Ethnic disparities in objectively measured physical activity may be due to occupational activity

Abstract

ObjectivesWe examined whether Mexican American adults report occupations that involve higher levels of objectively assessed physical activity compared with Non-Hispanic White and Black adults, and if the differences were independent of income. MethodsData from the 2003–2004 National Health and Nutrition Examination Survey (NHANES; N=2707) were analyzed in 2012–2013. An existing classification scheme was used to classify self-reported occupation as sedentary, low-active, or moderately active. From NHANES accelerometer data, proportion of wear time was stratified by intensity. ResultsA dose–response relationship was found such that workers in more active occupations spent more time in light-intensity activity and less time engaged in sedentary activities. The findings did not suggest a compensation effect for moderate-to-vigorous intensity physical activity. Mexican American adults engaged in more activity than Non-Hispanic Black or White adults for incomes between $10,000 and $64,999. ConclusionsMexican American adults may have higher total physical activity levels in NHANES because of occupational activity, particularly among lower income households. To the extent that light-intensity activity may provide health benefits, occupational activity may partly explain the Hispanic paradox.