Abstract
OBJECTIVE: To study the association between self-reported leisure time physical activity (LTPA) at baseline and change in body mass index (BMI).
DESIGN: Prospective observational study with a 11-y follow-up period.
SETTING: A total population-based health survey in one county was performed in 1984–1986 (HUNT 1) and repeated in 1995–1997 (HUNT 2).
PARTICIPANTS: In total, 21 685 men participated in both surveys. In the present study, we included only apparently healthy 20–69-y-old men participating in both surveys and who had a normal body weight (BMI 18.5–24.9 kg/m2) at baseline—leaving 8305 men for the analyses. In all, 6945 men answered all questions about LTPA and 6749 men had complete data in the multiple analyses.
MEASUREMENTS AND MAIN RESULTS: At HUNT 1, the participants answered questions (self-reported) about the intensity, frequency and duration of LTPA. The association between change in BMI and LTPA was investigated in multiple linear regression analyses. Adjusted for smoking, education, age and BMI at baseline, the physical active cohort gained less weight than the inactive cohort. Low, moderate and high levels of LTPA showed a U-shaped effect adjusted for smoking, education, age and BMI at baseline. Adjusted for BMI and age at baseline, the high-intensity part of the physically active cohort gained less weight than the low-intensity group.
CONCLUSION: This study has demonstrated a moderate BMI effect of LTPA at the population level; however, even a high level of LTPA did not prevent weight gain during the 11-y follow-up period.
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References
Seidell JC, Verschuren WM, van Leer EM, Kromhout D . Overweight, underweight, and mortality. A prospective study of 48 287 men and women. Arch Intern Med 1996; 156 (9): 958–963.
Shaper AG . Body weight: implications for the prevention of coronary heart disease, stroke, and diabetes mellitus in a cohort study of middle aged men. Br Med J 1997; 314 (7090): 1311–1317.
Obesity: preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ Tech Rep Ser 2000; 894, i–XII 1–253.
Matthews CE . Sources of variance in daily physical activity levels as measured by an accelerometer. Med Sci Sports Exerc 2002; 34 (8): 1376–1381.
Erlichman J . Physical activity and its impact on health outcomes. Paper 2: Prevention of unhealthy weight gain and obesity by physical activity: an analysis of the evidence. Obes Rev 2002; 3 (4): 273–287.
Jackson AS . The effect of sex, age and race on estimating percentage body fat from body mass index: The Heritage Family Study. Int J Obes Relat Metab Disord 2002; 26 (6): 789–796.
Maia JA . Genetic factors in physical activity levels: a twin study. Am J Prev Med 2002; 23 (2 Suppl): 87–91.
Jones DA, Ainsworth BE, Croft JB, Macera CA, Lloyd EE, Yusuf HR . Moderate leisure-time physical activity: who is meeting the public health recommendations? A national cross-sectional study. Arch Fam Med 1998; 7 (3): 285–289.
Crespo CJ, Keteyian SJ, Heath GW, Sempos CT . Leisure-time physical activity among US adults. Results from the Third National Health and Nutrition Examination Survey. Arch Intern Med 1996; 156 (1): 93–98.
Biddle SJ . Motivation for physical activity and weight management. Int J Obes Relat Metab Disord 1998; 22 (Suppl 2): S39–7.
Gutierrez-Fisac JL . Self-perception of being overweight in Spanish adults. Eur J Clin Nutr 2002; 56 (9): 866–872.
Bendixen H . An observational study of slimming behavior in Denmark in 1992 and 1998. Obes Res 2002; 10 (9): 911–922.
McElhone S . Body image perception in relation to recent weight changes and strategies for weight loss in a nationally representative sample in the European Union. Public Health Nutr 1999; 2 (1A): 143–151.
Fontaine KR, Redden DT, Wang C, Westfall AO, Allison DB . Years of life lost due to obesity. JAMA 2003; 289 (2): 187–193.
Heitmann BL . Composition (lean and fat tissue) of weight changes in adult Danes. Am J Clin Nutr 2002; 75 (5): 840–847.
Paeratakul S . The relation of gender, race and socioeconomic status to obesity and obesity comorbidities in a sample of US adults. Int J Obes Relat Metab Disord 2002; 26 (9): 1205–1210.
Wilsgaard T . Impact of body weight on blood pressure with a focus on sex differences: the Tromso Study, 1986–1995. Arch Intern Med 2000; 160 (18): 2847–2853.
Legato MJ . Gender-specific aspects of obesity. Int J Fertilty Womens Med 1997; 42 (3): 184–197.
Forbes GB . Diet and exercise in obese subjects: self-report versus controlled measurements. Nutr Rev 1993; 51 (10): 296–300.
Washburn RA, Jacobsen DJ, Sonko BJ, Hill JO, Donnelly JE . The validity of the Stanford seven-day physical activity recall in young adults. Med Sci Sports Exerc 2003; 35 (8): 1374–1380.
Ball K, Crawford D, Owen N . Too fat to exercise? Obesity as a barrier to physical activity. Aust N Z J Public Health 2000; 24 (3): 331–333.
