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      Seven-day, free-living, objectively-measured ambulatory activity: a data set from the Dikgale Health and Demographic Surveillance System site, Limpopo Province, South Africa

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      BMC Research Notes
      BioMed Central
      Pedometer, Accelerometer, Physical activity, Rural, Africa

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          Abstract

          Objectives

          To investigate first, the level, distribution, patterns and prevalence of seven-day, objectively-measured physical activity (ambulation) in a rural health and demographic surveillance system (HDSS) site in South Africa, across demographic, temporal and anthropometric measures, within a sample of adolescent and adult participants from a defined ethnic group. Second, to investigate the strength and direction of association between levels of adiposity and physical activity (ambulation).

          Data description

          The data collected comprises anonymized, individual-level, seven-day pedometry data from a cross-sectional, conveniently sampled survey conducted in 2005–2007. The data includes daily steps and daily activity energy expenditure, basic demographic and temporal information (age, sex, village, day, season) and anthropometric measures (stature, body mass, waist and hip circumference, skinfold thickness) and resting heart rate and blood pressure. Given that this data set was of the first large-scale surveys of objectively-measured physical activity in a South African sample, it could be useful for inclusion in future ecological studies investigating the trend of physical activity over time in the South African population. In addition, this objectively-measured data could provide a useful triangulation point for the interpretation and validation of surveys conducted using self-report measures, especially within rural communities.

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          Most cited references8

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          Prevalence of cardiovascular diseases and associated risk factors in a rural black population of South Africa.

          To determine the prevalence and associated risk factors of cardiovascular diseases in a rural adult black population from Limpopo Province in South Africa. A cross-sectional study. A sample of 1608 women and 498 men aged 30 years and above participated in the study. Sociodemographic data, anthropometric measures (body mass index, waist/hip ratio), blood pressure and biochemical risk factors were measured. A global cardiovascular disease (CVD) risk profile was developed. There was a high prevalence of tobacco use for men (57%) and women (35.4%), with women (28.1%) predominantly using smokeless tobacco. Alcohol use was very common in men (57.2%). Women weighed a great deal more than men, and 51.7% were either overweight or obese. Diabetes was diagnosed in 8.8 and 8.5% of women and men, respectively. High-density lipoprotein-cholesterol was relatively high, whereas 42.3% of women and 28.5% of men had low-density lipoprotein-cholesterol levels of 3 mmol/l or more. Hypertension (blood pressure > or =140/90 mmHg) was found in 25.5% of women and 21.6% of men. According to the Framingham formulae, 18.9% of women and 32.1% of men had a 20% or higher chance of having a CVD event in the next 10 years. There was a high prevalence of chronic disease risk factors in the rural, poor black community in Limpopo, South Africa. Consequently, the population had a higher than expected risk of developing a CVD event in the following 10 years when compared with similar studies in black Africans.
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            Health & Demographic Surveillance System Profile: The Dikgale Health and Demographic Surveillance System.

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              Descriptive epidemiology of ambulatory activity in rural, black South Africans.

              We investigated the distribution of objectively measured ambulation levels and the association of ambulation levels to adiposity levels in a convenience sample of adolescent and adult, rural black South Africans. We analyzed 7-d pedometry data, collected over a period of nine consecutive days, in 789 subjects (women, n = 516; men, n = 273). Adiposity measures included body mass index (BMI) and waist circumference (WC). Obesity was defined as BMI > or = 30 kg x m(-2) or WC > or = 102 cm for men and WC > or = 88 cm for women. The average age- and BMI-adjusted 7-d ambulation level was 12,471 steps per day (95% confidence interval (CI) = 12,107-12,834). Ambulation levels differed between sexes (P = 0.0012), and weekday ambulation differed from weekend ambulation (P = 0.0277). Prevalences, age adjusted to the world population, for sedentarism (SED; or =10,000 steps per day) were 8.0%, 25.5%, and 66.6%, respectively. In contrast, published self-reported national prevalences for physical inactivity, insufficient physical activity, and physically active have been estimated to be 43%-49%, 20%-27%, and 25%-37%, respectively. After adjusting for sex and age, adiposity measures remained significantly associated with steps per day (BMI, r = -0.08; WC, r = -0.12; P < 0.03). Adjusting for sex, age, village, and season, SED increased the risk of obesity by more than twofold compared with ACT (P < 0.05). Achieving <10,000 steps per day compared with ACT was associated with an increased multivariate-adjusted obesity risk of 86%-89% (P < 0.001). Ambulation levels were high for this rural African sample, and prevalences for SED and ACT differed from published self-reported estimates.
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                Author and article information

                Contributors
                ian.cook@ul.ac.za
                Journal
                BMC Res Notes
                BMC Res Notes
                BMC Research Notes
                BioMed Central (London )
                1756-0500
                19 October 2023
                19 October 2023
                2023
                : 16
                : 284
                Affiliations
                Physical Activity Epidemiology Laboratory (EDST), University of Limpopo (Turfloop), ( https://ror.org/017p87168) Sovenga, Limpopo Province South Africa
                Article
                6547
                10.1186/s13104-023-06547-0
                10588242
                37858251
                b016a64e-ffe7-4b97-a325-f1ebceb57cbf
                © BioMed Central Ltd., part of Springer Nature 2023

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                : 25 April 2023
                : 29 September 2023
                Funding
                Funded by: Thuthuka Programme of the National Research Foundation of South Africa
                Award ID: TTK2005081500020
                Funded by: Research Development and Administration Division of the University of Limpopo (Turfloop Campus)
                Award ID: None
                Categories
                Data Note
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                © BioMed Central Ltd., part of Springer Nature 2023

                Medicine
                pedometer,accelerometer,physical activity,rural,africa
                Medicine
                pedometer, accelerometer, physical activity, rural, africa

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