Total Volume Of Physical Activity Research Articles

Are total, intensity- and domain-specific physical activity levels associated with life satisfaction among university students?

BackgroundThorough information about the relationship between physical activity (PA) and life satisfaction is still lacking. Therefore, this study examined the cross-sectional relationships between life satisfaction and meeting the World Health Organization (WHO) moderate to vigorous-intensity PA recommendations, total volume and duration of PA, intensity-specific PA (walking, moderate- and vigorous-intensity), domain-specific PA (work, transport-related, domestic, and leisure-time), and 11 domain and intensity-specific PA types among university students. Additionally, we examined the associations between life satisfaction and gender, age, disposable income, community size, smoking, alcohol intake, body mass index (BMI), and self-rated health.MethodsThe study included a random sample of 1750 university students in Zagreb, Croatia (response rate = 71.7%; 62.4% females; mean age 21.5 ± 1.8 years), using the International Physical Activity Questionnaire — long form and the Satisfaction with Life Scale.ResultsHigher life satisfaction was associated with female gender (β = 0.13; p = <0.001), younger age (β = -0.07; p = 0.024), higher disposable income (β = 0.10; p = 0.001), and better self-rated health (β = 0.30; p = <0.001). No significant association was found between life satisfaction and size of community (p = 0.567), smoking status (p = 0.056), alcohol consumption (p = 0.058), or BMI (p = 0.508). Among all PA variables, only leisure-time vigorous-intensity PA was significantly associated with life satisfaction after adjustments for socio-demographic characteristics, lifestyle and self-rated general health (β = 0.06; p = 0.045).ConclusionsThis study indicated a weak positive relationship between leisure-time vigorous-intensity PA and life satisfaction, whilst no such association was found for other PA variables. These findings underscore the importance of analyzing domain and intensity-specific PA levels in future studies among university students, as drawing conclusions about the relationship between PA and life satisfaction based on total PA levels only may be misleading.

Frequency of moderate-to-vigorous physical activity (MVPA) is a greater predictor of systemic inflammation than total weekly volume of MVPA: Implications for physical activity promotion

Few studies have differentiated the effects of total physical activity volume vs. physical activity frequency on health. Therefore, the purpose of this study was to examine whether daily frequency of moderate-to-vigorous physical activity (MVPA) throughout the week or overall weekly accumulation of MVPA is a greater predictor of systemic inflammation. Data from the 2003–2006 NHANES were used, which included 2330 adults (≥20years). Participants wore an accelerometer for 7days to assess physical activity, with C-reactive protein (CRP) measured from a blood sample. Only participants with 7 valid (10+ hours/day of monitoring) days of monitoring were included. Two physical activity variables were created: 1) total weekly accumulation of MVPA, and 2) the number of days per week participants engaged in ≥30min/day of MVPA. After adjusting for age, gender, race–ethnicity, poverty level, comorbid illness, body mass index, sedentary behavior, and smoking status, participants engaging in more days of ≥30min/day of MVPA had lower log-transformed CRP levels (β=−0.01, P<.001), and in a separate multivariate model, total weekly MVPA volume (β=−0.005, P=.002) was also inversely associated with log-transformed CRP levels. However, when both MVPA frequency and total weekly volume were entered into the model at the same time, MVPA frequency remained significant (β=−0.01, P=.04), but total weekly MVPA volume was no longer significant (β=−0.001, P=.82). In conclusion, MVPA frequency, compared to total weekly MVPA accumulation, is a stronger predictor of CRP among the U.S. adults. Clinicians are encouraged to advise their patients to engage in consistent physical activity throughout the week.

Exploring New Relationships Between Physical Activity Volume and Intensity and Cardiometabolic Risk in U.S. Adolescents.

