Journal of Physical Activity Research
ISSN (Print): 2576-1919 ISSN (Online): 2574-4437 Website: Editor-in-chief: Peter Hart
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Journal of Physical Activity Research. 2019, 4(1), 26-33
DOI: 10.12691/jpar-4-1-2
Open AccessArticle

Black Seventh-Day Adventists’ Adherence to the Centers for Disease Control and Prevention’s 1995 and 2008 Physical Activity Guidelines for Adults

Nicceta Davis1, , Donna Thorpe2, Patti Herring3, W. Lawrence Beeson4 and Gary Fraser5

1Department of Physical Therapy, School of Allied Health Professions, Loma Linda University, Loma Linda, CA, 92350, USA

2Allied Health Studies, School of Allied Health Professions, Loma Linda University, Loma Linda, CA, 92350, USA

3Health Promotion and Education Program, School of Public Health, Loma Linda University, Loma Linda, CA, 92350, USA

4Epidemiology and Biostatistics Programs, School of Public Health, Loma Linda University, Loma Linda, CA, 92350, USA

5Department of Preventive Medicine, School of Medicine, Loma Linda University, Loma Linda, CA, 92350, USA

Pub. Date: December 28, 2018

Cite this paper:
Nicceta Davis, Donna Thorpe, Patti Herring, W. Lawrence Beeson and Gary Fraser. Black Seventh-Day Adventists’ Adherence to the Centers for Disease Control and Prevention’s 1995 and 2008 Physical Activity Guidelines for Adults. Journal of Physical Activity Research. 2019; 4(1):26-33. doi: 10.12691/jpar-4-1-2


A lack of physical activity is associated with many chronic and metabolic diseases and decreased life expectancy. This study assessed the physical activity practices of Black Seventh-day Adventists to determine adherence to the Centers for Disease Control and Prevention’s 1995 and 2008 guidelines for adult physical activity. Data from 16,547 Black participants of the Adventist Health Study-2 prospective cohort were analyzed. Data about dietary practices, medication usage, and physical activity were collected and analyzed. Only 11.3% of Black Adventists met 1995 recommended guidelines and 22.8% met 2008 guidelines. Gender, age, educational level, and body mass index were associated with adherence to 1995 guidelines while gender, educational level, and body mass index were associated with adherence to 2008 guidelines. Compared to respondents 18-44 years (reference), 45-64 and 65+ years and older were most likely to adhere to 1995 guidelines (OR=1.22, 95% CI: 1.07, 1.39) and (OR=1.51, 95% CI: 1.27, 1.79) respectively. Most likely to adhere to 2008 guidelines were respondents aged 45-64 and 65+ years and older (OR=1.12, 95% CI: 1.03, 1.22) and (OR=1.25, 95% CI: 1.10, 1.41) respectively, and those educated at bachelor’s level and higher (OR=1.27, 95% CI: 1.16, 1.43), compared to grades K-12 (reference). Differences in 1995 and 2008 physical activity criteria resulted in differences in adherence, with greater adherence to the 2008 guidelines. Adults should be encouraged to participate in at least 150 minutes of moderate exercise or 75 minutes of vigorous exercise weekly to meet recommended physical activity guidelines.

black seventh-day Adventists exercise physical activity guidelines health behaviors

