Estimating leisure-time physical activity energy expenditure in the Canadian population: a comparison of 2 methods

2009 ◽  
Vol 34 (4) ◽  
pp. 666-672 ◽  
Author(s):  
Shirley N. Bryan ◽  
Peter T. Katzmarzyk

The purpose of this study was to determine the impact of 2 different calculation methods for total leisure-time physical activity energy expenditure (LTPAEE) and LTPAEE from different intensity activities on the classification of level of physical activity in the population. Nationally representative cross-sectional data from the Canadian Community Health Survey Cycle 4.1 (2007) were used for this study (N = 64 397). LTPAEE was calculated using a metabolic equivalent (MET) value of 4.0 for all activities in the “other activity” category for method 1 (currently employed by Statistics Canada) and using activity-specific MET values for method 2. The weighted prevalence and 95% confidence intervals of active (≥3  kcal·kg–1·day–1 (kkd)), moderately active (1.5–2.9 kkd), and inactive (<1.5 kkd) were determined for each method by demographic characteristics. The agreement between the 2 methods was assessed overall, and for light, moderate, and vigorous activities. There was no difference between methods in the proportion classified as active, moderately active, or inactive for any of the subgroups studied and there was no difference in the distribution or mean LTPAEE between methods. However, assessment of the agreement showed a large number of outliers and a tendency to underestimate LTPAEE from light and vigorous activities while overestimating LTPAEE from moderate activities at the individual level. The results of this study should be considered when performing inferential statistics on the relationship between physical activity and health outcomes.

Author(s):  
René Maréchal ◽  
Ahmed Ghachem ◽  
Denis Prud'Homme ◽  
Rémi Rabasa-Lhoret ◽  
Isabelle J. Dionne ◽  
...  

Menopause transition is associated with detrimental changes in physical activity, body composition and metabolic profile. Although physical activity energy expenditure (PAEE) is inversely associated with metabolic syndrome (MetS) in individuals at higher risk of CVD, the association is unknown in low-risk individuals. The aim of the study was to investigate the association between PAEE and MetS (prevalence and severity) in inactive overweight or obese postmenopausal women with a low Framingham Risk Score (FRS:< 10%). Cross-sectional data of 126 participants were divided into quartiles based on PAEE (Q1= lowest PAEE) while fat-free mass (FFM) and fat mass (FM) were measured by DXA. MetS prevalence was significantly different between Q1 and Q4 (37.9% vs 13.3%, p= 0.03). After controlling for potential confounders, MetS severity was negatively associated with PAEE (B= -0.057, p< 0.01) and positively with FFM (B= 0.038, p< 0.001). Moderation analyses indicated that a greater FFM exacerbated the association between PAEE and MetS severity in Q1 and Q2 (PAEE*FFM; B= -0.004; p= 0.1). Our results suggest that displaying a low FRS and lower PAEE increase MetS prevalence and severity. In addition, greater FFM interacts with lower PAEE to worsens MetS severity, while higher PAEE lessened this effect. Novelty - Inactive individuals displaying higher daily PAEE also have a lower MetS prevalence - Greater fat-free mass is associated with a worse MetS severity where a higher PAEE mitigates this deleterious effect in our cohort


2015 ◽  
Vol 12 (2) ◽  
pp. 200-207 ◽  
Author(s):  
Corneel Vandelanotte ◽  
Camille Short ◽  
Matthew Rockloff ◽  
Lee Di Millia ◽  
Kevin Ronan ◽  
...  

Background:A better understanding of how occupational indicators influence physical activity levels will aid the design of workplace interventions.Methods:Cross-sectional data were collected from 1194 participants through a telephone interview in Queensland, Australia. The IPAQ-long was used to measure physical activity. Multiple logistic regression was applied to examine associations.Results:Of participants, 77.9% were employed full-time, 32.3% had professional jobs, 35.7% were engaged in shift work, 39.5% had physically-demanding jobs, and 66.1% had high physical activity levels. Participants with a physicallydemanding job were less likely to have low total (OR = 0.25, 95% CI = 0.17 to 0.38) and occupational (OR = 0.17, 95% CI = 0.12 to 0.25) physical activity. Technical and trade workers were less likely to report low total physical activity (OR = 0.44, 95% CI = 0.20 to 0.97) compared with white-collar workers. Part-time (OR = 1.74, 95% CI = 1.15 to 2.64) and shift workers (OR = 1.86, 95% CI = 1.21 to 2.88) were more likely to report low leisure-time activity.Conclusions:Overall, the impact of different occupational indicators on physical activity was not strong. As expected, the greatest proportion of total physical activity was derived from occupational physical activity. No evidence was found for compensation effects whereby physically-demanding occupations lead to less leisure-time physical activity or vice versa. This study demonstrates that workplaces are important settings to intervene, and that there is scope to increase leisure-time physical activity irrespective of occupational background.


