Purpose
Physical activity recommendations are defined in terms of time spent being physically active (e.g., 30 minutes brisk walking, five days a week). However, walking volume may be more naturally assessed by distance than time. Analyses were therefore performed to test whether time or distance provide the best metric for relating walking volume to estimated total and regional adiposity.
Methods
Linear and logistic regression analyses were used to relate exercise dose to body mass index (BMI), body circumferences, and obesity in a cross-sectional sample of 12,384 female and 3,434 male walkers who reported both usual distance walked and time spent walking per week on survey questionnaires. Metabolic equivalent hours per day (METhr/d, 1 MET=3.5 ml O2•kg−1•min−1) were calculated from the time and pace, or distance and pace, using published compendium values. Results: Average METhr/d walked was 37% greater when calculated from time spent walking vs. usual distance in women, and 31% greater in men. Per METhr/d, declines in BMI and circumferences (slope±SE) were nearly twice as great, or greater, for distance- vs. time-derived estimates for kg/m2 of BMI (females: −0.58±0.03 vs. −0.31±0.02; males: −0.35±0.04 vs. −0.15±0.02), cm of waist circumference (females: −1.42±0.07 vs. −0.72±0.04; males: −0.96±0.10 vs. −0.45±0.07), and reductions in the odds for total obesity (odds ratio, females: 0.72 vs. 0.84; males: 0.84 vs. 0.92), and abdominal obesity (females: 0.74 vs. 0.85; males: 0.79 vs. 0.91, all comparisons significant).
Conclusion
Distance walked may provide a better metric of walking volume for epidemiologic obesity research, and better public health targets for weight control, than walking duration. Additional research is required to determine whether these results, derived in a sample that regularly walks for exercise, apply more generally.