ◽  
E. Whitney G. Moore ◽  
Alex Garn ◽  
Noel Kulik ◽  
...  
Keyword(s):  
Physical Activity ◽  
Academic Achievement ◽  
Cardiorespiratory Fitness ◽  
Well Being ◽  
Female Students ◽  
Male Students ◽  
Future Research ◽  
Self Perceptions ◽  
School Year ◽  
Cardiovascular Endurance

The purpose of this study was to examine the relation between measures of students’ physical well-being and self-perception and their academic achievement. Specifically, we look at students’ social support for physical activity, physical activity perceptions, self-concept, self-efficacy, health behaviors, and cardiorespiratory fitness (as measured by the progressive aerobic cardiovascular endurance run [PACER] test). Students ( n = 697 fifth graders) were surveyed at the beginning of the school year. A two-group path analysis revealed notable relationships between the predictor variables and proximal and distal outcomes, with some paths moderated by sex. One relationship that was significant for both sexes was cardiorespiratory fitness, as it was the only significant predictor of achievement. This effect was moderate to large for the female students ([Formula: see text]; [Formula: see text]) and small to large for the male students ([Formula: see text]; [Formula: see text]). These findings can be used to guide future research and educational prevention and intervention efforts.

scholarly journals Disentangling Race, Poverty, and Place in Disparities in Physical Activity

2019 ◽  
Vol 16 (7) ◽  
pp. 1193 ◽  
Author(s):  
Armani Hawes ◽  
Genee Smith ◽  
Emma McGinty ◽  
Caryn Bell ◽  
Kelly Bower ◽  
...  
Keyword(s):  
Physical Activity ◽  
United States ◽  
Social Context ◽  
Racial Disparities ◽  
The United States ◽  
Future Research ◽  
Physically Active ◽  
Individual Level ◽  
Using Data ◽  
The Impact

Significant racial disparities in physical activity—a key protective health factor against obesity and cardiovascular disease—exist in the United States. Using data from the 1999–2004 National Health and Nutrition Examination Survey and the 2000 United States (US) Census, we estimated the impact of race, individual-level poverty, neighborhood-level poverty, and neighborhood racial composition on the odds of being physically active for 19,678 adults. Compared to whites, blacks had lower odds of being physically active. Individual poverty and neighborhood poverty were associated with decreased odds of being physically active among both whites and blacks. These findings underscore the importance of social context in understanding racial disparities in physical activity and suggest the need for future research to determine specific elements of the social context that drive disparities.

scholarly journals Associations of Objectively Measured Vigorous Physical Activity With Body Composition, Cardiorespiratory Fitness, and Cardiometabolic Health in Youth: A Review

2016 ◽  
Vol 13 (1) ◽  
pp. 61-97 ◽  
Author(s):  
Morgan H. Gralla ◽  
Samantha M. McDonald ◽  
Charity Breneman ◽  
Michael W. Beets ◽  
Justin B. Moore
Keyword(s):  
Physical Activity ◽  
Body Composition ◽  
Cardiorespiratory Fitness ◽  
Vigorous Physical Activity ◽  
Health Benefits ◽  
Experimental Studies ◽  
Cardiometabolic Health ◽  
Intensity Level ◽  
Central Adiposity ◽  
Reduced Body

Background. Increasing evidence suggests that vigorous physical activity (VPA) in youth may yield greater health benefits than moderate (MPA) or moderate-to-vigorous physical activity (MVPA). The purpose of this review was to assess the relationship between PA intensity and body composition, cardiorespiratory fitness (CRF), and cardiometabolic (CM) biomarkers in youth. Methods. We conducted a systematic review of observational studies examining PA intensity and selected health outcomes in youth aged 6 to 18 years. Forty-five articles were selected for final review. Results. VPA was more strongly associated with reduced body fat and central adiposity compared with MPA and/or MVPA. Additionally, VPA was more strongly associated with increased CRF when compared with lower intensities. Findings were inconclusive between all PA intensity levels and CM biomarkers, and several significant relationships observed for VPA were attenuated when controlling for CRF. Conclusions. A potential VPA dose is identified as yielding favorable health benefits in adiposity and fitness. While CM biomarkers were not consistently associated with PA intensity level, the literature suggests VPA may yield health benefits above those received from MPA for reduced adiposity and improved CRF. This review highlights the need for longitudinal observational and experimental studies to determine optimal VPA dose for CM health in youth.

scholarly journals Do moderate- to vigorous-intensity accelerometer count thresholds correspond to relative moderate- to vigorous-intensity physical activity?

2019 ◽  
Vol 44 (4) ◽  
pp. 407-413 ◽  
Author(s):  
Lilian Raiber ◽  
Rebecca A.G. Christensen ◽  
Arshdeep K. Randhawa ◽  
Veronica K. Jamnik ◽  
Jennifer L. Kuk
Keyword(s):  
Physical Activity ◽  
Oxygen Consumption ◽  
Cardiorespiratory Fitness ◽  
Vigorous Physical Activity ◽  
Maximal Oxygen Consumption ◽  
Population Level ◽  
Normal Weight ◽  
Overweight And Obesity ◽  
Large Variability ◽  
Vigorous Intensity

We aimed to predict % maximal oxygen consumption at absolute accelerometer thresholds and to estimate and compare durations of objective physical activity (PA) among body mass index (BMI) categories using thresholds that account for cardiorespiratory fitness. Eight hundred twenty-eight adults (53.5% male; age, 33.9 ± 0.3 years) from the National Health and Nutrition Examination Survey 2003–2004 were analyzed. Metabolic equivalent values at absolute thresholds were converted to percentage of maximal oxygen consumption, and accelerometer counts corresponding to 40% or 60% maximal oxygen consumption were determined using 4 energy expenditure prediction equations. Absolute thresholds underestimated PA intensity for all adults; however, because of lower fitness, individuals with overweight and obesity work at significantly higher percentage of maximal oxygen consumption at the absolute thresholds and require significantly lower accelerometer counts to reach relative moderate and vigorous PA intensities compared with those with normal weight (P < 0.05). However, moderate-to-vigorous physical activity (MVPA) durations were shorter when using relative thresholds compared with absolute thresholds (in all BMI groups, P < 0.05), and they were shorter among individuals with obesity compared with those with normal weight when using relative thresholds (P < 0.05). Regardless of the thresholds used, a greater proportion of individuals with normal weight met the PA guideline of 150 min·week–1 of MVPA compared with individuals with obesity (absolute: 21.3% vs 6.7%; Yngve: 4.0% vs 0.2%; Swartz: 10.7% vs 3.9%; Hendelman: 4.7% vs 0.2%; Freedson: 6.4% vs 0.5%; P < 0.05). Current absolute thresholds of accelerometry-derived PA may overestimate MVPA for all BMI categories when compared with relative thresholds that account for cardiorespiratory fitness. Given the large variability in our results, more work is needed to better understand how to use accelerometers for evaluating PA at the population level.

Sign in / Sign up

Export Citation Format

Share Document