期刊
EUROPEAN JOURNAL OF SPORT SCIENCE
卷 22, 期 3, 页码 436-446出版社
TAYLOR & FRANCIS LTD
DOI: 10.1080/17461391.2020.1870161
关键词
Exercise; health; obesity; quantitative study; strength
The study found that individuals meeting both the German national physical activity guidelines for MVPA and MSE had the lowest prevalence of overweight/obesity, with the strongest association seen among Class II obesity. These associations remained consistent even after adjusting for sociodemographic and lifestyle factors.
Objectives: German national physical activity guidelines specify adults (>= 18 years) should engage in at least: (i) 150 min of aerobic moderate-to-vigorous-intensity physical activity/week (MVPA); and (ii) muscle-strengthening exercise (MSE) 2 days/week. However, the relationship between MVPA and MSE and overweight/obesity has not been examined among German adults. Aim of this study was to examine whether meeting the guidelines for both MVPA and MSE is associated with a lower prevalence of overweight/obesity compared to meeting MVPA or MSE alone or none of them, among a nationally representative sample of German adults. Methods: The cross-sectional study drew data from the 2014 German Health Update (GEDA) (n=22,822; >= 18 years). Physical activity (MVPA-MSE), height/weight, socio-demographic, health and lifestyle factors were assessed by self-report via validated questionnaires. Generalized linear models with Poisson regression were used to assess prevalence ratios of Body Mass Index-derived (BMI) overweight/obesity across categories of physical activity guideline adherence (met neither; MSE only; MVPA only; met both). Results: Compared to other physical activity groups, meeting both the MVPA-MSE guidelines was associated with the lowest prevalence rate of overweight/obesity (Adjusted Prevalence Ratios [APR] range: 0.25-0.73). Associations between BMI and physical activity were strongest among Class II obesity (APR range: 0.25-0.45). The associations remained consistent after adjusting sociodemographic and lifestyle factors. Conclusions: Meeting the combined MVPA-MSE guideline, as suggested in the German national physical activity recommendations, showed the lowest overweight/obesity prevalence. Promoting uptake and adherence of both MVPA and MSE at the population level could help to reduce the public health burden of obesity.
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