Holmen J, Midthjell K, Bjartveit K, Hjort PF, Lund-Larsen PF, Moum T et al. The Nord-Trøndelag Health Survey 1984–86: purpose, background and methods: participation, non-participation and frequency distributions. Report no 4 1990.
Holmen J, Midthjell K, Krüger Ø, Langhammer A, Holmen TL, Bratberg GH et al. The Nord-Trøndelag Healthy Study 1995–97 (HUNT 2):objectives, contents, methods and participation. Nor J Epidemiol 2003; 13 (1): 19–32.
Midthjell K . Rapid changes in the prevalence of obesity and known diabetes in an adult Norwegian population. The Nord-Trondelag Health Surveys: 1984–1986 and 1995–1997. Diabetes Care 1999; 22 (11): 1813–1820.
Vickers AJ . Statistics notes: analysing controlled trials with baseline and follow up measurements. BMJ 2001; 323 (7321): 1123–1124.
Leon AS, Jacobs Jr DR, DeBacker G, Taylor HL . Relationship of physical characteristics and life habits to treadmill exercise capacity. Am J Epidemiol 1981; 113 (6): 653–660.
Williamson DF . Recreational physical activity and ten-year weight change in a US national cohort. Int J Obes Relat Metab Disord 1993; 17 (5): 279–286.
Lee IM, Hsieh CC, Paffenbarger Jr RS . Exercise intensity and longevity in men. The Harvard Alumni Health Study. JAMA 1995; 273 (15): 1179–1184.
Haapanen N . Association between leisure time physical activity and 10-year body mass change among working-aged men and women. Int J Obes Relat Metab Disord 1997; 21 (4): 288–296.
Coakley EH, Rimm EB, Colditz G, Kawachi I, Willett W . Predictors of weight change in men: results from the Health Professionals Follow-up Study. Int J Obes Relat Metab Disord 1998; 22 (2): 89–96.
Rissanen AM . Determinants of weight gain and overweight in adult Finns. Eur J Clin Nutr 1991; 45 (9): 419–430.
Williams PT . Relationships of heart disease risk factors to exercise quantity and intensity. Arch Intern Med 1998; 158 (3): 237–245.
Tremblay A . Effect of intensity of physical activity on body fatness and fat distribution. Am J Clin Nutr 1990; 51 (2): 153–157.
Bahr R . Effect of intensity of exercise on excess postexercise O2 consumption. Metabolism 1991; 40 (8): 836–841.
Tanasescu M . Exercise type and intensity in relation to coronary heart disease in men. JAMA 2002; 288 (16): 1994–2000.
Kujala UM, Kaprio J, Sarna S, Koskenvuo M . Relationship of leisure-time physical activity and mortality: the Finnish twin cohort. JAMA 1998; 279 (6): 440–444.
Pate RR . Physical activity and public health. A recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. JAMA 1995; 273 (5): 402–407.
Holmen J . A health survey in Nord-Trøndelag 1984–86. Participation and comparison of attendants and non-attendants. Tidsskr Nor Laegeforen 1990; 110 (15): 1973–1977.
Lindsted K . Body mass index and patterns of mortality among seventh-day adventist men. Int J Obes Relat Metab Disord 1991; 15 (6): 397–406.
Gordon T . Weight and mortality in men: the Albany Study. Int J Epidemiol 1988; 17 (1): 77–81.
Sidney S . Thinness and mortality. Am J Public Health 1987; 77 (3): 317–322.
Crawford D . Lay definitions of ideal weight and overweight. Int J Obes Relat Metab Disord 1999; 23 (7): 738–745.
Rose G . Population distributions of risk and disease. Nutr, Metabolis Cardiovasc Dis 1991; 1: 37–44.
Adams SA, Der Ananian CA, DuBose KD, Kirtland KA, Ainsworth BE . Physical activity levels among overweight and obese adults in South Carolina. South Med J 2003; 96 (6): 539–543.
Blair SN . Effects of physical inactivity and obesity on morbidity and mortality: current evidence and research issues. Med Sci Sports Exerc 1999; 31 (11 Suppl): S646–S662.
Lee CD, Blair SN, Jackson AS . Cardiorespiratory fitness, body composition, and all-cause and cardiovascular disease mortality in men. Am J Clin Nutr 1999; 69 (3): 373–380.
Acknowledgements
The Nord-Trøndelag Health Study (The HUNT Study) is a collaboration between HUNT Research Center, Department of Community Medicine and General Practice, Norwegian University of Science and Technology (NTNU), Verdal, Norwegian Institute of Public Health and Nord-Trøndelag County.
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Drøyvold, W., Holmen, J., Midthjell, K. et al. BMI change and leisure time physical activity (LTPA): an 11-y follow-up study in apparently healthy men aged 20–69 y with normal weight at baseline. Int J Obes 28, 410–417 (2004). https://doi.org/10.1038/sj.ijo.0802569
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DOI: https://doi.org/10.1038/sj.ijo.0802569
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