Objectively measured moderate-to-vigorous physical activity does not attenuate prospective weight gain among african-origin adults spanning the epidemiological transition
Abstract Traditional obesity-related public health messaging often includes physical activity (PA) recommendations. However, at the population level, the data are conflicting, especially when comparing different self-reported vs. measured techniques across different settings and populations. We meas...
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2025-02-01
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| author | Jessica C. Davies Candice Choo-Kang Larske Soepnel Hayli Geffen Chad Africa Asanda Mtintsilana Pascal Bovet Bharathi Viswanathan Kweku Bedu-Addo Jacob Plange-Rhule Prince Oti Boateng Kingsley Apusiga Oscar Akunor Dei Terrence E. Forrester Marie Williams Estelle V. Lambert Dale E. Rae Nandipha Sinyanya Brian T. Layden Jack A. Gilbert Gertrude Ecklu-Mensah Cara Joyce Amy Luke Lara R. Dugas |
| author_facet | Jessica C. Davies Candice Choo-Kang Larske Soepnel Hayli Geffen Chad Africa Asanda Mtintsilana Pascal Bovet Bharathi Viswanathan Kweku Bedu-Addo Jacob Plange-Rhule Prince Oti Boateng Kingsley Apusiga Oscar Akunor Dei Terrence E. Forrester Marie Williams Estelle V. Lambert Dale E. Rae Nandipha Sinyanya Brian T. Layden Jack A. Gilbert Gertrude Ecklu-Mensah Cara Joyce Amy Luke Lara R. Dugas |
| author_sort | Jessica C. Davies |
| collection | DOAJ |
| description | Abstract Traditional obesity-related public health messaging often includes physical activity (PA) recommendations. However, at the population level, the data are conflicting, especially when comparing different self-reported vs. measured techniques across different settings and populations. We measured the association between moderate-to-vigorous intensity PA (MVPA) and prospective weight change across five African-origin populations and the extent to which MVPA attenuated weight change over time. At baseline, 2,500 adults (median age: 37y) were recruited into the Modelling the Epidemiologic Transition Study (METS), from Ghana, South Africa, Jamaica, Seychelles, and US. 2000 participants were followed up 8 years later, with 851 participants having complete 7-day accelerometry to measure MVPA at both time points. Generalised estimating equations were used to explore the longitudinal association between weight and MVPA adjusted for several confounders. The obesity prevalence at baseline was 27.5% which increased to 38.0% at follow-up. Baseline MVPA varied from 7 (IQR: 4, 16) min/day in US women to 52 (IQR: 36, 78) min/day in South African men, and similarly at follow-up ranged from 8 min/day to 41 min/day among the same participant groups. While overall, engaging in higher MVPA levels was associated with a lower body weight, such that every additional 30 min of MVPA equalled a 600 g lower body weight (p = 0.04), the interaction between time and MVPA was not statistically significant (p = 0.18). Therefore, regardless of the amount of MVPA at any time point, body weight increased over time. Despite the association between MVPA and weight, our results suggest that objectively measured longitudinal MVPA was not associated with the change in 8-year weight in African-origin adults. Our research confirms that while PA is a critical determinant of cardiovascular health, it alone may not be enough to stem the rising obesity burden. |
| format | Article |
| id | doaj-art-a3aa1a8c3faf4f928fbd0c7b15a5ba1e |
| institution | DOAJ |
| issn | 2045-2322 |
| language | English |
| publishDate | 2025-02-01 |
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| spelling | doaj-art-a3aa1a8c3faf4f928fbd0c7b15a5ba1e2025-08-20T03:04:01ZengNature PortfolioScientific Reports2045-23222025-02-0115111010.1038/s41598-025-85383-7Objectively measured moderate-to-vigorous physical activity does not attenuate prospective weight gain among african-origin adults spanning the epidemiological transitionJessica C. Davies0Candice Choo-Kang1Larske Soepnel2Hayli Geffen3Chad Africa4Asanda Mtintsilana5Pascal Bovet6Bharathi Viswanathan7Kweku Bedu-Addo8Jacob Plange-Rhule9Prince Oti Boateng10Kingsley Apusiga11Oscar Akunor Dei12Terrence E. Forrester13Marie Williams14Estelle V. Lambert15Dale E. Rae16Nandipha Sinyanya17Brian T. Layden18Jack A. Gilbert19Gertrude Ecklu-Mensah20Cara Joyce21Amy Luke22Lara R. Dugas23Division of Epidemiology and Biostatistics, School of Public Health, Faculty of Health Sciences, University of Cape TownPublic Health Sciences, Parkinson School of Health Sciences and Public Health, Loyola University ChicagoDivision of Epidemiology and Biostatistics, School of Public Health, Faculty of Health Sciences, University of Cape TownDivision of Epidemiology and Biostatistics, School of Public Health, Faculty of Health Sciences, University of Cape TownDivision of Epidemiology and Biostatistics, School of Public Health, Faculty of Health Sciences, University of Cape TownDivision of Epidemiology and Biostatistics, School of Public Health, Faculty of Health Sciences, University of Cape TownUniversity Center for Primary Care and Public Health (Unisanté)Ministry of HealthDepartment of Physiology, School of Medical Sciences, Kwame Nkrumah University of Science and TechnologyDepartment of Physiology, School of Medical Sciences, Kwame Nkrumah University of Science and TechnologyDepartment of Physiology, School of Medical Sciences, Kwame Nkrumah University of Science and