Skip to main content
Top
Gepubliceerd in: Journal of Behavioral Medicine 4/2018

30-01-2018

Time spent outdoors, activity levels, and chronic disease among American adults

Auteurs: Kirsten M. M. Beyer, Aniko Szabo, Kelly Hoormann, Melinda Stolley

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 4/2018

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Chronic diseases—including cancer, cardiovascular diseases, and metabolic conditions such as diabetes and obesity—account for over 60% of overall global mortality. Sedentary time increases the risk for chronic disease incidence and mortality, while moderate to vigorous physical activity is known to decrease risk. Most Americans spend at least half of their time sedentary, with a trend toward increasingly sedentary lifestyles, and few Americans achieve recommended levels of physical activity. Time spent outdoors has been associated with reduced sedentary time and increased physical activity among children/youth and the elderly, but few population-based studies have examined this relationship among working age adults who may face greater constraints on active, outdoor time. This study examines the relationship between time spent outdoors, activity levels, and several chronic health conditions among a population-based sample of working age American adults in the National Health and Nutrition Examination Survey (NHANES) for 2009–2012. Findings provide evidence that time spent outdoors, on both work days and non-work days, is associated with less time spent sedentary and more time spent in moderate to vigorous physical activity. Further, findings indicate that time spent outdoors is associated with lower chronic disease risk; while these associations are partially explained by activity levels, controlling for activity levels does not fully attenuate the relationship between time outdoors and chronic disease risk. While cross-sectional, study findings support the notion that increasing time spent outdoors could result in more active lifestyles and lower chronic disease risk. Future work should examine this relationship longitudinally to determine a causal direction. Additional work is also needed to identify mechanisms beyond physical activity, such as psychosocial stress, that could contribute to explaining the relationship between time spent outdoors and chronic disease risk.
Literatuur
go back to reference Barton, J., & Pretty, J. (2010). What is the best dose of nature and green exercise for improving mental health? A multi-study analysis. Environmental Science & Technology, 44, 3947–3955.CrossRef Barton, J., & Pretty, J. (2010). What is the best dose of nature and green exercise for improving mental health? A multi-study analysis. Environmental Science & Technology, 44, 3947–3955.CrossRef
go back to reference Biswas, A., Oh, P. I., Faulkner, G. E., et al. (2015). Sedentary time and its association with risk for disease incidence, mortality, and hospitalization in adults: A systematic review and meta-analysis. Annals of Internal Medicine, 162, 123–132.CrossRefPubMed Biswas, A., Oh, P. I., Faulkner, G. E., et al. (2015). Sedentary time and its association with risk for disease incidence, mortality, and hospitalization in adults: A systematic review and meta-analysis. Annals of Internal Medicine, 162, 123–132.CrossRefPubMed
go back to reference Blaney, J. M., Lowe-Strong, A., Rankin-Watt, J., Campbell, A., & Gracey, J. H. (2013). Cancer survivors’ exercise barriers, facilitators and preferences in the context of fatigue, quality of life and physical activity participation: A questionnaire–survey. Psycho-Oncology, 22, 186–194.CrossRefPubMed Blaney, J. M., Lowe-Strong, A., Rankin-Watt, J., Campbell, A., & Gracey, J. H. (2013). Cancer survivors’ exercise barriers, facilitators and preferences in the context of fatigue, quality of life and physical activity participation: A questionnaire–survey. Psycho-Oncology, 22, 186–194.CrossRefPubMed
go back to reference Centers for Disease Control and Prevention. (2011). Strategies to prevent obesity and other chronic diseases: The CDC guide to strategies to increase physical activity in the community. Atlanta, GA: U.S. Department of Health and Human Services. Centers for Disease Control and Prevention. (2011). Strategies to prevent obesity and other chronic diseases: The CDC guide to strategies to increase physical activity in the community. Atlanta, GA: U.S. Department of Health and Human Services.
