Next Article in Journal
Different Patterns in Ranking of Risk Factors for the Onset Age of Acute Myocardial Infarction between Urban and Rural Areas in Eastern Taiwan
Next Article in Special Issue
Effects of Intradialytic Exercise on Dialytic Parameters, Health-Related Quality of Life, and Depression Status in Hemodialysis Patients: A Randomized Controlled Trial
Previous Article in Journal
Space–Time Clustering Characteristics of Malaria in Bhutan at the End Stages of Elimination
Previous Article in Special Issue
“Moving for My Baby!” Motivators and Perceived Barriers to Facilitate Readiness for Physical Activity during Pregnancy among Obese and Overweight Women of Urban Areas in Northern Taiwan
 
 
Article

Physical Activity, Sleep, and Sedentary Behavior among Successful Long-Term Weight Loss Maintainers: Findings from a U.S. National Study

1
Department of Epidemiology, Human Genetics and Environmental Sciences, The University of Texas Health Science Center at Houston (UTHealth), Houston, TX 77030, USA
2
Center for Pediatric Population Health, The University of Texas Health Science Center at Houston (UTHealth), Dallas, TX 75390, USA
3
Children’s Health Andrews Institute for Orthopaedics and Sports Medicine, Plano, TX 75024, USA
4
Department of Intramural Research, American Cancer Society, Atlanta, GA 30303, USA
5
Department of Health Policy and Administration, School of Public Health, University of Illinois at Chicago, Chicago, IL 60608, USA
6
Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, AL 35294, USA
7
The Cooper Institute, Dallas, TX 75230, USA
8
Department of Epidemiology, School of Public Health, University of Haifa, Haifa 3498838, Israel
*
Author to whom correspondence should be addressed.
Academic Editors: Lindsay Bottoms, Jonathan Sinclair, Daniel Muniz Pumares, Jon Brazier and Michael Price
Int. J. Environ. Res. Public Health 2021, 18(11), 5557; https://doi.org/10.3390/ijerph18115557
Received: 4 March 2021 / Revised: 17 May 2021 / Accepted: 18 May 2021 / Published: 22 May 2021
(This article belongs to the Special Issue Physical Activity for Health)
Despite adults’ desire to reduce body mass (weight) for numerous health benefits, few are able to successfully lose at least 5% of their starting weight. There is evidence on the independent associations of physical activity, sedentary behaviors, and sleep with weight loss; however, this study provided insight on the combined effects of these behaviors on long-term body weight loss success. Hence, the purpose of this cross-sectional study was to evaluate the joint relations of sleep, physical activity, and sedentary behaviors with successful long-term weight loss. Data are from the 2005–2006 wave of the National Health and Examination Survey (NHANES). Physical activity and sedentary behavior were measured with an accelerometer, whereas sleep time was self-reported. Physical activity and sleep were dichotomized into meeting guidelines (active/not active, ideal sleep/short sleep), and sedentary time was categorized into prolonged sedentary time (4th quartile) compared to low sedentary time (1st–3rd quartiles). The dichotomized behaviors were combined to form 12 unique behavioral combinations. Two-step multivariable regression models were used to determine the associations between the behavioral combinations with (1) long-term weight loss success (≥5% body mass reduction for ≥12-months) and (2) the amount of body mass reduction among those who were successful. After adjustment for relevant factors, there were no significant associations between any of the independent body weight loss behaviors (physical activity, sedentary time, and sleep) and successful long-term weight loss. However, after combining the behaviors, those who were active (≥150 min MVPA weekly), regardless of their sedentary time, were significantly (p < 0.05) more likely to have long-term weight loss success compared to the inactive and sedentary referent group. These results should be confirmed in longitudinal analyses, including investigation of characteristics of waking (type, domain, and context) and sleep (quality metrics) behaviors for their association with long-term weight loss success. View Full-Text
Keywords: weight loss; exercise; sedentary behavior; sleep; accelerometry weight loss; exercise; sedentary behavior; sleep; accelerometry
MDPI and ACS Style

Knell, G.; Li, Q.; Morales-Marroquin, E.; Drope, J.; Gabriel, K.P.; Shuval, K. Physical Activity, Sleep, and Sedentary Behavior among Successful Long-Term Weight Loss Maintainers: Findings from a U.S. National Study. Int. J. Environ. Res. Public Health 2021, 18, 5557. https://doi.org/10.3390/ijerph18115557

AMA Style

Knell G, Li Q, Morales-Marroquin E, Drope J, Gabriel KP, Shuval K. Physical Activity, Sleep, and Sedentary Behavior among Successful Long-Term Weight Loss Maintainers: Findings from a U.S. National Study. International Journal of Environmental Research and Public Health. 2021; 18(11):5557. https://doi.org/10.3390/ijerph18115557

Chicago/Turabian Style

Knell, Gregory, Qing Li, Elisa Morales-Marroquin, Jeffrey Drope, Kelley Pettee Gabriel, and Kerem Shuval. 2021. "Physical Activity, Sleep, and Sedentary Behavior among Successful Long-Term Weight Loss Maintainers: Findings from a U.S. National Study" International Journal of Environmental Research and Public Health 18, no. 11: 5557. https://doi.org/10.3390/ijerph18115557

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop