Association of meeting both muscle strengthening and aerobic exercise guidelines with prevalent overweight and obesity classes - results from a nationally representative sample of German adults

Tittlbach, Susanne A. and Hoffman, Sacha W. and Bennie, Jason A. ORCID: https://orcid.org/0000-0002-8668-8998 (2021) Association of meeting both muscle strengthening and aerobic exercise guidelines with prevalent overweight and obesity classes - results from a nationally representative sample of German adults. European Journal of Sport Science. ISSN 1746-1391

Text (Accepted Version) Tittlbach-2021-Association-of-meeting-both-mus.pdf Restricted - Available after 1 February 2022.

Abstract

Objectives: German national physical activity guidelines specify adults (>= 18 years) should engage in at least: (i) 150 min of aerobic moderate-to-vigorous-intensity physical activity/week (MVPA); and (ii) muscle-strengthening exercise (MSE) 2 days/week. However, the relationship between MVPA and MSE and overweight/obesity has not been examined among German adults. Aim of this study was to examine whether meeting the guidelines for both MVPA and MSE is associated with a lower prevalence of overweight/obesity compared to meeting MVPA or MSE alone or none of them, among a nationally representative sample of German adults.

Methods: The cross-sectional study drew data from the 2014 German Health Update (GEDA) (n=22,822; >= 18 years). Physical activity (MVPA-MSE), height/weight, socio-demographic, health and lifestyle factors were assessed by self-report via validated questionnaires. Generalized linear models with Poisson regression were used to assess prevalence ratios of Body Mass Index-derived (BMI) overweight/obesity across categories of physical activity guideline adherence (met neither; MSE only; MVPA only; met both).

Results: Compared to other physical activity groups, meeting both the MVPA-MSE guidelines was associated with the lowest prevalence rate of overweight/obesity (Adjusted Prevalence Ratios [APR] range: 0.25-0.73). Associations between BMI and physical activity were strongest among Class II obesity (APR range: 0.25-0.45). The associations remained consistent after adjusting sociodemographic and lifestyle factors.

Conclusions: Meeting the combined MVPA-MSE guideline, as suggested in the German national physical activity recommendations, showed the lowest overweight/obesity prevalence. Promoting uptake and adherence of both MVPA and MSE at the population level could help to reduce the public health burden of obesity.

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Item Type:	Article (Commonwealth Reporting Category C)
Refereed:	Yes
Item Status:	Live Archive
Additional Information:	Published online: 18 January 2021. Accepted version deposited in accordance with the copyright policy of the publisher.
Faculty/School / Institute/Centre:	Current - Institute for Resilient Regions - Centre for Health Research (1 Apr 2020 -)
Faculty/School / Institute/Centre:	Current - Institute for Resilient Regions - Centre for Health Research (1 Apr 2020 -)
Date Deposited:	15 Feb 2021 04:54
Last Modified:	15 Feb 2021 04:54
Uncontrolled Keywords:	exercise, health, obesity, quantitative study, strength
Fields of Research (2008):	11 Medical and Health Sciences > 1117 Public Health and Health Services > 111716 Preventive Medicine 11 Medical and Health Sciences > 1117 Public Health and Health Services > 111706 Epidemiology 11 Medical and Health Sciences > 1106 Human Movement and Sports Science > 110699 Human Movement and Sports Science not elsewhere classified
Fields of Research (2020):	42 HEALTH SCIENCES > 4207 Sports science and exercise > 420799 Sports science and exercise not elsewhere classified 42 HEALTH SCIENCES > 4202 Epidemiology > 420201 Behavioural epidemiology
Identification Number or DOI:	https://doi.org/10.1080/17461391.2020.1870161
URI:	http://eprints.usq.edu.au/id/eprint/41377

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