The relationship between physical activity levels, salivary cortisol, and the metabolic syndrome (MetSyn) score was examined. Twenty-three girls (8.4 ± 0.9 years) had a fasting blood draw, waist circumference and blood pressure measured, and wore an ActiGraph accelerometer for 5 days. Saliva samples were collected to measure cortisol levels. Previously established cut points estimated the minutes spent in moderate, vigorous, and moderate-to-vigorous physical activity. A continuous MetSyn score was created from blood pressure, waist circumference, high-density-lipoprotein (HDL), triglyceride, and glucose values. Correlation analyses examined associations between physical activity, cortisol, the MetSyn score, and its related components. Regression analysis examined the relationship between cortisol, the MetSyn score, and its related components adjusting for physical activity, percent body fat, and sexual maturity. Vigorous physical activity was positively related with 30 min post waking cortisol values. The MetSyn score was not related with cortisol values after controlling for confounders. In contrast, HDL was negatively related with 30 min post waking cortisol. Triglyceride was positively related with 30 min post waking cortisol and area under the curve. The MetSyn score and many of its components were not related to cortisol salivary levels even after adjusting for physical activity, body fat percentage, and sexual maturity.
Katrina D. DuBose and Andrew J. McKune
Deirdre Dlugonski, Katrina D. DuBose, Christine M. Habeeb and Patrick Rider
Purpose: This study examined patterns of physical activity coparticipation among parent–child (2–5 y) dyads. Method: The dyads (N = 47; 51% mother–child) each wore a Bluetooth-enabled accelerometer for 8 days to measure physical activity and physical activity coparticipation. The parents completed demographic and self-reported family physical activity questionnaires. Results: The parent–child dyads spent 145 (79) minutes per day in-proximity according to the Bluetooth-enabled accelerometers. The majority (90%) of parent–child in-proximity time was spent with the parent and child engaged in some combination of sedentary or light activities. Child light, moderate, and vigorous physical activity was not associated with parent light (P = .12) or moderate to vigorous physical activity (P = .45), but was positively associated with parent–child in-proximity active minutes (light, moderate, and vigorous) (P < .01). Children in the highest tertile of parent–child physical activity coparticipation engaged in more daily moderate to vigorous physical activity compared with children in the lowest tertile (72.7 vs 50.3 min). There was a positive, statistically significant association between self-reported and objective measures of physical activity coparticipation (r = .47, P = .001). Conclusion: Children who engaged in the most physical activity with their parent had the highest moderate to vigorous physical activity. Future studies should continue to provide contextual information about how parents and children spend their time together to improve family-based physical activity interventions.
Katrina D. DuBose, Andrew J. McKune, Patricia Brophy, Gabriel Geyer and Robert C. Hickner
The relationship between physical activity levels and the metabolic syndrome (MetSyn) score was examined in 72 boys and girls (9.5 ± 1.2 years). A fasting blood draw was obtained; waist circumference and blood pressure measured, and an accelerometer was worn for 5 days. Established cut points were used to estimate time spent in moderate, vigorous, moderate-to-vigorous (MVPA), and total physical activity. A continuous MetSyn score was created from blood pressure, waist circumference, high-density-lipoprotein, triglyceride, and glucose values. Regression analysis was used to examine the relationship between physical activity levels, the MetSyn score, and its related components. Logistic regression was used to examine the association between meeting physical activity recommendations, the MetSyn score, and its related components. All analyses were controlled for body mass index group, age, sex, and race. Time spent in different physical activity levels or meeting physical activity recommendations (OR: 0.87, 95%CI: 0.69–1.09) was not related with the MetSyn score after controlling for potential confounders (p > .05). Moderate physical activity, MVPA, and meeting physical activity recommendations were related to a lower diastolic blood pressure (p < .05). No other relationships were observed (p > .05). While physical activity participation was not related with the MetSyn, lower diastolic blood pressure values were related to higher physical activity levels.
Katrina D. DuBose, Sandra Edwards, Barbara E. Ainsworth, Jared P. Reis and Martha L. Slattery
Historical physical activity (PA) questionnaires assess relationships between past PA and chronic diseases. The 4-Corner’s Historical Physical Activity Questionnaire (HPAQ) was validated in 78 middle-age women.
In 1996 and 1998, women kept PA records (PAR) for four consecutive days while wearing Caltrac accelerometers. In 2001, the same women recalled their past PA levels using the HPAQ. PA levels from the HPAQ were compared to PARs and the Caltrac. Race-adjusted Spearman correlations determined validity.
Low to modest correlations existed between PA (min/wk and MET-min/wk) from the HPAQ and PARs for moderate (r = 0.16 and 0.14, respectively), vigorous PA (r = 0.26 and 0.27, respectively; P < 0.05) and moderate-vigorous PA (r = 0.20 and 0.17, respectively). Moderate and moderate-vigorous, but not vigorous PA was positively related to energy expenditure expressed as kilocalories (r = 0.23, P < 0.05 and 0.22, −0.03, respectively) or PA volume (MET-min/wk) (r = 0.29, 0.29, P < 0.05 and 0.10, respectively).
The HPAQ can produce valid estimates of women’s past moderate and vigorous PA levels.
Katrina D. DuBose, Cheryl L. Addy, Barbara E. Ainsworth, Gregory A. Hand and J. Larry Durstine
This study was performed to determine the relationship between leisure-time physical activity (LTPA) and the metabolic syndrome (MS) in 16,681 adults (43 ± 0.44 y) enrolled in NHANES III.
LTPA was classified as regularly active (≥ 5 d/wk moderate and/or ≥ 3 d/wk vigorous), irregularly active (some LTPA), or inactive (no LTPA). The MS was positive with three or more conditions: 1) abdominal obesity, 2) low HDL-C, 3) hypertriglyceridemia, 4) elevated blood pressure, or 5) elevated glucose. Logistic regression examined the relationship between LTPA and the MS, adjusting for age, race, smoking status, and educational attainment stratified by gender.
In men only, irregular activity and inactivity was related to an increase in the MS (irregular: OR = 1.52 95% CI 1.11, 1.23; inactive: OR = 1.60, 95% CI 1.18, 1.98; test for trend P = 0.004). Inactivity increased the odds for abdominal obesity (P < 0.05).
LTPA levels might influence the development of MS and abdominal obesity.
Heather Hayes Betz, Joey C. Eisenmann, Kelly R. Laurson, Katrina D. DuBose, Mathew J. Reeves, Joseph J. Carlson and Karin A. Pfeiffer
Purpose: The objective of this study was to examine the independent and combined association of physical activity and body mass index (BMI) with blood pressure in youth. Methods: Youth aged 8–18 years from the 2003–2006 National Health and Nutrition Examination Survey (NHANES) with BMI, blood pressure, and physical activity (accelerometer) were included in the analyses. A total of 2585 subjects (1303 males; 47% of all 8- to 18-year-olds) met these criteria. Results: Obese youth had a systolic blood pressure that was 8 mm Hg higher than normal weight youth. A significant interaction between BMI and physical activity on blood pressure was found (P < .001), and group differences among the BMI/activity groups showed that the 3 obese groups and the overweight/least active group had significantly higher systolic blood pressure than the normal weight/active group across all analyses. The overweight/least active and normal weight/least active groups had significantly higher diastolic blood pressure than the normal weight/active group as well. Conclusions: This study showed a significant independent and combined association of BMI and physical activity with blood pressure in youth. Interventions need to focus on the reduction of fatness/BMI as a way to reduce the cardiovascular risk in youth.