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Bidirectional associations of accelerometer-derived physical activity and stationary behavior with self-reported mental and physical health during midlife

BACKGROUND: Moderate-to-vigorous intensity physical activity (MVPA) is associated with favorable self-rated mental and physical health. Conversely, poor self-rated health in these domains could precede unfavorable shifts in activity. We evaluated bidirectional associations of accelerometer-estimated...

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Autores principales: Barone Gibbs, Bethany, Sternfeld, Barbara, Whitaker, Kara M., Brach, Jennifer S., Hergenroeder, Andrea L., Jacobs, David R., Reis, Jared P., Sidney, Stephen, White, Daniel, Pettee Gabriel, Kelley
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8180096/
https://www.ncbi.nlm.nih.gov/pubmed/34090471
http://dx.doi.org/10.1186/s12966-021-01145-4
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author Barone Gibbs, Bethany
Sternfeld, Barbara
Whitaker, Kara M.
Brach, Jennifer S.
Hergenroeder, Andrea L.
Jacobs, David R.
Reis, Jared P.
Sidney, Stephen
White, Daniel
Pettee Gabriel, Kelley
author_facet Barone Gibbs, Bethany
Sternfeld, Barbara
Whitaker, Kara M.
Brach, Jennifer S.
Hergenroeder, Andrea L.
Jacobs, David R.
Reis, Jared P.
Sidney, Stephen
White, Daniel
Pettee Gabriel, Kelley
author_sort Barone Gibbs, Bethany
collection PubMed
description BACKGROUND: Moderate-to-vigorous intensity physical activity (MVPA) is associated with favorable self-rated mental and physical health. Conversely, poor self-rated health in these domains could precede unfavorable shifts in activity. We evaluated bidirectional associations of accelerometer-estimated time spent in stationary behavior (SB), light intensity physical activity (LPA), and MVPA with self-rated health over 10 years in in the CARDIA longitudinal cohort study. METHODS: Participants (n = 894, age: 45.1 ± 3.5; 63% female; 38% black) with valid accelerometry wear and self-rated health at baseline (2005–6) and 10-year follow-up (2015–6) were included. Accelerometry data were harmonized between exams and measured mean total activity and duration (min/day) in SB, LPA, and MVPA; duration (min/day) in long-bout and short-bout SB (≥30 min vs. < 30 min) and MVPA (≥10 min vs. < 10 min) were also quantified. The Short-Form 12 Questionnaire measured both a mental component score (MCS) and physical component score (PCS) of self-rated health (points). Multivariable linear regression associated baseline accelerometry variables with 10-year changes in MCS and PCS. Similar models associated baseline MCS and PCS with 10-year changes in accelerometry measures. RESULTS: Over 10-years, average (SD) MCS increased 1.05 (9.07) points, PCS decreased by 1.54 (7.30) points, and activity shifted toward greater SB and less mean total activity, LPA, and MVPA (all p < 0.001). Only baseline short-bout MVPA was associated with greater 10-year increases in MCS (+ 0.92 points, p = 0.021), while baseline mean total activity, MVPA, and long-bout MVPA were associated with greater 10-year changes in PCS (+ 0.53 to + 1.47 points, all p < 0.005). In the reverse direction, higher baseline MCS and PCS were associated with favorable 10-year changes in mean total activity (+ 9.75 cpm, p = 0.040, and + 15.66 cpm, p < 0.001, respectively) and other accelerometry measures; for example, higher baseline MCS was associated with − 13.57 min/day of long-bout SB (p < 0.001) and higher baseline PCS was associated with + 2.83 min/day of MVPA (p < 0.001) in fully adjusted models. CONCLUSIONS: The presence of bidirectional associations between SB and activity with self-rated health suggests that individuals with low overall activity levels and poor self-rated health are at high risk for further declines and supports intervention programming that aims to dually increase activity levels and improve self-rated health. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12966-021-01145-4.
