Biomedical subjects

Barbara E Ainsworth

Publications and source records attributed to Barbara E Ainsworth.

At least 19 recordsLinked to original sources

PubMed2007

Discrepancies between methods of identifying objectively determined physical activity.

UNLABELLED: Current methods for validating physical activity (PA) questionnaires typically use accelerometers as objective measures for comparison with questionnaire responses and obtain low correlations or agreement. PURPOSE: We examined possible reasons for weak associations in validation studies by comparing published ActiGraph accelerometer intensity cut points with cut points based on intensity thresholds for heart rate response to PA. METHODS: Twelve adults (five men, seven women; age 31.0 +/- 14.3 yr) wore an ActiGraph accelerometer and a Polar Vantage NV heart watch simultaneously for seven consecutive days during their waking hours. We identified PA bouts from the minute-by-minute ActiGraph data using published accelerometer thresholds for defining moderate- and vigorous-intensity PA. We then compared PA bout intensities identified with these criteria with intensity classifications of the PA bouts using mean percent heart rate reserve (HRR). RESULTS: Most of the moderate-intensity PA bouts identified by the Freedson (78.3%), Swartz (88.0%), and Hendelman (94.7%) ActiGraph cut points were associated with a mean %HRR < 45% (very light and light intensities). The estimated mean frequency with which study participants engaged in moderate-intensity PA varied with the cut points and type of bouts used and ranged from 1.1 d.wk(-1) (45-60%HRR) to 7.0 d.wk(-1) (Hendelman cut points). The mean total duration on active days ranged from 17.9 min.d(-1)(45-60%HRR) to 139.2 min.d(-1) (Hendelman cut points). Fewer bouts of vigorous PA were found in the accelerometer data, and most were in the vigorous-intensity category of > or = 60%HRR. CONCLUSIONS: The method used for analyzing ActiGraph activity data can result in large differences in the summary measure of minutes of moderate- to vigorous-intensity activity.

Adult↗

PubMed2007

Race/ethnicity, social class, and leisure-time physical inactivity.

PURPOSE: The aims of this study were to determine 1) prevalence of leisure-time physical inactivity in a nationally representative sample of non-Hispanic white, non-Hispanic black, and Hispanic men and women; 2) prevalence of leisure-time inactivity by racial/ethnic group across social class indicators; and 3) the relationship between leisure-time inactivity and occupational physical activity, independent of other social class indicators. METHODS: The National Physical Activity and Weight Loss Survey was a telephone survey of noninstitutionalized U.S. adults (4695 men, 6516 women) conducted by random digit dialing between September and December 2002. Self-reported physical activity was assessed using questions from the 2001 Behavioral Risk Factor Surveillance System. Respondents who reported no moderate- or vigorous-intensity physical activity during leisure time in a usual week were classified as inactive. Indicators of social class were education, family income, employment status, and marital status. RESULTS: Age-adjusted prevalence of leisure-time inactivity was 9.9% +/- 0.6 SE (standard error) and 12.0 +/- 0.6 for white men and women, respectively; 19.0 +/- 2.5 and 25.2 +/- 2.1 for non-Hispanic black men and women, and 20.9 +/- 2.1 and 27.3 +/- 2.5 for Hispanic men and women. Within each racial/ethnic group, prevalence of leisure-time inactivity was highest among participants of lower social class. Differences in inactivity by racial/ethnic group were less evident after adjustment for social class. Odds of inactivity were similar across quartiles of occupational physical activity after adjustment for age, sex, and social class. CONCLUSIONS: Non-Hispanic blacks and Hispanics were more inactive during their leisure time than were non-Hispanic whites. Social class but not occupational physical activity seems to moderate the relationship between race/ethnicity and leisure-time physical inactivity.

Adolescent↗

PubMed2006

Use of low-carbohydrate, high-protein diets among americans: correlates, duration, and weight loss.

