title: Association of physical activity volume and hypercholesterolemia in US adults.
abstract: BACKGROUND
  Several studies illustrate the favorable association between physical activity (PA) and cholesterol levels. There is a paucity of data examining the PA patterns of individuals with and without hypercholesterolemia (HC).
  
  
  OBJECTIVE
  To examine self-reported moderate and vigorous PA (MVPA) patterns using the most recent PA guidelines among US adults with and without HC.
  
  
  METHODS
  Cross-sectional study utilizing a secondary data analysis approach.
  
  
  METHODS
  We used data from the 2009 Behavioral Risk Factor Surveillance System (BRFSS). PA categories were based on the 2008 Department of Health and Human Services (DHHS) guidelines.
  
  
  RESULTS
  The age-adjusted prevalence of self-reported HC in US adults was 34%. When stratified by gender, the age-adjusted prevalence of HC was found to be significantly higher in men (36.2%; 95% CI 35.6, 36.8) compared with women (31.8%; 95% CI 31.3, 32.3). The age-adjusted prevalence of meeting the DHHS PA recommendation was 59.1% among participants reporting HC and 68.3% among participants not reporting HC (P < 0.05). Following adjustment for demographics and health history, the odds ratio for meeting the DHHS PA recommendation among participants with HC compared with those without HC was 0.86 (95% CI 0.83, 0.89).
  
  
  CONCLUSIONS
  Although a large proportion of adults reporting HC report engaging in a volume of MVPA necessary to meet national guidelines, their odds of meeting these guidelines and their MVPA volume may be significantly lower than adults who did not report HC.
authors.affiliation: Department of Clinical and Applied Movement Sciences, University of North Florida, Jacksonville, FL 32224, USA. j.churilla@unf.edu
authors.forename: J R
authors.initials: JR
authors.lastname: Churilla
authors.forename: T M
authors.initials: TM
authors.lastname: Johnson
authors.forename: E A
authors.initials: EA
authors.lastname: Zippel
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data; D000367:Age Factors; D000368:Aged; D015992:Body Mass Index; D048909:Diabetes Complications / Q000453:epidemiology / Q000503:physiopathology; D004522:Educational Status; D004812:Epidemiologic Methods; D005260:Female; D019983:Guideline Adherence / Q000706:statistics & numerical data; D017408:Guidelines as Topic; D015438:Health Behavior; D006630:Hispanic or Latino / Q000706:statistics & numerical data; D006801:Humans; D006937:Hypercholesterolemia / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control*; D006973:Hypertension / Q000150:complications / Q000453:epidemiology / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D009043:Motor Activity / Q000502:physiology*; D012737:Sex Factors; D012907:Smoking / Q000453:epidemiology; D014481:United States / Q000453:epidemiology; D055815:Young Adult