go back to reference Coker, A. L., Bond, S. M., & Pirisi, L. A. (2006). Life stressors are an important reason for women discontinuing follow-up care for cervical neoplasia. Cancer Epidemiology, Biomarkers & Prevention, 15, 321–325.CrossRef Coker, A. L., Bond, S. M., & Pirisi, L. A. (2006). Life stressors are an important reason for women discontinuing follow-up care for cervical neoplasia. Cancer Epidemiology, Biomarkers & Prevention, 15, 321–325.CrossRef
go back to reference Findorff, M. J., Wyman, J. F., & Gross, C. R. (2009). Predictors of long-term exercise adherence in a community-based sample of older women. Journal of Women’s Health, 18, 1769–1776.CrossRefPubMedPubMedCentral Findorff, M. J., Wyman, J. F., & Gross, C. R. (2009). Predictors of long-term exercise adherence in a community-based sample of older women. Journal of Women’s Health, 18, 1769–1776.CrossRefPubMedPubMedCentral
go back to reference Geronimus, A. T., Hicken, M., Keene, D., & Bound, J. (2006). “Weathering” and age patterns of allostatic load scores among blacks and whites in the United States. American Journal of Public Health, 96, 826–833.CrossRefPubMedPubMedCentral Geronimus, A. T., Hicken, M., Keene, D., & Bound, J. (2006). “Weathering” and age patterns of allostatic load scores among blacks and whites in the United States. American Journal of Public Health, 96, 826–833.CrossRefPubMedPubMedCentral
go back to reference Gray, C., Gibbons, R., Larouche, R., et al. (2015). What is the relationship between outdoor time and physical activity, sedentary behaviour, and physical fitness in children? A systematic review. International Journal of Environmental Research and Public Health, 12, 6455–6474.CrossRefPubMedPubMedCentral Gray, C., Gibbons, R., Larouche, R., et al. (2015). What is the relationship between outdoor time and physical activity, sedentary behaviour, and physical fitness in children? A systematic review. International Journal of Environmental Research and Public Health, 12, 6455–6474.CrossRefPubMedPubMedCentral
go back to reference Hansmann, R., Hug, S.-M., & Seeland, K. (2007). Restoration and stress relief through physical activities in forests and parks. Urban Forestry & Urban Greening, 6, 213–225.CrossRef Hansmann, R., Hug, S.-M., & Seeland, K. (2007). Restoration and stress relief through physical activities in forests and parks. Urban Forestry & Urban Greening, 6, 213–225.CrossRef
go back to reference Hug, S.-M., Hartig, T., Hansmann, R., Seeland, K., & Hornung, R. (2009). Restorative qualities of indoor and outdoor exercise settings as predictors of exercise frequency. Health Place, 15, 971–980.CrossRefPubMed Hug, S.-M., Hartig, T., Hansmann, R., Seeland, K., & Hornung, R. (2009). Restorative qualities of indoor and outdoor exercise settings as predictors of exercise frequency. Health Place, 15, 971–980.CrossRefPubMed
go back to reference Janssen, I., & LeBlanc, A. G. (2010). Review systematic review of the health benefits of physical activity and fitness in school-aged children and youth. International Journal of Behavioral Nutrition and Physical Activity, 7, 1–16.CrossRef Janssen, I., & LeBlanc, A. G. (2010). Review systematic review of the health benefits of physical activity and fitness in school-aged children and youth. International Journal of Behavioral Nutrition and Physical Activity, 7, 1–16.CrossRef
go back to reference Kerr, J., Marshall, S., Godbole, S., et al. (2012a). The relationship between outdoor activity and health in older adults using GPS. International Journal of Environmental Research and Public Health, 9, 4615–4625.CrossRefPubMedPubMedCentral Kerr, J., Marshall, S., Godbole, S., et al. (2012a). The relationship between outdoor activity and health in older adults using GPS. International Journal of Environmental Research and Public Health, 9, 4615–4625.CrossRefPubMedPubMedCentral
