Social Context of Physical Activity and Weight Status in Working-Class Populations

2007 ◽  
Vol 4 (4) ◽  
pp. 382-397 ◽  
Author(s):  
Karen E. Peterson ◽  
Tamara Dubowitz ◽  
Anne M. Stoddard ◽  
Philip J. Troped ◽  
Glorian Sorensen ◽  
...  

Background:Persistent disparities suggest that multiple aspects of social context may influence leisure-time physical activity levels and weight status in multiethnic, working-class populations.Methods:Among participants in two randomized, controlled intervention trials (n = 1,969 in 10 health centers; n = 1,545 in 26 manufacturing businesses) we used general linear mixed models to examine the relationship of variables posited by a social-contextual framework for behavior change with h/wk of self-reported leisure-time physical activity and with body mass index (BMI; weight (kg)/(height (m))2) at baseline, adjusting for clustering within study site.Results:Age, sex, race/ethnicity, and socioeconomic position were independently associated with leisure-time physical activity in both settings; multivariable models explained 15% of the variance in health centers and 11% in small businesses. Leisure-time physical activity and motivation to change lifestyle behaviors were inversely associated with BMI, adjusting for individual, interpersonal, and neighborhood factors. Models explained 12% of variance in BMI in health centers and 10% in small businesses.Conclusions:A social-contextual framework highlights the contribution of social class and race/ethnicity in the variance in leisure-time physical activity and weight status but suggests other behavioral influences vary in multiethnic, working-class populations.

2008 ◽  
Vol 5 (3) ◽  
pp. 347-358 ◽  
Author(s):  
Jeffery P. Hughes ◽  
Margaret A. McDowell ◽  
Debra J. Brody

Background:We examined leisure-time physical activity (LTPA) in US adults 60 or more years of age. After determining the prevalence of 3 levels of LTPA (no LTPA, <150 minutes LTPA/wk, and ≥150 minutes of LTPA/wk), we examined the association of demographic variables and current health status with LTPA.Methods:Self-reported LTPA was examined by gender, age, race/ethnicity, education, family poverty income ratio, marital status, and self-reported health. Multiple logistic regression methods were used in the adjusted model.Results:Walking was the most frequently reported LTPA. Overall, 27% of adults achieved LTPA levels of 150 minutes or more per week. Male gender, younger age, non-Hispanic white race/ethnicity, higher education attainment, higher income status, being married, and excellent self-reported health were associated with higher LTPA. The prevalence of no LTPA (52.5%) exceeded the Healthy People 2010 objective target of 20%.Conclusions:Our findings show that more than half of adults 60 or more years of age reported no LTPA and that levels of LTPA in the older population vary by demographic and health characteristics.


Circulation ◽  
2013 ◽  
Vol 127 (suppl_12) ◽  
Author(s):  
Lisa Kakinami ◽  
Tracie Barnett ◽  
Lise Gauvin ◽  
Gilles Paradis

Background: Over ¾ of Americans fail to meet the AHA recommendations for leisure time physical activity (LTPA), with higher proportions found among lower income adults. However, this association may be moderated by activity levels that are necessary as a part of daily life, such as active transportation among those that cannot afford a vehicle, or physical labor in some lower wage-earning occupations. Data are limited to studies either not distinguishing between occupational and daily life PA, or using broad occupation job titles which may not represent the PA on an individual level. Objective: Determine the association between activity levels of daily life and LTPA. Methods: Participants were adults (20+ years) from the 1999-2006 National Health and Nutrition Examination Survey. Analyses were stratified by self-reported lifestyle (work, housework and school): 1) sedentary during the day (n=4233); 2) minimally active: stands or walks but does not carry or lift things often (n=11,853); 3) moderately active: carries light objects, or climbs hills often (n=4117); and 4) and very active: carries heavy objects (n=1586). Multivariable linear regression analyzed the association between annual household income (<$20K, $20K-45K, $45K-75K, $75K+ [reference]) and self-reported weekly minutes of moderate, vigorous, and total LTPA. Analyses included sampling weights to account for NHANES’ complex sampling design and adjusted for sex, age, marital status, ethnicity, weight status, whether the person actively commuted, and number of hours worked per week. Results: Lower income participants that were either very active, or sedentary during the day reported significantly less LTPA than those with comparable daily life activity levels but annual income $75K+. Conclusions: A gradient relationship between income and LTPA was seen in the two lifestyle extremes: the sedentary and very active. Public health actions aimed at increasing LTPA should be multimodal and aimed at changing both messaging and environments likely to promote LTPA.