2011 ◽  
Vol 27 (suppl 3) ◽  
pp. s399-s408 ◽  
Author(s):  
Juciany Rodrigues de Oliveira Ramalho ◽  
Maria Fernanda Lima-Costa ◽  
Josélia O. A. Firmo ◽  
Sérgio Viana Peixoto

The aim of this study was to estimate physical activity energy expenditure among older adults. The study comprised 1,585 residents in Bambuí, Minas Gerais State, Brazil, aged > 60 years (91% of the town's total elderly), and examined the frequency and duration of 23 types of physical activity among them. Median energy expenditure was 975 MET.min/week (1,195.8 among men and 803.1 among women), declining significantly with age in both sexes. The prevalence of sedentary lifestyles (< 450 MET.min/week) was 31.2%. Unhurried walking accounted for about 1/3 of total energy expenditure. Multivariate analysis based on ordinal logistic regression showed inverse associations between energy expenditure and age and hospitalizations in both sexes. Among men, inverse associations were observed with smoking, number of chronic diseases and number of medical appointments. These results emphasize the need for effective strategies to increase physical activity in older elderly, and underscore the high prevalence of walking in this group.


Author(s):  
Gallardo-Alfaro ◽  
Bibiloni ◽  
Mateos ◽  
Ugarriza ◽  
Tur

Background: Metabolic syndrome (MetS) is a cluster of risk factors for cardiovascular disease, atherosclerosis and diabetes mellitus type 2 which may be reduced by practicing regular physical activity. Objective: To assess the leisure-time physical activity (LTPA) of older adults with MetS and without MetS. Methods: Cross-sectional study of older adults (55–80 years old) from Balearic Islands (Spain) with MetS (n = 333; 55% men) and without MetS (n = 144; 43.8% men). LTPA was assessed with the validated Spanish version of the Minnesota LTPA Questionnaire. Two criteria of physically active were used: >150 min/week of moderate physical activity or >75 min/week of vigorous physical activity or a combination of both, and total leisure-time energy expenditure of >300 MET·min/day. Sociodemographic and lifestyle characteristics, anthropometric variables, MetS components, and adherence to the Mediterranean diet (MD) were also measured. Results: MetS subjects showed lower energy expenditure in LTPA, lower adherence to the MD, higher obesity and waist circumference, and were less active than non-MetS peers. LTPA increased as participants got older and there was higher LTPA intensity as educational level increased. Adherence to MD was as high as LTPA was. Conclusions: MetS is associated with physical inactivity and unhealthy diet. To increase LTPA recommendations and raise awareness in the population about the health benefits of PA and high adherence to MD is highly recommended.


2020 ◽  
Vol 10 (2) ◽  
pp. 116-122
Author(s):  
Jaehyun Kim ◽  
Junhyoung Kim ◽  
Areum Han

Background: People with cancer often report high levels of negative psychological symptoms and poor perception of health due to cancer treatment and activity limitations. Prior studies have suggested that participation in leisure time physical activity (LTPA) can reduce negative psychological symptoms and improve health perception. However, a few studies have examined the contribution of LTPA to health benefits among people with cancer. Thus, we aimed to examine how a different level of LTPA engagement contributed to mental health and health perceptions among people with cancer. Methods: Using the 2017 Health Information National Trends Survey (HINTS) data, cross sectional data of 504 respondents diagnosed with any types of 22 cancers listed in the survey questionnaire were analyzed. A multivariate analysis of variance (MANOVA) was used to test for mean differences in mental health and health perception among the three different LTPA groups(i.e., inactive, moderately active, and vigorously active groups). Results: Results indicated that people with cancer who reported higher levels of LTPA scored higher on mental health and health perception than those with lower levels of LTPA (Pillai’s trace= 0.060, F (4,944) = 15.06, P < 0.001). Conclusion: This finding suggests that individuals with cancer gained more health benefits through high engagement in LTPA. Moreover, we suggested that LTPA can be used as an important therapeutic intervention to promote health quality and wellbeing among people with cancer. Implications for practical suggestions are further discussed.