CONTEXT: Although low-carbohydrate, high-protein (LCHP) diets reemerged as popular diets, there are scant data on patterns of use in the general US population. OBJECTIVE: We examined the prevalence of reported LCHP diet use (eg, Sugar Busters, The Zone, The Carbohydrate Addict's Diet, The Atkins Diet), associated weight control behaviors, diet duration, and amount of weight loss while on the diet. DESIGN: Population-based cross-sectional survey. SETTING: Telephone survey of US adults conducted from September 2002 to December 2002 (N = 9300). MAIN OUTCOME MEASURES: We used multivariable logistic regression models to determine predictors of current LCHP diet use. RESULTS: At the time of the survey, 12.5% of Americans reported ever using a LCHP diet, and 3.4% reported current use. Prevalence of current use was similar across sex, race/ethnicity, and education levels. Among those trying to lose weight (n = 3790), 5.9% reported currently using an LCHP diet. Among current users, mean weight loss was 18.3 (median, 11.7) lb, with 18.2% reporting > or = 30 lb weight loss, 34.0% > or = 20 lb weight loss, and 8.8% no weight loss. More men than women reported a duration of use of more than 12 months (42.2% vs 29.6%, P = .04) and median duration was greater in men than women (5.7 vs 2.8 months, P = .08). Among those trying to control weight, a significantly higher proportion of current LCHP diet users reported eating fewer calories and meeting physical activity recommendations (38.0%) compared with nonusers (29.8%). CONCLUSIONS: LCHP diets were equally prevalent across sociodemographic subgroups and many users reported significant weight loss. Approximately 40% of male users and 30% of female users reported long-term use of the diet, suggesting that for some, this dietary approach may be well tolerated.

Adolescent↗

PubMed2006

Availability of weight-loss supplements: Results of an audit of retail outlets in a southeastern city.

The sale of nonprescription weight-loss products accounts for millions of dollars spent by Americans trying to lose weight, yet there is little evidence for effectiveness and there are multiple safety concerns. The purpose of this study was to determine what products, and ingredients within products, were available at retail outlets in a metropolitan area. A purposive sampling strategy identified 73 retail outlets. An audit form was used to collect information from product labels. The audit identified 402 products containing 4,053 separate ingredients. The mean number of ingredients per product was 9.9+/-8.96 (range = 1 to 96). A database search was conducted regarding evidence for effectiveness, safety precautions, and side effects for the 10 ingredients that appeared most often across products. Modest evidence of effectiveness exists for green tea (Camellia sinensis), chromium picolinate, and ma huang (Ephedra major). For the remaining seven (ginger root [Zingiber officinale], guarana [Paullinia cupana], hydroxycitric acid [Garcinia cambogia], white willow [Salix alba], Siberian ginseng [Eleutherococcus senticosus], cayenne [Capsicum annuum], and bitter orange/zhi shi [Citrus aurantium]), inadequate or negative evidence exists. Although precautions and contraindications were found for all 10 ingredients, the strongest concerns in the literature appear for ma huang, bitter orange, and guarana. Our audit revealed numerous weight-loss products available to consumers, yet there is little evidence to support the effectiveness of the top 10 ingredients identified and many potential adverse reactions; therefore, food and nutrition professionals should discuss dietary supplement use with their clients.

Anti-Obesity Agents↗

PubMed2006

Is participation in occupational physical activity associated with lifestyle physical activity levels?

OBJECTIVE: Little is known about the prevalence of lifestyle physical activity (PA) by occupational PA (mostly sitting, walking, or heavy labor). METHODS: Descriptive and adjusted multivariable logistic regression analysis of lifestyle PA (regularly active, irregularly active, inactive) and occupational activity was used (N = 6,360). RESULTS: The prevalence of regular lifestyle activity was 45.7% among those who sit/stand, 49.6% among walkers, and 59.7% among heavy laborers. The regression analysis showed that adults working in heavy labor were almost twice as likely to be regularly active as those who sit/stand. CONCLUSION: Contrary to expectation, adults who engage in physically demanding work appear to be more active outside the job. Those who are sedentary at work could benefit from having access to opportunities for PA during the workday and trying to engage in activity outside of work hours.

Activities of Daily Living↗

PubMed2006

Development and reproducibility of the bone loading history questionnaire.

