Physical Activity Levels (PAL) in US Adults-2019.
Journal
Medicine and science in sports and exercise
ISSN: 1530-0315
Titre abrégé: Med Sci Sports Exerc
Pays: United States
ID NLM: 8005433
Informations de publication
Date de publication:
01 05 2023
01 05 2023
Historique:
pmc-release:
01
05
2024
medline:
17
4
2023
pubmed:
3
2
2023
entrez:
2
2
2023
Statut:
ppublish
Résumé
Physical activity levels (PAL) are associated with mortality risk and were instrumental in estimating national energy requirements, but we are unaware of population-based estimates of PAL in US adults. Thus, we conducted a nationwide survey using a validated previous-day recall method to estimate PAL and the behavioral determinants of low and higher PAL. Participants from the AmeriSpeak panel 20-75 yr of age ( N = 2640) completed Activities Completed over Time in 24-hours previous-day recalls. PAL values were estimated as the average metabolic equivalent value over 24 h. Recalls were conducted on randomly selected days in October and November 2019. Survey sample design weights were applied to reflect the US population. Mean age was 45.3 yr, 51% were female, 67% were non-Hispanic White, and 37% had a body mass index of ≥30 kg·m -2 . US adults reported a mean PAL of 1.63 (95% confidence interval, 1.60-1.65), and 39% (37%-42%) of adults reported PAL ≥1.6 on a given day. Men reported higher PAL than women (1.67 vs 1.59), and older adults reported lower PAL. Adults with PAL <1.4 spent 81% (12.1 h·d -1 ) of their waking day sedentary and 19% (2.7 h·d -1 ) in total physical activity. Adults with PAL considered to be "active"(1.6-1.89) spent only 49% (8.0 h·d -1 ) of their waking day sedentary, and 51% (8.3 h·d -1 ) physically active. Our study provides novel estimates of PAL in a nationwide sample of US adults and a description of the type and intensity of sedentary and physically active behaviors contributing to low and higher PAL. These findings may inform public health messages aimed at increasing physical activity in adults and potentially contribute to obesity prevention efforts.
Identifiants
pubmed: 36729673
doi: 10.1249/MSS.0000000000003102
pii: 00005768-202305000-00013
pmc: PMC10106363
mid: NIHMS1855593
doi:
Types de publication
Journal Article
Research Support, N.I.H., Intramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
884-891Subventions
Organisme : Intramural NIH HHS
ID : Z99 CA999999
Pays : United States
Informations de copyright
Copyright © 2022 by the American College of Sports Medicine.
Références
Schwartz MW, Seeley RJ, Zeltser LM, et al. Obesity pathogenesis: an Endocrine Society scientific statement. Endocr Rev . 2017;38(4):267–96.
Lu Y, Hajifathalian K, Ezzati M, Woodward M, Rimm EB, Danaei GGlobal Burden of Metabolic Risk Factors for Chronic Diseases Collaboration (BMI Mediated Effects). Metabolic mediators of the effects of body-mass index, overweight, and obesity on coronary heart disease and stroke: a pooled analysis of 97 prospective cohorts with 1.8 million participants. Lancet . 2014;383(9921):970–83.
Renehan AG, Tyson M, Egger M, Heller RF, Zwahlen M. Body-mass index and incidence of cancer: a systematic review and meta-analysis of prospective observational studies. Lancet . 2008;371(9612):569–78.
2018 Physical Activity Guidelines Advisory Committee. Physical Activity Guidelines Advisory Committee Scientific Report . Washington (DC): U.S. Department of Health and Human Services; 2018.
Manini TM, Everhart JE, Patel KV, et al. Daily activity energy expenditure and mortality among older adults. JAMA . 2006;296(2):171–9.
Institute of Medicine. Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholsterol, Protein, and Amino Acids (2005). Washington (DC): The National Academies Press; 2005.
National Institute of Diabetes and Digestive and Kidney Diseases. Body Weight Planner. [cited 2022 April 8] Available from: https://www.niddk.nih.gov/bwp .
Matthews CE, Kozey Keadle S, Moore SC, et al. Measurement of active and sedentary behavior in context of large epidemiologic studies. Med Sci Sports Exerc . 2018;50(2):266–76.
Troiano RP, Berrigan D, Dodd KW, Masse LC, Tilert T, McDowell M. Physical activity in the United States measured by accelerometer. Med Sci Sports Exerc . 2008;40(1):181–8.
Matthews CE, Chen KY, Freedson PS, et al. Amount of time spent in sedentary behaviors in the United States, 2003–2004. Am J Epidemiol . 2008;167(7):875–81.
