Combined Associations of Muscle-Strengthening Activities and Accelerometer-Assessed Physical Activity on Multimorbidity: Findings From NHANES

2016 ◽  
Vol 31 (4) ◽  
pp. 274-277 ◽  
Author(s):  
Scott J. Dankel ◽  
Jeremy P. Loenneke ◽  
Paul D. Loprinzi
Keyword(s):  
Physical Activity ◽  
Logistic Regression ◽  
Chronic Disease ◽  
Confidence Interval ◽  
National Health ◽  
Cost Effective ◽  
Muscle Strengthening ◽  
Recommended Guidelines ◽  
Nutritional Examination Survey

Purpose. Physical activity (PA) has previously been demonstrated to be inversely related with multimorbidity (having more than one chronic disease); however, it is unknown whether dual participation in both PA and muscle-strengthening activities (MSA) may further reduce the odds of being multimorbid. Therefore, the purpose of our study was to determine the association between multimorbidity and individuals meeting recommended guidelines for both PA and MSA. Design. Nonexperimental. Setting. The 2003–2006 National Health and Nutritional Examination Survey. Subjects. Four thousand five hundred eighty-seven adults aged ≥20 years. Measures. Accelerometry-measured PA, self-reported MSA, and multimorbidity. Analysis. Data were analyzed using multivariable linear and logistic regression. Results. The odds (95% confidence interval) of being multimorbid for those only meeting MSA guidelines, only meeting PA guidelines, and meeting both PA and MSA guidelines (vs. not meeting either), respectively, were .69 (.48, .98; p = .04), .55 (.44, .70; p < .01), and .38 (.27, .53; p < .01). Conclusion. Our findings demonstrate that individuals meeting recommended guidelines for both MSA and PA were less likely to be multimorbid than individuals participating in one or none of these exercise modalities. Determining effective ways to initiate and maintain concurrent adoption of MSA and PA is needed to provide a cost-effective behavioral alternative for reducing the prevalence of multimorbidity.

scholarly journals The Predictive Performance of Objective Measures of Physical Activity Derived From Accelerometry Data for 5-Year All-Cause Mortality in Older Adults: National Health and Nutritional Examination Survey 2003–2006

2019 ◽  
Vol 75 (9) ◽  
pp. 1779-1785 ◽  
Author(s):  
Ekaterina Smirnova ◽  
Andrew Leroux ◽  
Quy Cao ◽  
Lucia Tabacu ◽  
Vadim Zipunnikov ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Logistic Regression ◽  
National Health ◽  
Predictive Performance ◽  
Wearable Technology ◽  
Living Environment ◽  
Activity Count ◽  
All Cause Mortality ◽  
Nutritional Examination Survey

Abstract Background Declining physical activity (PA) is a hallmark of aging. Wearable technology provides reliable measures of the frequency, duration, intensity, and timing of PA. Accelerometry-derived measures of PA are compared with established predictors of 5-year all-cause mortality in older adults in terms of individual, relative, and combined predictive performance. Methods Participants aged between 50 and 85 years from the 2003–2006 National Health and Nutritional Examination Survey (NHANES, n = 2,978) wore a hip-worn accelerometer in the free-living environment for up to 7 days. A total of 33 predictors of 5-year all-cause mortality (number of events = 297), including 20 measures of objective PA, were compared using univariate and multivariate logistic regression. Results In univariate logistic regression, the total activity count was the best predictor of 5-year mortality (Area under the Curve (AUC) = 0.771) followed by age (AUC = 0.758). Overall, 9 of the top 10 predictors were objective PA measures (AUC from 0.771 to 0.692). In multivariate regression, the 10-fold cross-validated AUC was 0.798 for the model without objective PA variables (9 predictors) and 0.838 for the forward selection model with objective PA variables (13 predictors). The Net Reclassification Index was substantially improved by adding objective PA variables (p &lt; .001). Conclusions Objective accelerometry-derived PA measures outperform traditional predictors of 5-year mortality, including age. This highlights the importance of wearable technology for providing reproducible, unbiased, and prognostic biomarkers of health.

scholarly journals Physical activity level in Korean adults: the Korea National Health and Nutrition Examination Survey 2017

2019 ◽  
Vol 41 ◽  
pp. e2019047 ◽  
Author(s):  
Ki-Yong An
Keyword(s):  
Physical Activity ◽  
Chronic Disease ◽  
National Health ◽  
Low Income ◽  
Activity Level ◽  
Nutrition Examination Survey ◽  
Physical And Mental Health ◽  
Psychological Variables ◽  
Korean Adults ◽  
Health And Nutrition

