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Physical activity and body weight: associations over ten years in the CARDIA study

International Journal of Obesity volume 24, pages 1475–1487 (2000)Cite this article

Abstract

BACKGROUND: Hypothesis 1—sustained changes in physical activity are inversely related to changes in body weight. Hypothesis 2—those who attenuate weight gain because of a temporary increase in physical activity (PA) may maintain a lower body weight over time.

METHODS: Data were from the Coronary Artery Risk Development in Young Adults (CARDIA) Study, a cohort of black and white men and women, aged 18–30 y at baseline, who attended up to five examinations over a 10 y period (n=5115 at baseline). Longitudinal associations between physical activity and body weight changes were assessed, adjusting for secular trend, age, clinic site, education, smoking, alcohol intake, parity, percentage energy intake from fat, and changes in these variables over time. For hypothesis 1, concurrent associations of physical activity and body weight changes were examined. For hypothesis 2, we explored whether weight gain attenuation associated with increased PA during the initial 2–3 y of follow-up was sustained over 5 y. The study 2 analyses were conducted with three separate 5 y intervals: baseline to year 5 (n=3641), years 2–7 (n=3160), and years 5–10 (n=2617).

RESULTS: Hypothesis 1—change in physical activity was inversely associated with change in body weight within all four race and sex sub-groups (P<0.005). The predicted weight change associated with change in physical activity was four to five times larger in participants who were overweight compared with those who were not were overweight at baseline. Hypothesis 2—an increase in physical activity during 2–3 y of follow-up was associated with an attenuation of weight gain that was sustained through 5 y of follow-up whether or not the physical activity increase was maintained during the later years. This finding persisted whether the starting point for the 5 y follow-up was year 2, year 5 or baseline (women only). Comparing participants who increased physical activity with those who decreased physical activity in the first 2–3 y of follow-up (eg by at least 2 h per week of stationary cycling for at least 6 months per year), the mean 5 y weight gain attenuation ranged from 0.8 to 2.8 kg.

CONCLUSIONS: The results of these analyses support the need for public health messages for promoting increased physical activity for weight maintenance and attenuation of age-related weight gain, especially for higher weight sub-populations.

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References

  1. Kuczmarski RJ, Flegal KM, Campbell K, Johnson CL . Increasing prevalence of overweight among US adults JAMA 1994 272: 205–211.

    Article  CAS  Google Scholar 

  2. Blair SN, Shaten J, Brownell K, Collins G, Lissner L . Body weight change, all-cause mortality, and cause-specific mortality in the multiple risk factor intervention trial Ann Intern Med 1993 119: 749–757.

    Article  CAS  Google Scholar 

  3. Van Itallie TB . Health implications of overweight and obesity in the United States Ann Intern Med 1985 103: 983–988.

    Article  CAS  Google Scholar 

  4. Dannenberg AL, Keller JB, Wilson PWF, Castelli WP . Leisure time physical activity in the Framingham Offspring Study. Description, seasonal variation, and risk factor correlates Am J Epidemiol 1989 129: 76–88.

    Article  CAS  Google Scholar 

  5. DiPietro L, Williamson DF, Caspersen CJ, Eaker E . The descriptive epidemiology of selected physical activities and body weight among adults trying to lose weight: the Behavioral Risk Factor Surveillance Survey, 1989 Int J Obes Relat Metab Disord 1993 17: 69–76.

    CAS  PubMed  Google Scholar 

  6. Folsom AR, Caspersen CJ, Taylor HL, Jacobs DR Jr, Luepker RV, Gomez-Marin O, Gillum RF, Blackburn H . Leisure time physical activity and its relationship to coronary risk factors in a population-based sample. The Minnesota Heart Survey Am J Epidemiol 1985 121: 570–579.

    Article  CAS  Google Scholar 

  7. Slattery ML, McDonald A, Bild DE, Caan BJ, Hilner JE, Jacobs DR Jr, Liu K . Associations of body fat and its distribution with dietary intake, physical activity, alcohol, and smoking in blacks and whites Am J Clin Nutr 1992 55: 943–950.

    Article  CAS  Google Scholar 

  8. DiPietro L . Physical activity, body weight, and adiposity: an epidemiologic perspective Exercise Sports Sci Rev 1995 23: 275–303.

    Article  CAS  Google Scholar 

  9. Jacobs DR Jr, Sprafka JM, Hannan PJ, Ripsin CM, McGovern PG, Blackburn H . Mortality and risk-factor trends in Minnesota: Minnesota Heart Studies. In: Toshima H, Koga Y, Blackburn H, Keys A (eds) Lessons for Science from the Seven Countries Study. Springer: New York 1994, pp 145–161.

