Cardiometabolic factors explaining the association between physical activity and quality of life: U.S. National Health and Nutrition Examination Survey
Background/Objective: To test the Clustered Cardiometabolic Risk (CCMR) factor explaining the relationship between physical activity and physical quality of life (QOL). Methods: Using the U.S. National Health and Nutrition Examination Survey 2003–2006, 2,445 adults completed the CDC Healthy Days Que...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-10-01
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| Series: | Journal of Exercise Science & Fitness |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1728869X22000491 |
| _version_ | 1828200170295132160 |
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| author | Frederick H. Huang Jung-Hua Liu I-Chan Huang |
| author_facet | Frederick H. Huang Jung-Hua Liu I-Chan Huang |
| author_sort | Frederick H. Huang |
| collection | DOAJ |
| description | Background/Objective: To test the Clustered Cardiometabolic Risk (CCMR) factor explaining the relationship between physical activity and physical quality of life (QOL). Methods: Using the U.S. National Health and Nutrition Examination Survey 2003–2006, 2,445 adults completed the CDC Healthy Days Questionnaire for measuring QOL, wore the accelerometer for assessing physical activity pattern (PAP), and completed triglyceride, glucose, serum insulin, waist circumference, blood pressure, and HDL-cholesterol tests from which the CCMR factor was created. Physical QOL was classified as poor (≥14 days with poor physical health within past 30 days) vs. good (<14 days). We classified PAP by moderate-to-vigorous physical activity (MVPA), light-intensity physical activity (LIPA), and sedentary behavior (SB). We defined MVPA, LIPA, and SB as ≥2020 counts/minute, 100–2019 counts/minute, and ≤99 counts/minute, respectively. We further classified PAP status as unhealthy (MVPA <150 min/week & SB>LIPA) or healthy (MVPA <150 min/week & SB<LIPA, or MVPA ≥150 min/week regardless of SB>LIPA or SB<LIPA). Logistic regressions analyzed the association between unhealthy PAP and poor physical QOL, adjusting for the CCMR factor, age, sex, education, and smoking behavior. Results: Compared with having healthy PAP, individuals having unhealthy PAP had an elevated risk of poor physical QOL (OR = 1.96; 95% CI = 1.42–2.72). However, this association was explained by higher levels of the CCMR factor (OR = 1.46; 95% CI = 1.07–1.99) through poorer serum insulin (OR = 1.35; 95% CI = 1.04–1.75) and waist circumference (OR = 1.23; 95% CI = 1.02–1.50). Conclusion: The CCMR factor (typically insulin and waist circumference) explained the association between unhealthy physical activity and poor physical QOL. |
| first_indexed | 2024-04-12T11:08:31Z |
| format | Article |
| id | doaj.art-ed1ec4b16e5d437c8567d7c44732dc9a |
| institution | Directory Open Access Journal |
| issn | 1728-869X |
| language | English |
| last_indexed | 2024-04-12T11:08:31Z |
| publishDate | 2022-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Exercise Science & Fitness |
| spelling | doaj.art-ed1ec4b16e5d437c8567d7c44732dc9a2022-12-22T03:35:41ZengElsevierJournal of Exercise Science & Fitness1728-869X2022-10-01204323327Cardiometabolic factors explaining the association between physical activity and quality of life: U.S. National Health and Nutrition Examination SurveyFrederick H. Huang0Jung-Hua Liu1I-Chan Huang2Memphis University School, Memphis, TN, USAPatient-Reported Outcomes Education Group, Germantown, TN, USASt. Jude Children's Research Hospital, Memphis, TN, USA; Corresponding author. Department of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, MS-735, 262 Danny Thomas Place, Memphis, TN, 38105, USA.Background/Objective: To test the Clustered Cardiometabolic Risk (CCMR) factor explaining the relationship between physical activity and physical quality of life (QOL). Methods: Using the U.S. National Health and Nutrition Examination Survey 2003–2006, 2,445 adults completed the CDC Healthy Days Questionnaire for measuring QOL, wore the accelerometer for assessing physical activity pattern (PAP), and completed triglyceride, glucose, serum insulin, waist circumference, blood pressure, and HDL-cholesterol tests from which the CCMR factor was created. Physical QOL was classified as poor (≥14 days with poor physical health within past 30 days) vs. good (<14 days). We classified PAP by moderate-to-vigorous physical activity (MVPA), light-intensity physical activity (LIPA), and sedentary behavior (SB). We defined MVPA, LIPA, and SB as ≥2020 counts/minute, 100–2019 counts/minute, and ≤99 counts/minute, respectively. We further classified PAP status as unhealthy (MVPA <150 min/week & SB>LIPA) or healthy (MVPA <150 min/week & SB<LIPA, or MVPA ≥150 min/week regardless of SB>LIPA or SB<LIPA). Logistic regressions analyzed the association between unhealthy PAP and poor physical QOL, adjusting for the CCMR factor, age, sex, education, and smoking behavior. Results: Compared with having healthy PAP, individuals having unhealthy PAP had an elevated risk of poor physical QOL (OR = 1.96; 95% CI = 1.42–2.72). However, this association was explained by higher levels of the CCMR factor (OR = 1.46; 95% CI = 1.07–1.99) through poorer serum insulin (OR = 1.35; 95% CI = 1.04–1.75) and waist circumference (OR = 1.23; 95% CI = 1.02–1.50). Conclusion: The CCMR factor (typically insulin and waist circumference) explained the association between unhealthy physical activity and poor physical QOL.http://www.sciencedirect.com/science/article/pii/S1728869X22000491Cardiometabolic riskNational health and nutrition examination surveyPhysical activityQuality of life |
| spellingShingle | Frederick H. Huang Jung-Hua Liu I-Chan Huang Cardiometabolic factors explaining the association between physical activity and quality of life: U.S. National Health and Nutrition Examination Survey Journal of Exercise Science & Fitness Cardiometabolic risk National health and nutrition examination survey Physical activity Quality of life |
| title | Cardiometabolic factors explaining the association between physical activity and quality of life: U.S. National Health and Nutrition Examination Survey |
| title_full | Cardiometabolic factors explaining the association between physical activity and quality of life: U.S. National Health and Nutrition Examination Survey |
| title_fullStr | Cardiometabolic factors explaining the association between physical activity and quality of life: U.S. National Health and Nutrition Examination Survey |
| title_full_unstemmed | Cardiometabolic factors explaining the association between physical activity and quality of life: U.S. National Health and Nutrition Examination Survey |
| title_short | Cardiometabolic factors explaining the association between physical activity and quality of life: U.S. National Health and Nutrition Examination Survey |
| title_sort | cardiometabolic factors explaining the association between physical activity and quality of life u s national health and nutrition examination survey |
| topic | Cardiometabolic risk National health and nutrition examination survey Physical activity Quality of life |
| url | http://www.sciencedirect.com/science/article/pii/S1728869X22000491 |
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