Isotemporal Substitution Paradigm for Physical Activity Epidemiology and Weight Change

For a fixed amount of time engaged in physical activity, activity choice may affect body weight differently depending partly on other activities’ displacement. Typical models used to evaluate effects of physical activity on body weight do not directly address these substitutions. An isotemporal subs...

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Bibliographic Details
Published in:American journal of epidemiology 2009-08, Vol.170 (4), p.519-527
Main Authors: Mekary, Rania A., Willett, Walter C., Hu, Frank B., Ding, Eric L.
Format: Article
Language:eng
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Summary:For a fixed amount of time engaged in physical activity, activity choice may affect body weight differently depending partly on other activities’ displacement. Typical models used to evaluate effects of physical activity on body weight do not directly address these substitutions. An isotemporal substitution paradigm was developed as a new analytic model to study the time-substitution effects of one activity for another. In 1991–1997, the authors longitudinally examined the associations of discretionary physical activities, with varying activity displacements, with 6-year weight loss maintenance among 4,558 healthy, premenopausal US women who had previously lost >5% of their weight. Results of isotemporal substitution models indicated widely heterogeneous relations with each physical activity type (P 
ISSN:0002-9262
1476-6256