go back to reference McCormack, G. R., & Shiell, A. (2011). In search of causality: A systematic review of the relationship between the built environment and physical activity among adults. International Journal of Behavioral Nutrition and Physical Activity, 8, 1.CrossRef McCormack, G. R., & Shiell, A. (2011). In search of causality: A systematic review of the relationship between the built environment and physical activity among adults. International Journal of Behavioral Nutrition and Physical Activity, 8, 1.CrossRef
go back to reference Mitchell, R. (2013). Is physical activity in natural environments better for mental health than physical activity in other environments? Social Science and Medicine, 91, 130–134.CrossRefPubMed Mitchell, R. (2013). Is physical activity in natural environments better for mental health than physical activity in other environments? Social Science and Medicine, 91, 130–134.CrossRefPubMed
go back to reference Moore, S. C., Lee, I.-M., Weiderpass, E., et al. (2016). Association of leisure-time physical activity with risk of 26 types of cancer in 1.44 million adults. JAMA Internal Medicine, 176, 816–825.CrossRefPubMedPubMedCentral Moore, S. C., Lee, I.-M., Weiderpass, E., et al. (2016). Association of leisure-time physical activity with risk of 26 types of cancer in 1.44 million adults. JAMA Internal Medicine, 176, 816–825.CrossRefPubMedPubMedCentral
go back to reference Pretty, J., Peacock, J., Sellens, M., & Griffin, M. (2005). The mental and physical health outcomes of green exercise. International Journal of Environmental Health Research, 15, 319–337.CrossRefPubMed Pretty, J., Peacock, J., Sellens, M., & Griffin, M. (2005). The mental and physical health outcomes of green exercise. International Journal of Environmental Health Research, 15, 319–337.CrossRefPubMed
go back to reference Ryan, R. M., Weinstein, N., Bernstein, J., Brown, K. W., Mistretta, L., & Gagne, M. (2010). Vitalizing effects of being outdoors and in nature. Journal of Environmental Psychology, 30, 159–168.CrossRef Ryan, R. M., Weinstein, N., Bernstein, J., Brown, K. W., Mistretta, L., & Gagne, M. (2010). Vitalizing effects of being outdoors and in nature. Journal of Environmental Psychology, 30, 159–168.CrossRef
go back to reference Schaefer, L., Plotnikoff, R. C., Majumdar, S. R., et al. (2014). Outdoor time is associated with physical activity, sedentary time, and cardiorespiratory fitness in youth. Journal of Pediatrics, 165, 516–521.CrossRefPubMed Schaefer, L., Plotnikoff, R. C., Majumdar, S. R., et al. (2014). Outdoor time is associated with physical activity, sedentary time, and cardiorespiratory fitness in youth. Journal of Pediatrics, 165, 516–521.CrossRefPubMed
go back to reference Seeman, T., Epel, E., Gruenewald, T., Karlamangla, A., & McEwen, B. S. (2010). Socio-economic differentials in peripheral biology: Cumulative allostatic load. Annals of the New York Academy of Sciences, 1186, 223–239.CrossRefPubMed Seeman, T., Epel, E., Gruenewald, T., Karlamangla, A., & McEwen, B. S. (2010). Socio-economic differentials in peripheral biology: Cumulative allostatic load. Annals of the New York Academy of Sciences, 1186, 223–239.CrossRefPubMed
go back to reference Song, C., Ikei, H., & Miyazaki, Y. (2016). Physiological effects of nature therapy: A review of the research in Japan. International Journal of Environmental Research and Public Health, 13, 781.CrossRefPubMedCentral Song, C., Ikei, H., & Miyazaki, Y. (2016). Physiological effects of nature therapy: A review of the research in Japan. International Journal of Environmental Research and Public Health, 13, 781.CrossRefPubMedCentral
go back to reference Tak, E. C., van Uffelen, J. G., Paw, M. J., van Mechelen, W., & Hopman-Rock, M. (2012). Adherence to exercise programs and determinants of maintenance in older adults with mild cognitive impairment. Journal of Aging and Physical Activity, 20, 32–46.CrossRefPubMed Tak, E. C., van Uffelen, J. G., Paw, M. J., van Mechelen, W., & Hopman-Rock, M. (2012). Adherence to exercise programs and determinants of maintenance in older adults with mild cognitive impairment. Journal of Aging and Physical Activity, 20, 32–46.CrossRefPubMed