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[1]  World Health Organization. Physical activity fact sheet. In: Media centre. Accessed 29 June 2018.
[2]  Physical inactivity in the United States. In: The state of obesity: Better policies for a healthier America. Accessed 27 June 2018.
[3]  Centers for Disease Control and Prevention. Nutrition, physical activity and obesity: data, trends, and maps. Accessed 29 June 2018.
[4]  Carlson SA, Fulton JE, Pratt M, Yang Z, Adams KE. Inadequate physical activity and health care expenditures in the United States. Prog Cardiovasc Dis. 2015; Epub 2014 Aug 9.
[5]  Ding D, Kolbe-Alexander T, Nguyen B, et al. The economic burden of physical inactivity: a systematic review and critical appraisal. Br J Sports Med. 2017; 51:1392-1409.
[6]  Centers for Disease Control and Prevention. National Center for Health Statistics. Accessed 28 June 2018.
[7]  Blackwell DL, Lucas JW, Clarke TC. Summary health statistics for U.S. adults: National Health Interview Survey, 2012. In: Vital and health statistics. Series 10, Data from the National Health Survey. 2014. Accessed 28 June 2018.
[8]  Victor CR, Rogers A, Woodcock A, Beighton C, Cook DG, Kerry SM, Iliffe S, Whincup P, Ussher M, Harris TJ. What factors support older people to increase their physical activity levels? An exploratory analysis of the experiences of PACE-Lift trial participants. Arch Gerontol Geriatr. 2016; 67: 1-6.
[9]  Pamel FC, Krueger PM, Denney JT. Socioeconomic disparities in health behaviors. Annu Rev Socio. 2010; 36: 349-70.
[10]  Lanier JB, Bury DC, Richardson SW. Diet and physical activity for cardiovascular disease prevention. Am Fam Physician. 2016; 93:919-24.
[11]  Orlich MJ, Fraser GE. Vegetarian diets in the Adventist Health Study 2: A review of initial published findings. Am J Clin Nutr. 2014; June (100):353S-358S. Epub 2014 Jun 4.
[12]  Fraser G, Katuli S, Anousheh R, Knutsen S, Herring P, Fan J. Vegetarian diets and cardiovascular risk factors in Black members of the Adventist Health Study-2. Public Health Nutr. 2015; Epub 2014 Mar 17.
[13]  Orlich MJ, Singh PN, Sabate J, Jaceldo-Siegl K, Fan J, Knutsen S, Beeson L, Fraser GE. Vegetarian dietary patterns and mortality in Adventist Health Study 2. JAMA Intern Med. 2013.
[14]  Tantamango YM, Knutsen SF, Beeson WL, Fraser G, Sabaté J. Foods and food groups associated with the incidence of colorectal polyps: The Adventist Health Study. Nutr Cancer. 2011.
[15]  Long G, Watkinson C, Brage S, Morris J, Tuxworth B, Fentem P, Griffin S, Simmons R, Wareham N. Mortality benefits of population-wide adherence to national PA guidelines: a prospective cohort study. Eur J Epidemiol. 2014.
[16]  Powell KD, Thompson PD, Caspersen CJ, Kendrick JS. Physical activity and the incidence of coronary heart disease. Ann Rev Public Health. 1987; 8: 235-87.
[17]  Bijnen FCH, Caspersen CJ, Mosterd WL. Physical inactivity as a risk factor for coronary heart disease: a WHO and International Society and Federation of Cardiology position statement. Bulletin of the World Health Organization. 1994; 72: 1-4.
[18]  Pate RR, Pratt M, Blair SN, Haskell WL, Macera CA, Bouchard C. Physical activity and public health. A recommendation from the Centers of Disease Control and Prevention and the American College of Sports Medicine. JAMA. 1995; 273 (5): 402-07.
[19]  Sapkota S, Bowles HR, Ham SA., Kohl HW. Adult participation in recommended levels of physical activity-United States 2001-2003. In: Morbidity and Mortality Weekly Report. 2005. Accessed 29 June 2018.
[20]  How much physical activity do adults need? CDC Retrieved from Accessed 28 June 2018.
[21]  White EG. The Ministry of Healing. Pacific Press Publishing Association: Boise, ID; 1905.
[22]  White EG. Counsels on Diet and Foods. Review and Herald Publishing: Hagerstown, MD; 1938.
[23]  White EG. Counsels on Health. Pacific Press: Boise, ID; 1923.
[24]  Seventh-day Adventist Church. Living a healthful life. Accessed 28 June 2018.
[25]  Fraser GE, Shavlik DJ. Ten years of life: Is it a matter of choice? Arch Intern Med. 2001; 161(13): 1645-1652.
[26]  Celli BR. Predictors of mortality in COPD. Respir Med. 2010; June 104: 773-9.
[27]  duBois RM, Albera C, Bradford WZ, Costabel U, Leff JA, Noble PW, Sahn SA, Valeyre D, Weycker D, King TE. 6-Minute walk distance is an independent predictor of mortality in patients with idiopathic pulmonary fibrosis. Eur Respir J. 2014; 43: 1421-29.
[28]  Saunders T, Campbell N, Jason T, Dechman G, Hernandez P, Thompson K, Blanchard CM. Objectively measured steps/day in patients with chronic obstructive pulmonary disease: a systematic review and meta-analysis. J Phys Act Health. 2016; 13(11): 1275-1283.
[29]  Butler TL, Fraser GE, Beeson WL, Knutsen SF, Herring RP, Chan J, Sabaté J, Montgomery S, Haddad E, Preston-Martin S. Cohort profile: The Adventist Health Study-2 (AHS-2). Int J Epidemiol. 2008; 37:260-65.
[30]  Jaceldo-Siegl K, Knutsen SF, Sabaté J, Beeson WL, Chan J, Herring RP, Butler TL, Haddad E, Bennett H, Montgomery S, Sharma SS, Oda K, Fraser GE. Validation of nutrient intake using a food-frequency questionnaire and repeated 24 h recalls in Black and White subjects of the Adventist Health Study-2 (AHS-2). Public Health Nutrition. 2010; 13: 812-19.
