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A comparison of subjective and objective measures of physical activity and fitness in identifying associations with cardiometabolic risk factors

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Schmidt, MD and Cleland, VJ and Thomson, RJ and Dwyer, T and Venn, AJ (2008) A comparison of subjective and objective measures of physical activity and fitness in identifying associations with cardiometabolic risk factors. Annals of Epidemiology, 18 (5). pp. 378-386. ISSN 1047-2797

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Abstract

PURPOSE: To compare the ability of alternative measures of physical activity and fitness to quantify associations with health outcomes. METHODS: Associations between a range of subjective and objective physical activity and fitness measures and cardiometabolic risk factors were examined using data from 1,631 Australians aged 26-36 years. Anthropometry, fitness, blood pressure, and fasting blood glucose, insulin, and lipids were measured at study clinics. Participants completed the International Physical Activity Questionnaire (IPAQ) and 7-day pedometer diaries; they also reported sedentary behavior (sitting, television viewing). RESULTS: In men and women, associations were strongest for fitness, with those in the highest (vs. lowest) fitness quarter having a 75% to 80% lower prevalence of two or more primary risk factors (waist circumference, high-density lipoprotein cholesterol, and insulin resistance). In men, a 60% to 70% reduced prevalence of two or more risk factors was observed across extreme quarters of IPAQ leisure, IPAQ vigorous, sitting duration, and pedometer measures. Similar reductions in prevalence were observed only across extreme quarters of pedometer activity and television viewing in women. CONCLUSIONS: Associations between alternative measures and cardiometabolic risk were relatively independent, suggesting that a range of physical activity and fitness measures may be needed to most accurately quantify associations between physical activity and health.

Item Type: Article
Journal or Publication Title: Annals of Epidemiology
Page Range: pp. 378-386
ISSN: 1047-2797
Identification Number - DOI: 10.1016/j.annepidem.2008.01.005
Additional Information: The definitive version is available at http://www.sciencedirect.com
Date Deposited: 04 Jun 2008 23:07
Last Modified: 18 Nov 2014 03:41
URI: http://eprints.utas.edu.au/id/eprint/6617
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