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      Accelerometer-Measured Daily Step Counts and Adiposity Indicators among Latin American Adults: A Multi-Country Study

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      1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , * , 1 , 18 , 19 , 20 , 21 , 22 , 13 , 23 , on behalf of the ELANS Study Group
      , , ,
      International Journal of Environmental Research and Public Health
      MDPI
      physical activity, walking, accelerometer, moderate-to-vigorous physical activity, overweight, obesity, Latin America, epidemiologic study

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          Abstract

          The aim of the present study was to examine the sex-related associations between accelerometer-measured daily step counts and adiposity indicators in adults from eight Latin American countries. We analyzed data from 2524 adults (aged 18–65 years) from the Latin American Study of Nutrition and Health. Device-measured daily step counts were measured by accelerometers (ActiGraph GT3X). The outcomes were body mass index (BMI; (kg/m2), waist and neck circumference (in cm). Overall, the mean of daily steps counts, BMI, waist and neck circumference were 10699.8, 27.3, 89.6, and 35.8. Weak and negative associations were observed between daily steps counts and BMI ( r = −0.17; p < 0.05) and waist circumference ( r = −0.16; p < 0.05); however, step counts was not associated with neck circumference. Daily steps counts were negatively associated with BMI (β: −0.054; 95%CI: −0.077; −0.012) and waist circumference (−0.098; −0.165; −0.030) independently of age and socioeconomic level. In men, there were significant negative associations between daily steps counts with BMI (−0.075; −0.119; −0.031) and waist circumference (−0.140; −0.233; −0.048), and in women, there was no significant association with either of the body composition indicators. The findings from this study need to be examined in prospective settings that use device-measured from Latin America.

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          World Health Organization 2020 guidelines on physical activity and sedentary behaviour

          Objectives To describe new WHO 2020 guidelines on physical activity and sedentary behaviour. Methods The guidelines were developed in accordance with WHO protocols. An expert Guideline Development Group reviewed evidence to assess associations between physical activity and sedentary behaviour for an agreed set of health outcomes and population groups. The assessment used and systematically updated recent relevant systematic reviews; new primary reviews addressed additional health outcomes or subpopulations. Results The new guidelines address children, adolescents, adults, older adults and include new specific recommendations for pregnant and postpartum women and people living with chronic conditions or disability. All adults should undertake 150–300 min of moderate-intensity, or 75–150 min of vigorous-intensity physical activity, or some equivalent combination of moderate-intensity and vigorous-intensity aerobic physical activity, per week. Among children and adolescents, an average of 60 min/day of moderate-to-vigorous intensity aerobic physical activity across the week provides health benefits. The guidelines recommend regular muscle-strengthening activity for all age groups. Additionally, reducing sedentary behaviours is recommended across all age groups and abilities, although evidence was insufficient to quantify a sedentary behaviour threshold. Conclusion These 2020 WHO guidelines update previous WHO recommendations released in 2010. They reaffirm messages that some physical activity is better than none, that more physical activity is better for optimal health outcomes and provide a new recommendation on reducing sedentary behaviours. These guidelines highlight the importance of regularly undertaking both aerobic and muscle strengthening activities and for the first time, there are specific recommendations for specific populations including for pregnant and postpartum women and people living with chronic conditions or disability. These guidelines should be used to inform national health policies aligned with the WHO Global Action Plan on Physical Activity 2018–2030 and to strengthen surveillance systems that track progress towards national and global targets.
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            Global, regional, and national age–sex specific all-cause and cause-specific mortality for 240 causes of death, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013

            The Lancet, 385(9963), 117-171
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              Physical activity in the United States measured by accelerometer.

              To describe physical activity levels of children (6-11 yr), adolescents (12-19 yr), and adults (20+ yr), using objective data obtained with accelerometers from a representative sample of the U.S. population. These results were obtained from the 2003-2004 National Health and Nutritional Examination Survey (NHANES), a cross-sectional study of a complex, multistage probability sample of the civilian, noninstitutionalized U.S. population in the United States. Data are described from 6329 participants who provided at least 1 d of accelerometer data and from 4867 participants who provided four or more days of accelerometer data. Males are more physically active than females. Physical activity declines dramatically across age groups between childhood and adolescence and continues to decline with age. For example, 42% of children ages 6-11 yr obtain the recommended 60 min x d(-1) of physical activity, whereas only 8% of adolescents achieve this goal. Among adults, adherence to the recommendation to obtain 30 min x d(-1) of physical activity is less than 5%. Objective and subjective measures of physical activity give qualitatively similar results regarding gender and age patterns of activity. However, adherence to physical activity recommendations according to accelerometer-measured activity is substantially lower than according to self-report. Great care must be taken when interpreting self-reported physical activity in clinical practice, public health program design and evaluation, and epidemiological research.
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                Author and article information