Associations between physical activity (PA) intensity and volume and adolescents' cardiometabolic health have research, policy, and practice implications. This study compares associations between cardiometabolic risk factors and 1) moderate-to-vigorous PA (MVPA) minutes versus total PA volume (accelerometer-derived total activity counts, TAC) and 2) light PA volume (counts at light intensity, L-TAC) versus moderate-to-vigorous PA volume (counts at moderate-to-vigorous intensity, MV-TAC). 2105 adolescents from 2003- 2006 NHANES were included. Independent variables were MVPA minutes, TAC, L-TAC, and MV-TAC. Regression models tested associations between PA variables and continuous metabolic risk index (CMRI), waist circumference, systolic and diastolic blood pressure, HDL, insulin, and triglycerides. TAC demonstrated a slightly stronger inverse association with CMRI (P = .004) than did MVPA (P = .013). TAC and MVPA were both associated with systolic and diastolic pressure, HDL, and insulin; associations were similar or slightly stronger for TAC. L-TAC and MV-TAC were both associated with CMRI and HDL. Only L-TAC was associated with diastolic pressure. Only MV-TAC was associated with waist circumference, systolic pressure, and insulin. Compared with MVPA minutes, TAC demonstrates similar or slightly stronger associations with cardiometabolic risk factors. L-TAC and MV-TAC appear similarly associated with adolescents' clustered risk but differently associated with individual risk factors.

A 6-month observational study of changes in objectively measured physical activity during weight loss in dogs.

To evaluate long-term changes in physical activity and sedentary behaviour during weight loss in dogs. Sixteen overweight and obese dogs undergoing a 6-month calorie-controlled weight-loss programme wore Actigraph GT3X accelerometers (Actigraph, FL) for three consecutive days each month for the duration of the programme. Total volume of physical activity and time spent in sedentary behaviour, light-moderate intensity physical activity and vigorous intensity physical activity were extracted from the accelerometer data and compared from baseline to month 6. Valid accelerometry data were returned for 14 of 16 dogs. Mean percentage weight loss over 6 months was 15% of initial bodyweight. There was no marked increase in any of the physical activity outcomes or reduction in sedentary behaviour. Substantial weight loss was not associated with a spontaneous increase in physical activity or reduction in sedentary behaviour. Although the dogs in this study lost a substantial amount of bodyweight without a measured increase in physical activity, dog owners should still be encouraged to facilitate increased physical activity in their dogs owing to the wide range of benefits associated with physical activity other than weight loss.

The association between objectively measured physical activity and academic achievement in Dutch adolescents: findings from the GOALS study.

The main goal of this study was to investigate the association between objectively measured physical activity and academic achievement in adolescents. Students in Grades 7 and 9 (N = 255) were included. Overall, we found no significant dose-response association between physical activity and academic achievement. However, in Grade 7 total physical activity volume (Total PA) was negatively associated with academic achievement, while moderate-to-vigorous intensity physical activity (MVPA) was negatively associated with both academic achievement and mathematics performance. In contrast, in Grade 9 both Total PA and MVPA were positively associated with mathematics performance. In addition, the overall association between MVPA and academic achievement followed an inverted U-shaped curve. Finally, Total PA was positively associated with executive functioning, while executive functioning in turn mediated the associations between Total PA and both academic achievement and mathematics performance. These results indicate that the association between physical activity and academic achievement in adolescents is complex and might be affected by academic year, physical activity volume and intensity, and school grade.

Associations between daily physical activity and executive functioning in primary school-aged children.

While there is some evidence that aerobic fitness is positively associated with executive functioning in children, evidence for a relation between children's daily physical activity and their executive functioning is limited. The objective was to examine associations between objectively measured daily physical activity (total volume, sedentary behavior, moderate to vigorous physical activity) and executive functioning in children. Cross-sectional. Eighty primary school children (36 boys, 44 girls) aged 8-12 years old participated in the study. Physical activity was measured using accelerometers. Executive functions measured included inhibition (Stroop test), working memory (Visual Memory Span test), cognitive flexibility (Trailmaking test), and planning (Tower of London). Total volume of physical activity, time spent in sedentary behavior and moderate to vigorous physical activity were calculated and related to performance on executive functioning. More time spent in sedentary behavior was related to worse inhibition (r = -0.24). A higher total volume of physical activity was associated with better planning ability, as reflected by both a higher score on the Tower of London (r = 0.24) and a shorter total execution time (r = -0.29). Also, a significant moderate correlation was found between time spent in moderate to vigorous physical activity and the total execution time of the Tower of London (r = -0.29). Children should limit time spent in sedentary behavior, and increasing their total physical activity. Total volume of physical activity, which consisted mostly of light intensity physical activity, is related to executive functioning. This opens up new possibilities to explore both the quantity and quality of physical activity in relation to cognition in children.

