Do accelerometer-based physical activity patterns differentially affect cardiorespiratory fitness? A growth mixture modeling approach
Findings on the association between cardiorespiratory fitness (CRF) and moderate-to-vigorous physical activity (MVPA) may be distorted if patterns of accumulated MVPA over a week exist but are ignored. Our aim was to identify MVPA patterns and to associate them to CRF. Two hundred twenty-four 40–75-year-old adults wore accelerometers for 7 days. CRF was measured by peak oxygen uptake (V′O2,peak) assessed on a cycle ergometer via standardized cardiopulmonary exercise testing. Growth mixture modeling indicated four MVPA patterns: “low/stable” (57%, Mean MVPA time (M) = 21 min day−1), “medium/stable” (20%, M = 46 min day−1), “medium/weekend high” (14%, M = 47 min day−1), and “high/weekend low” (9%, M = 71 min day−1). V′O2,peak was higher for persons with “high/weekend low” and “medium/weekend high” patterns compared to “low/stable” and “medium/stable” (p values < 0.001). The same total amount of MVPA may have greater benefit if performed on fewer days during the week but with a longer duration than if performed every day but with a lower duration.
KeywordsOxygen uptake Aerobic capacity Motion sensor Latent class Unobserved heterogeneity Adults
This study was funded by the Federal Ministry of Education and Research as part of the DZHK (Grant Number 81/Z540100152).
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The local ethics committee approved the study (BB 002/15a).
Human and animal rights and Informed consent
All procedures followed were in accordance with ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study.
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