Bidirectional associations of accelerometer-derived physical activity and stationary behavior with self-reported mental and physical health during midlife
Abstract 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-e...
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doaj-8e0b1f96ce7241f2b8f91c88bd868b2e2021-06-06T11:31:37ZengBMCInternational Journal of Behavioral Nutrition and Physical Activity1479-58682021-06-0118111110.1186/s12966-021-01145-4Bidirectional associations of accelerometer-derived physical activity and stationary behavior with self-reported mental and physical health during midlifeBethany Barone Gibbs0Barbara Sternfeld1Kara M. Whitaker2Jennifer S. Brach3Andrea L. Hergenroeder4David R. Jacobs5Jared P. Reis6Stephen Sidney7Daniel White8Kelley Pettee Gabriel9Department of Health and Human Development, University of PittsburghKaiser Permanente Northern CaliforniaUniversity of IowaDepartment of Health and Human Development, University of PittsburghDepartment of Health and Human Development, University of PittsburghUniversity of MinnesotaNational Heart Lung and Blood InstituteKaiser Permanente Northern CaliforniaUniversity of DelawareUniversity of Alabama at BirminghamAbstract 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.https://doi.org/10.1186/s12966-021-01145-4Physical activitySedentary behaviorSelf-rated healthCohort study |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Bethany Barone Gibbs Barbara Sternfeld Kara M. Whitaker Jennifer S. Brach Andrea L. Hergenroeder David R. Jacobs Jared P. Reis Stephen Sidney Daniel White Kelley Pettee Gabriel |
spellingShingle |
Bethany Barone Gibbs Barbara Sternfeld Kara M. Whitaker Jennifer S. Brach Andrea L. Hergenroeder David R. Jacobs Jared P. Reis Stephen Sidney Daniel White Kelley Pettee Gabriel Bidirectional associations of accelerometer-derived physical activity and stationary behavior with self-reported mental and physical health during midlife International Journal of Behavioral Nutrition and Physical Activity Physical activity Sedentary behavior Self-rated health Cohort study |
author_facet |
Bethany Barone Gibbs Barbara Sternfeld Kara M. Whitaker Jennifer S. Brach Andrea L. Hergenroeder David R. Jacobs Jared P. Reis Stephen Sidney Daniel White Kelley Pettee Gabriel |
author_sort |
Bethany Barone Gibbs |
title |
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_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_sort |
bidirectional associations of accelerometer-derived physical activity and stationary behavior with self-reported mental and physical health during midlife |
publisher |
BMC |
series |
International Journal of Behavioral Nutrition and Physical Activity |
issn |
1479-5868 |
publishDate |
2021-06-01 |
description |
Abstract 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. |
topic |
Physical activity Sedentary behavior Self-rated health Cohort study |
url |
https://doi.org/10.1186/s12966-021-01145-4 |
work_keys_str_mv |
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