Research article - (2019)18, 586 - 595
Daily Step-Based Recommendations Related to Moderate-to-Vigorous Physical Activity and Sedentary Behavior in Adolescents
Daniel Mayorga-Vega1,, Carolina Casado-Robles2, Jesús Viciana2, Iván López-Fernández3
1Department of Didactic of Musical, Plastic and Corporal Expression, Faculty of Humanities and Education Sciences, University of Jaen,
2Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada,
3Biodynamic and Body Composition Laboratory, Faculty of Education Sciences, University of Malaga,

Daniel Mayorga-Vega
✉ Department of Didactic of Musical, Plastic and Corporal Expression, Faculty of Humanities and Education Sciences, University of Jaen, Spain.
Email: dmayorgavega@gmail.com
Received: 08-03-2019 -- Accepted: 02-07-2019
Published (online): 19-11-2019

ABSTRACT

Among adolescents empirical studies examining the total daily steps translation of the moderate-to-vigorous physical activity recommendation are scarce and inconsistent, and there are no previous studies with cadence-based steps and related to sedentary behavior. The main objective of the present study was to establish and compare the accuracy of daily step-based recommendations related to the moderate-to-vigorous physical activity and sedentary behavior thresholds in adolescents. The present study followed a cross-sectional design. A total of 126 adolescents (56 girls) aged 12-15 years old were assessed by ActiGraph GT3X accelerometers for eight consecutive days (moderate-to-vigorous physical activity, sedentary behavior, and steps) and the multistage 20-meter shuttle run test (cardiorespiratory fitness). ROC curve analyses showed that total daily steps (AUC = 0.94, 0.89-0.99; Threshold ≥ 11,111 steps/ day; P = 0.93; k = 0.67; p < 0.001) was a more appropriate indicator than cadence-based daily steps for distinguishing between physically active and inactive adolescents. Daily step-based thresholds represent a promising way to translate a total daily sedentary behavior threshold (e.g., total daily steps, AUC = 0.87, 0.81-0.93; Sensitivity = 0.87; Specificity = 0.70). Adolescents who met a favorable combination of step-based recommendations related to both physical activity and sedentary behavior thresholds had a higher probability of having a healthy cardiorespiratory fitness profile than those who did not meet either of them (e.g., risk ratio = 5.05, 1.69-15.08) or only the one related to physical activity (e.g., risk ratio = 4.09, 1.36-12.29). These findings may help policy-makers to provide accurate daily step-based recommendations that would simplify the physical activity and sedentary behavior thresholds for adolescents.

Key words: Steps/ day, step counts, walking cadence, cut-off point, thresholds, children

Key Points
  • Total daily step-based recommendations are preferable than for those with cadence-based steps because they are not only simpler but also more accurate for classifying adolescents as physically active and inactive.
  • A threshold of total daily steps ≥ 11,111 steps/ day seems to be the most appropriate to distinguish adolescents that meet the physical activity recommendation among adolescents.
  • Daily step-based recommendations represent a promising way to translate a total daily sedentary behavior threshold among adolescents.
  • Adolescents who met a favorable combination of step-based recommendations related to both physical activity and sedentary behavior thresholds had a higher probability of having a healthy cardiorespiratory fitness profile than those who did not meet either of them or only the one related to physical activity.








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