    Chapter  Google Scholar 

  10. French SA, Jeffery RW, Forster JL, McGovern PG, Kelder SH, Baxter JE . Predictors of weight change over two years among a population of working adults: the Healthy Worker Project Int J Obes Relat Metab Disord 1994 18: 145–154.

    CAS  PubMed  Google Scholar 

  11. Klesges RC, Klesges IM, Haddock CK, Eck LH . A longitudinal analysis of the impact of dietary intake and physical activity on weight change in adults Am J Clin Nutr 1992 55: 818–822.

    Article  CAS  Google Scholar 

  12. Williamson DF, Madans J, Anda RF, Kleinman JC, Kahn HS, Byers T . Recreational physical activity and ten-year weight change in a US national cohort Int J Obes Relat Metab Disord 1993 17: 279–286.

    CAS  PubMed  Google Scholar 

  13. Williamson DF . Dietary intake and physical activity as ‘predictors’ of weight gain in observational, prospective studies of adults Nutr Rev 1996 54: S101–S109.

    Article  CAS  Google Scholar 

  14. Owens JF, Matthews KA, Wing RR, Kuller LH . Can physical activity mitigate the effects of aging in middle-aged women? Circulation 1992 85: 1265–1270.

    Article  CAS  Google Scholar 

  15. Ravussin E, Swinburn B . Energy metabolism. In: Stunkard AJ, Wadden TA (eds) Obesity: Theory and Therapy, 2nd edn. Raven Press: New York 1993, pp 97–123.

    Google Scholar 

  16. Egger G, Swinburn B . An ‘ecological’ approach to the obesity pandemic BMJ 1997 315: 477–480.

    Article  CAS  Google Scholar 

  17. Pronk NP, Wing RR . Physical activity and long-term maintenance of weight loss Obes Res 1994 2: 587–599.

    Article  CAS  Google Scholar 

  18. Friedman GD, Cutter GR, Donahue RP, Hughes GH, Hulley SB, Jacobs DR Jr, Liu K, Savage PJ . CARDIA: study design, recruitment, and some characteristics of the examined subjects J Clin Epidemiol 1988 41: 1105–1116.

    Article  CAS  Google Scholar 

  19. Kiefe CI, Bild D, Williams OD, McCreath H, Sekar P, Lewis C . Response rates over ten years: the CARDIA Study Can J Cardiol 1997 13 (Suppl B): 62B.

    Google Scholar 

  20. Pereira MA, FitzGerald SJ, Gregg EW, Joswiak ML, Ryan WJ, Suminski, RR, Utter, AC, Zmuda JM . A collection of physical activity questionnaires for health-related research Med Sci Sports Exercise 1997 29: S1–S205.

    Article  CAS  Google Scholar 

  21. Jacobs DR Jr, Ainsworth BE, Hartman TJ, Leon AS . A simultaneous evaluation of 10 commonly used physical activity questionnaires Med Sci Sports Exercise 1993 25: 81–91.

    Article  Google Scholar 

  22. Leon AS, Pollock ML, Weltman A . American College of Sports Medicine position statement on proper and improper weight loss programs Med Sci Sports Exercise 1983 15: ix–xiii.

    Article  Google Scholar 

  23. Jacobs DR Jr, Hahn LP, Haskell WL, Pirie P, Sidney S . Validity and reliability of a short physical activity history: CARDIA and the Minnesota Heart Health Program J Cardiopulmon Rehab 1989 9: 448–459.

    Article  Google Scholar 

  24. Sidney S, Jacobs DR Jr, Haskell WL, Armstrong MA, Dimicco A, Oberman A, Savage PJ, Slattery ML, Sternfeld B, Van Horn, L . Comparison of two methods of assessing physical activity in the coronary artery risk development in young adults (CARDIA) study Am J Epidemiol 1991 133: 1231–1245.

    Article  CAS  Google Scholar 

  25. Dyer AR, Cutter GR, Liu K, Armstrong MA, Friedman GD, Hughes GH, Dolce JJ, Raczynski J, Burke GL, Manolio TJ . Alcohol intake and blood pressure in young adults: the CARDIA Study J Clin Epidemiol 1990 43: 1–13.

