Abstract
BackgroundAdequate physical activity (PA) is considered as a key factor in the fight against the obesity epidemic. Therefore, detailed description of the actual PA and its components in the population is necessary. Additionally, this study aims to investigate the association between PA and obesity risk in a representative population sample in Bavaria, Germany.MethodsData from 893 participants (age 13–80 years) of the Bavarian Food Consumption Survey II (BVS II) were used. In each participant, three computer-based 24-hour recalls were conducted by telephone assessing type and duration of PA in the domains occupation, sports, other strenuous leisure time activities (of mostly moderate intensity) as well as TV/PC use in leisure time and duration of sleeping. After assigning metabolic equivalents (METs) to each activity, estimates of energy expenditure (MET*h) and total daily PA level (PALest.) were calculated. In a subgroup of adults (n = 568) with anthropometric measurements logistic regression models were used to quantify the impact of PA on obesity risk.ResultsEstimated average PA in women and men was 38.5 ± 5.0 and 40.6 ± 9.3 MET*h/d, respectively, corresponding to PALest. values of 1.66 ± 0.22 and 1.75 ± 0.40. Obese subjects showed lower energy expenditure in the categories sports, occupation, and sleeping, while the time spent with TV/PC during leisure time was highest. This is confirmed in logistic regression analyses revealing a statistically significant association between obesity and TV/PC use during leisure time, while sports activity was inversely related to obesity risk. Overall, less than 1/3 of the study participants reached the recommended PAL of ≥ 1.75. Subjects within the recommended range of PA had an about 60 % (odds ratio = 0.43; 95% CI: 0.21–0.85) reduced risk of obesity as compared to inactive subjects with a PALest. <1.5.ConclusionBased on the results of short-term PA patterns, a major part of the Bavarian adult population does not reach the recommendations (PAL>1.75; moderate PA of > 30 min/d). Despite the limitations of the study design, the existing associations between sports activity, TV/PC use and obesity risk in this population give further support to the recommendation of increasing sports activity and reducing sedentary behaviour in order to prevent rising rates of obesity.
Highlights
Adequate physical activity (PA) is considered as a key factor in the fight against the obesity epidemic
This is confirmed in logistic regression analyses revealing a statistically significant association between obesity and TV/PC use during leisure time, while sports activity was inversely related to obesity risk
Significant gender differences existed for body mass index (BMI) groups, socioeconomic status, employment level, smoking habits and marital status; anthropometric measures as well as basal metabolic rate (BMR) and energy intake differed by gender
Summary
Adequate physical activity (PA) is considered as a key factor in the fight against the obesity epidemic. This study aims to investigate the association between PA and obesity risk in a representative population sample in Bavaria, Germany. There are more than 1 billion overweight adults, at least 300 million of them obese. These alarming facts published by the World Health Organisation (WHO) [1] demonstrate that obesity has reached epidemic dimension in developed as well as in developing countries. Besides genetic factors and food consumption patterns exceeding the individual energy need, a sedentary lifestyle with lack of physical activity (PA) is one of the key causes [2]. The question of the adequate dose of exercise is still a matter of debate [4,5,6]
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