                Contributors
                Role: Academic Editor
                Role: Academic Editor
                Role: Academic Editor
                Role: Academic Editor
                Journal
                Int J Environ Res Public Health
                Int J Environ Res Public Health
                ijerph
                International Journal of Environmental Research and Public Health
                MDPI
                1661-7827
                1660-4601
                27 April 2021
                May 2021
                : 18
                : 9
                : 4641
                Affiliations
                [1 ]Escuela de Ciencias de la Actividad Física, el Deporte y la Salud, Universidad de Santiago de Chile (USACH), Santiago 7500618, Chile; gerson.demoraes@ 123456usach.cl (G.F.); monica.suarez@ 123456usach.cl (M.S.-R.)
                [2 ]CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, 1499-002 Lisbon, Portugal; adncmpt@ 123456gmail.com
                [3 ]ISAMB, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisbon, Portugal
                [4 ]Department of Exercise Science, School of Education, University of Syracuse, Syracuse, NY 13210, USA; tvbarrei@ 123456syr.edu
                [5 ]Carrera de Nutrición, Facultad de Ciencias Médicas, Pontificia Universidad Católica Argentina, Buenos Aires C1107AAZ, Argentina; ikovalskys@ 123456gmail.com
                [6 ]Departamento de Bioquímica, Escuela de Medicina, Universidad de Costa Rica, San José 11501-2060, Costa Rica; georgina.gomez@ 123456ucr.ac.cr
                [7 ]Centro de Nutrición Molecular y Enfermedades Crónicas, Departamento de Nutrición, Diabetes y Metabolismo, Escuela de Medicina, Pontificia Universidad Católica, Santiago 8330024, Chile; arigotti@ 123456med.puc.cl
                [8 ]Departamento de Nutrición y Bioquímica, Pontificia Universidad Javeriana, Bogotá 110231, Colombia; ycortes@ 123456javeriana.edu.co
                [9 ]Colegio de Ciencias de la Salud, Universidad San Francisco de Quito, Quito 17-1200-841, Ecuador; myepez@ 123456usfq.edu.ec
                [10 ]Instituto de Investigación Nutricional, Lima 15026, Peru; rpareja@ 123456iin.sld.pe
                [11 ]Centro de Estudios del Desarrollo, Universidad Central de Venezuela (CENDES-UCV)/Fundación Bengoa, Caracas 1053, Venezuela; manyma@ 123456gmail.com
                [12 ]Nutrition, Health and Wellbeing Area, International Life Science Institute (ILSI) Argentina, Santa Fe Av. 1145, Caba C1059ABF, Argentina; viviana.guajardo@ 123456comunidad.ub.edu.ar
                [13 ]Centro de Excelencia em Nutrição e Dificuldades Alimentaes (CENDA), Instituto Pensi, Fundação José Luiz Egydio Setubal, Hospital Infantil Sabará, São Paulo 01228-200, Brazil; acarol.leme@ 123456gmail.com (A.C.B.L.); mauro.fisberg@ 123456gmail.com (M.F.)
                [14 ]Family Relations and Applied Nutrition, University of Guelph, Guelph, ON N1G 2W1, Canada
                [15 ]Department of Nutrition, School of Public Health, University of São Paulo, São Paulo 01246-904, Brazil
                [16 ]Sports Medicine and Physical Activity Specialty, Science Faculty, Universidad Mayor, Santiago 8580745, Chile; juan.guzmanh@ 123456mayor.cl
                [17 ]Faculty of Science Education, Campus de Cartuja, University of Granada, 18071 Granada, Spain
                [18 ]Center for the Interdisciplinary Study of Gerontology and Vulnerability, University of Geneva, 1205 Geneva, Switzerland; andreas.ihle@ 123456unige.ch
                [19 ]Swiss National Centre of Competence in Research LIVES—Overcoming Vulnerability: Life Course Perspectives, Lausanne and Geneva, 1022 Chavannes-près-Renens, Switzerland
                [20 ]Department of Psychology, University of Geneva, 1205 Geneva, Switzerland
                [21 ]Departamento de Educação Física e Desporto, Universidade da Madeira, 9020-105 Funchal, Portugal; erubiog@ 123456staff.uma.pt
                [22 ]Interactive Technologies Institute, LARSyS, 9020-105 Funchal, Portugal
                [23 ]Departamento de Pediatria, Universidade Federal de São Paulo, São Paulo 04023-061, Brazil
                Author notes
                [* ]Correspondence: pvaldivia@ 123456ugr.es ; Tel.: +34-958242829
                [†]

                Membership of the ELANS Study Group is provided in the Acknowledgments section of the manuscript.

                Author information
                https://orcid.org/0000-0003-3177-6576
                https://orcid.org/0000-0001-9850-7771
                https://orcid.org/0000-0001-8481-5415
                https://orcid.org/0000-0003-3514-2984
                https://orcid.org/0000-0003-2789-3219
                https://orcid.org/0000-0003-4119-238X
                https://orcid.org/0000-0001-7523-3181
                https://orcid.org/0000-0003-2782-4301
                https://orcid.org/0000-0003-2243-2528
                https://orcid.org/0000-0002-1905-3247
                https://orcid.org/0000-0002-5663-4673
                https://orcid.org/0000-0003-0927-692X
                https://orcid.org/0000-0003-2992-3215
                Article
                ijerph-18-04641
                10.3390/ijerph18094641
                8123766
                33925513
                d406270e-177a-4f08-b545-7164b8f611bf
                © 2021 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( https://creativecommons.org/licenses/by/4.0/).

                History
                : 19 March 2021
                : 23 April 2021
                Categories
                Article

                Public health
                physical activity,walking,accelerometer,moderate-to-vigorous physical activity,overweight,obesity,latin america,epidemiologic study

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