How adherence to the updated physical activity guidelines should be assessed with accelerometer?
Vähä-Ypyä, H., Sievänen, H., Husu, P., Tokola, K., Mänttäri, A., Heinonen, O. J., Heiskanen, J., Kaikkonen, K. M., Savonen, K., Kokko, S., & Vasankari, T. (2022). How adherence to the updated physical activity guidelines should be assessed with accelerometer?. European Journal of Public Health, 32(Supplement_1), i50-i55. https://doi.org/10.1093/eurpub/ckac078
Published inEuropean Journal of Public Health
© The Author(s) 2022. Published by Oxford University Press on behalf of the European Public Health Association.
Background The aerobic part of the recently updated physical activity (PA) guidelines for adults recommends at least 150 min of moderate or at least 75 of vigorous-intensity PA or an equivalent combination of both. PA can be accumulated of any bout duration. On an absolute scale, moderate-intensity threshold is 3 metabolic equivalents (METs) and vigorous 6 METs. On a scale relative to individual’s personal capacity, moderate-intensity threshold is 40% and vigorous 60% of the oxygen uptake reserve. In this study, the adherence to the new guidelines was evaluated using both absolute and relative thresholds. Methods Totally, 1645 adults aged 20–64 years, participated in this population-based study and their cardiorespiratory fitness (CRF) was estimated with 6-min walking test. The participants with estimated maximal oxygen uptake <7.9 MET were categorized as low CRF group and the others as adequate CRF group. The participants were instructed to wear a triaxial hip-worn accelerometer for 1 week and their adherence to PA guidelines was assessed from the accelerometer data. Results The adequate CRF group had higher adherence to PA guidelines with the absolute thresholds, but the use of relative thresholds inverted the results. The adherence varied from 20% to 99% in the total sample depending on the analysis parameters of accelerometer data. Conclusions The absolute thresholds provide a more appropriate basis to assess the adherence to PA guidelines in population-based samples and interventions. The use of individually determined relative thresholds may be more useful for individual exercise prescriptions in PA counseling. ...
PublisherOxford University Press
Publication in research information system
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- Liikuntatieteiden tiedekunta 
Related funder(s)Academy of Finland
Funding program(s)Strategic research programmes, AoF
Additional information about fundingThe study is funded by the Finnish Ministry of Education and Culture and Lifestyles of Health and Sustainability to Boost Sustainable Growth Consortium, Academy of Finland, Strategic Research Council (320400 and 320403).
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