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Obesity01:24

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The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in...
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Visualization of Intensity Levels to Reduce the Gap Between Self-Reported and Directly Measured Physical Activity
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The "fit but fat" paradigm addressed using accelerometer-determined physical activity data.

Paul Loprinzi1, Ellen Smit2, Hyo Lee3

  • 1Department of Exercise Science, Donna and Allan Lansing School of Nursing and Health Sciences, Bellarmine University, Louisville, Kentucky, Korea.

North American Journal of Medical Sciences
|August 1, 2014
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Physical activity benefits health biomarkers across weight categories. Active overweight individuals show similar cardiovascular profiles to normal-weight inactive peers, challenging the "fit but fat" concept.

Keywords:
AccelerometryBiomarkersFit but fatObesity

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Area of Science:

  • Cardiovascular Health
  • Metabolic Health
  • Physical Activity Research

Background:

  • The
  • fit but fat
  • paradigm lacks investigation using objective accelerometry data.
  • Understanding the role of physical activity in overweight and obese individuals is crucial for public health.
  • Objective measurement of physical activity is essential for accurate health assessments.

Purpose of the Study:

  • To examine the association between accelerometer-determined physical activity and biomarkers in overweight or obese individuals.
  • To compare biomarker levels in active overweight/obese individuals versus inactive normal-weight individuals.
  • To investigate the
  • fit but fat
  • concept using objective physical activity data.

Main Methods:

  • Analysis of data from the 2003-2006 National Health and Nutrition Examination Survey (NHANES).
  • Inclusion of 5,146 participants aged 20-85 years.
  • Objective measurement of physical activity using accelerometry.

Main Results:

  • Active obese individuals exhibited more favorable waist circumference, C-reactive protein, white blood cells, and neutrophil levels than inactive obese individuals.
  • Similar positive associations were observed for active overweight individuals compared to inactive overweight individuals.
  • No significant biomarker differences were found between normal-weight inactive individuals and active overweight individuals, or between normal-weight inactive individuals and active obese individuals for several key markers.

Conclusions:

  • Physical activity confers protective effects on health biomarkers irrespective of body weight (normal, overweight, or obese).
  • Active individuals who are overweight (but not obese) demonstrate a cardiovascular profile comparable to that of inactive normal-weight individuals.
  • Objective physical activity assessment is vital for understanding health outcomes in diverse weight categories.