Belcher BR, Wolff-Hughes DL, Dooley EE, et al. US population–referenced percentiles for wrist-worn accelerometer-derived activity. Med Sci Sports Exerc . 2021;53(11):2455–64.
Pontzer H, Yamada Y, Sagayama H, et al. Daily energy expenditure through the human life course. Science . 2021;373(6556):808–12.
Westerterp KR, Yamada Y, Sagayama H, et al. Physical activity and fat-free mass during growth and in later life. Am J Clin Nutr . 2021;114(5):1583–9.
Dugas LR, Harders R, Merrill S, et al. Energy expenditure in adults living in developing compared with industrialized countries: a meta-analysis of doubly labeled water studies. Am J Clin Nutr . 2011;93(2):427–41.
NORC. Technical Overview of the AmerSpeak® Panel NORC’s Probability-based Household Panel . Chicago (IL): NORC; 2018. [cited 2019 February 28]. Available from: http://www.norc.org/PDFs/AmeriSpeak%20Technical%20Overview%202015%2011%2025.pdf .
NORC. AmeriSpeak® Panel Demographics Report . Chicago (IL): NORC; 2018. [cited 2019 February 28]. Available from: https://d3qi0qp55mx5f5.cloudfront.net/amerispeak/i/research/AmeriSpeak_Panel_Demographic_Report_2018_08_30.pdf?mtime=1535739132 .
Ainsworth BE, Haskell WL, Herrmann SD, et al. 2011 Compendium of physical activities: a second update of codes and MET values. Med Sci Sports Exerc . 2011;43(8):1575–81.
Bureau of Labor Statistics. American Time Use Survey—Activity Coding Lexicons and Coding Rules Manuals. 2016 [cited 2018 March 19]. Available from: https://www.bls.gov/tus/lexicons.htm .
Keadle SK, Lyden K, Hickey A, et al. Validation of a previous day recall for measuring the location and purpose of active and sedentary behaviors compared to direct observation. Int J Behav Nutr Phys Act . 2014;11:12.
Harms T, Gershuny J, Doherty A, Thomas E, Milton K, Foster C. A validation study of the Eurostat harmonised European time use study (HETUS) diary using wearable technology. BMC Public Health . 2019;19(Suppl 2):455.
U.S. Department of Health and Human Services. Physical Activity Guidelines for Americans . 2nd ed. Washington (DC): U.S. Department of Health and Human Services; 2018. pp. 42–3.
Harms T, Berrigan D, Gershuny J. Daily metabolic expenditures: estimates from US, UK and polish time-use data. BMC Public Health . 2019;19(Suppl 2):453.
Deyaert J, Harms T, Weenas D, Gershuny J, Glorieux I. Attaching metabolic expenditures to standard occupational classification systems: perspectives from time-use research. BMC Public Health . 2017;17(1):620.
Brage S, Lindsay T, Venables M, et al. Descriptive epidemiology of energy expenditure in the UK: findings from the National Diet and Nutrition Survey 2008–15. Int J Epidemiol . 2020;49(3):1007–21.
Matthews CE, Keadle SK, Troiano RP, et al. Accelerometer-measured dose–response for physical activity, sedentary time, and mortality in US adults. Am J Clin Nutr . 2016;104(5):1424–32.
Westerterp KR. Pattern and intensity of physical activity. Nature . 2001;410(6828):539.
Matthews CE, Carlson SA, Saint-Maurice PF, et al. Sedentary behavior in U.S. adults: fall 2019. Med Sci Sports Exerc . 2021;53(12):2512–9.
Dong L, Block G, Mandel S. Activities contributing to total energy expenditure in the United States: results from the NHAPS study. Int J Behav Nutr Phys Act . 2004;1(1):4.
Matthews CE, Keadle SK, Sampson J, et al. Validation of a previous-day recall measure of active and sedentary behaviors. Med Sci Sports Exerc . 2013;45(8):1629–38.
Bratteby LE, Sandhagen B, Fan H, Samuelson G. A 7-day activity diary for assessment of daily energy expenditure validated by the doubly labelled water method in adolescents. Eur J Clin Nutr . 1997;51(9):585–91.
Adams SA, Matthews CE, Ebbeling CB, et al. The effect of social desirability and social approval on self-reports of physical activity. Am J Epidemiol . 2005;161(4):389–98.
Human energy requirements: Report of a Joint FAO/WHO/UNU Expert Consultation Rome: Food and Agriculture Organization of the United Nations. 2004 [updated 2004; cited 2013 November 11, 2022]. Energy Requirements for Adults. Available from: http://www.fao.org/docrep/007/y5686e/y5686e07.htm#bm07 .
Gibson R. Principles of Nutritional Assessment . 2nd ed. Oxford (United Kingdom): Oxford University Press; 2005.