Total Activity Counts and Bouted Minutes of Moderate-to-Vigorous Physical Activity: Relationships With Cardiometabolic Biomarkers Using 2003-2006 NHANES.

To contrast associations of accelerometer-measured moderate-to-vigorous physical activity (MVPA) accumulated in bouts and total activity counts (TAC) with cardiometabolic biomarkers in U.S. adults. Using 2003-2006 National Health and Nutrition Examination Survey (NHANES) data, the sample was comprised of adults ≥ 20 years, not pregnant or lactating, with self-reported PA and at least 4 days of ≥ 10 hours accelerometer wear time (N = 5668). Bouted MVPA represented the minutes/day with ≥ 2020 counts/minute in bouts of 10 minutes or longer and TAC represented the total activity counts per day. Biomarkers included: cholesterol, triglyceride, glycohemoglobin, plasma glucose, C-peptide, insulin, C-reactive protein, homocysteine, blood pressure, body mass index (BMI), waist circumference, and skinfolds. Nested regression models were conducted which regressed each biomarker on bouted MVPA and TAC simultaneously, while adjusting for relevant covariates. Results indicated TAC was more strongly associated with 11 biomarkers: HDL-C, triglyceride, plasma glucose, C-peptide, insulin, C-reactive protein, homocysteine, systolic blood pressure, waist circumference, triceps skinfold, and subscapular skinfold. Bouted MVPA, however, only displayed stronger associations with BMI. The total volume of physical activity, represented by TAC, appears to have stronger associations with cardiometabolic biomarkers than MVPA accumulated in bouts.

Waist-Worn Actigraphy: Population-Referenced Percentiles for Total Activity Counts in U.S. Adults.

Accelerometer-derived total activity count is a measure of total physical activity (PA) volume. The purpose of this study was to develop age- and gender-specific percentiles for daily total activity counts (TAC), minutes of moderate-to-vigorous physical activity (MVPA), and minutes of light physical activity (LPA) in U.S. adults. Waist-worn accelerometer data from the 2003-2006 National Health and Nutrition Examination Survey were used for this analysis. The sample included adults ≥ 20 years with ≥ 10 hours accelerometer wear time on ≥ 4 days (N = 6093). MVPA and LPA were defined as the number of 1-minute epochs with counts ≥ 2020 and 100 to 2019, respectively. TAC represented the activity counts acquired daily. TAC, MVPA, and LPA were averaged across valid days to produce a daily mean. Males in the 50th percentile accumulated 288 140 TAC/day, with 357 and 22 minutes/day spent in LPA and MVPA, respectively. The median for females was 235 741 TAC/ day, with 349 and 12 minutes/day spent in LPA and MVPA, respectively. Population-referenced TAC percentiles reflect the total volume of PA, expressed relative to other adults. This is a different approach to accelerometer data reduction that complements the current method of looking at time spent in intensity subcategories.

Direct and indirect relationships between physical activity and happiness levels among older adults: a cross-sectional study

Objectives: The purposes of this study were to examine if physical activity (PA) is associated to happiness and to investigate if social functioning and health status mediate this association.Method: Participants of this cross-sectional study were 323 men and women, age 60 or over, who were covered by the medical insurance of the French National Education System, France. They received by mail a self-report questionnaire that asked for information about general health, PA, and happiness.Results: In multinomial logistic regressions, the total volume of PA was associated to higher levels of happiness, but this association disappeared in the presence of social functioning. A structural equation modelling (SEM) showed an indirect association between PA and happiness, which was mediated by participants’ health status and social functioning; in this SEM model, social functioning was the only variable directly associated to happiness.Conclusion: Complex associations among PA, health status, and social functioning appear to determine happiness levels in older adults.

