Compliance with different physical activity recommendations and its association with socio-demographic characteristics using an objective measure

BMC Public Health

Johan Lefevre¹  Renaat Philippaerts²  Tineke Scheers³ 

[1] Department of Kinesiology, KU Leuven, Tervuursevest 101, Leuven, 3001, Belgium;Department of Movement and Sport Sciences, Ghent University, Watersportlaan 2, Gent, 9000, Belgium;Research Foundation - Flanders, Brussels, Belgium

关键词: Epidemiology;    Public health guidelines;    Objective monitoring;    SenseWear Armband;    Prevalence of physical activity;   

Others  :  1162543
DOI  :  10.1186/1471-2458-13-136

 received in 2012-05-02, accepted in 2013-02-07,  发布年份 2013

【 摘 要 】

Background

In the past decades, several public health guidelines concerning physical activity have been published. This study evaluated compliance with various physical activity guidelines and examined the associations between meeting the guidelines and socio-demographic characteristics.

Methods

Data were obtained from 357 Flemish men and women (41.9 ± 9.6 years). Physical activity was assessed for seven consecutive days using the SenseWear Armband. The prevalence of sufficient physical activity was calculated according to various public health guidelines. Logistic regressions examined the associations between socio-demographic characteristics and the odds of meeting the different guidelines.

Results

87.2% of men and 68.1% of women achieved ≥150 min/week of moderate-to-vigorous physical activity (MVPA), but only 57.6% and 37.3% accumulated this amount as ≥30 min/day on ≥5 days/week. With regard to vigorous physical activity, 27.9% of men and 15.7% of women achieved ≥75 min/week and 12.8% and 7.0% achieved ≥20 min/day on ≥3 days/week. In addition, 34.9% of men and 21.6% of women attained an average physical activity level (PAL) of 1.75 MET and thus met the criteria for weight maintenance. Only 16.3% of men and 14.1% of women took 10000 steps/day on 7 days/week. Women had a lower probability of achieving 30 min/day MVPA on 5 days/week (OR: 0.40), or a weekly total of 150 min or 500 MET.min MVPA or 75 min of vigorous activity compared to men (OR: 0.27-0.46). In addition, they were 50% less likely to meet the guidelines for weight maintenance. The odds of engaging in 150 min/week MVPA or attaining a PAL of 1.75 was lower with higher age. Educational level was positively related with accumulating 75 min/week of vigorous activity, but negatively with taking 10000 steps/day. Smokers were 60% less likely to participate weekly in 150 min of MVPA compared to non-smokers.

Conclusions

The prevalence of sufficient physical activity differed greatly depending on the definition used. Women and subjects older than 35 were less likely to meet the guidelines than men and younger subjects and thus are important groups to target in future interventions.