PURPOSE: To develop an historical bone loading questionnaire that assesses loads applied to the skeleton using bone loading units and to determine its reproducibility. Additional purposes were to correlate bone loading units with areal bone mineral density (aBMD) and to determine whether low levels of bone loading increase the odds for low aBMD in healthy premenopausal women. METHODS: Premenopausal women (N=80; age: 31+/-7.7 yr) completed the newly developed bone loading history questionnaire (BLHQ) twice within 4-6 wk to establish reproducibility. aBMD (g.cm) of the whole body, lumbar spine (L2-4), and right hip (proximal femur) were assessed with dual energy x-ray absorptiometry (DXA) in the women. RESULTS: The questionnaire demonstrated good test-retest reliability in premenopausal women using intraclass correlation coefficients (spine r=0.89, P<0.001; hip r=0.92, P<0.001). Total spine bone loading exposure (r=0.338; P=0.002) and hip bone loading exposure (r=0.317; P=0.004) were significantly and independently correlated with femoral neck aBMD, after adjusting for BMI. Logistic regression analyses revealed increased odds for low femoral neck aBMD among those in the lowest tertile for recent hip bone loading exposure after adjusting for older ages, oral contraceptive use, low calcium intake, and an overweight BMI (OR=3.62; CI=1.09-11.94; P=0.035). CONCLUSION: Historical bone loading activity can be reliably assessed and is moderately associated with femoral neck aBMD. This questionnaire could help to identify women with low femoral neck aBMD prior to menopause.

Absorptiometry, Photon↗

PubMed2006

Comparison of the 2001 BRFSS and the IPAQ Physical Activity Questionnaires.

PURPOSE: The 2001 Behavioral Risk Factor Surveillance System (BRFSS) physical activity module and the International Physical Activity Questionnaire (IPAQ) are used in population studies to determine the prevalence of physical activity. The comparability of the prevalence estimates has not been compared in U.S. adults. This study compares the physical activity prevalence estimates from the BRFSS and the IPAQ. METHODS: A telephone survey was administered to a random sample of 11,211 U.S. adults aged 18-99 yr who were enrolled in the National Physical Activity and Weight Loss Survey. Data were analyzed from 9945 adults who provided complete data on the BRFSS and the IPAQ. Prevalence estimates were computed (1) applying the BRFSS scoring scheme for both questionnaires (2). Kappa statistics were used to compare prevalence estimates generated from the BRFSS and the IPAQ. RESULTS: When scored using the BRFSS protocol, agreement between physical activity categories was fair (kappa = 0.34-0.49). Prevalence estimates were higher on the IPAQ than the BRFSS for the lowest category (inactive) by 0.1-3.9% and for the highest category (meets recommendations) by 0.2-9.7%. When scored using their own scoring, agreement between physical activity categories was lower (kappa = 0.26-0.39). The prevalence estimates on the IPAQ were higher than on the BRFSS for the lowest physical activity category by 0.2-13.3% and for the highest physical activity category by 0-16.4%. Differences in physical activity categories were observed for sex, age, income, education, and body mass index on both questionnaires. CONCLUSION: Because of differences in the physical activity prevalence estimates, direct comparison of the BRFSS and IPAQ prevalence estimates is not recommended.

Adolescent↗

PubMed2005

Low HDL cholesterol is associated with suicide attempt among young healthy women: the Third National Health and Nutrition Examination Survey.

BACKGROUND: Serum cholesterol is reported to be associated with suicidality, but studies conducted among general healthy population are rare. We examined the association between serum cholesterol and suicidality in a national sample of the general population of US. METHODS: We used the data of 3237 adults aged 17 to 39 years, who completed a mental disorder diagnostic interview and had blood specimens collected after a 12-h fast, as a part of the Third National Health and Nutrition Examination Survey, 1988-1994. The serum concentrations of total cholesterol, high-density lipoprotein cholesterol (HDL-C), and low-density lipoprotein cholesterol (LDL-C) were dichotomized according to the recommended levels of the National Cholesterol Education Program. A polytomous logistic regression was employed to control for covariates. RESULTS: Independent of socio-demographic variables, health risks and nutrition status, and a history of medical and psychiatric illness (including depression), a significant association between low HDL-C (< or = 40 mg/dl) and increased prevalence of suicide attempts was observed in women (OR=2.93, 95% CI=1.07-8.00). No significant evidence was found to support an association between cholesterol and suicide ideation in women. Serum cholesterol was unrelated with either suicide ideation or attempts in men. LIMITATION: The inherent limitation of cross-sectional design prevented the authors from investigating causality. CONCLUSIONS: Low HDL-C is significantly associated with suicide attempts in women. Further studies are necessary to explore the clinical application of serum cholesterol as an indicator for suicide attempts among high risk population.

Adolescent↗

PubMed2005

Perceptions of environmental supports for physical activity in African American and white adults in a rural county in South Carolina.