Relationship between objectively measured physical activity and cardiovascular aging in the general population – The EVIDENT trial

BackgroundAging has been associated with an increase in arterial stiffness. We analyzed the relationship between regular physical activity and cardiovascular aging evaluated by the radial augmentation index (rAIx), ambulatory arterial stiffness index (AASI), pulse pressure (PP) and heart age in subjects without atherosclerotic disease. MethodsA cross-sectional study was performed including 1365 subjects from the EVIDENT trial (mean age 54.9 ± 13.7 years; 60.3% women). As a measure of total volume of physical activity we used counts/minute recorded in an accelerometer (Actigraph GT3X) that participants wore for seven days, collecting data in 60-sec epochs, and respondents with ≥4 valid days were retained for the analysis. Arterial stiffness was evaluated using measures of rAIx, AASI, and central and peripheral PP on the B-pro device. rAIx was adjusted to 75 heart rate(rAIx75). Cardiovascular risk and heart age was estimated by the Framingham Risk Score. ResultsThe median (IQR) of counts/min was 236.9 (176.3–307.8), rAIx75 90 (77–100), sleep PP 40 mmHg (33–47), central PP 39 mmHg (32–47) and heart age 57 years (45–73) and the mean ± SD of the ASSI was 0.44 ± 0.07. We found an inverse correlation between counts/minute and rAIx75 (r = −0.086; p < 0.01), AASI (r = −0.146; p < 0.001), heart age (r = −0.163; p < 0.001) and peripherals PP. These associations were remained after controlling for potential confounders, except for rAIx75. In the multiple regression analysis, after adjustment, an inverse association persisted between counts/minute and AASI, sleep PP and heart age, but not with rAIx75. Accordingly, for every 100 higher counts/minute of accelerometer measures, both AASI and sleep PP would be lower by one measurement unit (beta = −0.979 and −1.031 respectively, p < 0.001) and the estimated heart age by half year (beta = −0.525, p = 0.023). ConclusionsRegular physical activity was inversely associated with parameters related to advanced cardiovascular aging after adjustment for potentially influencing variables.Trial registration: Clinical Trials.gov Identifier: NCT01083082.

Correlates of objectively measured physical activity in dogs

To increase physical activity (PA) levels in dogs and to better evaluate their energy requirements, there is a need to understand which factors or correlates are associated with PA and/or sedentary behaviour. Improving our understanding of these correlates also has implications for prescribed energy requirements in dogs. PA was measured using accelerometry in 62 dogs from two common breeds (Labrador retrievers and Cocker spaniels). Five potential correlates (age, sex, breed, neuter status, body condition score) were tested for associations with total volume of PA, light-moderate intensity PA, vigorous intensity PA and sedentary behaviour. Age and breed were associated with total volume of PA, light-moderate intensity PA and sedentary behaviour in the final models. Age was associated with vigorous intensity PA. The final models explained 60%, 40%, 63% and 44% of variance in total volume of PA, light-moderate intensity PA, vigorous intensity PA and sedentary behaviour, respectively. These results should improve understanding of the variation in energy requirements of dogs, as well as the development of age and breed-specific diets and the prevention and treatment of canine obesity.