OBJECTIVES: This study investigated physical activity (PA) participation based on demographic, physical, and psychological variables in Korean adults.METHODS: Participants were divided into four groups (combined, aerobic only, resistance only, and neither) based on meeting the PA guidelines using moderate and vigorous PA time and resistance exercise frequency from the Korea National Health and Nutrition Examination Survey 2017. The association between meeting the PA guidelines and demographic, medical, fitness, lifestyle, and psychological variables were analyzed using complex samples crosstabs and a general linear model.RESULTS: Of the 5,820 Korean adults, 66.0% did not meet any of the guidelines. Among demographic factors, sex, age, marital status, income, education level, occupation, and employment status were associated with meeting the PA guidelines. Chronic disease prevalence, weight, waist circumference, body mass index, diastolic blood pressure, glucose, high-density lipoprotein and triglyceride levels, hand-grip strength, resting heart rate, and family history of chronic disease in the medical and fitness variables; frequency of drinking and eating breakfast, total calorie, water, protein, and fat intake in the lifestyle variables; and perceived stress, depression, suicidal thoughts, and quality of life in the psychological variables were associated with meeting PA guidelines.CONCLUSIONS: Most Korean adults participate in insufficient PA. Moreover, individuals who are socially underprivileged, have low-income or poor physical and mental health conditions participated in relatively less PA. Our findings suggest that government and individual efforts are required to increase PA and resolve health inequality in Korean adults.

Differences of Sedentary Behavior, Physical Activity, and Metabolic Syndrome Severity Among Metabolic Syndrome Clusters

2021 ◽  
pp. 155982762110568
Author(s):  
Robert Booker ◽  
Raymond Jones ◽  
Riley Galloway ◽  
Megan E. Holmes
Keyword(s):  
Physical Activity ◽  
Metabolic Syndrome ◽  
Sedentary Behavior ◽  
National Health ◽  
Race And Ethnicity ◽  
Risk Indicators ◽  
Cardiometabolic Health ◽  
Z Score ◽  
Cardiometabolic Diseases ◽  
Nutritional Examination Survey

Background: Sedentary behavior (SB), physical activity (PA), and metabolic syndrome (MetS) are risk indicators for cardiometabolic diseases. Novel methods for researching MetS by the 16 unique clusters (i.e., WC+FBG+BP) and as a continuous severity z-score (MetS-Z) have emerged. This study examined how SB, PA, and MetS-Z differed among MetS clusters and SB and PA differences by MetS-Z tertiles. Methods: Using 2015-2016 National Health and Nutritional Examination Survey (NHANES) data, participants with MetS (N = 792) were identified. Subsequently, sex-, race-, and ethnicity-specific MetS-Z were calculated. SB and PA differences were compared between MetS clusters and MetS-Z tertiles. Additionally, MetS-Z was compared between MetS clusters. Results: The WC+FBG+BP MetS cluster was prevalent among 23.80% of participants (95% CIs, 18.41-30.18) and the overall mean MetS-Z was 1.16 (1.08-1.24). Participants reported over 6 daily hours of SB (393.41 minutes⋅day-1 [370.07-416.75]). The TRI+FBG+BP+HDL MetS cluster had less SB than the WC+TRI+FBG+HDL, WC+TRI+HDL, and WC+FBG+BP MetS clusters. PA did not differ between MetS clusters and no differences in SB or PA between MetS-Z tertiles. Conclusions: Limited differences in SB and PA were observed. Participants with 4 or more MetS criteria had worse MetS-Z. Efforts should support replacing SB with PA to improve cardiometabolic health.

Physical activity accrued as part of public transport use in England

2018 ◽  
Vol 41 (2) ◽  
pp. 222-230 ◽  
Author(s):  
R Patterson ◽  
E Webb ◽  
C Millett ◽  
A A Laverty
Keyword(s):  
Physical Activity ◽  
Logistic Regression ◽  
Confidence Interval ◽  
Public Transport ◽  
Regression Models ◽  
Daily Life ◽  
Active Travel ◽  
Linear Regression Models ◽  
Physical Activity Guidelines ◽  
Logistic Regression Models

