Leisure-time walking and compliance with ACSM/AHA aerobic-related physical activity recommendations: 1999-2004 NHANES.
BACKGROUND
Adults integrate walking into their leisure-time (LT) in a variety of ways, including the use of walking as their only outlet for leisure-time physical activity (LTPA). The purpose of this study was to examine how LT walking relates to compliance with the 2007 ACSM/AHA guidelines for aerobic-related physical activity (PA).


METHODS
The study sample (N = 14,470 adults, 20+ years of age) came from the 1999 to 2004 NHANES. PA Interviews (past month) allowed each LT active subject to be classified by walking behavior (LTPA Active-No Walking, Walking-Only, Walking-Plus other LTPA). Walking prevalence, frequency (bouts per week), duration (minutes per bout), and compliance with ACSM/AHA recommendations were examined in SUDAAN.


RESULTS
Overall, 34.4% of adults in the U.S. walk in their LT. Among these active LT walkers, 34.8% were Walking-Only and 65.2% were Walking-Plus adults. Related to compliance with PA recommendations, Walking-Only (29.4%; 95% CI = 26.3 to 32.5) adults were significantly less likely than Walking-Plus (74.6%; 95% CI = 72.6 to 76.7) adults to be compliant with guidelines. The frequency of LTPA explains this difference in compliance (3.4 vs. 7.6 bouts/week, respectively).


CONCLUSIONS
Walking-Only adults should be targeted for increased compliance with PA recommendations by promoting walking frequency and added variety among LTPAs.
Dept of Exercise, Sport, & Leisure Studies at the University of Tennessee at Knoxville, TN, USA.
Eugene C
EC
Fitzhugh
Dixie L
DL
Thompson
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015444:Exercise; D005260:Female; D017408:Guidelines as Topic; D015438:Health Behavior; D006801:Humans; D007899:Leisure Activities; D008297:Male; D008875:Middle Aged; D009749:Nutrition Surveys; D012959:Socioeconomic Factors; D055105:Waist Circumference; D016138:Walking / Q000706:statistics & numerical data