Children, parents and pets exercising together (CPET): exploratory randomised controlled trial

BackgroundLevels of physical activity (PA) in UK children are much lower than recommended and novel approaches to its promotion are needed. The Children, Parents and Pets Exercising Together (CPET) study is the first exploratory randomised controlled trial (RCT) to develop and evaluate an intervention aimed at dog-based PA promotion in families. CPET aimed to assess the feasibility, acceptability and potential efficacy of a theory-driven, family-based, dog walking intervention for 9–11 year olds.MethodsTwenty-eight families were allocated randomly to either receive a 10-week dog based PA intervention or to a control group. Families in the intervention group were motivated and supported to increase the frequency, intensity and duration of dog walking using a number of behaviour change techniques. Parents in the intervention group were asked to complete a short study exit questionnaire. In addition, focus groups with parents and children in the intervention group, and with key stakeholders were undertaken. The primary outcome measure was 10 week change in total volume of PA using the mean accelerometer count per minute (cpm). Intervention and control groups were compared using analysis of covariance. Analysis was performed on an intention to treat basis.ResultsTwenty five families were retained at follow up (89%) and 97% of all outcome data were collected at baseline and follow up. Thirteen of 14 (93%) intervention group parents available at follow up completed the study exit questionnaire and noted that study outcome measures were acceptable. There was a mean difference in child total volume of PA of 27 cpm (95% CI -70, 123) and -3 cpm (95% CI -60, 54) for intervention and control group children, respectively. This was not statistically significant. Approximately 21% of dog walking time for parents and 39% of dog walking time for children was moderate-vigorous PA.ConclusionsThe acceptability of the CPET intervention and outcome measures was high. Using pet dogs as the agent of lifestyle change in PA interventions in children and their parents is both feasible and acceptable, but did not result in a significant increase in child PA in this exploratory trial.Trial registrationISRCTN85939423

Associations between objectively measured physical activity and academic attainment in adolescents from a UK cohort

BackgroundTo test for cross-sectional (at age 11) and longitudinal associations between objectively measured free-living physical activity (PA) and academic attainment in adolescents.Method Data from 4755 participants (45% male) with valid...

Associations between obesity and physical activity in dogs: a preliminary investigation

To assess whether obesity has any association with objectively measured physical activity levels in dogs. Thirty-nine dogs wore Actigraph GT3X accelerometers (Actigraph) for 7 consecutive days. Each dog was classified as ideal weight, overweight or obese using the 5-point body condition scoring system. Total volume of physical activity and time spent in sedentary behaviour, light-moderate intensity physical activity and vigorous intensity physical activity were compared between body condition categories. Valid accelerometry data were returned for 35 of 39 dogs recruited. Eighteen dogs were classed as ideal weight, 9 as overweight and the remaining 8 as obese. All dogs spent a significant proportion of the day sedentary and obese dogs spent significantly less time in vigorous intensity physical activity than ideal weight dogs (7 ±3 minute/day versus 21 ±15 minute/day, P=0·01). Obesity is associated with lower vigorous intensity physical activity in dogs, as is also thought to occur in humans. These preliminary findings will help inform a future, larger study and may also improve our understanding of the associations between obesity and physical activity in dogs.

Associations between executive attention and objectively measured physical activity in adolescence: Findings from ALSPAC, a UK cohort

Studies of relationships between physical activity and children's attention skills are often constrained by small samples, lack of objective measurements and lack of control for confounders. The present study explores the relationship using objective measures of physical activity from a large birth cohort which permits both longitudinal and cross-sectional analyses. Data from 4755 participants (45% male) with valid measurement of physical activity (total volume and intensity) by accelerometry at age 11 from the Avon Longitudinal Study of Parents and Children (UK) were analysed. Attention was evaluated by the Test of Everyday Attention for Children (TEA-Ch) at 11 years and by the Cognitive Drug Research (CDR) computerised cognitive assessment system at 13 years. Males engaged in an average of 29 min (SD 17) of daily moderate-to-vigorous physical activity (MVPA) at age 11 years compared with 18 min (SD 12) among females. In unadjusted models, higher total volume of physical activity was associated with lower performance across attention tasks. When total volume of physical activity and potential confounding variables were controlled for, higher MVPA was associated with better performance at both 11 and 13 years. Correction for regression dilution approximately doubled the standardised β coefficients. We observed complex associations but results suggest that MVPA may be beneficial for attention processes in adolescence, especially in males. This has implications for interventions aimed at improving executive attention but may also be supportive of the benefits of physical activity for educational and mental health outcomes.