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spelling pubmed-81800962021-06-07 Bidirectional associations of accelerometer-derived physical activity and stationary behavior with self-reported mental and physical health during midlife Barone Gibbs, Bethany Sternfeld, Barbara Whitaker, Kara M. Brach, Jennifer S. Hergenroeder, Andrea L. Jacobs, David R. Reis, Jared P. Sidney, Stephen White, Daniel Pettee Gabriel, Kelley Int J Behav Nutr Phys Act Research BACKGROUND: Moderate-to-vigorous intensity physical activity (MVPA) is associated with favorable self-rated mental and physical health. Conversely, poor self-rated health in these domains could precede unfavorable shifts in activity. We evaluated bidirectional associations of accelerometer-estimated time spent in stationary behavior (SB), light intensity physical activity (LPA), and MVPA with self-rated health over 10 years in in the CARDIA longitudinal cohort study. METHODS: Participants (n = 894, age: 45.1 ± 3.5; 63% female; 38% black) with valid accelerometry wear and self-rated health at baseline (2005–6) and 10-year follow-up (2015–6) were included. Accelerometry data were harmonized between exams and measured mean total activity and duration (min/day) in SB, LPA, and MVPA; duration (min/day) in long-bout and short-bout SB (≥30 min vs. < 30 min) and MVPA (≥10 min vs. < 10 min) were also quantified. The Short-Form 12 Questionnaire measured both a mental component score (MCS) and physical component score (PCS) of self-rated health (points). Multivariable linear regression associated baseline accelerometry variables with 10-year changes in MCS and PCS. Similar models associated baseline MCS and PCS with 10-year changes in accelerometry measures. RESULTS: Over 10-years, average (SD) MCS increased 1.05 (9.07) points, PCS decreased by 1.54 (7.30) points, and activity shifted toward greater SB and less mean total activity, LPA, and MVPA (all p < 0.001). Only baseline short-bout MVPA was associated with greater 10-year increases in MCS (+ 0.92 points, p = 0.021), while baseline mean total activity, MVPA, and long-bout MVPA were associated with greater 10-year changes in PCS (+ 0.53 to + 1.47 points, all p < 0.005). In the reverse direction, higher baseline MCS and PCS were associated with favorable 10-year changes in mean total activity (+ 9.75 cpm, p = 0.040, and + 15.66 cpm, p < 0.001, respectively) and other accelerometry measures; for example, higher baseline MCS was associated with − 13.57 min/day of long-bout SB (p < 0.001) and higher baseline PCS was associated with + 2.83 min/day of MVPA (p < 0.001) in fully adjusted models. CONCLUSIONS: The presence of bidirectional associations between SB and activity with self-rated health suggests that individuals with low overall activity levels and poor self-rated health are at high risk for further declines and supports intervention programming that aims to dually increase activity levels and improve self-rated health. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12966-021-01145-4. BioMed Central 2021-06-06 /pmc/articles/PMC8180096/ /pubmed/34090471 http://dx.doi.org/10.1186/s12966-021-01145-4 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Barone Gibbs, Bethany
Sternfeld, Barbara
Whitaker, Kara M.
Brach, Jennifer S.
Hergenroeder, Andrea L.
Jacobs, David R.
Reis, Jared P.
Sidney, Stephen
White, Daniel
Pettee Gabriel, Kelley
Bidirectional associations of accelerometer-derived physical activity and stationary behavior with self-reported mental and physical health during midlife
title Bidirectional associations of accelerometer-derived physical activity and stationary behavior with self-reported mental and physical health during midlife
title_full Bidirectional associations of accelerometer-derived physical activity and stationary behavior with self-reported mental and physical health during midlife
title_fullStr Bidirectional associations of accelerometer-derived physical activity and stationary behavior with self-reported mental and physical health during midlife
title_full_unstemmed Bidirectional associations of accelerometer-derived physical activity and stationary behavior with self-reported mental and physical health during midlife
title_short Bidirectional associations of accelerometer-derived physical activity and stationary behavior with self-reported mental and physical health during midlife
title_sort bidirectional associations of accelerometer-derived physical activity and stationary behavior with self-reported mental and physical health during midlife
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8180096/
https://www.ncbi.nlm.nih.gov/pubmed/34090471
http://dx.doi.org/10.1186/s12966-021-01145-4
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