The aim of this review is to provide a scientific update on the current guidelines for both health and weight management. There has been confusion among health professionals as to which physical activity guidelines should be used to help various specific populations adopt more active lifestyles. We first review the history of the physical activity guidelines. Using the physical activity guidelines in clinical practice is also explored. We also describe common barriers to physical that overweight individuals report and we discuss when it is appropriate for a health care professional to seek a referral from an exercise scientist to help sedentary adults increase their levels of activity. It is important for individuals who care for overweight patients and sedentary adults to understand the current physical guidelines and how these guidelines can be worked into clinical practice.
Ross E. Andersen and John M. Jakicic
Patrick Delisle-Houde, Nathan A. Chiarlitti, Ryan E.R. Reid and Ross E. Andersen
Purpose: To determine the predictability of common laboratory/field and novel laboratory tests for skating characteristics in Canadian college ice hockey players. Methods: A total of 18 male hockey players from the university’s varsity hockey team age 20–25 y (height 180.7 [6.4] cm, weight 87.1 [6.7] kg, and body fat 16.2% [4.0%]) completed common laboratory-/field-based testing (ie, standing long jump, vertical jump, off-ice proagility,
Ross E. Andersen, Adrian E. Bauman, Shawn C. Franckowiak, Sue M. Reilley and Alison L. Marshall
This intervention promoted stair use among people attending the American College of Sports Medicine (ACSM) annual meeting.
All attendees using the stairs or escalators in the main lobby were unobtrusively observed for 3 days and coded for activity choices to get to the second floor. During day 2, a prominent sign stating “Be a role model. Use the stairs!” encouraged point-of-choice decisions favoring stairs over the escalator. The sign was removed on day 3.
16,978 observations were made. Stair use increased from 22.0% on day 1 to 29.3% and 26.8% on days 2 and 3, respectively (P values < .001). Active choices (stair use or walk up escalator) increased from 28.3% on day 1 to 40.1% and 40.2% on subsequent days. Analyses were similar after adjustment for gender, estimated age category, and race.
Relatively few conference attendees were persuaded to model stair-use behavior. Health professionals should be encouraged to be “active living” role models.
Ross E. Andersen, Carlos J. Crespo, Shawn C. Franckowiak and Jeremy D. Walston
Hormone-replacement therapy (HRT) and physical activity are both related to aging and health. U.S. minorities are more likely to be inactive and less likely to initiate HRT than are non-Hispanic White women. The purpose of this investigation was to examine the relationship of race and HRT use with physical inactivity among older women (60+ years). The authors used data from 3,479 women who had participated in the Third National Health and Nutrition Examination Survey (NHANES III), conducted in 1988-1994. NHANES III included an in-person interview and a medical examination. The prevalence of physical inactivity among women who reported ever having used HRT was 28.5% (CI 22.9–34.1%), compared with 40.0% (CI 35.9–44.1%) among those who had never used HRT. Mexican American and non-Hispanic Black women reported higher levels of inactivity than did non-Hispanic White women across HRT-use categories. To promote successful aging, physicians should educate postmenopausal women on the possible health benefits of HRT combined with an active lifestyle.
Tanya M.F. Scarapicchia, Catherine M. Sabiston, Ross E. Andersen and Enrique Garcia Bengoechea
Young inactive healthy-weight females (n = 42) were randomly assigned to exercise at a self-selected pace on a treadmill beside a confederate who was providing either intrinsic or externally regulated verbal primes. Heart rate (HR), rating of perceived exertion (RPE), percentage of time spent in moderate-to-vigorous physical activity (MVPA), and exercise continuance were recorded. Participants completed a self-report questionnaire assessing mood pre- and postexercise session and postexercise motivational outcomes. The intrinsic motivation group reported higher RPE values after 8 min of exercise, had higher recorded HR measures at all 5 recorded time points, exercised at a higher %HR max, spent more time in MVPA, and were more likely to continue to exercise than participants in the externally regulated motivation group. A time effect was noted for vigor. Based on these findings, exercise motivation can be “contagious” through verbal primes, suggesting that exercising with or around intrinsically motivated individuals may have beneficial outcomes.
Paul D. Loprinzi, Bradley J. Cardinal, Carlos J. Crespo, Gary R. Brodowicz, Ross E. Andersen and Ellen Smit
The exclusion of participants with invalid accelerometry data (IAD) may lead to biased results and/or lack of generalizability in large population studies. The purpose of this study was to investigate whether demographic, behavioral, and biological differences occur between those with IAD and valid accelerometry data (VAD) among adults using a representative sample of the civilian noninstitutionalized U.S. population.
Ambulatory participants from NHANES (2003−2004) who were 20−85 years of age were included in the current study and wore an ActiGraph 7164 accelerometer for 7 days. A “valid person” was defined as those with 4 or more days of at least 10+ hrs of monitoring per day. Among adults (20−85 yrs), 3088 participants provided VAD and 987 provided IAD. Demographic, behavioral, and biological information were obtained from the household interview or from data obtained in a mobile examination center.
Differences were observed in age, BMI, ethnicity, education, smoking status, marital status, use of street drugs, current health status, HDL-cholesterol, C-reactive protein, self-reported vigorous physical activity, and plasma glucose levels between those with VAD and IAD.
Investigators should take into consideration the potential cut-off bias in interpreting results based on data that excludes IAD participants.
Teresa L. Hart, Cora Lynn Craig, Joseph M. Griffiths, Christine Cameron, Ross E. Andersen, Adrian Bauman and Catrine Tudor-Locke
The Joint Canada/United States Survey of Health (JCUSH) was a one-time collaborative survey undertaken by Statistics Canada and the National Center for Health Statistics.
This analysis provides country-, sex-, and age-specific comparative markers of adult obesity and sedentarism, defined as independent and collective groupings of self-reported leisure-time inactivity (<1.5 MET-hours/day), usual occupational sitting, and no/low active transportation (<1 hour/week). Logistic regression assessed the likelihood of sedentarism in U.S. vs. Canada, with and without adjusting for BMI-defined obesity categories: healthy weight (18.5 ≤ BMI <25 kg/m2; n = 3542), overweight (25 ≤ BMI < 30 kg/m2; n = 2,651), and obesity (BMI ≥ 30 kg/m2; n = 1470).
Compared with Canadians, U.S. adults are 24% more likely to be overweight/ obese, 59% more likely to be inactive in leisure-time, 19% more likely to report no/low active transportation, and 39% more likely to collectively report all sedentarism markers, adjusting for sex and age. Focusing on obese individuals in both countries, obese U.S. residents were 90% more likely to be inactive during leisure-time, 41% more likely to report no/low active transportation, and 73% more likely to report all sedentarism markers.
This ecological analysis sheds light on differential risks of obesity and sedentarism in these neighboring countries.