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Moderate-to-vigorous physical activity and sedentary behaviours in relation to body mass index-defined and waist circumference-defined obesity

  • Emmanuel Stamatakis (a1), Vasant Hirani (a1) and Kirsten Rennie (a2)
  • DOI:
  • Published online: 05 August 2008

The aim of the present study was to investigate the relationships of physical activity types and sedentary behaviour with BMI and waist circumference (WC). The sample comprised 6215 adults (2775 men, 3440 women) aged 16 years and over living in Scotland. Self-reported physical activity of moderate to vigorous intensity (MVIA) included domestic activity, walking, and sports and exercises. MVIA levels were classified as being inactive, being insufficiently active, being sufficiently active for general health benefits and being sufficiently active for obesity prevention. Sedentary time was defined as television and other screen-based entertainment time (TVSE). Dependent variables were BMI-defined obesity (BMI-OB) and WC-defined obesity (WC-OB). TVSE was positively related to both WC-OB (adjusted OR 1·69 (95 % CI 1·39, 2·05) for ≥ 4 h of TVSE per d compared with < 2 h/d) and BMI-OB (OR 1·88; 95 % CI 1·51, 2·35) independently of MVIA. Those classified as most active who reported ≥ 4 h/d of TVSE had higher prevalence of BMI-OB (18·9 v. 8·3 %; P < 0·05) and WC-OB (28·0 v. 10·0 %; P < 0·01) than those equally active with < 2 h/d of TVSE. Sports and walking were related inversely to WC-OB (OR for no time compared with ≥ 30 min/d: 1·55 (95 % CI 1·24, 1·94); 2·06 (95 % CI 1·64, 2·58)), but only walking was related to BMI-OB (OR 1·94; 95 % CI 1·58, 2·37). Domestic physical activity was not related to BMI-OB or WC-OB. In conclusion, physical activity and sedentary behaviour are independently related to obesity. Public health recommendations should both promote physical activity and discourage engagement in sedentary pursuits.

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*Corresponding author: Dr Emmanuel Stamatakis, fax +44 20 7813 0242, email
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2DE Warburton , CW Nicol & SS Bredin (2006) Health benefits of physical activity: the evidence. CMAJ 174, 801809.

3P James (2004) Obesity: the worldwide epidemic. Clin Dermatol 22, 276280.

5RL Weinsier , GR Hunter , AF Heini , MI Goran & SM Sell (1998) The etiology of obesity: relative contribution of metabolic factors, diet, and physical activity. Am J Med 105, 145150.

6MA Martínez-González , JA Martínez , FB Hu , MJ Gibney & J Kearney (1999) Physical inactivity, sedentary lifestyle and obesity in the European Union. Int J Obes Relat Metab Disord 23, 11921201.

7J Salmon , A Bauman , D Crawford , A Timperio & N Owen (2000) The association between television viewing and overweight among Australian adults participating in varying levels of leisure-time physical activity. Int J Obes Relat Metab Disord 24, 600606.

8RW Jakes , NE Day , KT Khaw , R Luben , S Oakes , A Welch , S Bingham & NJ Wareham (2003) Television viewing and low participation in vigorous recreation are independently associated with obesity and markers of cardiovascular disease risk: EPIC-Norfolk population-based study. Eur J Clin Nutr 57, 10891096.

9WK Mummery , GM Schofield , R Steele , EG Eakin & WJ Brown (2005) Occupational sitting time and overweight and obesity in Australian workers. Am J Prev Med 29, 9197.

14WH Saris , SN Blair , MA van Baak , (2003) How much physical activity is enough to prevent unhealthy weight gain? Outcome of the IASO 1st Stock Conference and consensus statement. Obes Rev 4, 101114.

16DA Lawlor , M Taylor , C Bedford & S Ebrahim (2002) Is housework good for health? Levels of physical activity and factors associated with activity in elderly women. Results from the British Women's Heart and Health Study. J Epid Comm Health 56, 473478.

17E Stamatakis , M Hillsdon & P Primatesta (2007) Domestic physical activity in relation to multiple cardiovascular disease risk factors. Am J Prev Med 32, 320327.

19J Bigaard , A Tjønneland , BL Thomsen , K Overvad , BL Heitmann & TI Sørensen (2003) Waist circumference, BMI, smoking, and mortality in middle-aged men and women. Obes Res 11, 895903.

29JA Levine , MW Vander Weg , JO Hill & RC Klesges (2006) Non-exercise activity thermogenesis: the crouching tiger hidden dragon of societal weight gain. Arterioscler Thromb Vasc Biol 26, 729736.

30GB Forbes (1993) Diet and exercise in obese subjects: self-report versus controlled measurements. Nutr Rev 51, 296300.

31RA Washburn , DJ Jacobsen , BJ Sonko , JO Hill & JE Donnelly (2003) The validity of the Stanford seven-day physical activity recall in young adults. Med Sci Sports Exerc 35, 13741380.

32Anonymous (1998) American College of Sports Medicine Position Stand: the recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness, and flexibility in healthy adults. Med Sci Sports Exerc 30, 975991.

33BE Ainsworth , WL Haskell , MC Whitt , (2000) Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc 32, Suppl. 9, S498S516.

35AM Prentice & SA Jebb (2001) Beyond body mass index. Obes Rev 2, 141147.

36R Ross , I Janssen , J Dawson , AM Kungl , JL Kuk , SL Wong , TB Nguyen-Duy , S Lee , K Kilpatrick & R Hudson (2004) Exercise-induced reduction in obesity and insulin resistance in women: a randomized controlled trial. Obes Res 12, 789798.

37MB Livingstone , AM Prentice , JJ Strain , WA Coward , AE Black , ME Barker , PG McKenna & RG Whitehead (1990) Accuracy of weighed dietary records in studies of diet and health. BMJ 300, 708712.

38SD Poppitt , D Swann , AE Black & AM Prentice (1998) Assessment of selective under-reporting of food intake by both obese and non-obese women in a metabolic facility. Int J Obes 22, 303311.

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