    Article  CAS  Google Scholar 

  26. Klesges RC, Ward KD, Ray JW, Cutter G, Jacobs DR Jr, Wagenknecht LE . The prospective relationships between smoking and weight in a young, biracial cohort: the Coronary Artery Risk Development in Young Adults J Consult Clin Psychol 1998 66: 987–993.

    Article  CAS  Google Scholar 

  27. McDonald A, Van Horn L, Slattery M, Hilner JE, Bragg C, Caan B, Jacobs DR Jr, Liu K, Hubert H, Gernhoffer N, Betz E, Havlik D . The CARDIA dietary history: development and implementation J Am Diet Assoc 1991 91: 1104–1112.

    CAS  PubMed  Google Scholar 

  28. Anderssen N, Jacobs DR Jr, Sidney S, Bild DE, Sternfeld B, Slattery ML, Hannan P . Change and secular trends in physical activity patterns in young adults: a seven-year longitudinal follow-up in the coronary artery risk development in young Adults Study (CARDIA) Am J Epidemiol 1996 143: 351–362.

    Article  CAS  Google Scholar 

  29. Lewis CE, Smith BE, Wallace OD, Williams OD, Bild DE, Jacobs DR Jr . Seven year trends in body weight and associations of weight change with lifestyle and behavioral characteristics in black and white young adults: The CARDIA Study Am J Public Health 1997 87: 635–642.

    Article  CAS  Google Scholar 

  30. Burrows BM, Lebowitz D, Camilli AE, Knudson RJ . Longitudinal changes in forced expiratory volume in one second in adults Am Rev Respir Dis 1986 133: 974–980.

    CAS  PubMed  Google Scholar 

  31. Morgan WP . Involvement in vigorous physical activity with special reference to adherence. In: Gedvilas GI, Kneer ME (eds) National College of Physical Education Association Proceedings. University of Illinois Press: Chicago, IL, 1977.

  32. Oldridge NB . Compliance and Exercise in primary and secondary prevention of coronary heart disease: a review Prev Med 1982 11: 56–70.

    Article  CAS  Google Scholar 

  33. Dishman RK . Compliance/adherence in health-related exercise Health Psychol 1982 1: 237–267.

    Article  Google Scholar 

  34. Wood PD, Stefanick ML, Williams PT, Haskell WL . The effects on plasma lipoproteins of a prudent weight-reducing diet, with or without exercise in overweight men and women New Engl J Med 1991 325: 461–466.

    Article  CAS  Google Scholar 

  35. Hensrud DD, Weinsier RL, Darnell BE, Hunter GR . A prospective study of weight maintenance in obese subjects reduced to normal body weight without weight-loss training Am J Clin Nutr 1994 60: 688–694.

    Article  CAS  Google Scholar 

  36. Ewbank PP, Darga LL, Lucas CP . Physical activity as a predictor of weight maintenance in previously obese subjects Obes Res 1995 3: 257–263.

    Article  CAS  Google Scholar 

  37. Bild DE, Sholinsky P, Smith DE, Lewis CE, Hardin JM, Burke GL . Correlates and predictors of weight loss in young adults: the CARDIA Study Int J Obes Relat Metab Disord 1996 20: 47–55.

    CAS  PubMed  Google Scholar 

  38. Ainsworth BE, Montoye HL, Leon AS . Methods of assessing physical activity during leisure and work. In: Bouchard C, Shepard RJ, Stephens T (eds) Physical Activity, Fitness, and Health Human Kinetics: Champaign, IL 1994, pp 146–159.

    Google Scholar 

  39. Laporte RE, Montoye HJ, Caspersen CJ . Assessment of physical activity in epidemiologic research: problems and prospects Public Health Rep 1985 100: 131–146.

    CAS  PubMed  PubMed Central  Google Scholar 

  40. US Department of Health and Human Services . Physical activity and health: a report of the Surgeon General US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion: Atlanta, GA 1996.

    Google Scholar 

  41. Leon AS, Connett J . Physical activity and 10.5 year mortality in the Multiple Risk Factor Intervention Trial (MRFIT) Int J Epidemiol 1991 20: 690–697.

    Article  CAS  Google Scholar 

  42. Paffenbarger RS Jr, Hyde RT, Wing AL, Lee IM, Jung DL, Kampert JB . The association of changes in physical activity level and other lifestyle characteristics with mortality among men New Engl J Med 1993 328: 538–545.

    Article  Google Scholar 

  43. Arraiz GA, Wigle DT, Mao Y . Risk assessment of physical activity and physical fitness in the Canada Health Survey Mortality Follow-up Study J Clin Epidemiol 1992 45: 419–428.

