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Recreational Physical Activity in Postmenopausal Women Is Stable Over 8 Years of Follow-Up

Huong Q. Nguyen, Jerald R. Herting, Ruth Kohen, Cynthia K. Perry, Andrea LaCroix, Lucile Lauren Adams-Campbell, Shirley A.A. Beresford, Charles B. Eaton, and Lesley Tinker

Background:

The goals of this study were to examine 1) longitudinal trajectories of energy expenditure from recreational physical activity (PA) in postmenopausal women, 2) whether women who belong to different PA trajectories engage in different types of PA, and 3) whether baseline sociodemographic, health, psychosocial, and lifestyle characteristics predict membership in PA trajectories.

Methods:

Women from the Women’s Health Initiative Observational Study with baseline PA data (n = 92,629) were included. Physical activity, measured via self-report 6 times over 8 years, was converted to MET hr/wk for analysis. Latent growth curve mixture models and latent profile models were used to analyze longitudinal PA trajectories and cross-sectional PA composition, respectively.

Results:

Three distinct, stable PA trajectories (highly, moderately, and minimally active) were identified with nearly 75% of the women classified as minimally active (≤ 8 MET-hr/wk). The majority of women who were at least moderately active engaged in a balanced combination of walking, moderate, and vigorous PA. Sociodemographic characteristics such as income, education, and past vigorous PA were predictive of PA trajectory, as were some health status indicators (eg, body mass index), but not health related quality of life.

Conclusions:

Self-reported PA is largely stable across nearly a decade of follow-up in postmenopausal women.

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Association of Longitudinal Changes of Physical Activity on Smoking Cessation Among Young Daily Smokers

Paul D. Loprinzi and Jerome F. Walker

Objective:

To our knowledge, no longitudinal epidemiological study among daily smokers has examined the effects of physical activity change/trajectory on smoking cessation. The purpose of this study was to examine the longitudinal effects of changes in physical activity on smoking cessation among a national sample of young (16–24 y) daily smokers.

Methods:

Data from the 2003–2005 National Youth Smoking Cessation Survey were used (N = 1178). Using hierarchical agglomerative cluster analysis, 5 distinct self-reported physical activity trajectories over 3 time periods (baseline, 12-month, and 24-month follow-up) were observed, including stable low physical activity, decreasing physical activity, curvilinear physical activity, stable high physical activity, and increasing physical activity. Nicotine dependence (Heaviness of Smoking Index) and demographic parameters were assessed via survey.

Results:

With stable low physical activity (16.2% quit smoking) serving as the referent group, those in the stable high physical activity (24.8% quit smoking) group had 1.8 greater odds of not smoking at the 24-month follow-up period (odds ratio = 1.81; 95% confidence interval, 1.12–2.91) after adjusting for nicotine dependence, age, gender, race-ethnicity, and education.

Conclusions:

Maintenance of regular physical activity among young daily smokers may help to facilitate smoking cessation.

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Physical Activity and Screen Time: Trends in U.S. Children Aged 9 to 13 Years, 2002–2006

Marian Huhman, Richard Lowry, Sarah M. Lee, Janet E. Fulton, Susan A. Carlson, and Carrie D. Patnode

Background:

We examined trends of physical activity and screen time among nationally representative samples of children aged 9–13 years to explore whether children overall are becoming less physically active and less likely to be in compliance with screen time recommendations.

Methods:

We analyzed Youth Media Campaign Longitudinal Survey data for trends and demographic patterns of free time and organized physical activity, and hours and minutes of watching television and playing video or computer games. Child-parent dyads for 2002 (N = 3114), 2004 (N = 5177), and 2006 (N = 1200) were analyzed.

Results:

On the day before the interview, and for free time physical activity in the past week, children reported a significant increase in physical activity from 2002–2006. Screen time levels were stable overall; 76.4% of children met the recommendations of 2 hours or less of daily screen time.

Conclusion:

Levels of physical activity among U.S. children aged 9–13 years were stable, or levels slightly improved from 2002–2006. Except for some subgroup differences, trends for compliance with screen time recommendations were also stable from 2002–2006 for U.S. children aged 9–13 years.

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Reliability and Validity of the Global Physical Activity Questionnaire in Vietnam

Au Bich Thuy, Leigh Blizzard, Michael Schmidt, Pham Hung Luc, Costan Magnussen, and Terence Dwyer

Background:

The Global Physical Activity Questionnaire (GPAQ) was developed as an improvement of the International Physical Activity Questionnaire (IPAQ) for use in cross-cultural settings. This study compared the reliability and validity of GPAQ and IPAQ in Vietnam.