Relationship between physical activity and the incidence of metabolic syndrome in Chinese adults: a prospective cohort study

To investigate the association between physical activity (PA) and the incidence of metabolic syndrome (MS) in Chinese adults. Data on PA and other variables were obtained at the baseline examination of China Multi-center study of Cardiovascular Epidemiology in 1998 and of International Collaborative study of Cardiovascular Disease in Asia(InterASIA) during 2000 - 2001. Follow-up study was conducted in 2007 - 2008. A total of 11 512 Chinese adults aged 35 - 74 years (5563 men and 5949 women) were included in the final data analysis. Information on demographics, PA, smoking and alcohol consumption were obtained and components of MS were examined. Participants were divided into four groups according to quartile of total metabolic equivalent (MET) values per day. In addition, subjects were grouped into the following categories according to occupational PA: inactive, light, moderate and vigorous. Binary logistic model was used to examine the association between PA and the incidence of MS. A total of 2527 cases with MS were documented during an average following up of 8.1 years. The annual incidence rate of MS was 2.71% (2527/93 178.68). After multivariate logistic regression analysis, compared with participants with total PA volume < 32.0 MET×h×d(-1) (annual incidence rate was 3.19% (697/21 830.74)), the RR (95%CI) value of participants with total PA volume during 32.00 - 37.85, 37.86 - 52.29, and ≥ 52.30 MET×h×d(-1) was 1.05(0.92 - 1.19), 0.98(0.86 - 1.12), and 0.68(0.59 - 0.80), respectively (χ(2)trend = 34.23, P < 0.05), with corresponding annual incidence rates of 2.82% (690/24 504.25), 2.73% (661/24 179.36) and 2.11% (479/22 664.33). In addition, compared to inactive occupational PA (annual incidence rate was 2.76% (402/14 588.33)), the corresponding RR (95%CI) value was 0.80 (0.69 - 0.92), 0.70 (0.59 - 0.82), and 0.54 (0.45 - 0.65) (χ(2)trend = 42.34, P < 0.05), and the annual incidence rates were 2.86% (648/22 663.41), 2.40% (455/18 956.14) and 1.89% (344/18 173.86) in participants with light, moderate and vigorous occupational PA, respectively. Both increased total PA volume and occupational PA intensity are significantly associated with decreased risk of incidence of MS.

Cardiovascular Risk of High- Versus Moderate-Intensity Aerobic Exercise in Coronary Heart Disease Patients

Exercise performed at higher relative intensities has been found to elicit a greater increase in aerobic capacity and greater cardioprotective effects than exercise at moderate intensities. An inverse association has also been detected between the relative intensity of physical activity and the risk of developing coronary heart disease, independent of the total volume of physical activity. Despite that higher levels of physical activity are effective in reducing cardiovascular events, it is also advocated that vigorous exercise could acutely and transiently increase the risk of sudden cardiac death and myocardial infarction in susceptible persons. This issue may affect cardiac rehabilitation. We examined the risk of cardiovascular events during organized high-intensity interval exercise training and moderate-intensity training among 4846 patients with coronary heart disease in 3 Norwegian cardiac rehabilitation centers. In a total of 175 820 exercise training hours during which all patients performed both types of training, we found 1 fatal cardiac arrest during moderate-intensity exercise (129 456 exercise hours) and 2 nonfatal cardiac arrests during high-intensity interval exercise (46 364 exercise hours). There were no myocardial infarctions in the data material. Because the number of high-intensity training hours was 36% of the number of moderate-intensity hours, the rates of complications to the number of patient-exercise hours were 1 per 129 456 hours of moderate-intensity exercise and 1 per 23 182 hours of high-intensity exercise. The results of the current study indicate that the risk of a cardiovascular event is low after both high-intensity exercise and moderate-intensity exercise in a cardiovascular rehabilitation setting. Considering the significant cardiovascular adaptations associated with high-intensity exercise, such exercise should be considered among patients with coronary heart disease.