INTRODUCTION: This study examined the association between perceptions of social and safety-related environmental attributes and physical activity (PA) and walking in African American and white adults. METHODS: In a random-digit-dial telephone survey, 1165 adults in a rural county in South Carolina answered questions about their perceptions of social and safety-related environmental supports for PA and their overall PA and walking behavior. Social perceptions included whether neighbors could be trusted or were perceived to be physically active. Safety-related perceptions included neighborhood safety, the safety of public recreation facilities, problems with unattended dogs, traffic volume, and streetlight quality. Logistic regression models were used to examine the associations between environmental supports and PA and walking stratified by race. RESULTS: No association between perceived neighborhood environmental supports and PA or walking was observed in African Americans. Among whites, individuals who perceived their neighbors as active were twice (95% confidence interval [CI], 1.19-3.25) as likely to report meeting the recommendation for PA compared with individuals who did not report their neighbors as active. Whites who perceived their neighbors as active were 2.5 times (95% CI, 1.54-4.08) as likely to report meeting the recommendations for walking than whites who did not, and whites who perceived their neighborhoods as safe were 1.8 times (95% CI, 1.03-3.12) as likely to report meeting the recommendations for walking than whites who did not. CONCLUSION: These data indicate that perceptions of certain social and safety-related environmental supports were strongly associated with meeting the recommendations for PA and walking among white but not African American adults.

Adult↗

PubMed2005

Prevalence of physical activity in the United States: Behavioral Risk Factor Surveillance System, 2001.

INTRODUCTION: The health benefits of regular cardiovascular exercise are well-known. Such exercise, however, has traditionally been defined as vigorous physical activity, such as jogging, swimming, or aerobic dance. Exercise of moderate intensity also promotes health, and many U.S. adults may be experiencing the health benefits of exercise through lifestyle activities of moderate intensity, such as yard work, housework, or walking for transportation. Until recently, public health surveillance systems have not included assessments of this type of physical activity, focusing on exercise of vigorous intensity. We used an enhanced surveillance tool to describe the prevalence and amount of both moderate-intensity and vigorous-intensity physical activity among U.S. adults. METHODS: We analyzed data from the 2001 Behavioral Risk Factor Surveillance System, a state-based, random-digit-dialed telephone survey administered to U.S. adults aged 18 years and older (n = 82,834 men and 120,286 women). Physical activity behavior was assessed using questions designed to quantify the frequency of participation in moderate- or vigorous-intensity physical activities performed during leisure time or for household chores and transportation. RESULTS: Overall, 45% of adults (48% of men and 43% of women) were active at recommended levels during nonworking hours (at least 30 minutes five or more days per week in moderate-intensity activities, equivalent to brisk walking, or at least 20 minutes three or more days per week in vigorous activities, equivalent to running, heavy yard work, or aerobic dance). Less than 16% of adults (15% of men and 17% of women) reported no moderate or vigorous activity in a usual week. CONCLUSION: Integrating surveillance of lifestyle activities into national systems is possible, and doing so may provide a more accurate representation of the prevalence of recommended levels of physical activity. These results, however, suggest that the majority of U.S. adults are not active at levels associated with the promotion and maintenance of health.

Adult↗

PubMed2005

Total and leisure-time walking among U.S. adults should every step count?

BACKGROUND: Although walking is a popular leisure-time activity, a substantial amount of total daily walking occurs in non-leisure contexts (i.e., occupation, transportation, and household work). Because non-leisure walking is not assessed by traditional leisure-time activity surveys, total walking among U.S. adults may be underestimated. This study describes walking estimates obtained from a measure of leisure-time activity and a specific measure of total walking in all contexts. METHODS: A national sample of adults (n=6626), selected by random-digit dialing, was surveyed between May 1999 and November 2000. Estimates of walking prevalence and of weekly time spent walking were examined from two separate modules: (1) an assessment restricted to leisure-time activity, and (2) an assessment of total walking. RESULTS: Walking prevalence based on the total walking module was nearly double that based on the leisure-time module (81% vs 43%, respectively). The median weekly minutes of walking also nearly doubled using the total walking module (239 vs 130 minutes, respectively). Among those with jobs involving substantial walking, median weekly walking minutes were more than three times greater with the total walking module (476 vs 130 minutes, respectively). CONCLUSIONS: U.S. adults, particularly those with jobs involving walking, do a substantial amount of walking not captured by traditional leisure-time activity surveys. This may affect the appropriate targeting of physical activity interventions, as well as the evaluation of the effectiveness of physical activity promotions and policies. However, further characterization of non-leisure walking is needed to determine its contribution to health and meeting physical activity guidelines.

