Exaggerated Health Benefits of Physical Fitness and Activity dueto Self-selection.
Background: The predicted health benefits of becomingphysically active or fit will be exaggerated if health outcomes causefitness and activity rather than the converse in prospective andcross-sectional epidemiological studies. Objective: Assess whether therelationships of adiposity to fitness and activity are explained byadiposity prior to exercising. Design: Cross-sectional study of physicalfitness (running speed during 10km foot race) and physical activity(weekly running distance) to current BMI (BMIcurrent) and BMI at thestart of running (BMIstarting) in 44,370 male and 25,252 femaleparticipants of the National Runners' Health Study. Results: BMIstartingexplained all of the association between fitness and BMIcurrent in bothsexes, but less than a third of the association between physical activityand BMIcurrent in men. In women, BMIstarting accounted for 58 percent ofthe association between BMIcurrent and activity levels. The 95thpercentile of BMIcurrent showed substantially greater declines withfitness and activity levels than the 5th percentile of BMIcurrent in men(i.e., the negative slope for 95th percentile was 2.6-fold greater thanthe 5th percentile for fitness and 3-fold greater for activity) and women(6-fold and 3.4-fold greater, respectively). At all percentiles, theregression slopes relating BMIstarting to fitness were comparable orgreater (more negative) than the slopes relating BMIcurrent to fitness,whereas the converse was true for activity. Conclusion: Self-selectionbias accounts for all of the association between fitness and adiposityand probably a portion of other health outcomes, but has less affect onassociations involving physical activity
- Research Organization:
- Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)
- Sponsoring Organization:
- USDOE Director, Office of Science; National Institutes ofHealth
- DOE Contract Number:
- DE-AC02-05CH11231; NIHHL-72110 ANDDK066738
- OSTI ID:
- 929015
- Report Number(s):
- LBNL-59140; R&D Project: L0057; BnR: 400412000; TRN: US200811%%477
- Journal Information:
- Obesity, Vol. 16; Related Information: Journal Publication Date: 2008
- Country of Publication:
- United States
- Language:
- English
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