Methods:

251 adults were randomly selected from a population-based survey (n = 1978) of noncommunicable disease risk factors. GPAQ and IPAQ were administered on 2 occasions. Participants wore pedometers and logged their physical activity (PA) for 7 consecutive days.

Results:

Test-retest correlations of GPAQ measurements differed for participants (n = 153) with stable work patterns (work PA r = .43, total PA r = .39) and those (n = 98) with unstable work patterns (work PA r = −0.02, total PA r = −0.05). IPAQ measurements did not differ in this way. GPAQ reliability was poorer for transport (GPAQ r = .25, IPAQ r = .60) and for leisure (GPAQ r = .21, IPAQ r = .45) PA. GPAQ estimates of total PA for participants with stable work patterns were moderately correlated with IPAQ total PA (r = .32), steps per day (r = .39), and PA log (r = .31).

Conclusions:

The modifications made when designing GPAQ improved its reliability for persons with stable work patterns, but at the expense of poorer reliability for persons with more variable PA. GPAQ did not have superior validity to IPAQ.

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Leisure-Time Physical Activity Levels Among Canadian Adolescents, 1981–1998

Joey C. Eisenmann, P.T. Katzmarzyk, and Mark S. Tremblay

Background:

In recent years, it has been noted that children and youth are physically inactive, and physical activity levels have declined over the past decades. However, few empirical studies have been conducted to test this assumption. Therefore, the purpose of this study was to examine leisure-time physical activity levels among Canadian adolescents 12–19 years of age.

Methods:

Age, sex, geographic, and temporal trends in leisure-time physical activity energy expenditure (AEE) were examined using data from 5 national surveys conducted between 1981 and 1998. AEE was calculated from participants’ questionnaire responses on physical activity participation. General linear models were used to examine the differences in AEE across survey years, geographic regions, sexes, and age groups.

Results:

Males and 12–14-year-olds displayed greater AEE than females and 15–19-year-olds, respectively, and AEE was lowest in Quebec and highest in the West. AEE increased between the 1981 and 1988 surveys and has since remained relatively stable. The prevalence of subjects meeting the 12.6 kJ · kg−1 · d−1 (3 kcal · kg−1 · d−1) recommendation increased from 1981 to 1988. Since 1988, the prevalence of those meeting the 12.6 kJ · kg−1 · d−1 recommendation has decreased in 12–14 year old boys and remained relatively stable in the other groups. In 1998, about 45% of males and 35% of females met the 12.6 kJ · kg−1 · d−1 recommendation. In 1998, about 20% of 12–19-year-old males and 12–14-year-old females met the 25.1 kJ · kg−1 · d−1 (6 kcal · kg−1 · d−1) recommendation, while about 10% of 15–19-year-old females met this recommendation. In females, the prevalence of those meeting the 25.1 kJ · kg−1 · d−1 recommendation has remained relatively stable (about 10%) since 1981 except for an increase between 1996 and 1998 in 12–14-year-old girls. In males, a similar pattern, but not as dramatic, of that observed for the prevalence of those meeting the 12.6 kJ · kg−1 · d−1 emerged—that is, an increase between 1981 and 1988 and then a decrease in 12–14-year-old boys and a stable pattern in 15–19-year-old boys.

Conclusion:

Although self-reported leisure-time physical activity appears to have increased since 1981, a majority of Canadian adolescents do not meet current recommendations for physical activity.

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Effect of Temporal Domain on Self-Reported Walking Behaviors in the California Health Interview Survey

James J. McClain, David Grant, Gordon Willis, and David Berrigan

Background:

Question design can influence the validity and reliability of physical activity (PA) self-report instruments. This study assesses the effect of temporal domain (“days” walked versus “times” walked) on survey questions about walking behavior.

Methods:

A 2005 California Health Interview Survey (CHIS) sub-sample (n = 6332) reported the number of days or times they walked for leisure or transportation in the past 7 days and the usual time spent per day or per time. Question order was randomized by temporal domain. Minutes walked per week (mean ± SE) and adherence to PA guidelines (≥150 min/wk) were assessed.

Results:

Estimates of leisure walking remained stable across temporal domain (days = 71.4 ± 2.5 min; times = 73.4 ± 2.4 min), but transportation walking differed depending on domain (days = 70.4 ± 3.2 min; times = 52.5 ± 2.6 min). Adherence to PA guidelines based on leisure walking was stable across temporal domain (days = 14.9 ± 0.6%; times = 14.9 ± 0.6%), but again differed by domain for transportation walking (days = 10.4 ± 0.6%; times = 7.8 ± 0.5%). A large order effect (number-of-days versus number-of-times asked first) was observed for reports of days walking for transportation (days first = 87.8 ± 2.9 min; times first = 52.3 ± 2.5 min).

Conclusion:

Temporal domain influences estimates of self-reported transportation walking behavior. Current efforts to capture PA from both transportation and leisure activities in health research appear to present distinct methodological challenges.

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One-year Stability of Objectively Measured Physical Activity in Young Brazilian Adults

Rafaela Costa Martins, Felipe Fossati Reichert, Renata Moraes Bielemann, and Pedro C. Hallal

Background:

To evaluate the 1-year stability of objectively measured physical activity among young adults living in South Brazil, as well as assessing the influences of temperature, humidity and precipitation on physical activity.

Methods:

A longitudinal study was conducted over 12 consecutive months (October 2012 to September 2013). Sixteen participants (8 men) used GT3X+ accelerometers 1 week per month for the entire year. Climate variables were obtained from an official climate information provider.

Results:

Physical activity was remarkably stable over the year—the proportion of the day spent in moderate-to-vigorous intensity physical activity (MVPA) was around 5% in every month. Average temperature (ρ = –0.64; P = .007), humidity (ρ = –0.68; P = .004) and rain (ρ = –0.67; P = .004) were inversely correlated to MVPA in the Summer. Rain was also inversely correlated to MVPA in the Spring (ρ = –0.54; P = .03).

Conclusions:

Objectively measured physical activity was stable over a 1-year period. Climate variables consistently influenced physical activity practice in the Summer, but not in the other seasons.

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Effects of School-Based Physical Activity Program on Students’ Moderate-to-Vigorous Physical Activity and Perceptions of Physical Competence

Arto Gråstén, Anthony Watt, Jarmo Liukkonen, and Timo Jaakkola

Background:

The study examined the effects of school-based program on students’ self-reported moderate to vigorous physical activity and physical competence, and associated links to gender, grade, body mass index, and physical education assessments.

Methods:

Participants were 240 middle school students (143 intervention, 97 control) from 3 small cities in North-East Finland. The intervention group received task-involving climate support in physical education classes and additional physical activities during school days across 1 year.

Results:

The intervention group’s physical competence increased, whereas the control group’s competence remained stable across the period. However, physical activity levels were stable in both groups. The findings also showed that body mass index was negatively associated with physical competence and activity in the intervention group at the follow-up measure. Physical education assessments were positively related with only the baseline scores of physical competence in the intervention group. In contrast, the assessments had positive relationships with physical competence and activity of control group students.

Conclusions:

The present program was an effective protocol to increase student’s perceptions of physical competence. Since the quantity of school physical education including recess activities cannot be dramatically increased, positive learning experiences should be provided, and thus, support perceptions of physical competence.

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Children's Organized Physical Activity Patterns From Childhood into Adolescence

Leanne C. Findlay, Rochelle E. Garner, and Dafna E. Kohen

Background:

Few longitudinal studies of physical activity have included young children or used nationally representative datasets. The purpose of the current study was to explore patterns of organized physical activity for Canadian children aged 4 through 17 years.

Methods:

Data from 5 cycles of the National Longitudinal Survey of Children and Youth were analyzed separately for boys (n = 4463) and girls (n = 4354) using multiple trajectory modeling.

Results:

Boys' and girls' organized physical activity was best represented by 3 trajectory groups. For boys, these groups were labeled: high stable, high decreasing, and low decreasing participation. For girls, these groups were labeled: high decreasing, moderate stable, and low decreasing participation. Risk factors (parental education, household income, urban/rural dwelling, and single/dual parent) were explored. For boys and girls, having a parent with postsecondary education and living in a higher income household were associated with a greater likelihood of weekly participation in organized physical activity. Living in an urban area was also significantly associated with a greater likelihood of weekly participation for girls.

Conclusions:

Results suggest that Canadian children's organized physical activity is best represented by multiple patterns of participation that tend to peak in middle childhood and decline into adolescence.

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Developmental Trends in the Energy Cost of Physical Activities Performed by Youth

Stewart G. Trost, Christopher C. Drovandi, and Karin Pfeiffer

Background:

Published energy cost data for children and adolescents are lacking. The purpose of this study was to measure and describe developmental trends in the energy cost of 12 physical activities commonly performed by youth.

Methods:

A mixed age cohort of 209 participants completed 12 standardized activity trials on 4 occasions over a 3-year period (baseline, 12-months, 24-months, and 36-months) while wearing a portable indirect calorimeter. Bayesian hierarchical regression was used to link growth curves from each age cohort into a single curve describing developmental trends in energy cost from age 6 to 18 years.

Results:

For sedentary and light-intensity household chores, YOUTH METs (METy) remained stable or declined with age. In contrast, METy values associated with brisk walking, running, basketball, and dance increased with age.

Conclusions:

The reported energy costs for specific activities will contribute to efforts to update and expand the youth compendium.