2017 ◽  
Vol 40 (12) ◽  
pp. 670-675
Author(s):  
Clarcson P. Santos ◽  
Luciana F. Silva ◽  
Marcelo B. Lopes ◽  
Márcia T.S. Martins ◽  
Angiolina C. Kraychete ◽  
...  

Background Sedentariness, high inflammation status and malnutrition are highly prevalent in end-stage kidney disease patients on maintenance hemodialysis (MHD). This study investigated associations of weekly physical activity energy expenditure (PAEE) with clinical and anthropometric markers of nutrition and inflammation. Methods The analysis was performed using baseline cross-sectional data of 640 patients enrolled in the prospective cohort “The Prospective Study of the Prognosis of Patients Treated Chronically by Hemodialysis” (PROHEMO) developed in Salvador, BA, Brazil. The long version of the International Physical Activity Questionnaire was used to determine a summary measure of PAEE, the metabolic equivalent of task (MET), taking into account physical activities related to occupation, recreation, travel, sports, and housework. PAEE was the predictor variable. To assess associations of PAEE with outcomes, the sex-age-specific median MET was used. The malnutrition-inflammation score (MIS) with range of 0 to 30 (higher is worse), conicity index as indicator of abdominal adiposity and C-reactive protein (CRP) were the nutritional-inflammatory outcomes. Results The mean age of the patients was 48.9 ± 13.8 y, 60.3% were males, 16.7% diabetic, 88.1% nonwhite. In multivariable logistic regression models with adjustments for sociodemographic variables and comorbidities, PAEE ≤median was associated with MIS ≥6 (odds ratio [OR] = 1.57; 95% confidence interval [CI] = 1.08, 2.29), conicity index ≥1.3 (OR = 1.52, 95% CI = 1.03, 2.23) and CRP >1.30 mg/dL (OR = 1.69, 95% CI = 1.08, 2.84). Conclusions Greater physical activity assessed by PAEE was associated with indicators of better nutritional and inflammation status. These results indicate opportunities for improving outcomes in MHD patients by counseling and treatment intervention.


1999 ◽  
Vol 86 (6) ◽  
pp. 2090-2096 ◽  
Author(s):  
Raymond D. Starling ◽  
Dwight E. Matthews ◽  
Philip A. Ades ◽  
Eric T. Poehlman

We compared the accuracy of two physical activity recall questionnaires and a motion detector in 45- to 84-yr-old women ( n = 35) and men ( n = 32), using doubly labeled water (DLW) in conjunction with indirect calorimetry as the criterion measure. Subjects were administered the Yale Physical Activity Survey (YPAS) and Minnesota Leisure Time Physical Activity Questionnaire (LTA). Physical activity energy expenditure was determined over a 10-day period by using a Caltrac uniaxial accelerometer and DLW in conjunction with indirect calorimetry. In older women, Minnesota LTA (386 ± 228 kcal/day) and Caltrac (379 ± 162 kcal/day) underestimated physical activity by ∼55% compared with DLW (873 ± 244 kcal/day). No difference was observed between daily physical activity measured by the YPAS (863 ± 447 kcal/day) and DLW in older women. In older men, Minnesota LTA (459 ± 288 kcal/day) and Caltrac (554 ± 242 kcal/day) underestimated daily physical activity by ∼50–60% compared with DLW (1,211 ± 429 kcal/day). No difference was found between physical activity measured by the YPAS (1,107 ± 612 kcal/day) and DLW in older men. Despite no difference in mean physical activity levels between YPAS and DLW in women and men, Bland and Altman ( Lancet 1: 307–310, 1986) analyses demonstrated poor concordance between DLW and YPAS (i.e., limits of agreement = −1,310–1,518 kcal/day). Our data suggest that the Minnesota LTA recall and Caltrac uniaxial accelerometer may significantly underestimate free-living daily physical activity energy expenditure in older women and men. Although the YPAS compares favorably with DLW on a group basis, its use as a proxy measure of individual daily physical activity energy expenditure may be limited in older women and men.


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