Muscle strengthening, aerobic exercise, and obesity: a pooled analysis of 1.7 million US adults

Bennie, Jason A. ORCID: https://orcid.org/0000-0002-8668-8998 and De Cocker, Katrien and Pavey, Toby and Stamatakis, Emmanuel and Biddle, Stuart J. H. ORCID: https://orcid.org/0000-0002-7663-6895 and Ding, Ding (2020) Muscle strengthening, aerobic exercise, and obesity: a pooled analysis of 1.7 million US adults. Obesity, 28 (2). pp. 371-378. ISSN 1930-7381


Abstract

Objective: Both aerobic physical activity and muscle-strengthening exercise are recommended for obesity prevention. However, at the population level, the independent and/or combined associations of these physical activity modalities with obesity are unknown. The aim of this study was to examine the associations between aerobic physical activity and muscle-strengthening exercise with obesity among a representative sample of adults.

Methods: Data were pooled from four US public health surveillance surveys from 2011 to 2017. Cross-sectional associations between adherence to the aerobic physical activity (≥ 150 min/wk) and muscle-strengthening exercise (≥ 2 times/wk) guidelines with different classes of BMI-defined obesity were examined using Poisson regression. Prevalence ratios are reported as both unadjusted and adjusted for sociodemographic and lifestyle characteristics.

Results: Data were available for 1,677,108 adults (≥ 18 years old). Compared with meeting neither guideline (reference category), meeting both guidelines was associated with the lowest adjusted prevalence ratios (APRs) for the following: Class I obesity and above (BMI ≥ 30.0 kg/m2), APR = 0.54 (95% CI: 0.53-0.54); Class II obesity and above (BMI ≥ 35.0 kg/m2), APR = 0.32 (95% CI: 0.31-0.33); and Class III obesity and above (BMI ≥ 40.0 kg/m2), APR = 0.21 (95% CI: 0.20-0.21).

Conclusions: Among nearly 1.7 million US adults, meeting both aerobic and muscle-strengthening exercise guidelines was associated with a lower obesity prevalence, and associations were more pronounced for higher obesity classes.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Permanent restricted access to Published version, in accordance with the copyright policy of the publisher.
Faculty/School / Institute/Centre: Historic - Institute for Resilient Regions - Centre for Health, Informatics and Economic Research (1 Aug 2018 - 31 Mar 2020)
Faculty/School / Institute/Centre: Historic - Institute for Resilient Regions - Centre for Health, Informatics and Economic Research (1 Aug 2018 - 31 Mar 2020)
Date Deposited: 16 Mar 2020 02:53
Last Modified: 08 May 2020 01:58
Uncontrolled Keywords: public health, social medicine and epidemiology; rehabilitation and physical medicine
Fields of Research (2008): 11 Medical and Health Sciences > 1106 Human Movement and Sports Science > 110602 Exercise Physiology
Identification Number or DOI: https://doi.org/10.1002/oby.22673
URI: http://eprints.usq.edu.au/id/eprint/38078

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