Ingrained activity wards off weight

NORTHWESTERN (US) — People who engage in moderate to vigorous activity nearly every day of the week starting as young adults will gain significantly less weight by middle age.

Women in particular benefit from high activity over 20 years, gaining an average of 13 pounds less than those with low activity; while men with high activity gained about 6 pounds less than their low-activity peers.

High activity includes recreational exercise such as basketball, running, brisk walking, an exercise class, or even daily activities such as housework or construction work.

“Everyone benefits from high activity, but I was surprised by the gender differences,” says lead author Arlene Hankinson, an instructor in preventive medicine at Northwestern University.

“It wasn’t that activity didn’t have an effect in men, but the effect was greater in women. Now women should be especially motivated.”

The study is reported in the Journal of the American Medical Association.

There could be several reasons for the gender difference, Hankinson says, one being that women are less likely than men to overestimate their activity, according to previous studies. “Men may not be getting as much activity as they report,” Hankinson explains.

In addition, men in the high-activity group compensated by eating more than their low-activity counterparts, which could lead to more weight gain. The highly active women didn’t eat more than low-activity women in the study.

There are many ways to achieve the study’s definition of high-activity levels, Hankinson notes, including a relatively minor 150 minutes of moderate to vigorous activity a week.

The study participants—1,800 women and nearly 1,700 men—are part of the Coronary Artery Risk Development in Young Adults (CARDIA) Study, a multi-center, longitudinal and population-based observational study designed to describe the development of risk factors for coronary heart disease in young black and white adults.

“This paper is another example of how the CARDIA study has contributed to our knowledge about the importance of initiating healthy habits early in life and vigilantly maintaining them,” says paper coauthor Stephen Sidney, associate director for clinical research at the Kaiser Permanente Division of Research.

“Common medical problems such as heart disease, diabetes, and obesity have their origins in childhood and can generally be prevented by maintaining a normal weight, not smoking, exercising regularly, and eating a healthy diet throughout life.”

Hankinson’s research is the first to measure the impact of high activity over 20 years between young adulthood and middle age and to frequently examine participants (seven times) over that period. Study participants are more likely to remember and accurately report their behavior with regular exams, she says.

Previous studies have looked at a single exercise intervention’s effect on weight for a short period of time or examined participants in longer studies at only two points in time—the beginning and the end.

“We wanted to see if people’s activity levels during their youth were enough to help them keep weight off in middle age, or if they needed to up the ante,” Hankinson says. “It’s difficult to avoid gaining weight as you age. Our metabolic rate goes down. We develop conditions or have lifestyles that make it harder to maintain a high level of activity.

“The study reinforces that everyone needs to make regular activity part of their lifestyles throughout their lives,” she says. “Not many people actually do that.”

The active group in the study comprised only 12 percent of the participants. Lower levels of activity had a negligible effect on weight gain in the study, Harkinson notes.

“High activity was the only kind that made a significant difference.”

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