Does the fat-but-fit paradigm hold true for all-cause mortality when considering the duration of overweight/obesity? Analyzing the WATCH (Weight,Activity and Time Contributes to Health) paradigm |
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| Institution: | 1. Department of Health, Exercise Science, and Recreation Management, Kevser Ermin Applied Physiology Laboratory, The University of Mississippi, University, MS, United States;2. Department of Health, Exercise Science and Recreation Management, Center for Health Behavior Research, The University of Mississippi, University, MS, United States;1. Department of Radiology, Gaziosmanpasa University, Medical Faculty, Tokat, Turkey;2. Department of Obstetrics and Gynecology, Gaziosmanpasa University, Medical Faculty, Tokat, Turkey;3. Department of Radiology, Izmir Katip Celebi University Ataturk Training and Research Hospital, Izmir, Turkey;4. Department of Radiology, Istanbul Bilim University, Medical Faculty, ?i?li Florance Nightingale Hospital, Istanbul, Turkey;5. Department of Biostatistics, Gaziosmanpasa University, Medical Faculty, Tokat, Turkey;1. National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia, USA;2. Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia, USA;3. National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA;4. Department of Epidemiology, University of North Carolina Gillings School of Global Public Health, Chapel Hill, North Carolina, USA;5. Department of Pediatrics, University of Arkansas for Medical Sciences College of Medicine, Little Rock, Arkansas, USA;6. Department of Epidemiology, University of Iowa College of Public Health, Iowa City, Iowa, USA |
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| Abstract: | BackgroundPhysical activity has been shown to attenuate the association between overweight/obesity and mortality. Much less is known, however, on how the duration of overweight/obesity potentially alters this association, which was the purpose of this study.MethodsThe 1999–2006 NHANES was used and 11,057 adults (ages 36–85) were evaluated. Eight mutually exclusive groups were created: (1) physically active, normal weight now and 10 years ago; (2) physically inactive, normal weight now and 10 years ago; (3) physically active, overweight/obese now but normal weight 10 years ago; (4) physically inactive, normal weight now but overweight/obese 10 years ago; (5) physically active, overweight/obese now but normal weight 10 years ago; (6) physically inactive, overweight/obese now but normal weight 10 years ago; (7) physically active, overweight/obese now and 10 years ago; and (8) physically inactive, overweight/obese now and 10 years ago.ResultsAfter adjustments, only those individuals that were inactive were at a significantly increased risk for all-cause mortality independent of overweight/obesity status (Groups 2, 4, 6, 8).ConclusionIn alignment with the Exercise is Medicine initiative®, our results provide support for clinicians to perform routine assessments of physical activity, and to further promote physical activity among all individuals regardless of body mass status. |
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