Adult self-reported and objectively monitored physical activity and sedentary behavior: NHANES 2005–2006

International Journal of Behavioral Nutrition and Physical Activity

Catrine Tudor-Locke²  William D Johnson¹  John M Schuna¹ 

[1] Pennington Biomedical Research Center, Baton Rouge, LA 70808, USA;Walking Behavior Laboratory, Pennington Biomedical Research Center, Baton Rouge, LA 70808, USA

关键词: Leisure-time;    Sitting;    Questionnaire;    Accelerometer;   

Others  :  806039
DOI  :  10.1186/1479-5868-10-126

 received in 2013-03-13, accepted in 2013-11-08,  发布年份 2013

【 摘 要 】

Background

It remains unclear what people are attempting to communicate, in terms of objectively monitored behavior, when describing their physical activity and sedentary behavior through self-report. The purpose of this study was to examine various objectively monitored accelerometer variables (e.g., moderate-to-vigorous physical activity [MVPA], steps/day, sedentary time, etc.) across categories of self-reported MVPA (< 150 vs. ≥ 150 minutes/week), usual occupational/domestic activity (UODA; “mostly sitting” vs. “stand, walk, lift, or carry”), and leisure-time sedentary behavior (LTSB; ≥ 3 vs. < 3 hours/day) in a nationally representative sample of U.S. adults (≥ 20 years).

Methods

This is a secondary analysis of 3,725 participants from the 2005–2006 National Health and Nutrition Examination Survey (NHANES) who provided relevant questionnaire responses and ≥ 1 day of valid accelerometer data. Descriptive statistics were computed for various objectively monitored accelerometer variables across categories of self-reported MVPA, UODA, and LTSB. Pairwise comparisons were conducted to examine differences in objectively monitored behavior between categories of self-reported MVPA, UODA, and LTSB.

Results

On average, adults reporting compliance with physical activity guidelines (≥ 150 minutes/week of MVPA) accumulated more objectively measured physical activity and similar amounts of sedentary time relative to those reporting not achieving guidelines. Adults reporting their daily UODA as “mostly sitting” or accruing ≥ 3 hours/day of LTSB accumulated less objectively monitored physical activity and more sedentary time than those who described their UODA as “stand, walk, lift, or carry” or accrued < 3 hours/day of LTSB. The most active cross-classified category (7,935 steps/day; ≥ 150 minutes/week of self-reported MVPA, “stand, walk, lift, or carry” UODA, and < 3 hours/day of LTSB) accumulated more than twice as many daily steps as the least active cross-classified category (3,532 steps/day; < 150 minutes/week of self-reported MVPA, “mostly sitting” UODA, and ≥ 3 hours/day of LTSB).

Conclusions

A number of objectively monitored physical activity indicators varied significantly between self-reported MVPA, UODA, and LTSB categories, while objectively monitored sedentary time only varied between UODA and LTSB categories. Cross-classifications of self-reported MVPA, UODA, and LTSB responses depict a greater range of physical activity than viewing dichotomous responses for these variables one-at-a-time.