[31]  Singh PN, Fraser GE, Knutsen SF, Lindsted KD, Bennett HW. Validity of a physical activity questionnaire among African-American Seventh-day Adventists. Med Sci Sports Exerc. 2001; 33: 468-75.
[32]  Centers for Disease Control and Prevention. Healthy weight. Accessed 28 June 2018.
[33]  Bes-Rastrollo M, Sabaté J, Jaceldo-Siegl K, Fraser GE. Validation of self-reported anthropometrics in the Adventist Health Study 2. BMC Public Health. 2011; 11: 213.
[34]  Williams PT, Thompson PD. The relationship of walking intensity to total and cause-specific mortality. Results from the National Walkers’ Health Study. PLOS ONE 2013; 8:1-10.
[35]  Herring RP, Montgomery S, Yancey AK, Williams D, Fraser GE. Understanding the challenges in recruiting Blacks to a longitudinal cohort study: The Adventist Health Study. Ethnicity & Dis. 2004; 14: 423-30.
[36]  Yancey AK, Herring RP, Fraser GE, Yan R, Baker P, Lampkin A, Kyle J. Black art posters, an incentive to increase study enrollment among Blacks in a large cohort study. Prev Med. 2008; 46: 370-73.
[37]  National Health Interview Survey, family core and sample adult questionnaires. Accessed 28 June 2018.
[38]  O’Donovan G, Blazevich AJ, Boreham C, et al. The ABC of physical activity for health: a consensus statement from the British Association of Sport and Exercise Sciences. J Sports Sci. 2010; 28: 573-91.
[39]  Schoenborn CA, Stommel M. Adherence to the 2008 physical activity guidelines and mortality risk. Am Jou of Preventive Med. 2011; 40(5): 514-21.
[40]  Gothe NP, Kendall BJ. Barriers, motivations, and preferences for physical activity among female African American older adults. Gernotol Geriatr Med. 2016; 2.
[41]  Huebschann AG, Campbell LJ, Brown CS, Dunn AL. My hair or my health: Overcoming barriers to physical activity in African American women with a focus on hairstyle-related factors. Women & Health. 2016; 56: 428-47.
[42]  Bowen F, O’Brien-Richardson P. Cultural hair practices, physical activity and obesity Journal AANP 2017; 29; 754-62.
[43]  Atchley RC. A continuity theory or normal aging. Gerontologist. 1989; 29: 183-90.
[44]  Barengo NC. Leisure-time physical activity reduces total and cardiovascular mortality and cardiovascular disease incidence in older adults. J Am Geriatr SOC. 2017; 65: 504-04.
[45]  Wanigatunga AA, Tudor-Locke C, Axtell RS, et al. Effects of a long-term physical activity program on activity patterns in older adults. Med Sci Sports Exerc. 2017; 49: 2167-75.
[46]  Marzetti, E., Calvani, R., Tosato, M. et al. Aging Clin Exp Res. 2017; 29:35.
[47]  Smith GL, Banting L, Eime R, O’Sullivan G, van Uffelen JGZ. The association between social support and physical activity in older adults: a systematic review. Int Behav Nutr Phys Act. 2017; 14: 56.
[48]  Whitt-Glover MC, Goldmon MV, Gizlice Z, Heil DP, Karanja N. Learning and developing iIndividual exercise skills (L.A.D.I.E.S.) for a better life: A church-based physical activity intervention – baseline participant characteristics. Ethnicity & Disease. 2017; 27:257-64.
[49]  Assari S, Nikahd A, Malekahmadi MR, Lankarani MM, Zamanian H. Race by gender group differences in the protective effects of socioeconomic factors against sustained health problems across five domains. J Racial and Ethn Health Disparities. 2017; 4: 884-94.
[50]  Booth FW, Roberts CK, Laye MJ. Lack of exercise is a major cause of chronic diseases. Compr Physiol. 2012; 2: 1143-1211.
[51]  Singh PN, Clark RW, Herring P, Sabate J, Shavlik D, Fraser GE. Obesity and life expectancy among long-lived Black adults. J Geronotol A Biol Sci Med Sci. 2014; 69: 63-72.
[52]  Sebastião E, Chodzko-Zajko W, Schwingel A. The need to modify physical activity messages to better speak to older African American women: a pilot study. BMC Public Health. 2015; 15: 962.
[53]  Siddiqi Z, Tiro JA, Shuval K. Understanding impediments and enablers to physical activity among African American adults: a systematic review of qualitative studies. Health Educ Res. 2011; 26: 1010-24.
[54]  Lee LL, Arthur A, Avis M. Using self-efficacy theory to develop interventions that help older people overcome psychological barriers to physical activity: a discussion paper. Int J Nurs Stud. 2008; 45: 1690-1699.
[55]  Anshel MH, Smith M. The role of religious leaders in promoting healthy habits in religious institutions. J Relig Health. 2014; 53: 1046-59.
[56]  James DCS, Harville C, Efunbumi O, Babazadeh I, Ali S. You have to approach us right: A qualitative framework analysis for recruiting African Americans into mHealth research. Health Educ Behav. 2017; 44: 781-90.
[57]  Allen K, Morey MC. Physical Activity and Adherence. In: Bosworth H. (eds) Improving Patient Treatment Adherence. Springer, New York, NY. 2010. Pg. 9-38.
[58]  Dyrstad SM, Hansen BH, Holme IM, Anderssen SA. Comparison of self-reported versus accelerometer-measured physical activity. Med Sci Sports Exerc. 2014; 46: 99-106.