Dolor de espalda y limitación de la actividad física cotidiana en la población adulta española

Low back pain is a widespread health problem that affects a great part of the Spanish adult population; it also places a constraint on developing activities of daily living. The aim of this paper is to estimate the association between daily physical activity and chronic back pain in Spain. This paper analyses data from the European Health Survey in Spain 2009; it presents a cross sectional epidemiological study designed to assess the health of the Spanish population, in which 22,188 people participated (10,876 men and 11,312 women over 16 years ), representative of the total Spanish population. The variables studied are: back pain indicators obtained from the European Health Status Module and the European Health Care Module included in this survey, and the daily physical activity pattern obtained from the European Module of Health Determinants. The total volume of daily physical activity is similar in healthy people and those who have back pain, but a pattern of low or moderate intensity in people with chronic back pain in the last twelve months (p <0.01) was observed with greater frequency. People with chronic back pain do not show a lower volume of physical activity, but their physical activity pattern is often low or moderate. Developing a vigorous pattern of physical activity should be considered not only as a strategy to prevent this disease, but also as a therapeutic target in these patients.

Physical Activity, Sedentary Behavior, and Adiposity in English Children

The importance of variation in total volume of physical activity or moderate- to vigorous-intensity physical activity (MVPA) to development of body fatness in childhood is unclear, and it is unclear if physical activity has a greater influence on adiposity in boys than girls. To assess relationships between 2-year changes in objectively measured physical activity, sedentary behavior, and adiposity in English children. Prospective cohort study, set in Northeast England, of a socioeconomically representative sample of 403 children. Measures were change in accelerometer-determined physical activity and sedentary behavior from age 7 to 9 years (data collected 2006/2007 and 2008/2009; analyzed in 2010) and concurrent change in adiposity (fat mass index derived from bioelectric impedance) and change in BMI Z-score. Decline in MVPA was associated with a greater increase in fat mass index in boys but not girls. Declining MVPA was associated with increased BMI Z-score in boys but not girls. Increased sedentary behavior was not associated with increased BMI Z-score in either gender. Avoiding mid-late childhood reductions in MVPA may reduce excessive fat gain, although such strategies may have greater impact on boys than girls.

Lower Conditioning Leisure-Time Physical Activity in Young Adults Born Preterm at Very Low Birth Weight

BackgroundAdults born preterm at very low birth weight (VLBW, <1500 g) have elevated levels of risk factors for cardiovascular diseases and type 2 diabetes. Preliminary observations suggest that this could partly be explained by lower rates of physical activity. The aim of this study was to assess physical activity in healthy young adults born preterm at very low birth weight compared with term-born controls.Methodology/Principal FindingsWe studied 94 unimpaired young adults, aged 21–29 years, born at VLBW and 101 age-, sex-, and birth hospital-matched term-born controls from one regional center in Southern Finland. The participants completed a validated 30-item 12-month physical activity questionnaire and the NEO-Personality Inventory based on the Big Five taxonomy, the most commonly used classification of personality traits. Yearly frequency, total time, total volume and energy expenditure of conditioning and non-conditioning leisure-time physical activity (LTPA) and commuting physical activity were compared between VLBW and term-born subjects. A subset of participants underwent dual-energy x-ray absorptiometry for body composition measurement. Data were analyzed by multiple linear regression. Compared with controls, VLBW participants had lower frequency [−38.5% (95% CI; −58.9, −7.7)], total time [−47.4% (95% CI; −71.2, −4.1)], total volume [−44.3% (95% CI; −65.8, −9.2)] and energy expenditure [−55.9% (95% CI; −78.6, −9.4)] of conditioning LTPA when adjusted for age, sex, body mass index, smoking, parental education and personality traits. Adjusting for lean body mass instead of body mass index attenuated the difference. There were no differences in non-conditioning LTPA or commuting physical activity.Conclusions/SignificanceCompared with term-born controls, unimpaired VLBW adults undertake less frequent LTPA with lower total time and volume of exercise resulting in lower energy expenditure. Differences in personality that exist between the VLBW and term-born groups do not seem to explain this association.