10-year Changes In Accelerometer-determined Physical Activity And Sedentary Time During Midlife

Gabriel, Kelley Pettee; Sidney, Steve; Jacobs, David R; Carnethon, Mercedes R.; Lewis, Cora E.; Schreiner, Pamela J; Malkani, Raja; Shikany, James M.; Whitaker, Kara M.; Reis, Jared P.; Sternfeld, Barbara

doi:10.1249/01.mss.0000537179.18700.03

Cited by 2 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Black women reported the lowest physical activity levels from young adulthood through midlife. While young men start with high average physical activity levels, these levels persistently decline through young adulthood, with further declines among Black men through midlife, similar to previously reported patterns [21,27]. In terms of disparities in premature CVD events, we found that Black populations had the highest incidence of premature heart failure and stroke events while men had the highest incidence of premature CHD events, similar to known race disparities in CVD including CHD and stroke [1,28,29].…”

Section: Discussionsupporting

confidence: 87%

“…For reference, a physical activity score of 300 EU approximates the HHS recommendations of approximately 150 minutes of moderate-intensity activity per week [18,19]. Convergent validity of the CARDIA Physical Activity History questionnaire has been established using report-based measures, including physical activity diaries and detailed quantitative recall questionnaires [14,17,20] and accelerometers [20][21][22]. The CARDIA physical activity questionnaire demonstrated test-retest reliability of 0.77-0.84 [17], similar to other activity questionnaires [14].…”

Section: Physical Activitymentioning

confidence: 99%

See 1 more Smart Citation

Physical activity from young adulthood to middle age and premature cardiovascular disease events: a 30-year population-based cohort study

Vittinghoff

Gabriel

Rana

et al. 2022

Int J Behav Nutr Phys Act

Self Cite

View full text Add to dashboard Cite

Background Although physical activity is generally protective of cardiovascular disease (CVD), less is known about how young adult physical activity relates to premature CVD events. The objective of this study was to determine the association between level and change in physical activity from young adulthood to middle age and incidence of premature CVD events before age 60. Methods We analyzed data collected across four urban sites from nine visits over 30 years of follow-up (1985–2016) from the Coronary Artery Risk Development in Young Adults (CARDIA) study, a prospective community-based cohort study of 5115 Black and White women and men aged 18–30 years at baseline (1985–1986). Linear mixed models were used to develop individualized moderate-to-vigorous intensity self-reported physical activity trajectories per participant. Fatal and nonfatal coronary heart disease (CHD), heart failure, and stroke outcomes were analyzed separately and as a combined CVD event outcome. Results Overall, physical activity declined in young adults as they progressed through middle age. Lower physical activity scores (per 100 exercise units) in 18 year-olds were associated with higher odds of premature CHD (AOR 1.14, 95% CI 1.02–1.28), heart failure (AOR 1.21, 95% CI 1.05–1.38), stroke (AOR 1.20, 95% CI 1.04–1.39), and any CVD (AOR 1.15, 95% CI 1.06–1.24) events. Each additional annual 1-unit reduction in the physical activity score was associated with a higher annual odds of incident heart failure (1.07, 95% CI 1.02–1.13), stroke (1.06, 95% CI 1.00–1.13), and CVD (1.04, 95% CI 1.01–1.07) events. Meeting the minimum (AOR 0.74, 95% CI 0.0.57–0.96) and twice the minimum (AOR 0.55, 95% CI 0.34–0.91) Department of Health and Human Services physical activity guidelines through follow up was protective of premature CVD events. Conclusions Given recent trends in declining physical activity with age and associated premature CVD events, the transition from young adult to midlife is an important time period to promote physical activity.

show abstract

Section: Discussionsupporting

confidence: 87%

Section: Physical Activitymentioning

confidence: 99%

Physical activity from young adulthood to middle age and premature cardiovascular disease events: a 30-year population-based cohort study

Vittinghoff

Gabriel

Rana

et al. 2022

Int J Behav Nutr Phys Act

Self Cite

View full text Add to dashboard Cite

show abstract

“…Recent self-report data from three national surveys (i.e., 2015 BRFSS, 2011-2014 NHANES, and 2014 NHIS) [25] indicated that only 27% to 40% of AA met national PA guidelines. Objectively-measured PA estimates from 2003-2004 NHANES [26] and other large cohort studies (i.e., REGARDS [27] and CARDIA [28]) reflect similar trends.…”

Section: Introductionmentioning

confidence: 63%

Rationale and design of Smart Walk: A randomized controlled pilot trial of a smartphone-delivered physical activity and cardiometabolic risk reduction intervention for African American women

Joseph

Ainsworth

Vega‐López

et al. 2019

Contemporary Clinical Trials

View full text Add to dashboard Cite

Background.-African American (AA) women perform low levels of physical activity (PA) and are disproportionally burdened by cardiometabolic disease conditions when compared to White women and the U.S. population as a whole. These disparities emphasize the need for innovative and effective interventions to increase PA and reduce cardiometabolic disease risk among AA women. Recent evidence suggests that mobile health (mHealth) interventions have the potential to increase PA and reduce cardiometabolic disease risk factors. Few studies have examined the efficacy of mHealth PA interventions among racial/ethnic minorities, including AA women. This represents a missed opportunity given the reported success of technology-delivered PA interventions in predominately White populations and the high use of technology among AA women. Objective.-To describe the design, theoretical rationale, and cultural relevance of Smart Walk, a culturally sensitive smartphone-delivered PA intervention for AA women.

show abstract

10-year Changes In Accelerometer-determined Physical Activity And Sedentary Time During Midlife

Cited by 2 publications

References 0 publications

Physical activity from young adulthood to middle age and premature cardiovascular disease events: a 30-year population-based cohort study

Physical activity from young adulthood to middle age and premature cardiovascular disease events: a 30-year population-based cohort study

Rationale and design of Smart Walk: A randomized controlled pilot trial of a smartphone-delivered physical activity and cardiometabolic risk reduction intervention for African American women

Contact Info

Product

Resources

About