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Evaluation of the Role of Leisure Time Physical Activity and Sedentary Behavior Simultaneously on the Income-Overweight/Obesity Relationship

Author

Listed:
  • Layton Reesor-Oyer

    (Department of Exercise Science, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA)

  • Rosenda Murillo

    (Department of Psychological, Health, and Learning Sciences, University of Houston, Houston, TX 77004, USA
    Health Research Institute, University of Houston, Houston, TX 77004, USA)

  • Emily C. LaVoy

    (Department of Health and Human Performance, University of Houston, Houston, TX 77004, USA)

  • Daniel P. O’Connor

    (Health Research Institute, University of Houston, Houston, TX 77004, USA
    Department of Health and Human Performance, University of Houston, Houston, TX 77004, USA)

  • Yu Liu

    (Department of Psychological, Health, and Learning Sciences, University of Houston, Houston, TX 77004, USA)

  • Daphne C. Hernandez

    (Department of Research, Jane and Robert Cizik School of Nursing, The University of Texas Health Science Center, Houston, TX 77030, USA)

Abstract

In the United States, overweight/obesity is more prevalent among those with low-income; higher income is related to greater leisure time physical activity (LTPA) and sedentary behavior (SB), which are inversely related to overweight/obesity. This study aimed to evaluate the role of LTPA and SB simultaneously in the income-overweight/obesity relationship. Cross-sectional data from the National Health and Nutrition Examination Survey (2007–2014) were utilized ( n = 10,348 non-older adults (aged 20–59 years)). A multiple mediator structural equation model was conducted to evaluate the indirect effects from income to overweight/obesity (Body Mass Index ≥25 kg/m 2 ) through LTPA and SB simultaneously, controlling for confounding variables, including diet, smoking, and alcohol consumption. As expected, greater income was negatively associated with overweight/obesity. Income indirectly influenced overweight/obesity through LTPA (Indirect effect: B = −0.005; CI = −0.01, −0.003), and through SB (Indirect effect: B = 0.008; CI = 0.005, 0.01), in opposing directions. The direct effect from income to overweight/obesity remained statistically significant. LTPA partially accounted for the negative relationship between income and overweight/obesity; SB reduced the strength of the negative relationship between income and overweight/obesity. Targeted behavior approaches for weight management may be beneficial. Increasing LTPA among adults with lower income and decreasing SB among adults with higher income may provide some overweight/obesity protection.

Suggested Citation

  • Layton Reesor-Oyer & Rosenda Murillo & Emily C. LaVoy & Daniel P. O’Connor & Yu Liu & Daphne C. Hernandez, 2021. "Evaluation of the Role of Leisure Time Physical Activity and Sedentary Behavior Simultaneously on the Income-Overweight/Obesity Relationship," IJERPH, MDPI, vol. 18(6), pages 1-10, March.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:6:p:3127-:d:519504
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    References listed on IDEAS

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    1. Ching, P.L.Y.H. & Willett, W.C. & Rimm, E.B. & Colditz, G.A. & Gortmaker, S.L. & Stampfer, M.J., 1996. "Activity level and risk of overweight in male health professionals," American Journal of Public Health, American Public Health Association, vol. 86(1), pages 25-30.
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