【 授权许可】

   
2013 Scheers et al; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Bauman AE: Updating the evidence that physical activity is good for health: an epidemiological review 2000–2003. J Sci Med Sport 2004, 7:6-19.
• [2]Warburton DE, Nicol CW, Bredin SS: Health benefits of physical activity: the evidence. CMAJ 2006, 174:801-809.
• [3]Pate RR, Pratt M, Blair SN, Haskell WL, Macera CA, Bouchard C, Buchner D, Ettinger W, Heath GW, King AC, Kriska A, Leon AS, Marcus BH, Morris J, Paffenbarger RS, Patrick K, Pollock ML, Rippe JM, Sallis J, Wilmore JH: Physical activity and public health. A recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. JAMA 1995, 273:402-407.
• [4]Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN, Franklin BA, Macera CA, Heath GW, Thompson PD, Bauman A: Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc 2007, 39:1423-1434.
• [5]U.S. Department of Health and Human Services: 2008 physical activity guidelines for Americans. Department of Health of Human Services, Washington DC: U.S; 2008.
• [6]Oja P, Bull FC, Fogelholm M, Martin BW: Physical activity recommendations for health: what should Europe do? BMC Publ Health 2010, 10:10. BioMed Central Full Text
• [7]O’Donovan G, Blazevich AJ, Boreham C, Cooper AR, Crank H, Ekelund U, Fox KR, Gately P, Giles-Corti B, Gill JM, Hamer R, McDermott I, Murphy M, Mutrie N, Reilly JJ, Saxton JM, Stamatakis E: The ABC of Physical Activity for Health: a consensus statement from the British Association of Sport and Exercise Sciences. J Sports Sci 2010, 28:573-591.
• [8]World Health Organization: Global Recommendations on Physical Activity for Health. Geneva: World Health Organization; 2010.
• [9]Saris WH, Blair SN, van Baak MA, Eaton SB, Davies PS, Di Pietro L, Fogelholm M, Rissanen A, Schoeller D, Swinburn B, Tremblay A, Westerterp KR, Wyatt H: How much physical activity is enough to prevent unhealthy weight gain? Outcome of the IASO 1st Stock Conference and consensus statement. Obes Rev 2003, 4:101-114.
• [10]World Health Organization: Obesity: preventing and managing the global epidemic: report of a WHO consultation. WHO technical report series, no 894. Geneva: WHO; 2000.
• [11]Brooks GA, Butte NF, Rand WM, Flatt JP, Caballero B: Chronicle of the Institute of Medicine physical activity recommendation: how a physical activity recommendation came to be among dietary recommendations. Am J Clin Nutr 2004, 79:921S-930S.
• [12]Tudor-Locke C, Bassett DR Jr: How many steps/day are enough? Preliminary pedometer indices for public health. Sports Med 2004, 34:1-8.
• [13]Tudor-Locke C, Hatano Y, Pangrazi RP, Kang M: Revisiting “how many steps are enough?”. Med Sci Sports Exerc 2008, 40:S537-S543.
• [14]Bertrais S, Preziosi P, Mennen L, Galan P, Hercberg S, Oppert JM: Sociodemographic and geographic correlates of meeting current recommendations for physical activity in middle-aged French adults: the Supplementation en Vitamines et Mineraux Antioxydants (SUVIMAX) Study. Am J Public Health 2004, 94:1560-1566.
• [15]Baptista F, Santos DA, Silva AM, Mota J, Santos R, Vale S, Ferreira JP, Raimundo AM, Moreira H, Sardinha LB: Prevalence of the Portuguese Population Attaining Sufficient Physical Activity. Med Sci Sports Exerc 2012, 44:466-473.
• [16]Troiano RP, Berrigan D, Dodd KW, Mâsse LC, Tilert T, McDowell M: Physical activity in the United States measured by accelerometer. Med Sci Sports Exerc 2008, 40:181-188.
• [17]Hagströmer M, Oja P, Sjöström M: Physical activity and inactivity in an adult population assessed by accelerometry. Med Sci Sports Exerc 2007, 39:1502-1508.
• [18]Macera CA, Ham SA, Yore MM, Jones DA, Ainsworth BE, Kimsey CD, Kohl HW III: Prevalence of physical activity in the United States: Behavioral Risk Factor Surveillance System, 2001. Prev Chronic Dis 2005, 2:A17.
• [19]Chastin SF, Dall PM, Tigbe WW, Grant MP, Ryan CG, Rafferty D, Granat MH: Compliance with physical activity guidelines in a group of UK-based postal workers using an objective monitoring technique. Eur J Appl Physiol 2009, 106:893-899.
• [20]Carlson SA, Fulton JE, Schoenborn CA, Loustalot F: Trend and prevalence estimates based on the 2008 Physical Activity Guidelines for Americans. Am J Prev Med 2010, 39:305-313.
• [21]Colley RC, Garriguet D, Janssen I, Craig CL, Clarke J, Tremblay MS: Physical activity of Canadian adults: accelerometer results from the 2007 to 2009 Canadian Health Measures Survey. Health Rep 2011, 22:7-14.
• [22]Bergman P, Grjibovski AM, Hagströmer M, Bauman A, Sjöström M: Adherence to physical activity recommendations and the influence of socio-demographic correlates - a population-based cross-sectional study. BMC Publ Health 2008, 8:367. BioMed Central Full Text
• [23]Bryan SN, Katzmarzyk PT: Are Canadians meeting the guidelines for moderate and vigorous leisure-time physical activity? Appl Physiol Nutr Metab 2009, 34:707-715.
