Dose-dependent associations of joint aerobic and muscle-strengthening exercise with obesity: A cross-sectional study of 280,605 adults

Bennie, Jason A. ORCID: https://orcid.org/0000-0002-8668-8998 and Ding, Ding and De Cocker, Katrien (2021) Dose-dependent associations of joint aerobic and muscle-strengthening exercise with obesity: A cross-sectional study of 280,605 adults. Journal of Sport and Health Science. pp. 1-8. ISSN 2095-2546

[img]
Preview
Text (Published ArticleFirst Version)
1-s2.0-S2095254621000028-main (2).pdf
Available under License Creative Commons Attribution Non-commercial No Derivatives 4.0.

Download (829kB) | Preview

Abstract

Background
Emerging epidemiological evidence suggests that compared to engaging in 1 activity mode alone, a combination of moderate-to-vigorous physical activity (MVPA: walking/jogging, cycling) and muscle-strengthening exercise (MSE: push-ups/sit-ups, using weight machines) has more favorable associations with optimal weight status. However, few studies have examined the dose-dependent and joint associations of MVPA and MSE with obesity.

Methods
Based on cross-sectional analyses of the European Health Interview Survey Wave 2 (2013–2014), we examined prevalence ratios (PRs) of joint and stratified associations between MVPA (4 categories: (i) 0 min/week, (ii) 1–149 min/week, (iii) 150–299 min/week, and (iv) ≥300 min/week) and MSE (3 categories: (i) 0 day/week, (ii) 1 day/week, and (iii) ≥2 days/week) with body mass index-defined obesity (body mass index of ≥30.0 kg/m2) using Poisson regression with robust error variance. PRs were examined unadjusted and adjusted for sociodemographic and lifestyle characteristics (e.g., sex, age, education, income, and smoking status).

Results
Data were available for 280,456 adults (≥18 years), of which 46,166 (15.5%) were obese. The interaction MVPA × MSE guideline adherence was statistically significant for obesity (p ≤ 0.05). The joint MVPA–MSE analysis showed that compared to the reference group (i.e., no MVPA and no MSE), the PRs followed a dose-dependent pattern, with the lowest observed among those reporting ≥150 MVPA min/week and ≥1 MSE days/week (PR: 0.43; 95% confidence interval: 0.41–0.46). When stratified across each MVPA strata, the PRs were mostly lower among those engaging in MSE 1 day/week, as compared to those doing MSE ≥2 days/week.

Conclusion
There was evidence for a dose-dependent association between joint MVPA–MSE with a reduced prevalence of obesity. Public health strategies for the prevention and management of obesity should recommend both MVPA and MSE.


Statistics for USQ ePrint 41379
Statistics for this ePrint Item
Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
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: 17 Feb 2021 05:58
Last Modified: 14 Jul 2021 05:58
Uncontrolled Keywords: Body mass index; Epidemiology; Public health; Resistance exercise
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
Fields of Research (2020): 42 HEALTH SCIENCES > 4202 Epidemiology > 420201 Behavioural epidemiology
42 HEALTH SCIENCES > 4207 Sports science and exercise > 420799 Sports science and exercise not elsewhere classified
Identification Number or DOI: https://doi.org/10.1016/j.jshs.2021.01.002
URI: http://eprints.usq.edu.au/id/eprint/41379

Actions (login required)

View Item Archive Repository Staff Only