TechnologyDepartment of Physiology, School of Medical Sciences, Kwame Nkrumah University of Science and TechnologyDepartment of Physiology, School of Medical Sciences, Kwame Nkrumah University of Science and TechnologySolutions for Developing Countries, University of the West IndiesSolutions for Developing Countries, University of the West IndiesResearch Centre for Health through Physical Activity, Lifestyle and Sport (HPALS), Department of Human Biology, Faculty of Health Sciences, University of Cape TownResearch Centre for Health through Physical Activity, Lifestyle and Sport (HPALS), Department of Human Biology, Faculty of Health Sciences, University of Cape TownResearch Centre for Health through Physical Activity, Lifestyle and Sport (HPALS), Department of Human Biology, Faculty of Health Sciences, University of Cape TownDepartment of Medicine, University of Illinois at ChicagoDepartment of Pediatrics, Center for Microbiome Innovation, University of California San DiegoDepartment of Pediatrics, Center for Microbiome Innovation, University of California San DiegoPublic Health Sciences, Parkinson School of Health Sciences and Public Health, Loyola University ChicagoPublic Health Sciences, Parkinson School of Health Sciences and Public Health, Loyola University ChicagoDivision of Epidemiology and Biostatistics, School of Public Health, Faculty of Health Sciences, University of Cape TownAbstract Traditional obesity-related public health messaging often includes physical activity (PA) recommendations. However, at the population level, the data are conflicting, especially when comparing different self-reported vs. measured techniques across different settings and populations. We measured the association between moderate-to-vigorous intensity PA (MVPA) and prospective weight change across five African-origin populations and the extent to which MVPA attenuated weight change over time. At baseline, 2,500 adults (median age: 37y) were recruited into the Modelling the Epidemiologic Transition Study (METS), from Ghana, South Africa, Jamaica, Seychelles, and US. 2000 participants were followed up 8 years later, with 851 participants having complete 7-day accelerometry to measure MVPA at both time points. Generalised estimating equations were used to explore the longitudinal association between weight and MVPA adjusted for several confounders. The obesity prevalence at baseline was 27.5% which increased to 38.0% at follow-up. Baseline MVPA varied from 7 (IQR: 4, 16) min/day in US women to 52 (IQR: 36, 78) min/day in South African men, and similarly at follow-up ranged from 8 min/day to 41 min/day among the same participant groups. While overall, engaging in higher MVPA levels was associated with a lower body weight, such that every additional 30 min of MVPA equalled a 600 g lower body weight (p = 0.04), the interaction between time and MVPA was not statistically significant (p = 0.18). Therefore, regardless of the amount of MVPA at any time point, body weight increased over time. Despite the association between MVPA and weight, our results suggest that objectively measured longitudinal MVPA was not associated with the change in 8-year weight in African-origin adults. Our research confirms that while PA is a critical determinant of cardiovascular health, it alone may not be enough to stem the rising obesity burden.https://doi.org/10.1038/s41598-025-85383-7Objectively measured physical activityProspective weight changeObesity |
| spellingShingle | Jessica C. Davies Candice Choo-Kang Larske Soepnel Hayli Geffen Chad Africa Asanda Mtintsilana Pascal Bovet Bharathi Viswanathan Kweku Bedu-Addo Jacob Plange-Rhule Prince Oti Boateng Kingsley Apusiga Oscar Akunor Dei Terrence E. Forrester Marie Williams Estelle V. Lambert Dale E. Rae Nandipha Sinyanya Brian T. Layden Jack A. Gilbert Gertrude Ecklu-Mensah Cara Joyce Amy Luke Lara R. Dugas Objectively measured moderate-to-vigorous physical activity does not attenuate prospective weight gain among african-origin adults spanning the epidemiological transition Scientific Reports Objectively measured physical activity Prospective weight change Obesity |
| title | Objectively measured moderate-to-vigorous physical activity does not attenuate prospective weight gain among african-origin adults spanning the epidemiological transition |
| title_full | Objectively measured moderate-to-vigorous physical activity does not attenuate prospective weight gain among african-origin adults spanning the epidemiological transition |
| title_fullStr | Objectively measured moderate-to-vigorous physical activity does not attenuate prospective weight gain among african-origin adults spanning the epidemiological transition |
| title_full_unstemmed | Objectively measured moderate-to-vigorous physical activity does not attenuate prospective weight gain among african-origin adults spanning the epidemiological transition |
| title_short | Objectively measured moderate-to-vigorous physical activity does not attenuate prospective weight gain among african-origin adults spanning the epidemiological transition |
| title_sort | objectively measured moderate to vigorous physical activity does not attenuate prospective weight gain among african origin adults spanning the epidemiological transition |
| topic | Objectively measured physical activity Prospective weight change Obesity |
| url | https://doi.org/10.1038/s41598-025-85383-7 |
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