    Article  CAS  Google Scholar 

  44. Kujala UM, Kaprio J, Sarna S, Koskenvuo M . Relationship of leisure-time physical activity and mortality. The Finnish Twin Cohort JAMA 1998 279: 440–444.

    Article  CAS  Google Scholar 

  45. LaCroix AZ, Levelle SG, Hecht JA, Grothaus LC, Wagner EH . Does walking decrease the risk of cardiovascular disease and death in older adults? J Am Geriatr Soc 1996 44: 113–120.

    Article  CAS  Google Scholar 

  46. Blair SN . Physical activity, fitness, and coronary heart disease. In: Bouchard C, Shephard RJ, Stephens T (eds) Physical Activity, Fitness and Health: Human Kinetics: Champaign, IL 1994, pp 579–590.

    Google Scholar 

  47. Stamler R, Stamler J, Gosch FC, Civinelli J, Fishman J, McKeever P, McDonald A, Dyer AR . Primary prevention of hypertension by nutritional-hygienic means: final report of a randomized, controlled trial JAMA 1989 262: 1801–1807.

    Article  CAS  Google Scholar 

  48. Chow W-H, Dosemeci M, Zheng W, Vetter R, McLaughlin JK, Gao YT, Blot WJ . Physical activity and occupational risk of colon cancer in Shanghai, China Int J Epidemiol 1993 22: 23–29.

    Article  Google Scholar 

  49. Dosemeci M, Hayes RB, Vetter R, Hoover RN, Tucker M, Engin K, Unsal M, Blair A . Occupational physical activity, socioeconomic status, and risks of 15 cancer sites in Turkey Cancer Causes Control 1993 4: 313–321.

    Article  CAS  Google Scholar 

  50. Helmrich SP, Ragland DR, Leung RW, Paffenbarger RS Jr . Physical activity and reduced occurrence of non-insulin-dependent diabetes mellitus New Engl J Med 1991 325: 147–152.

    Article  CAS  Google Scholar 

  51. Manson JE, Nathan DM, Krolewski AS, Stampfer MJ, Willett WC, Hennekens CH . A prospective study of exercise and incidence of diabetes among US male physicians JAMA 1992 268: 63–67.

    Article  CAS  Google Scholar 

  52. Manson JE, Rimm EB, Stampfer MJ, Colditz GA, Willett WC, Krolewski AS, Rosner B, Hennekens CH, Speizer FE . Physical activity and incidence of non-insulin-dependent diabetes mellitus in women Lancet 1991 338: 774–778.

    Article  CAS  Google Scholar 

  53. Drinkwater BL . Exercise in the prevention of osteoporosis Osteoporosis Int 1993 1: S169–S171.

    Article  Google Scholar 

  54. Morgan WP . Physical activity, fitness, and depression In: Bouchard C, Shephard RJ, Stephens T (eds) Physical Activity, Fitness, and Health. Human Kinetics: Champaign, IL 1994, pp 851–867.

    Google Scholar 

  55. Steptoe A, Edwards S, Moses J, Mathews A . The effects of exercise training on mood and perceived coping ability in anxious adults from the general population J Psychosom Res 1989 33: 537–547.

    Article  CAS  Google Scholar 

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Acknowledgements

The authors wish to thank the participants of the CARDIA Study. The CARDIA Study was funded by NIH contracts NO1-HC-48047–48050 from the US National Heart, Lung and Blood Institute (NHLBI). Kathryn H Schmitz was supported by a University of Minnesota Graduate School Doctoral Dissertation Fellowship and by NHLBI Training Grant 32-HL07036 while working on this manuscript. Special thanks to Peter and Mack Schmitz.

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Authors and Affiliations

  1. Division of Epidemiology, University of Minnesota, Minneapolis, 55454, MN, USA

    KH Schmitz, DR Jacobs Jr, AS Leon & PJ Schreiner

  2. Division of Kinesiology, University of Minnesota, Minneapolis, 55455, MN, USA

    KH Schmitz & AS Leon

  3. Division of Research, Kaiser-Permanente Medical Care Program, Oakland, 94611, CA, USA

    B Sternfeld

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Correspondence to KH Schmitz.

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Schmitz, K., Jacobs, D., Leon, A. et al. Physical activity and body weight: associations over ten years in the CARDIA study. Int J Obes 24, 1475–1487 (2000). https://doi.org/10.1038/sj.ijo.0801415

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