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Predictive Utility of Alternate Measures of Physical Activity and Diet for Overweight and Obesity in Low-Income Minority Women.


ABSTRACT:

Purpose

The purpose is to compare the predictive utility of alternate measures of diet and physical activity for overweight and obesity among low-income minority women.

Design

Cross-sectional analysis of baseline data from a cohort study.

Setting

Three public housing developments in South Los Angeles.Subjects: Adult women (N = 425).

Measures

Primary outcome-weight status (normal BMI, overweight, or obese). Primary predictors- diet: 24-hour dietary recalls (Healthy Eating Index), dietary screener (intake of specific food groups), and single-item survey question (diet quality); physical activity: accelerometry (minutes/day of moderate-to-vigorous activity), short recall questionnaire (minutes/week of moderate and vigorous activity), and single-item questions (days per week did exercise; self-assessment of overall activity level).

Analysis

Multinomial logistic regression models, controlling for socio-demographic covariates. Models are built up starting with least resource-intensive measures of diet and physical activity (single items) and sequentially adding more resource-intensive measures. Model performance is assessed via information-based model selection indices.

Results

Adjusted relative risk for obesity for single-item measures ranged from .61 to .64 for diet (P < .01) and from .80 to .81 for physical activity (P <.05). The added value of resource-intensive measures was negligible for physical activity and at best small for diet.

Conclusion

Single-item questions for diet and physical activity can provide valuable information about risk for overweight and obesity in low-income minority women when more resource-intensive assessments are infeasible.

SUBMITTER: Liu Y 

PROVIDER: S-EPMC9086088 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature

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Publications

Predictive Utility of Alternate Measures of Physical Activity and Diet for Overweight and Obesity in Low-Income Minority Women.

Liu Ying Y   Shier Victoria V   King Sara S   Datar Ashlesha A  

American journal of health promotion : AJHP 20220302 5


<h4>Purpose</h4>The purpose is to compare the predictive utility of alternate measures of diet and physical activity for overweight and obesity among low-income minority women.<h4>Design</h4>Cross-sectional analysis of baseline data from a cohort study.<h4>Setting</h4>Three public housing developments in South Los Angeles.Subjects: Adult women (N = 425).<h4>Measures</h4>Primary outcome-weight status (normal BMI, overweight, or obese). Primary predictors- diet: 24-hour dietary recalls (Healthy Ea  ...[more]

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