Document Type
Article
Publication Date
12-1-2021
Identifier
DOI: 10.1016/j.pmedr.2021.101655; PMCID: PMC8684028
Abstract
Objective: Examine cross-sectional and longitudinal associations of accelerometer measured step volume (steps/day) and cadence with adiposity and six-year changes in adiposity in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL).
Methods: HCHS/SOL's target population was 60% female with a mean age of 41 years. Cross-sectional (n = 12,353) and longitudinal analyses (n = 9,077) leveraged adjusted complex survey regression models to examine associations between steps/day, and cadence with weight (kg), waist circumference (cm) and body mass index (kg/m2). Effect measure modification by covariates was examined.
Results: Lower steps/day and intensity was associated with higher adiposity at baseline. Compared to those in the highest quartile of steps/day those in the lowest quartile have 1.42 95% CI (1.19, 1.70) times the odds of obesity. Compared to those in the highest categories of cadence step-based metrics, those in the lowest categories had a 1.62 95% CI (1.36, 1.93), 2.12 95% CI (1.63, 2.75) and 1.41 95% CI (1.16, 1.70) odds of obesity for peak 30-minute cadence, brisk walking and faster ambulation and bouts of purposeful steps and faster ambulation, respectively. Compared to those with the highest stepping cadences, those with the slowest peak 30-minute cadence and fewest minutes in bouts of purposeful steps and faster ambulation had 0.72 95% CI (0.57, 0.89) and 0.82 95% CI (0.60, 1.14) times the odds of gaining weight, respectively.
Conclusion: Inverse cross-sectional relationships were found for steps/day and cadence and adiposity. Over a six-year period, higher step intensity but not volume was associated with higher odds of gaining weight.
Journal Title
Prev Med Rep
Volume
24
First Page
101655
Last Page
101655
Keywords
Adiposity; Physical activity; Sedentary behavior; Step-based metrics
Recommended Citation
Schilsky S, Sotres-Alvarez D, Rosamond WD, et al. The association of Step-based metrics and adiposity in the Hispanic community Health Study/Study of Latinos. Prev Med Rep. 2021;24:101655. Published 2021 Dec 1. doi:10.1016/j.pmedr.2021.101655
Comments
This article is available under the Creative Commons CC-BY-NC-ND license and permits non-commercial use of the work as published, without adaptation or alteration provided the work is fully attributed.
Publisher's Link: https://www.sciencedirect.com/science/article/pii/S2211335521003466?via%3Dihub