2015 ◽  
Vol 12 (4) ◽  
pp. 506-514 ◽  
Author(s):  
Lanay M. Mudd ◽  
Jim M. Pivarnik ◽  
Karin A. Pfeiffer ◽  
Nigel Paneth ◽  
Hwan Chung ◽  
...  

Background:We sought to evaluate the effects of maternal leisure-time physical activity (LTPA) during pregnancy and current child LTPA on child weight status.Methods:Women with term pregnancies in the Pregnancy Outcomes and Community Health Study (1998–2004) were followed-up. A race-stratified subset of participants (cohort A) received extensive follow-up efforts leading to better response rates (592/926 = 64%) and diversity. The remainder (Cohort B) had a lower response rate (418/1629 = 26%). Women reported child height, weight and LTPA at 3 to 9 years (inactive vs. active), and recalled pregnancy LTPA (inactive vs. active). A 4-category maternal/child LTPA variable was created (reference: active pregnancy + active child). Children were classified as healthy weight, overweight, or obese using age- and sex-specific Body Mass Index percentiles. Logistic regression was used to assess the odds of child obesity (reference: healthy weight).Results:In unadjusted analyses, pregnancy inactivity increased odds for obesity when the child was active (1.6 [95% CI, 1.0−2.6] in Cohort A; 2.1 [95% CI, 1.1−4.0] in Cohort B), and more so when the child was inactive (2.4 [95% CI, 1.2−4.9] in Cohort A; 3.0 [95% CI, 1.0−8.8] in Cohort B). Adjustment for covariates attenuated results to statistical nonsignificance but the direction of relations remained.Conclusions:Maternal inactivity during pregnancy may contribute to child obesity risk.


2018 ◽  
Vol 33 (4) ◽  
pp. 534-540
Author(s):  
Rosenda Murillo ◽  
Bozena J. Katic ◽  
Tailisha Gonzalez ◽  
Elizabeth Vasquez ◽  
Sandra Echeverria

Purpose: To examine the association of perceived risk of prediabetes and diabetes with leisure-time physical activity (LTPA) and weight loss, and determine whether the association of risk perception with LTPA and weight loss varies by race/ethnicity. Design: Cross-sectional. Setting: National Health and Nutrition Examination Survey (NHANES) 2011-2014. Subjects: Non-Latino white, non-Latino black, and Latino nondiabetic and nonprediabetic NHANES participants ≥18 years of age who were not underweight (n = 9550). Measures: Demographic characteristics, LTPA, attempted weight loss, and perceived risk of prediabetes or diabetes. Analysis: Log-binomial regression models were fit to assess the association of perceived risk with meeting LTPA recommendations and having attempted to lose weight, overall and by race/ethnicity. Results: Individuals reporting that they perceived they could be at risk for diabetes/prediabetes were less likely to meet LTPA recommendations (adjusted prevalence ratio [aPR]: 0.87; 95% confidence interval [CI]: 0.79-0.95), but significantly more likely to report attempting weight loss in the past year (aPR: 1.14; 95%CI: 1.04-1.25), compared with those reporting no risk perception. Latino and non-Latino blacks who perceived they could be at risk for diabetes/prediabetes were 25% and 35% more likely to report trying to lose weight in the past year (aPR: 1.25; 95% CI: 1.08-1.44 and aPR: 1.35; 95% CI: 1.19-1.54, respectively), compared with Latino and non-Latino blacks that did not perceive being at risk. In contrast, non-Latino whites who perceived they were at risk were 20% less likely to report meeting LTPA recommendations (aPR: 0.80; 95% CI: 0.72-0.89), compared with non-Latino whites reporting no risk perception. Conclusion: Findings highlight the role of perceived risk for prediabetes and diabetes in LTPA and weight loss, with findings varying by race/ethnicity. Awareness of prediabetes and diabetes risk could contribute to efforts aimed at improving LTPA and weight loss.