Adolescent↗

PubMed2005

Health and physical activity research as represented in RQES.

In the past 75 years, articles in Research Quarterly for Exercise and Sport (RQES) have contributed to the understanding of the role physical activity plays in the health of individuals and populations. Articles have described laboratory and community research studies in humans and animals, presented reviews of topics and conference proceedings, and presented forums for discussion about current topics in physical activity and health. The articles reflect the growth of the profession from basic inquiry, about physiological responses to exercise (and the development of physical fitness methods and standards), to studies of the effects of exercise on physical fitness and health in various population subgroups. This evolution in RQES reflects the well recognized paradigm shift toward public health concerns for physical activity and health outcomes.

Exercise↗

PubMed2005

Influence of cardiorespiratory fitness on the association between C-reactive protein and metabolic syndrome prevalence in racially diverse women.

BACKGROUND: Metabolic syndrome and C-reactive protein (CRP) are independent predictors of cardiovascular disease (CVD) among women. The extent to which cardiorespiratory fitness influences the relationship between CRP and metabolic syndrome is unknown. METHODS AND RESULTS: Cross-sectional associations among fitness, CRP, and metabolic syndrome were examined in 135 African American, Native American, and Caucasian women (55 +/- 11 years, 28 +/- 6 kg/m2). Fitness was quantified with a symptom-limited maximal treadmill exercise test. Plasma CRP concentrations were determined with the Dade-Behring high-sensitivity immunoassay. Metabolic syndrome was defined according to NCEP-ATP III. Metabolic syndrome, CRP, and fitness varied (p < 0.05) by race. Race-adjusted CRP values were directly associated (p < 0.05) with each metabolic syndrome component. After adjusting for age and race, the relative odds of metabolic syndrome was 3.6 (95% CI = 1.5 - 8.4) in women with elevated (> 2.0 mg/L) vs. low CRP. Adjustment for smoking, hormone therapy, body mass index (BMI), and HOMA insulin resistance did not eliminate this association (p < 0.05). The association between CRP and the metabolic syndrome was no longer significant (OR = 1.3, 95% CI = 0.9 - 5.9, p = 0.59) after adjustment for fitness. CONCLUSIONS: Higher cardiorespiratory fitness may be an important consideration in the milieu of vascular inflammation and metabolic syndrome.

Adult↗

PubMed2005

Reliability and validity of the occupational physical activity questionnaire.

INTRODUCTION: Few questionnaires have been designed for wide-scale, population-based surveillance of occupational physical activity (PA) behaviors. PURPOSE: This study was conducted to determine the test-retest reliability and validity of the Occupational Physical Activity Questionnaire (OPAQ) designed to assess the usual weekly duration of occupational sitting or standing, walking, and heavy labor activities. METHODS: Analyses were based on a convenience sample of 41 adults (13 men, 28 women) (mean+/- SD, 38.8+/- 9.9 yr) who worked in a broad range of occupations. Intraclass correlation coefficients (ICC) were used to evaluate the 2-wk test-retest reliability of the OPAQ. Spearman correlations were used to assess criterion (occupational PA record, Actigraph) and construct (cardiorespiratory fitness, percent body fat) related validity. Convergent validity with the current Behavioral Risk Factor Surveillance System (BRFSS) occupational PA question was evaluated with the kappa coefficient. RESULTS: The 2-wk test-retest reliability coefficients for the OPAQ hours per week ranged from an ICC of 0.55 to 0.91. Fair-to-substantial criterion validity was observed for like activities on the OPAQ and a detailed 7-d occupational PA record for sitting or standing (r=0.37), walking (r=0.74), and heavy labor activity (r=0.31). OPAQ walking was related to PA record moderate-intensity PA (r=0.41), Actigraph occupational light-intensity counts (r=0.41), and Actigraph total counts (r=0.44). Associations observed between the OPAQ and submaximal exercise heart rate or percent body fat were low (r=-0.17 to 0.32). Convergent validity displaying the ability of the OPAQ to correctly identify participants who performed mostly sitting or standing, mostly walking, or mostly heavy labor at work was substantial [kappa=0.71 (95% CI=0.49, 0.94)]. CONCLUSIONS: The test-retest reliability and validity of the OPAQ are similar to other established occupational PA questionnaires. This preliminary study supports the use of the OPAQ in research and surveillance settings.