【 授权许可】

   
2013 Schuna et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

【 参考文献 】

• [1]Katzmarzyk PT, Lee IM: Sedentary behaviour and life expectancy in the USA: a cause-deleted life table analysis. BMJ open 2012, 2:e000828.
• [2]Reimers CD, Knapp G, Reimers AK: Does physical activity increase life expectancy? A review of the literature. J Aging Res 2012, 2012:243958.
• [3]Lee IM, Shiroma EJ, Lobelo F, Puska P, Blair SN, Katzmarzyk PT: Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet 2012, 380:219-229.
• [4]Healy GN, Clark BK, Winkler EA, Gardiner PA, Brown WJ, Matthews CE: Measurement of adults’ sedentary time in population-based studies. Am J Prev Med 2011, 41:216-227.
• [5]Sternfeld B, Goldman-Rosas L: A systematic approach to selecting an appropriate measure of self-reported physical activity or sedentary behavior. J Phys Act Health 2012, 9(Suppl 1):S19-S28.
• [6]Ainsworth BE, Haskell WL, Whitt MC, Irwin ML, Swartz AM, Strath SJ, O’Brien WL, Bassett DR Jr, Schmitz KH, Emplaincourt PO, Jacobs DR Jr, Leon AS: Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc 2000, 32(9 Suppl):S498-S504.
• [7]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.
• [8]U.S. Department of Health and Human Services: 2008 Physical activity guidelines for Americans. Washington, DC: U.S. Department of Health and Human Services; 2008.
• [9]Sisson SB, Camhi SM, Church TS, Martin CK, Tudor-Locke C, Bouchard C, Earnest CP, Smith SR, Newton RL Jr, Rankinen T, Katzmarzyk PT: Leisure time sedentary behavior, occupational/domestic physical activity, and metabolic syndrome in U.S. men and women. Metab Syndr Relat Disord 2009, 7:529-536.
• [10]NHANES 2005–2006. http://www.cdc.gov/nchs/nhanes/nhanes2005-2006/nhanes05_06.htm webcite
• [11]SAS Programs for Analyzing NHANES 2003–2004 Accelerometer Data. http://riskfactor.cancer.gov/tools/nhanes_pam/ webcite
• [12]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.
• [13]Hagstromer M, Troiano RP, Sjostrom M, Berrigan D: Levels and patterns of objectively assessed physical activity–a comparison between Sweden and the United States. Am J Epidemiol 2010, 171:1055-1064.
• [14]Healy GN, Dunstan DW, Salmon J, Cerin E, Shaw JE, Zimmet PZ, Owen N: Breaks in sedentary time: beneficial associations with metabolic risk. Diabetes Care 2008, 31:661-666.
• [15]Matthews CE, Chen KY, Freedson PS, Buchowski MS, Beech BM, Pate RR, Troiano RP: Amount of time spent in sedentary behaviors in the United States, 2003–2004. Am J Epidemiol 2008, 167:875-881.
• [16]Tudor-Locke C, Brashear MM, Johnson WD, Katzmarzyk PT: Accelerometer profiles of physical activity and inactivity in normal weight, overweight, and obese U.S. men and women. Int J Behav Nutr Phys Act 2010, 7:60. BioMed Central Full Text
• [17]Tudor-Locke C, Brashear MM, Katzmarzyk PT, Johnson WD: Peak stepping cadence in free-living adults: 2005–2006 NHANES. J Phys Act Health 2012, 9:1125-1129.
• [18]Tudor-Locke C, Camhi SM, Leonardi C, Johnson WD, Katzmarzyk PT, Earnest CP, Church TS: Patterns of adult stepping cadence in the 2005–2006 NHANES. Prev Med 2011, 53:178-181.
• [19]Tudor-Locke C, Johnson WD, Katzmarzyk PT: Accelerometer-determined steps per day in US adults. Med Sci Sports Exerc 2009, 41:1384-1391.
• [20]Haskell WL: Physical activity by self-report: a brief history and future issues. J Phys Act Health 2012, 9(Suppl 1):S5-S10.
• [21]Troiano RP, Dodd KW: Differences between objective and self-report measures of physical activity: what do they mean? The Korean Journal of Measurement and Evaluation in Physical Education and Sport Science 2008, 10:31-42.
• [22]Sallis JF, Saelens BE: Assessment of physical activity by self-report: status, limitations, and future directions. Res Q Exerc Sport 2000, 71(2 Suppl):S1-S14.
• [23]Physical Activity Guidelines Advisory Committee: Physical activity guidelines advisory committee report, 2008. Washington, D.C.: U.S. Department of Health and Human Services; 2008.
• [24]U.S. Department of Health and Human Services: Physical activity and health: a report of the surgeon general. Atlanta, GA: U.S. Department of Health and Human Services; 1996.
• [25]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.
• [26]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.
• [27]Owen N, Leslie E, Salmon J, Fotheringham MJ: Environmental determinants of physical activity and sedentary behavior. Exerc Sport Sci Rev 2000, 28:153-158.
• [28]Owen N, Healy GN, Matthews CE, Dunstan DW: Too much sitting: the population health science of sedentary behavior. Exerc Sport Sci Rev 2010, 38:105-113.
• [29]Healy GN, Wijndaele K, Dunstan DW, Shaw JE, Salmon J, Zimmet PZ, Owen N: Objectively measured sedentary time, physical activity, and metabolic risk: the Australian diabetes, obesity and lifestyle study (AusDiab). Diabetes Care 2008, 31:369-371.
• [30]Church TS, Thomas DM, Tudor-Locke C, Katzmarzyk PT, Earnest CP, Rodarte RQ, Martin CK, Blair SN, Bouchard C: Trends over 5 decades in U.S. occupation-related physical activity and their associations with obesity. PLoS One 2011, 6:e19657.
• [31]Cleland VJ, Schmidt MD, Dwyer T, Venn AJ: Television viewing and abdominal obesity in young adults: is the association mediated by food and beverage consumption during viewing time or reduced leisure-time physical activity? Am J Clin Nutr 2008, 87:1148-1155.
• [32]Tudor-Locke C, Johnson WD, Katzmarzyk PT: Frequently reported activities by intensity for U.S. adults: the American time use survey. Am J Prev Med 2010, 39:e13-e20.
• [33]Tudor-Locke C, Ainsworth BE, Thompson RW, Matthews CE: Comparison of pedometer and accelerometer measures of free-living physical activity. Med Sci Sports Exerc 2002, 34:2045-2051.
• [34]Tudor-Locke C, Bassett DR Jr: How many steps/day are enough? Preliminary pedometer indices for public health. Sports Med 2004, 34:1-8.
• [35]Tudor-Locke C, Hatano Y, Pangrazi RP, Kang M: Revisiting “how many steps are enough?”. Med Sci Sports Exerc 2008, 40:S537-S543.
• [36]Tudor-Locke C, Craig CL, Aoyagi Y, Bell RC, Croteau KA, De Bourdeaudhuij I, Ewald B, Gardner AW, Hatano Y, Lutes LD, Matsudo SM, Ramirez-Marrero FA, Rogers LQ, Rowe DA, Schmidt MD, Tully MA, Blair SN: How many steps/day are enough? For older adults and special populations. Int J Behav Nutr Phys Act 2011, 8:80. BioMed Central Full Text
• [37]Baranowski T: Validity and reliabity of self report measures of physical activity: an information-processing perspective. Res Q Exerc Sport 1988, 59:314-427.
• [38]Bureau of Labor Statistics: American time use survey - 2011 results. Washington, DC: U.S. Department of Labor; 2011.