2014 ◽  
Vol 11 (3) ◽  
pp. 581-587 ◽  
Author(s):  
Bonny Yee-Man Wong ◽  
Sai-Yin Ho ◽  
Wing-Sze Lo ◽  
Ester Cerin ◽  
Kwok-Kei Mak ◽  
...  

Background:Little is known about the longitudinal relations of environment attributes and leisure-time physical activity (PA) in adolescents, and the moderating effects of individual characteristics. This study examined the longitudinal association of the perceived availability of neighborhood sport facilities with leisure-time PA, and the potential moderating effects of age, past PA behavior, and weight status in adolescents.Methods:Among 20,933 follow-up subjects (60.9% of 34,369 baseline subjects), 9993 from 32 Hong Kong secondary schools were successfully matched with baseline (mean duration 16 months; SD 1.7) and had complete information. At baseline and follow-up, respondents reported their leisure-time PA, weight, height, and the presence of sport facilities in the neighborhood.Results:Increased perceived availability of sport facilities from baseline to follow-up predicted more leisure-time PA at follow-up (β = 1.029; 95% CI: 1.011–1.047) overall. This effect was modified by baseline PA, with a significant effect observed only among those who had engaged in leisure-time PA more than 3 times a week.Conclusions:Increasing awareness of neighborhood sport facilities or building more such facilities may help active adolescents maintain or increase their leisure-time PA. However, more comprehensive multilevel interventions that aim at enhancing potential social, personal, and environmental PA-related factors may be needed to motivate inactive adolescents.


2005 ◽  
Vol 2 (4) ◽  
pp. 397-411 ◽  
Author(s):  
Pamela J. Surkan ◽  
Louise M. Ryan ◽  
Harvey W. Bidwell ◽  
Daniel R. Brooks ◽  
Karen E. Peterson ◽  
...  

Background:Limited data address psychosocial and environmental correlates of physical activity.Methods:We assessed associations of regular and recent leisure-time physical activity with physical/mental well-being, social support, and civic trust and reciprocity in a working-class Boston neighborhood. We surveyed 409 adults in 1999 to 2000 using methodology from the Behavioral Risk Factor Surveillance System.Results:Adjusted for demographic variables, correlates of regular physical activity included feeling energetic/healthy (odds ratio [OR] = 1.7, 95% confidence interval [CI] 1.3 to 2.3 for each one of four categories), feeling worried/tense/anxious (OR = 0.7, 95% CI 0.5 to 1.0), pain interfering with usual activities (OR = 0.5, 95% CI 0.3 to 0.8), feeling sad/blue/depressed (OR = 0.7, 95% CI, 0.5 to 0.9), inadequate sleep/rest (OR = 0.8, 95% CI 0.6 to 1.0) and feeling satisfied with life (OR = 1.6, 95% CI 1.0 to 2.6, for very satisfied versus other). We found similar associations for participation in any physical activity.Conclusions:Lack of energy, anxiety, pain, sadness, poor sleep, and dissatisfaction with life were associated with low physical activity levels.


2006 ◽  
Vol 32 (1) ◽  
pp. 60-67 ◽  
Author(s):  
Gary G. Bennett ◽  
Kathleen Y. Wolin ◽  
Jill S. Avrunin ◽  
Anne M. Stoddard ◽  
Glorian Sorensen ◽  
...  

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