• [24]Jones DA, Ainsworth BE, Croft JB, Macera CA, Lloyd EE, Yusuf HR: Moderate leisure-time physical activity: who is meeting the public health recommendations? A national cross-sectional study. Arch Fam Med 1998, 7:285-289.
• [25]Tucker JM, Welk GJ, Beyler NK: Physical activity in U.S.: adults compliance with the Physical Activity Guidelines for Americans. Am J Prev Med 2011, 40:454-461.
• [26]Bassett DR Jr, Ainsworth BE, Swartz AM, Strath SJ, O’Brien WL, King GA: Validity of four motion sensors in measuring moderate intensity physical activity. Med Sci Sports Exerc 2000, 32:S471-S480.
• [27]Hendelman D, Miller K, Baggett C, Debold E, Freedson P: Validity of accelerometry for the assessment of moderate intensity physical activity in the field. Med Sci Sports Exerc 2000, 32:S442-S449.
• [28]Welk GJ, McClain JJ, Eisenmann JC, Wickel EE: Field validation of the MTI Actigraph and BodyMedia armband monitor using the IDEEA monitor. Obesity (Silver Spring) 2007, 15:918-928.
• [29]Johannsen DL, Calabro MA, Stewart J, Franke W, Rood JC, Welk GJ: Accuracy of armband monitors for measuring daily energy expenditure in healthy adults. Med Sci Sports Exerc 2010, 42:2134-2140.
• [30]Scheers T, Philippaerts R, Lefevre J: Variability in physical activity patterns as measured by the SenseWear Armband: how many days are needed? Eur J Appl Physiol 2012, 112:1653-1662.
• [31]Drenowatz C, Eisenmann JC: Validation of the SenseWear Armband at high intensity exercise. Eur J Appl Physiol 2011, 111:883-887.
• [32]Berntsen S, Hageberg R, Aandstad A, Mowinckel P, Anderssen SA, Carlsen KH, Andersen LB: Validity of physical activity monitors in adults participating in free-living activities. Br J Sports Med 2010, 44:657-664.
• [33]Ainsworth BE, Haskell WL, Herrmann SD, Meckes N, Bassett DR Jr, Tudor-Locke C, Greer JL, Vezina J, Whitt-Glover MC, Leon AS: 2011 Compendium of physical activities: a second update of codes and MET values. Med Sci Sports Exerc 2011, 43:1575-1581.
• [34]Rafferty AP, Reeves MJ, McGee HB, Pivarnik JM: Physical activity patterns among walkers and compliance with public health recommendations. Med Sci Sports Exerc 2002, 34:1255-1261.
• [35]Sjöström M, Oja P, Hagströmer M, Smith BJ, Bauman A: Health-enhancing physical activity across European Union countries: the Eurobarometer study. J Public Health 2006, 14:291-300.
• [36]Bauman A, Bull F, Chey T, Craig CL, Ainsworth BE, Sallis JF, Bowles HR, Hagströmer M, Sjöström M, Pratt M: The international prevalence study on physical activity: results from 20 countries. Int J Behav Nutr Phys Act 2009, 6:21. BioMed Central Full Text
• [37]Marshall SJ, Levy SS, Tudor-Locke CE, Kolkhorst FW, Wooten KM, Ji M, Macera CA, Ainsworth BE: Translating physical activity recommendations into a pedometer-based step goal: 3000 steps in 30 minutes. Am J Prev Med 2009, 36:410-415.
• [38]Tudor-Locke C, Ham SA, Macera CA, Ainsworth BE, Kirtland KA, Reis JP, Kimsey CD Jr: Descriptive epidemiology of pedometer-determined physical activity. Med Sci Sports Exerc 2004, 36:1567-1573.
• [39]Wyatt HR, Peters JC, Reed GW, Barry M, Hill JO: A Colorado statewide survey of walking and its relation to excessive weight. Med Sci Sports Exerc 2005, 37:724-730.
• [40]De Cocker K, Cardon G, De Bourdeaudhuij I: Pedometer-determined physical activity and its comparison with the International Physical Activity Questionnaire in a sample of Belgian adults. Res Q Exerc Sport 2007, 78:429-437.
• [41]Martínez-González MA, Varo JJ, Santos JL, De Irala J, Gibney M, Kearney J, Martínez JA: Prevalence of physical activity during leisure time in the European Union. Med Sci Sports Exerc 2001, 33:1142-1146.
• [42]Mäkinen TE, Sippola R, Borodulin K, Rahkonen O, Kunst A, Klumbiene J, Regidor E, Ekholm O, Mackenbach J, Prättälä R: Explaining educational differences in leisure-time physical activity in Europe: the contribution of work-related factors. Scand J Med Sci Sports 2012, 22:439-447.
• [43]Miller R, Brown W: Steps and sitting in a working population. Int J Behav Med 2004, 11:219-224.
• [44]Sherwood NE, Jeffery RW: The behavioral determinants of exercise: implications for physical activity interventions. Annu Rev Nutr 2000, 20:21-44.
• [45]Varo JJ, Martínez-González MA, De Irala-Estevez J, Kearney J, Gibney M, Martínez JA: Distribution and determinants of sedentary lifestyles in the European Union. Int J Epidemiol 2003, 32:138-146.
• [46]Tudor-Locke C, Johnson WD, Katzmarzyk PT: Accelerometer-determined steps per day in US adults. Med Sci Sports Exerc 2009, 41:1384-1391.
• [47]Dwyer TJ, Alison JA, McKeough ZJ, Elkins MR, Bye PT: Evaluation of the SenseWear activity monitor during exercise in cystic fibrosis and in health. Respir Med 2009, 103:1511-1517.
• [48]Schneider PL, Crouter SE, Lukajic O, Bassett DR Jr: Accuracy and reliability of 10 pedometers for measuring steps over a 400-m walk. Med Sci Sports Exerc 2003, 35:1779-1784.