go back to reference Taverno Ross, S. E., & Francis, L. A. (2016). Physical activity perceptions, context, barriers, and facilitators from a Hispanic child’s perspective. International Journal of Qualitative Studies on Health and Well-Being, 11, 31949.CrossRef Taverno Ross, S. E., & Francis, L. A. (2016). Physical activity perceptions, context, barriers, and facilitators from a Hispanic child’s perspective. International Journal of Qualitative Studies on Health and Well-Being, 11, 31949.CrossRef
go back to reference Thompson Coon, J., Boddy, K., Stein, K., Whear, R., Barton, J., & Depledge, M. H. (2011). Does participating in physical activity in outdoor natural environments have a greater effect on physical and mental wellbeing than physical activity indoors? A systematic review. Environmental Science & Technology, 45, 1761–1772. https://doi.org/10.1021/es102947t CrossRef Thompson Coon, J., Boddy, K., Stein, K., Whear, R., Barton, J., & Depledge, M. H. (2011). Does participating in physical activity in outdoor natural environments have a greater effect on physical and mental wellbeing than physical activity indoors? A systematic review. Environmental Science & Technology, 45, 1761–1772. https://​doi.​org/​10.​1021/​es102947t CrossRef
go back to reference Thorp, A. A., Owen, N., Neuhaus, M., & Dunstan, D. W. (2011). Sedentary behaviors and subsequent health outcomes in adults: A systematic review of longitudinal studies, 1996–2011. American Journal of Preventive Medicine, 41, 207–215.CrossRefPubMed Thorp, A. A., Owen, N., Neuhaus, M., & Dunstan, D. W. (2011). Sedentary behaviors and subsequent health outcomes in adults: A systematic review of longitudinal studies, 1996–2011. American Journal of Preventive Medicine, 41, 207–215.CrossRefPubMed
go back to reference Tsai, L.-T., Rantakokko, M., Rantanen, T., Viljanen, A., Kauppinen, M., & Portegijs, E. (2016). Objectively measured physical activity and changes in life-space mobility among older people. Journals of Gerontology. Series A, Biological Sciences and Medical Sciences. https://doi.org/10.1093/gerona/glw042 CrossRef Tsai, L.-T., Rantakokko, M., Rantanen, T., Viljanen, A., Kauppinen, M., & Portegijs, E. (2016). Objectively measured physical activity and changes in life-space mobility among older people. Journals of Gerontology. Series A, Biological Sciences and Medical Sciences. https://​doi.​org/​10.​1093/​gerona/​glw042 CrossRef
go back to reference Ward, B. W., Clarke, T. C., Nugent, C. N., & Schiller, J. S. (2016). Early release of selected estimates based on data from the 2015 National Health Interview Survey. National Center for Health Statistics. http://www.cdc.gov/nchs/nhis.htm. Ward, B. W., Clarke, T. C., Nugent, C. N., & Schiller, J. S. (2016). Early release of selected estimates based on data from the 2015 National Health Interview Survey. National Center for Health Statistics. http://​www.​cdc.​gov/​nchs/​nhis.​htm.
go back to reference Waters, L. A., Galichet, B., Owen, N., & Eakin, E. (2011). Who participates in physical activity intervention trials. J Phys Act Heal., 8, 85–103.CrossRef Waters, L. A., Galichet, B., Owen, N., & Eakin, E. (2011). Who participates in physical activity intervention trials. J Phys Act Heal., 8, 85–103.CrossRef
go back to reference WHO. (2014). Global status report on noncommunicable diseases 2014 (p. 176). World Health. ISBN:9789241564854. WHO. (2014). Global status report on noncommunicable diseases 2014 (p. 176). World Health. ISBN:9789241564854.
go back to reference Wilmot, E. G., Edwardson, C. L., Achana, F. A., et al. (2012). Sedentary time in adults and the association with diabetes, cardiovascular disease and death: Systematic review and meta-analysis. Diabetologia, 55, 2895–2905.CrossRefPubMed Wilmot, E. G., Edwardson, C. L., Achana, F. A., et al. (2012). Sedentary time in adults and the association with diabetes, cardiovascular disease and death: Systematic review and meta-analysis. Diabetologia, 55, 2895–2905.CrossRefPubMed
Metagegevens
Titel
Time spent outdoors, activity levels, and chronic disease among American adults
Auteurs
Kirsten M. M. Beyer
Aniko Szabo
Kelly Hoormann
Melinda Stolley
Publicatiedatum
30-01-2018
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 4/2018
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-018-9911-1

Andere artikelen Uitgave 4/2018

Journal of Behavioral Medicine 4/2018 Naar de uitgave