Adult↗

PubMed2005

Correlates of self-efficacy for physical activity in African American women.

This study examined the correlates of self-efficacy for physical activity in African American women. In bivariate analyses, self-efficacy was higher among women reporting fewer social role constraints, more positive perceptions of physically active women, more positive sense of community, better perceived health, and higher levels of physical activity. In a simultaneous multivariate model, more positive perceived health status (p = .001), higher physical activity level (p = .007), and lower social role constraint (p = .02) were independently associated with higher self-efficacy. Thus, physical activity interventions for African-American women should include strategies to decrease social role constraint and offer safe activities for women with health conditions hindering physical activity.

Adult↗

PubMed2005

Prevalence of active commuting at urban and suburban elementary schools in Columbia, SC.

We directly observed the prevalence of walking and bicycling (active commuting) to 8 randomly selected urban and suburban elementary schools. When school was used as the unit of analysis, only 5.0% of the students actively commuted to or from school across all observed trips. Active commuting was not affected (P >/=; 18) by school urbanization level, school socioeconomic status, time of day, day of week, weather conditions, or temperature. These results indicate a need for school- and community-based interventions.

Bicycling↗

PubMed2005

Development and testing of a short physical activity recall questionnaire.

PURPOSE: To develop and test two different short telephone activity recall (STAR) questionnaires, one with closed-ended and the other with open-ended response options, that assessed overall moderate and vigorous activity in a usual week. METHODS: One hundred four participants completed a 3-d test-retest study, and 88 participants completed 10-14, 24-h physical activity recalls (24PAR) and at least 7 d of objective physical activity monitoring by Actigraph during a 28-d period. RESULTS: Consistency of classification from one administration to the next was high (65-92%), extreme inconsistencies between reports were infrequent (0-7%), and kappa values were between 0.50 and 0.75. Correlations between self-reports and criterion measures for moderate-intensity duration were between 0.30 and 0.40. Agreement between the instruments and the 24PAR for meeting the moderate or vigorous recommendations was between 60 and 70%. For the 24PAR comparisons, kappa values tended to be higher for women than men, but were of only modest strength (kappa 0.40). With the 24PAR as criterion, sensitivity of the self-report instruments was between 50 and 90%, and specificity was between 63 and 84%. Kappa values comparing the instruments with the Actigraph were low (<0.20). Overall classification by the short instruments into meeting the recommendations was associated with higher levels of total 24PAR activity (P < or = 0.01) as well as greater steps per day and counts per minute per day from the Actigraph (P < or = 0.08). The open-ended instrument appeared to perform better for moderate-intensity activity, whereas the closed-ended item appeared to perform better for vigorous activity. CONCLUSION: The evaluated instruments had reasonable reliability and demonstrated an ability to capture important differences in overall physical activity patterns in this population, although individual classification errors were substantial.

Adult↗

PubMed2005

Physical activity assessment methods in the Jackson Heart Study.

OBJECTIVES: Physical activity measures used in exam 1 of the Jackson Heart Study (JHS), including the diet and physical activity substudy (DPASS), are described. DESIGN: The JHS physical activity (PAC) survey instrument was administered by interview. Accelerometer data, pedometer step counts, and additional questionnaire data were collected from volunteer subsamples of the cohort, including the DPASS. OUTCOME MEASURES: The PAC assessed four different domains of physical activity (active living, work, home and garden, and sport and exercise indexes). The 24-hour accelerometer and pedometer monitoring provided objective measures for validation of cohort survey responses. The DPASS past week activity (PWA) questionnaire assessed time spent in moderate and vigorous activity during the previous seven days. Pedometer step counts for three days before three DPASS visits provided additional data for the DPASS. RESULTS: 5296 respondents completed the PAC, 423 completed 24-hour accelerometer monitoring, and 499 completed the DPASS measures; 85 completed both 24-hour monitoring and DPASS measures. Initial analyses of leisure and sports activity items showed similar distributions for men and women and for the cohort and DPASS participants, in a bimodal distribution, with similar proportions reporting infrequent and frequent activity. The physical activity measures from the JHS can provide unique information about the association between physical activity, other risk factors, and cardiovascular disease in African Americans.

Activities of Daily Living↗