Abstract Background Walking and cycling for transport (active travel) is an important source of physical activity with established health benefits. However, levels of physical activity accrued during public transport journeys in England are unknown. Methods Using the English National Travel Survey 2010–14 we quantified active travel as part of public transport journeys. Linear regression models compared levels of physical activity across public transport modes, and logistic regression models compared the odds of undertaking 30 min a day of physical activity. Results Public transport users accumulated 20.5 min (95% confidence interval=19.8, 21.2) a day of physical activity as part of public transport journeys. Train users accumulated 28.1 min (26.3, 30.0) with bus users 16.0 min (15.3, 16.8). Overall, 34% (32%, 36%) of public transport users achieved 30 min a day of physical activity in the course of their journeys; 21% (19%, 24%) of bus users and 52% (47%, 56%) of train users. Conclusion Public transport use is an effective way to incorporate physical activity into daily life. One in three public transport users meet physical activity guidelines suggesting that shifts from sedentary travel modes to public transport could dramatically raise the proportion of populations achieving recommended levels of physical activity.

scholarly journals Run, lift, or both? Associations between concurrent aerobic–muscle strengthening exercise with adverse cardiometabolic biomarkers among Korean adults

2018 ◽  
Vol 27 (7) ◽  
pp. 738-748 ◽  
Author(s):  
Jason A Bennie ◽  
Ding Ding ◽  
Asaduzzaman Khan ◽  
Emmanuel Stamatakis ◽  
Stuart JH Biddle ◽  
...  
Keyword(s):  
Physical Activity ◽  
Confidence Interval ◽  
Prevalence Ratio ◽  
Sitting Time ◽  
Cardiometabolic Health ◽  
Exercise Interventions ◽  
Muscle Strengthening ◽  
Korean Adults ◽  
Strengthening Exercise ◽  
Prevalence Ratios

Background Clinical exercise interventions show that combining moderate to vigorous intensity physical activity (MVPA) and muscle strengthening exercise (MSE) has more favourable cardiometabolic health benefits than engaging in only one mode of physical activity. However, few studies have examined these associations among community-based samples and none among Asian adults. Methods This cross-sectional analysis included 9120 participants aged 20–80 years from the 2014–2015 Korea National Health and Nutritional Examination Survey. Fasting blood samples were analysed for adverse cardiometabolic biomarkers (e.g. high glucose/glycohaemoglobin/triglycerides) and MVPA and MSE were assessed using validated questionnaires. Poisson regression models examined the association between the individual and total number of adverse biomarkers across categories of MVPA–MSE guideline adherence (met neither (reference); met MSE only; met MVPA only; met both) and prevalence ratios are reported adjusted for covariates (e.g. age, education, smoking, waist circumference and sitting time). Results The mean ± SD age was 46.2 ± 16.3 years and 50.3% of the participants were women. Compared with meeting neither guideline, meeting both guidelines had the lowest prevalence ratios for four out of eight individual adverse cardiometabolic biomarkers. In a sex-stratified analysis of men, only meeting both guidelines had a lower prevalence ratio for ≥4 adverse biomarkers (prevalence ratio 0.67; 95% confidence interval 0.53–0.85). For women, the prevalence ratio for ≥4 adverse biomarkers was lowest among those meeting both guidelines (prevalence ratio 0.46; 95% confidence interval 0.31–0.66), followed by MSE only (prevalence ratio 0.65; 95% confidence interval 0.42–0.96) and MVPA only (prevalence ratio 0.78; 95% confidence interval 0.65–0.92). Conclusions Among a large sample of Korean adults, concurrent MVPA–MSE was independently associated with favourable cardiometabolic outcomes. This study supports public health action to promote adherence to MVPA–MSE guidelines to enhance cardiovascular health among Korean adults.

scholarly journals A loyalty scheme to encourage physical activity in office workers: a cluster RCT

2019 ◽  
Vol 7 (15) ◽  
pp. 1-114 ◽  
Author(s):  
Ruth F Hunter ◽  
Aisling Gough ◽  
Jennifer M Murray ◽  
Jianjun Tang ◽  
Sarah F Brennan ◽  
...  
Keyword(s):  
Physical Activity ◽  
Standard Deviation ◽  
Confidence Interval ◽  
Intervention Group ◽  
Cost Effective ◽  
Control Group ◽  
Quality Adjusted Life Years ◽  
Life Years ◽  
Steps Per Day ◽  
Quality Adjusted Life

