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  • Author: Robert L. Newton Jr x
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David B. Creel, Leslie M. Schuh, Robert L. Newton Jr, Joseph J. Stote and Brenda M. Cacucci

Background: Few studies have quantified cardiorespiratory fitness among individuals seeking bariatric surgery. Treadmill testing allows researchers to determine exercise capacity through metabolic equivalents. These findings can assist clinicians in understanding patients’ capabilities to carry out various activities of daily living. The purpose of this study was to determine exercise tolerance and the variables associated with fitness, among individuals seeking bariatric surgery. Methods: Bariatric surgery candidates completed submaximal treadmill testing and provided ratings of perceived exertion. Each participant also completed questionnaires related to history of exercise, mood, and perceived barriers/benefits of exercise. Results: Over half of participants reported that exercise was “hard to very hard” before reaching 70% of heart rate reserve, and one-third of participants reported that exercise was “moderately hard” at less than 3 metabolic equivalents (light activity). Body mass index and age accounted for the majority of the variance in exercise tolerance, but athletic history, employment status, and perceived health benefits also contributed. Perceived benefit scores were higher than barrier scores. Conclusion: Categories commonly used to describe moderate-intensity exercise (3–6 metabolic equivalents) do not coincide with perceptions of intensity among many bariatric surgery candidates, especially those with a body mass index of 50 or more.

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Todd A. Smitherman, Patricia M. Dubbert, Karen B. Grothe, Jung Hye Sung, Darla E. Kendzor, Jared P. Reis, Barbara E. Ainsworth, Robert L. Newton Jr., Karen T. Lesniak and Herman A. Taylor Jr.

Background:

Physical inactivity has been consistently linked to cardiovascular disease, yet few instruments have been validated for assessment of physical activity in African Americans, a group particularly vulnerable to heart disease. The current study aimed to establish the psychometric properties of the activity survey used in the Jackson Heart Study (JHS) among African Americans, the JHS Physical Activity Cohort survey (JPAC).

Methods:

Test-retest reliability over 2 weeks was assessed using a convenience sample of 40 African Americans. Convergent validity with accelerometer and pedometer data were assessed in 2 samples from the JHS (N = 404 and 294, respectively).

Results:

Test-retest reliability was excellent, with intraclass correlations = .99 for the JPAC total and index scores. Higher JPAC total scores were significantly associated with higher raw accelerometer and pedometer counts. Spearman correlations between JPAC total scores and accelerometer (rho = .24) and pedometer counts (rho = .32) were consistent with these results. Most subscales were significantly correlated with the objective measures. The JPAC total score was most strongly associated with objectively-measured activity.

Conclusion:

This study provides support for the reliability and validity of the JPAC as a tool for assessing physical activity among African Americans across a variety of domains.