The association of Step-based metrics and adiposity in the Hispanic community Health Study/Study of Latinos

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 wit...

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Autores principales: Samantha Schilsky, Daniela Sotres-Alvarez, Wayne D. Rosamond, Gerardo Heiss, June Stevens, Nicole Butera, Jianwen Cai, Jordan A Carlson, Carmen Cuthbertson, Martha Daviglus, Madison N. LeCroy, Amber Pirzada, Kelly R. Evenson
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Publicado: Elsevier 2021
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Acceso en línea:https://doaj.org/article/9719851b78d54dac8fae50e3c8f417e0
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spelling oai:doaj.org-article:9719851b78d54dac8fae50e3c8f417e02021-12-04T04:33:47ZThe association of Step-based metrics and adiposity in the Hispanic community Health Study/Study of Latinos2211-335510.1016/j.pmedr.2021.101655https://doaj.org/article/9719851b78d54dac8fae50e3c8f417e02021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2211335521003466https://doaj.org/toc/2211-3355Objective: 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.Samantha SchilskyDaniela Sotres-AlvarezWayne D. RosamondGerardo HeissJune StevensNicole ButeraJianwen CaiJordan A CarlsonCarmen CuthbertsonMartha DaviglusMadison N. LeCroyAmber PirzadaKelly R. EvensonElsevierarticleAdiposityPhysical activitySedentary behaviorStep-based metricsMedicineRENPreventive Medicine Reports, Vol 24, Iss , Pp 101655- (2021)
institution DOAJ
collection DOAJ
language EN
topic Adiposity
Physical activity
Sedentary behavior
Step-based metrics
Medicine
R
spellingShingle Adiposity
Physical activity
Sedentary behavior
Step-based metrics
Medicine
R
Samantha Schilsky
Daniela Sotres-Alvarez
Wayne D. Rosamond
Gerardo Heiss
June Stevens
Nicole Butera
Jianwen Cai
Jordan A Carlson
Carmen Cuthbertson
Martha Daviglus
Madison N. LeCroy
Amber Pirzada
Kelly R. Evenson
The association of Step-based metrics and adiposity in the Hispanic community Health Study/Study of Latinos
description 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.
format article
author Samantha Schilsky
Daniela Sotres-Alvarez
Wayne D. Rosamond
Gerardo Heiss
June Stevens
Nicole Butera
Jianwen Cai
Jordan A Carlson
Carmen Cuthbertson
Martha Daviglus
Madison N. LeCroy
Amber Pirzada
Kelly R. Evenson
author_facet Samantha Schilsky
Daniela Sotres-Alvarez
Wayne D. Rosamond
Gerardo Heiss
June Stevens
Nicole Butera
Jianwen Cai
Jordan A Carlson
Carmen Cuthbertson
Martha Daviglus
Madison N. LeCroy
Amber Pirzada
Kelly R. Evenson
author_sort Samantha Schilsky
title The association of Step-based metrics and adiposity in the Hispanic community Health Study/Study of Latinos
title_short The association of Step-based metrics and adiposity in the Hispanic community Health Study/Study of Latinos
title_full The association of Step-based metrics and adiposity in the Hispanic community Health Study/Study of Latinos
title_fullStr The association of Step-based metrics and adiposity in the Hispanic community Health Study/Study of Latinos
title_full_unstemmed The association of Step-based metrics and adiposity in the Hispanic community Health Study/Study of Latinos
title_sort association of step-based metrics and adiposity in the hispanic community health study/study of latinos
publisher Elsevier
publishDate 2021
url https://doaj.org/article/9719851b78d54dac8fae50e3c8f417e0
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