Background Increasing physical activity in the workplace can provide physical and mental health benefits for employees and economic benefits for the employer through reduced absenteeism and increased productivity. However, there is limited evidence on effective behaviour change interventions in workplace settings that led to maintained physical activity. This study aimed to address this gap and contribute to the evidence base for effective and cost-effective workplace interventions. Objectives To determine the effectiveness and cost-effectiveness of the Physical Activity Loyalty scheme, a multicomponent intervention based on concepts similar to those that underpin a high-street loyalty card, which was aimed at encouraging habitual physical activity behaviour and maintaining increases in mean number of steps per day. Design A cluster randomised controlled trial with an embedded economic evaluation, behavioural economic experiments, mediation analyses and process evaluation. Setting Office-based employees from public sector organisations in Belfast and Lisburn city centres in Northern Ireland. Participants A total of 853 participants [mean age 43.6 years (standard deviation 9.6 years); 71% of participants were female] were randomly allocated by cluster to either the intervention group or the (waiting list) control group. Intervention The 6-month intervention consisted of financial incentives (retail vouchers), feedback and other evidence-based behaviour change techniques. Sensors situated in the vicinity of the workplaces allowed participants to monitor their accumulated minutes of physical activity. Main outcome measures The primary outcome was mean number of steps per day recorded using a sealed pedometer (Yamax Digiwalker CW-701; Yamax, Tasley, UK) worn on the waist for 7 consecutive days and at 6 and 12 months post intervention. Secondary outcomes included health, mental well-being, quality of life, work absenteeism and presenteeism, and the use of health-care resources. Results The mean number of steps per day were significantly lower for the intervention group than the control group [6990 mean number of steps per day (standard deviation 3078) vs. 7576 mean number of steps per day (standard deviation 3345), respectively], with an adjusted mean difference of –336 steps (95% confidence interval –612 to –60 steps; p = 0.02) at 6 months post baseline, but not significantly lower at 12 months post baseline. There was a small but significant enhancement of mental well-being in the intervention group (difference between groups for the Warwick–Edinburgh Mental Wellbeing Scale of 1.34 points, 95% confidence interval 0.48 to 2.20 points), but not for the other secondary outcomes. An economic evaluation suggested that, overall, the scheme was not cost-effective compared with no intervention. The intervention was £25.85 (95% confidence interval –£29.89 to £81.60) more costly per participant than no intervention and had no effect on quality-adjusted life-years (incremental quality-adjusted life-years –0.0000891, 95% confidence interval –0.008 to 0.008). Limitations Significant restructuring of participating organisations during the study resulted in lower than anticipated recruitment and retention rates. Technical issues affected intervention fidelity. Conclusions Overall, assignment to the intervention group resulted in a small but significant decline in the mean pedometer-measured steps per day at 6 months relative to baseline, compared with the waiting list control group. The Physical Activity Loyalty scheme was deemed not to be cost-effective compared with no intervention, primarily because no additional quality-adjusted life-years were gained through the intervention. Research to better understand the mechanisms of physical activity behaviour change maintenance will help the design of future interventions. Trial registration Current Controlled Trials ISRCTN17975376. Funding This project was funded by the National Institute for Health Research (NIHR) Public Health Research programme and will be published in full in Public Health Research; Vol. 7, No. 15. See the NIHR Journals Library website for further project information.

The Association of Physical Activity and Mortality Risk Reduction Among Smokers: Results From 1998–2009 National Health Interview Surveys–National Death Index Linkage

2019 ◽  
Vol 16 (10) ◽  
pp. 865-871 ◽  
Author(s):  
Mohammad Siahpush ◽  
Trish D. Levan ◽  
Minh N. Nguyen ◽  
Brandon L. Grimm ◽  
Athena K. Ramos ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cardiovascular Disease ◽  
National Health ◽  
Lower Risk ◽  
National Death Index ◽  
Physical Activity Guidelines ◽  
Muscle Strengthening ◽  
Health Interview ◽  
Risk Of Mortality ◽  
Federal Guidelines

Background: The mortality benefits of meeting the US federal guidelines for physical activity, which includes recommendations for both aerobic and muscle-strengthening activities, have never been examined among smokers. Our aim was to investigate the association between reporting to meet the guidelines and all-cause, cancer, cardiovascular disease, and respiratory disease mortality among smokers. Methods: We pooled data from the 1998–2009 National Health Interview Survey, which were linked to records in the National Death Index (n = 68,706). Hazard ratios (HR) were computed to estimate the effect of meeting the physical activity guidelines on mortality. Results: Smokers who reported meeting the guidelines for physical activity had 29% lower risk of all-cause mortality (HR: 0.71; 95% confidence interval [CI], 0.62–0.81), 46% lower risk of mortality from cardiovascular disease (HR: 0.54; 95% CI, 0.39–0.76), and 26% lower risk of mortality from cancer (HR: 0.74; 95% CI, 0.59–0.93), compared with those who reported meeting neither the aerobic nor the muscle-strengthening recommendations of the guidelines. Meeting the aerobic recommendation of the guidelines was associated with a 42% decline in that risk (HR: 0.58; 95% CI, 0.44–0.77). Conclusion: Smokers who adhere to physical activity guidelines show a significant reduction in mortality.

Sign in / Sign up

Export Citation Format

Share Document